Is team training in briefings for surgical teams feasible in simulation?

We developed a module for surgical team training using briefings in simulated crisis scenarios and here we report preliminary findings. Nine surgical teams (34 trainees) participated in a pre-training simulation, followed by an interactive workshop on briefing and checklists, and then a post-training simulation. Both technical and non-technical skills were assessed via observation during simulations by expert trainers who provided feedback on performances at the end of simulation. Trainees also reported their attitudes to briefings and evaluated the training. Pre-training attitudes to briefing were positive, some of which improved post-training and trainees’ evaluation of the training was positive. Surgeons’ technical skill improved significantly post-training, but their decision-making skill was rated lower than other non-technical skills, compared to other trainees. The training did not appear to greatly improve non-technical skill performance. Training surgical teams in simulation is feasible but much more work is needed on measurement development and training strategy to confirm its efficacy and utility.     

Acoustic environment as an indicator of social and physical context

Acoustic environments provide many valuable cues for context-aware computing applications. From the acoustic environment we can infer the types of activity, communication modes and other actors involved in the activity. Environmental or background noise can be classified with a high degree of accuracy using recordings from microphones commonly found in PDAs and other consumer devices. We describe an acoustic environment recognition system incorporating an adaptive learning mechanism and its use in a noise tracker. We show how this information is exploited in a mobile context framework. To illustrate our approach we describe a context-aware multimodal weather forecasting service, which accepts spoken or written queries and presents forecast information in several forms, including email, voice and sign languages.

1993: Axline's eight principles of play therapy revisited.

Examined V. Axlines's book, Play Therapy (1947) which includes 8 basic principles on non-directive play therapy. Student responses to learning these principles in play therapy classes were also examined. Each student was assigned a play therapy client and was observed and assisted directly by the instructor, a licensed clinical psychologist. Clients were mildly trouble children (aged 5–10 yrs) and were selected from a referral base by the instructor as appropriate for the course. As the semester progressed and students gained direct experience, weekly small (3–4 student) group discussions were held to explore in-depth understanding of play therapy principles and how these principles are put into practice. It is concluded that Axline's book remains a classic text and a foremost resource in the field. Coupling it with experiential learning is an invaluable basis for teaching play therapy. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The turnover and distribution of labelled corticosterone during post-natal development of the duckling (Anas platyrhynchos)

During 6 months of post-natal development in the laboratory, the weight of the adrenal gland relative to body weight decreases exponentially. In the 3 day-old duckling a single intravenous dose of labelled corticosterone becomes distributed in a very large apparent volume and an "extracellular" pool that is greater than the extracellular fluid volume and the pattern of disappearance of labelled hormone from plasma is biphasic. Later during development the volumes of distribution decrease and the biphasic pattern of disappearance becomes less distinct until at 6 months only one phase of disappearance can be detected with confidence. No significant change in plasma corticosterone concentration occurs during this period of development in the laboratory. Estimations of the corticosterone secretory rates, however, indicate that whereas the adrenal weight-specific rate os secretion increases during the first 3 weeks and declines therafter, the bodyf weight-specific secretory rate continues to decline throughtout the period of increasing body weight.     

Microstructure of direct current and pulse magnetron sputtered Cr-B coatings

Chromium diboride thin films possess desirable combinations of properties (such as high hardness, wear resistance, chemical inertness, high thermal and electrical conductivity), which are attractive for a wide range of potential industrial applications. However, these properties depend strongly on the deposition process and parameters. Investigation of the resultant coating structures could explain certain differences between them, giving important information about the characteristics of the deposition process (which in this particular case is a recently developed method involving magnetron sputtering of loosely packed blended powder targets) and pointing out directions for improvement.In this paper, Cr-B coatings deposited by direct current (DC) and DC-pulse magnetron sputtering of loosely packed blended powder targets are characterised by transmission electron microscopy (TEM) techniques (electron diffraction and bright-field/dark-field imaging). The structures of the coatings deposited with different parameters are investigated and compared, and the effect of oxygen contamination on the structure is discussed.Coatings with an extremely fine, nanocolumnar structure were observed. DC sputter deposited (and generally non-stoichiometric) Cr-B coatings exhibit a short range ordered ‘zone T’ microstructure, while DC-pulse deposited stoichiometric CrB₂ coatings are dense and defect-free, crystalline and show strong preferred orientation.A small amount of contamination by oxygen of the interfacial sub-layers (due to the target material being a powder) of the DC-pulse magnetron sputter deposited stoichiometric CrB₂ (and near-stoichiometric CrB) coatings was found to affect the structure by suppressing nanocolumnar growth and promoting equiaxed, nanometer-sized grains, close to the coating/substrate interface. The majority of the coating however remained nanocolumnar.     

