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.     

The effects of different viewing conditions on performance in simulated minimal access surgery

This study aimed to assess performance in simulated minimal access surgery (MAS) tasks under a range of viewing conditions. MAS conventionally uses 2d viewing systems which produce a flat image. However, 3d viewing systems which produce stereoscopic depth information should in principle lead to better depth perception, and improve performance on tasks which require appropriate spatial representation of layout and depth. The study compared a novel 3d viewing system with a state of the art 2d viewing system and a direct viewing condition ('open surgery') as a point of reference. Tasks included pulling and cutting of threads using standard surgical instruments. Medical students (n = 16) were allocated to viewing conditions according to a Latin square and carried out 120 tasks each. Assessment was by means of a 3d movement tracking device providing a number of performance parameters (time on task, velocity, number of movements, distance travelled). In addition instrument movement was video-recorded and analysed by four observers to validate the tracking device. Results from tracking data and observer data were highly correlated (r > 0.85). While open surgery naturally scored highest, the key finding was the clearly superior performance in the 3d condition compared to 2d. Thus modern 3d viewing systems can improve performance in a realistic task.     

Evaluation of antimicrobial and dyeing properties of walnut (Juglans regia L.) green husk extract for cosmetics

Walnut green husk is one of the main waste products from walnut and could be used as a source of natural dyeing compounds such as juglone. The present study was conducted to evaluate the effective use of walnut green husk extract as a natural hair dye. Dyeing properties, fastness and antimicrobial behaviours of dyed hair and also a skin irritation test for natural hair dye on rat skin were examined. When the extract was mixed with ascorbic acid as a developer, ferrous sulphate as a mordant, and Aloe vera extract used as a secondary mordant and also a cosmetic ingredient, the reaction resulted in a dark‐brown colour on hair samples. The dyed hair exhibited appropriate colour strength having excellent morphology for a hair surface coated with dye molecules. In addition, the dyed hair possessed good resistance to washing and daylight fastness, without any irritant properties as shown in a rat model, although high concentrations of iron‐based mordant may be problematic for long‐term usage. This paper also suggests the use of natural mordants such as lactic and oxalic acids to avoid any probable risks. Walnut green husk extract was an appropriate natural hair dyeing agent in practice and showed maximum antimicrobial activity compared with semi‐synthetic and commercial hair dyes. The results demonstrated that walnut green husk can be used as an economical, valuable, eco‐friendly and safe source of dyeing and antimicrobial agents for cosmetic products.     

Removal of melanoidin from molasses spent wash using fly ash-clay adsorbents

Removal of melanoidin pigment from molasses spent wash was investigated using a new adsorbent. Solid adsorbents were fabricated from charcoal fly ash and clay. The effect of various molasses concentration (6 to 12 g/l) on removal efficiency was studied. The obtained results revealed that maximum removal efficiency of 82% was achieved at the molasses concentration of 6 g/l and contact time of 7 h. The saturated porous adsorbents were regenerated and reused to conduct similar experiments. The achieved data showed that more than 90% of the capacity of the fresh adsorbent was recovered after regeneration. Various adsorption isotherms of Langmuir, Freundlich, Temkin and Harkins-Jura were applied to interpret the obtained experimental data. The obtained results revealed that the sorption data were well described by the Harkins-Jura model. Also, various kinetic models of pseudo-first order, pseudo-second order, Elovich and intra-particle diffusion were used to predict the characteristic parameters which are useful in process design. It was concluded that the best fit was obtained with pseudo-second order kinetic model at low molasses concentrations.     

Optimization of the fermentation conditions and partial characterization for acido-thermophilic <Emphasis Type=Italic>α</Emphasis>-amylase from <Emphasis Type=Italic>Aspergillus niger</Emphasis> NCIM 548

A high performance thermostable α-amylase at low pH values has been synthesized. Sugarcane bagasse was hydrolyzed in a dilute acid solution and utilized as carbon source for the growth of Aspergillus niger strain NCIM 548. Glucose, xylose and arabinose with the ratio of 1.0: 0.9: 0.3 (w/w/w) were detected in the hydrolyzate by HPLC analysis. Optimization of the fermentation conditions for α-amylase production was performed by varying four influential parameters such as Sugarcane bagasse hydrolyzate (SBH), NH₄Cl, pH and incubation time using a central composite design (CCD) under response surface methodology (RSM). The optimum values of SBH, NH₄Cl, pH and incubation time were 20.49, 2.34 g/l, 5.65 and 76.67 h, respectively. The acido-thermophilic enzyme showed maximum stability at 70°C and pH value of 4. The rate constant, K _m and maximum reaction rate, V _max were 18.79 g/l and 15.85 g/l·min, respectively.     

Removal of arsenic from aqueous solutions by an adsorption process with titania–silica binary oxide nanoparticle loaded polyacrylonitrile polymer

A new and simple method was developed to produce gelatin nanoparticles of ～ 30–40 nm for use as carriers for drug release applications. The nanoparticles were uniform in size and well dispersed. An anticancer drug, 5‐fluorouracil, was encapsulated with an efficiency as high as 85%. The nanoparticles showed sustained release of 5‐fluorouracil, and release rates varied with amount of crosslinking in the nanoparticles. © 2011 Wiley Periodicals, Inc. J Appl Polym Sci, 2011.     

Synthesis and Characterization of Amorphous Nano‐Alumina Powders with High Surface Area for Biodiesel Production

Nano‐alumina powders containing yttrium oxide were synthesized via the sol‐gel method using aluminum chloride hexahydrate as catalyst precursor. Fourier transform infrared analysis showed the presence of Al‐O and Al‐O‐Al bands in the powder structure and X‐ray diffraction spectra proved that the alumina was in the amorphous phase. The amorphous nano‐alumina powders were shown to be mesoporous with a high surface area, and both spherical and slit‐shaped particles were found in the calcined powder. A high percentage of conversion of oil to biodiesel was obtained in the transesterification reaction and the synthesized nano‐alumina powders could be easily regenerated for further use. The amorphous nano‐alumina powder can thus be recommended for use as active catalyst in the transesterification reaction for biodiesel production on the industrial scale.     

REMOVAL OF TOLUENE AND DICHLOROMETHANE FROM AQUEOUS PHASE BY GRANULAR ACTIVATED CARBON (GAC)

Chlorinated hydrocarbons and aromatics constitute the major class of volatile organic compounds that contaminate groundwater. In this study, the equilibrium uptake and column dynamics for the adsorption of dichloromethane (as a typical chlorinated hydrocarbon) and toluene (as a representative of aromatic compounds) from aqueous phase on coal-based granular activated carbon (GAC) were investigated. The adsorption isotherms were measured in a temperature range of 20–40°C. The experimental data obtained were correlated with several adsorption isotherm models. The Langmuir model was well adapted to describe the dichloromethane adsorption on GAC, while the adsorption of toluene on GAC was found to be well described by the Langmuir-BET hybrid model in the stated temperature range with R-squared value of about 0.99. The variations in adsorption breakthrough curves of toluene and dichloromethane with respect to operational parameters such as initial concentration, flow rate, column length, and temperature were investigated. The experimental breakthrough curves of both adsorbates are well fitted by Yan's model with high accuracy (R-squared value of 0.98–99) in most cases.