Noise peaks influence communication in the operating room. An observational study

Noise peaks are powerful distractors. This study focuses on the impact of noise peaks on surgical teams’ communication during 109 long abdominal surgeries. We related measured noise peaks during 5-min intervals to the amount of observed communication during the same interval. Results show that noise peaks are associated with less case-relevant communication; this effect is moderated by the level of surgical experience; case-relevant communications decrease under high noise peak conditions among junior, but not among senior surgeons. However, case-irrelevant communication did not decrease under high noise level conditions, rather there was a trend to more case-irrelevant communication under high noise peaks. The results support the hypothesis that noise peaks impair communication because they draw on attentional resources rather than impairing understanding of communication. As case-relevant communication is important for surgical performance, exposure to high noise peaks in the OR should be minimised especially for less experienced surgeons.

Practitioner Summary: This study investigated whether noise during surgeries influenced the communication within surgical teams. During abdominal surgeries, noise levels were measured and communication was observed. Results showed that high noise peaks reduced the frequency of patient-related communication, but did not reduce patient-irrelevant communication. Noise may negatively affect team coordination in surgeries.     

Quantitative comparison of thermal and solutal transport in a T-mixer by FLIM and CFD

The development and adoption of lab-on-a-chip and micro-TAS (total analysis system) techniques requires not only the solving of design and manufacturing issues, but also the introduction of reliable and quantitative methods of analysis. In this work, two complementary tools are applied to the study of thermal and solutal transport in liquids. The experimental determination of the concentration of water in a water–methanol mixture and of the temperature of water in a microfluidic T-mixer are achieved by means of fluorescence lifetime imaging microscopy (FLIM). The results are compared to those of finite volume simulations based on tabulated properties and well-established correlations for the fluid properties. The good correlation between experimental and modelled results demonstrate without ambiguity that (1) the T-mixer is an adiabatic system within the conditions, fluids and flow rates used in this study, (2) buoyancy effects influence the mixing of liquids of different densities at moderate flow rates (Reynolds number Re ≪ 10⁻²), and (3) the combination of FLIM and computational fluid dynamics has the potential to be used to measure the thermal and solutal diffusion coefficients of fluids for a range of temperatures and concentrations in one single experiment. As such, it represents a first step towards the full-field monitoring of both the extent and the kinetics of a chemical reaction.

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New method for selectivity enhancement of SiC field effect gas sensors for quantification of NO x

A silicon carbide based enhancement type metal insulator field effect transistor with porous gate metallization has been investigated as a total NO _x sensor operated in a temperature cycling mode. This operating mode is quite new for gas sensors based on the field effect but promising results have been reported earlier. Based on static investigations we have developed a suitable T-cycle optimized for NO _x detection and quantification in a mixture of typical exhaust gases (CO, C₂H₄, and NH₃). Significant features describing the shape of the sensor response have been extracted and evaluated with multivariate statistics (e.g. linear discriminant analysis) allowing quantification of NO _x . Additional cleaning-cycles every 30?min improve the stability of the sensor further. With this kind of advanced signal processing the influence of sensor drift and cross sensitivity to ambient gases can be reduced effectively. Measurements have proven that different concentrations of NO _x can be detected even in a changing mixture of other typical exhaust gases under dry and humid conditions. In addition to that, unknown concentrations of NO _x can be detected based on a small set of training data. It can be concluded that the performance of GasFETs for NO _x determination can be enhanced considerably with temperature cycling and appropriate signal processing.     

Towards an Understanding the Outcomes of Housing Privatisation in South Africa

Housing privatisation is commonly understood in political economic terms. The proponents of privatisation argue that the provision of ownership enables households to have security of tenure, which in turn leads to increased housing investment, the development of a secondary housing market and a source of income for the local authority by means of land tax. On the other hand, critics of housing privatisation suggest that such processes lead to landlordism and an increased dependence on mortgage finance. This paper uses historical methodology to trace the historical lack of secure tenure for urban black South Africans. The data consists of 395 structured questionnaires conducted in the case study area of Mangaung, the former black township of Bloemfontein. The results suggest that housing privatisation processes in South Africa cannot be viewed only through a political economic lens.     