Fecal Coliform Removal within a Marshland Upwelling System Consisting of Scatlake Soils

The marshland upwelling system (MUS) was installed on private camps in the Grand Bay National Estuarine Research Reserve, Moss Point, Mississippi. The system was evaluated for its effectiveness in removing fecal coliforms from settled, raw wastewater. A suite of studies was performed at flow rates of 1.9, 2.8, and 5.5 L/min and an injection frequency of 30 min every 3 h to investigate fecal coliform removal. An additional study was performed at a flow rate of 2.8 L/min and an injection frequency of 15 min every hour. Overall, the MUS consistently maintained fecal concentrations below effluent regulatory standards for shellfish harvesting waters (14 most probable number of colonies per 100 mL). Mean influent concentrations of 55,269±2,218,016 colony forming units (CFU)/100 mL were reduced to effluent counts of 2.7±14.07 CFU/100 mL (observed in the 1.5 m wells). Three- to four-log reductions in influent counts were observed over the initial 1.4 vector?m from the injection well. The overall removal followed a first-order decay relationship with respect to vector distance, resulting in removal rate constants ranging from 5.6 to 6.6/m and predicted surface concentrations approaching 0 CFU/100 mL. The 2.8 L/min for 30 min every 3 h treatment provided the best effluent quality.     

Mixed Methods Research Designs in Counseling Psychology.

With the increased popularity of qualitative research, researchers in counseling psychology are expanding their methodologies to include mixed methods designs. These designs involve the collection, analysis, and integration of quantitative and qualitative data in a single or multiphase study. This article presents an overview of mixed methods research designs. It defines mixed methods research, discusses its origins and philosophical basis, advances steps and procedures used in these designs, and identifies 6 different types of designs. Important design features are illustrated using studies published in the counseling literature. Finally, the article ends with recommendations for designing, implementing, and reporting mixed methods studies in the literature and for discussing their viability and continued usefulness in the field of counseling psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The effect of the measurement frequency on the elastic anisotropy of fibre laminates

Static tests and ultrasonic measurements (2.25 MHz) have been carried out on a series of composite laminates of glass fibres in a polypropylene matrix. A range of angle ply laminates were prepared for this study, with laminate angles θ of ±0, 10, 20, 30 and 40^∘. The high frequency measurements were made using the ultrasonic immersion technique, which allows the determination of a complete set of the elastic constants of a material. The relationship between the ultrasonically determined elastic constants of the angle ply laminates was found to be in excellent agreement with theoretical predictions, as previously validated for carbon fibre/epoxy angle ply laminates. A comparison between the ultrasonic and statically measured values was made for two of the angle ply laminates (θ = 0 and 20^∘). It was found that the static values were lower than those measured at ultrasonic frequency, particularly those constants that were more matrix dominated (for example the transverse moduli of the laminates). Measurements on a pure polypropylene sample at both testing frequencies confirmed that the change in matrix properties with frequency was the cause of this difference. The change in properties with test frequency is likely to be much larger in this system than in other composite materials because the glass transition temperature of polypropylene is close to ambient temperature. Dynamic mechanical tests (1 Hz) were carried out on a sample of pure polypropylene to assess this effect. We also give an appropriate method of estimating the dependence of glass transition temperature on frequency. The results for polypropylene are compared with those for other commonly used polymer matrix materials: epoxy resin, nylon and polyetheretherketone (PEEK): DMTA measurements were also made on these samples. The effect of test frequency on matrix properties, for the glass/PP laminates, was further investigated by examining the relationship of the Poisson's ratios with laminate angle using a mixture of ultrasonic experiments and theoretical predictions. Previously we have shown that the degree of anisotropy between the reinforcing fibre and the matrix phase is paramount in determining whether the material will show a negative Poisson's ratio at a critical laminate angle. The ultrasonic measurements carried out in this study on the glass/PP laminates showed a minimum in one of the Poisson's ratio at a laminate angle of 32°, but the value did not become negative. However, theoretical predictions showed that for a static frequency measurement (1 Hz), where the matrix is softer and hence the anisotropy of each laminate ply is higher, the laminate will show a negative Poisson's ratio with a minimum at a laminate angle of around 28°.