Evaluation of Medical Students’ Attitudes and Performance of Basic Surgery Skills in a Training Program Using Fresh Human skin, Excised During Body Contouring Surgeries

BACKGROUND: Learning surgical skills in the operating room may be a challenge for medical students. Therefore, more approaches using simulation to enable students to develop their practical skills are required. OBJECTIVES: We hypothesized that (1) there would be a need for additional surgical training for medical students in the pre-final year, and (2) our basic surgery skills training program using fresh human skin would improve medical students' surgical skills. DESIGN: We conducted a preliminary survey of medical students to clarify the need for further training in basic surgery procedures. A new approach using simulation to teach surgical skills on human skin was set up. The procedural skills of 15 randomly selected students were assessed in the operating room before and after participation in the simulation, using Objective Structured Assessment of Technical Skills. Furthermore, subjective assessment was performed based on students' self-evaluation. The data were analyzed using SPSS, version 21 (SPSS, Inc., Chicago, IL). SETTING: The study took place at the Inselspital, Bern University Hospital. PARTICIPANTS: A total of 186 pre-final-year medical students were enrolled into the preliminary survey; 15 randomly selected medical students participated in the basic surgical skills training course on the fresh human skin operating room. RESULTS: The preliminary survey revealed the need for a surgical skills curriculum. The simulation approach we developed showed significant (p < 0.001) improvement for all 12 surgical skills, with mean cumulative precourse and postcourse values of 31.25 ± 5.013 and 45.38 ± 3.557, respectively. The self-evaluation contained positive feedback as well. CONCLUSION: Simulation of surgery using human tissue samples could help medical students become more proficient in handling surgical instruments before stepping into a real surgical situation. We suggest further studies evaluating our proposed teaching method and the possibility of integrating this simulation approach into the medical school curriculum.

Association of self-reported physical activity and performance in the physical fitness assessment among Airmen

The U.S. Air Force, as with the other branches of military services, has physical fitness standards imposed on their personnel. These standards ensure a healthy and fit combat force. To meet these standards, Airmen have to maintain a certain level of physical activity in their lifestyle. Objective. This was a cross sectional (prevalence) study to evaluate the association of Airmen's self-reported physical activity and their performance in the Air Force Physical Fitness Assessment in 2007. Methods. The self-reported physical activity data were obtained from the Air Force Web Health Assessment (AF WEB HA), a web-based health questionnaire completed by the Airmen during their annual Preventive Health Assessment. The physical activity levels were categorized as having met or not having met the Centers for Disease Control and Prevention (CDC) and the American College of Sports Medicine (ACSM) physical activity recommendations. Physical Fitness scores were collected from the Air Force Fitness Management System (AFFMS), a repository of physical fitness test data. Results. There were 49,029 Airmen who answered the AF WEB HA in 2007 and also took their physical fitness test. 94.4% (n = 46,304) of Airmen met the recommended physical activity guidelines and 79.9% (n = 39,178) passed the fitness test. Total Airmen who both met the physical activity recommendations and passed the fitness test was 75.6% (n = 37,088). Airmen who did not meet the activity recommendations and also failed the fitness test totaled 635 or 1.3% of the study group. The Mantel-Haenszel Chi-Square analysis of the data on the activity levels and the physical fitness test relationship was the following χ2 = 18.52, df 1, and p = <0.0001. The Odds Ratio (OR) was 1.22 (95% CI 1.12, 1.34). Conclusion. The study determined that there was a positive association between Airmen's self-reported physical activity and their performance in the physical fitness assessment.^

Investigation project: Representations about the professional role of recently graduated from the psychology career, state University of La Plata : Its relation with job insertion and performance

In this paper we present a research that took place between 2010 and 2012 included in an investigation scholarship awarded by the State University of la Plata. It is about the problem with the transition between college and professional work. It is a part of the produced studies on the importance of social representations as factors that impact on the performance of specific activities. In this case it's about finding out the relations given among the representations about graduated professional role of the Psychology career and its job insertion and performance. The theoretical framework corresponds to Social Psychology and Guidance theories. Methodologically this is an exploratory and descriptive study, based on the 'triangulation' conception, of multiple type, that allows combining in the same investigation, different strategies, theoretical perspectives and sources; however qualitative techniques were prioritized to analyze data. Finally there are some considerations about the social representations concerning to the professional performance, mainly in the clinical field associated to education, and also to the problems of both situations over other fields