Validation of a Method for Analysis of Aroma Compounds in Red Wine using Liquid–Liquid Extraction and GC–MS

An analytical method for determination of volatile composition of wines using sample preparation by liquid–liquid extraction and gas chromatography coupled to mass spectrometry for separation and detection has been developed and validated. Extraction of volatile compounds was performed in dichloromethane, and 1-octanol was added as an internal standard. Kékfrankos red wine produced in Villány wine region in Hungary was used as a model wine for testing and validation of the method. The developed method allowed satisfactory determination of 33 volatile compounds in the wines. Compounds analyzed include alcohols, esters, lactones, fatty acids, furans, and nitrogen compounds. The calibration curves of the four reference compounds used (2-phenyl ethanol, ethyl nonanoate, butyrolactone, and tyrosol) were linear in all cases with correlation coefficients (R ²) ranging from 0.9951 to 0.9992. The accuracy of the method was checked with a standard addition method (recovery 92.2–103 %), showing good repeatability and reproducibility (RSD?<?10 %).     

Broccoli leaf powder as an attractive by-product ingredient: effect on batter behaviour,technological properties and sensory quality of gluten-free mini sponge cake

Broccoli by-products, in particular leaves, are rich sources of nutritional and bioactive components thus could constitute a valuable food additive. Although an upsurge in quantity of gluten-free products is observed further studies are required on improvement of their nutritional quality and palatability. This study aimed to investigate the influence of broccoli leaf powder (BLP) on dough behaviour, and technological characteristics and sensory quality of gluten-free mini sponge cake (GFS). Broccoli leaf powder replaced an equivalent amount (2.5%, 5%, 7.5%; w/w) of corn and potato starches in GFS formulation. Applied BLP increased the instrumental firmness of GFS but sensorial attributes (elasticity, crustiness, mastication and adhesiveness) were similar to the control. All broccoli GFS were vividly green, had small size pores properly distributed. Among them, sample with 2.5% BLP was distinguished for its desirable sensory quality, despite a slightly perceived cabbage aroma and taste. Moderate amount of BLP allows to preserve a good quality GFS improving its attractiveness and palatability.     

Investigation of the Equivalence of National Dew-Point Temperature Realizations in the ?50?°C to +?20?°C Range

In the field of humidity quantities, the first CIPM key comparison, CCT-K6 is at its end. The corresponding European regional key comparison, EUROMET.T-K6, was completed in early 2008, about 4?years after the starting initial measurements in the project. In total, 24 NMIs from different countries took part in the comparison. This number includes 22 EURAMET countries, and Russia and South Africa. The comparison covered the dew-point temperature range from ?50?°C to +20?°C. It was carried out in three parallel loops, each with two chilled mirror hygrometers as transfer standards in each loop. The comparison scheme was designed to ensure high quality results with evenly spread workload for the participants. It is shown that the standard uncertainty due to the long-term instability was smaller than 0.008?°C in all loops. The standard uncertainties due to links between the loops were found to be smaller than 0.025?°C at ?50?°C and 0.010?°C elsewhere. Conclusions on the equivalence of the dew-point temperature standards are drawn on the basis of calculated bilateral degrees of equivalence and deviations from the EURAMET comparison reference values (ERV). Taking into account 16 different primary dew-point realizations and 8 secondary realizations, the results demonstrate the equivalence of a large number of laboratories at an uncertainty level that is better than achieved in other multilateral comparisons so far in the humidity field.     

Examination of naturalistic driving practices in drivers with Parkinson's disease compared to age and gender-matched controls

A few studies suggest that drivers with Parkinson's disease (PD) may self-regulate or modify their driving behavior more than drivers without neurological disorders; however findings are limited to self-report. The purpose of this study was to objectively examine whether drivers with PD show more restrictive driving practices (exposure and patterns). Electronic devices were installed in the vehicles of 27 drivers with PD (71.6 ± 6.6; 78% men) and 20 matched controls (70.6 ± 7.9; 80% men) for two weeks and driving data were matched with aerial maps, weather and daylight archives and trip logs to examine driving context. Compared to controls, the PD group drove significantly less overall (number of trips, kilometres, duration), and proportionately less at night and on days with bad weather suggesting more restricted driving practices, congruent with lower ratings of driving comfort and abilities. However, they may not necessarily drive more cautiously or safely as they drove significantly faster (and over the speed limit) on highways and freeways and 19% reported driving problems over the two weeks. These preliminary findings need to be replicated and longitudinal studies using objective indicators are needed to examine changes in driving practices, as well as crash outcomes, as disease severity progresses.