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. 相似文献
Increased network speeds coupled with new services delivered via the Internet have increased the demand for intelligence and
flexibility in network systems. This paper argues that both can be provided by new hardware platforms comprised of heterogeneous
multi-core systems with specialized communication support. We present and evaluate an experimental network service platform
that uses an emergent class of devices—network processors—as its communication support, coupled via a dedicated interconnect
to a host processor acting as a computational core. A software infrastructure spanning both enables the dynamic creation of
application-specific services on the network processor, mediated by middleware and controlled by kernel-level communication
support. Experimental evaluations use a Pentium IV-based computational core coupled with an IXP 2400 network processor. The
sample application services run on both include an image manipulation application and application-level multicasting.
Pd supported on KL zeolite has been studied by temperature programmed reduction (TPR) and electron paramagnetic resonance (EPR) spectroscopy. It has been found that upon calcination in pure oxygen Pd3+ and Pd2+ ions are formed; the Pd3+ ions are identified by their EPR signal. As Pd3+ ions in the cancrinite cages are difficult to reduce, the H2 consumption in conventional TPR is below the stoichiometric amount. 相似文献
A two part probabilistic model for polycrystalline microstructures is described. The model utilizes a Poisson–Voronoi tessellation for the grain geometry and a vector random field model for the crystallographic orientation. The grain geometry model is calibrated to experimental data through the intensity of the Poisson point field underlying the Poisson–Voronoi tessellation and the orientation random field is calibrated to experimental data through its marginal distributions and second moment properties. Realizations of the random microstructure are generated by use of translation methods and are used, with simplified mechanical models, to investigate the problem of intergranular fracture. It is found that intergranular cracks exhibit some statistical properties of a scaled Brownian motion process. 相似文献
Signal peptide, CUB, and EGF-like domain-containing proteins (SCUBE) are secretory cell surface glycoproteins that play key roles in the developmental process. SCUBE proteins participate in the progression of several diseases, including cancer, and are recognized for their oncogenic and tumor suppressor functions depending on the cellular context. SCUBE proteins promote cancer cell proliferation, angiogenesis, invasion, or metastasis, stemness or self-renewal, and drug resistance. The association of SCUBE with other proteins alters the expression of signaling pathways, including Hedgehog, Notch, TGF-β/Smad2/3, and β-catenin. Further, SCUBE proteins function as potential prognostic and diagnostic biomarkers for breast cancer, renal cell carcinoma, endometrial carcinoma, and nasopharyngeal carcinoma. This review presents key features of SCUBE family members, and their structure and functions, and highlights their contribution in the development and progression of cancer. A comprehensive understanding of the role of SCUBE family members offers novel strategies for cancer therapy. 相似文献
Thermal spray has enjoyed unprecedented growth and has emerged as an innovative and multifaceted deposition technology. Thermal
spray coatings are crucial to the enhanced utilization of various engineering systems. Industries, in recognition of thermal
spray’s versatility and economics, have introduced it into manufacturing environments. The majority of modern thermal spray
applications are “passive” protective coatings, and they rarely perform an electronic function. The ability to consolidate
dissimilar material multilayers without substrate thermal loading has long been considered a virtue for thick-film electronics.
However, the complexity of understanding/controlling materials functions especially those resulting from rapid solidification
and layered assemblage has stymied expansion into electronics. That situation is changing: enhancements in process/material
science are allowing reconsideration for novel electronic/sensor devices. This review critically examines past efforts in
terms of materials functionality from a device perspective, along with ongoing/future concepts addressing the aforementioned
deficiencies. The analysis points to intriguing future possibilities for thermal spray technology in the world of thick-film
sensors. 相似文献
This paper presents both analytical and experimental pressure analysis approach of a typical Lobe and plain bearing for determining effective performance of the bearing. This is found to be dependent on several variables viz. angular velocity (1200-1900 rpm), load (300-750 N) and pressure angle (0°-180°). This study in particular has been carried out for better rectifications and comparative prediction of lobe and plain bearing in terms of pressure distribution behavior under lubrication oil grade of SAE20W40. Influencing parameters were varied in this set up only to get optimum parametric combination considering all relevant practical issues. The experimentation was done based on significant directives of relevant literatures in these sectors. Attempt was made to compare the analytical findings with experimental results and found matched appreciably. After that attention was diverted to find the nature of pressure and load carrying capacity at various fluctuating speed and load with a fixed lubrication of SAE20W40 for appropriate decision making towards its characteristic performance. The analytical data generated by MATLAB are compared with experimental data which is generated by JBTR.
A modal wavefront sensor for ocular aberrations exhibits two main advantages compared to a conventional Shack–Hartmann sensor. As the wavefront is detected in the Fourier plane, the method is robust against local loss of information (e.g. local opacity of ocular lens as in the case of cataract), and is not dependent on the spatial distribution of wavefront sampling. We have proposed a novel method of wavefront sensing for ocular aberrations that directly detects the strengths of Zernike aberrations. A multiplexed Fourier computer-generated hologram has been designed as the binary phase element (BPE) for the detection of second-order and higher-order ocular aberrations (HOAs). The BPE design has been validated by comparing the simulated far-field pattern with the experimental results obtained by displaying it on a spatial light modulator. Simulation results have demonstrated the simultaneous wavefront detection with an accuracy better that ~λ/30 for a measurement range of ±2.1λ with reduced cross-talk. Sensor performance is validated by performing a numerical experiment using the City data set for test waves containing second-order and HOAs and measurement errors of 0.065?µm peak-to-valley (PV) and 0.08?µm (PV) have been obtained, respectively. 相似文献