Investigation project: Representations about the professional role of recently graduated from the psychology career, state University of La Plata : Its relation with job insertion and performance

In this paper we present a research that took place between 2010 and 2012 included in an investigation scholarship awarded by the State University of la Plata. It is about the problem with the transition between college and professional work. It is a part of the produced studies on the importance of social representations as factors that impact on the performance of specific activities. In this case it's about finding out the relations given among the representations about graduated professional role of the Psychology career and its job insertion and performance. The theoretical framework corresponds to Social Psychology and Guidance theories. Methodologically this is an exploratory and descriptive study, based on the 'triangulation' conception, of multiple type, that allows combining in the same investigation, different strategies, theoretical perspectives and sources; however qualitative techniques were prioritized to analyze data. Finally there are some considerations about the social representations concerning to the professional performance, mainly in the clinical field associated to education, and also to the problems of both situations over other fields

Investigation project: Representations about the professional role of recently graduated from the psychology career, state University of La Plata : Its relation with job insertion and performance

In this paper we present a research that took place between 2010 and 2012 included in an investigation scholarship awarded by the State University of la Plata. It is about the problem with the transition between college and professional work. It is a part of the produced studies on the importance of social representations as factors that impact on the performance of specific activities. In this case it's about finding out the relations given among the representations about graduated professional role of the Psychology career and its job insertion and performance. The theoretical framework corresponds to Social Psychology and Guidance theories. Methodologically this is an exploratory and descriptive study, based on the 'triangulation' conception, of multiple type, that allows combining in the same investigation, different strategies, theoretical perspectives and sources; however qualitative techniques were prioritized to analyze data. Finally there are some considerations about the social representations concerning to the professional performance, mainly in the clinical field associated to education, and also to the problems of both situations over other fields

Villefranche MedSeA mesocosm experiment 2013: perturbation studies and field studies

A joint mesocosm experiment took place in February/March 2013 in the bay of Villefranche in France as part of the european MedSeA project. Nine mesocosms (52 m**3) were deployed over a 2 weeks period and 6 different levels of pCO2 and 3 control mesocosms (about 450 µatm), were used, in order to cover the range of pCO2 anticipated for the end of the present century. During this experiment, the potential effects of these perturbations on chemistry, planktonic community composition and dynamics including: eucaryotic and prokaryotic species composition, primary production, nutrient and carbon utilization, calcification, diazotrophic nitrogen fixation, organic matter exudation and composition, micro-layer composition and biogas production were studied by a group of about 25 scientists from 8 institutes and 6 countries. This is one of the first mesocosm experiments conducted in oligotrophic waters. A blog dedicated to this experiment can be viewed at: http://medseavillefranche2013.obs-vlfr.fr.

Stareso MedSeA mesocosm experiment: field and perturbation studies 2012

A joint mesocosm experiment took place in June/July 2012 in Corsica (bay of Calvi, Stareso station;http://www.stareso.com/) as part of the european MedSeA project. Nine mesocosms (52 m**3) were deployed over a 20 days period and 6 different levels of pCO2 and 3 control mesocosms (about 450 µatm), were used, in order to cover the range of pCO2 anticipated for the end of the present century. During this experiment, the potential effects of these perturbations on chemistry, planktonic community composition and dynamics including: eucaryotic and prokaryotic species composition, primary production, nutrient and carbon utilization, calcification, diazotrophic nitrogen fixation, organic matter exudation and composition, micro-layer composition and biogas production were studied by a group of about 25 scientists from 8 institutes and 6 countries. This is one of the first mesocosm experiments conducted in oligotrophic waters. A blog dedicated to this experiment can be viewed at: http://medseastareso2012.wordpress.com/.

Numerical and Experimental Studies of Sail Aerodynamics

The purpose of this investigation was the determination of the aerodynamic performance of sails and gain knowledge of the phenomena involved in order to improve the aerody¬namic characteristics. In this research, the airflow around different sails in four scenarios was studied. The method to analyze these scenarios was the combination of numerical simulations and experimental tests by taking advantage of the best of each tool. Two different Com¬putational Fluid Dynamic codes were utilized: the ANSYS-CFX and the CD-Adapco’s STAR-CCM+. The experimental tests were conducted in the Atmospheric Boundary Layer Wind Tunnel at the Universidad de Granada (Spain), the Twisted Flow Wind Tunnel at the University of Auckland (New Zealand) and the A9 Wind Tunnel at the Universidad Polit´ecnica de Madrid (Spain). Through this research, it was found the three-dimensional effect of the mast on the aerodynamic performance of an IMS Class boat. The pressure distribution on a Transpac 52 Class mainsail was also determined. Moreover, the aerodynamic perfor¬mance of the 43ft and 60ft Dhow Classes was obtained. Finally, a feasibility study was conducted to use a structural wing in combination with conventional propulsions systems. The main conclusion was that this research clarified gaps on the knowledge of the aerodynamic performance of sails. Moreover, since commercial codes were not specifically designed to study sails, a procedure was developed. On the other hand, innovative experimental techniques were used and applied to model-scale sails. The achievements of this thesis are promising and some of the results are already in use by the industry on a daily basis. El propósito de este estudio era determinar el comportamiento aerodinámico de unas velas y mejorar el conocimiento de los fenómenos que suceden para optimizar las características aerodinámicas de dichas velas. En esta investigación se estudió el flujo de aire alrededor de diferentes velas en cuatro escenarios. El método para analizar estos escenarios fue la combinación de simulaciones numéricas y ensayos experimentales mediante el aprovechamiento de las ventajas de cada herramienta. Se utilizaron dos códigos de dinámica de fluidos computacional: el ANSYS-CFX y el STAR-CCM+ de la empresa CD-Adapco. Los ensayos experimentales se desarrollaron en el túnel de viento de capa límite de la Universidad de Granada (España), el túnel de viento de la Universidad de Auckland (Nueva Zelanda) y en el túnel A9 de la Universidad Politécnica de Madrid (España). Mediante esta investigación, se determinó el efecto tridimensional del mástil en un velero de la clase IMS. También se describió la distribución de presiones sobre una mayor de un Transpac 52. Además, se obtuvo el comportamiento aerodinámico de las clases 43ft y 60ft de los veleros Dhows. Finalmente, se llevó a cabo un estudio de viabilidad de la utilización de un ala estructural en combinación con sistemas de propulsión convencionales. La conclusión principal de esta investigación fue la capacidad de explicar ciertas lagunas en el conocimiento del comportamiento aerodinámico de las velas en diferentes escenarios. Además, dado que los códigos comerciales no están específicamente diseñados para el estudio de velas, se desarrolló un procedimiento a tal efecto. Por otro lado, se han utilizado innovadoras técnicas experimentales y se han aplicado a modelos de velas a escala. Los logros de esta investigación son prometedores y algunos de los resultados obtenidos ya están siendo utilizados por la industria en su día a día.

Passive design strategies and performance of Net Energy Plus Houses

The first step in order to comply with the European Union goals of Near to Zero Energy Buildings is to reduce the energy consumption in buildings. Most of the building consumption is related to the use of active systems to maintain the interior comfort. Passive design strategies contribute to improve the interior comfort conditions, increasing the energy efficiency in buildings and reducing their energy consumption. In this work, an analysis of the passive strategies used in Net Energy Plus Houses has been made. The participating houses of the Solar Decathlon Europe 2012 competition were used as case studies. The passive design strategies of these houses were compared with the annual simulations, and the competition monitored data, especially during the Passive Monitored Period. The analysis included the thermal properties of the building envelope, geometric parameters, ratios and others passive solutions such as Thermal Energy Storage systems, evaporative cooling, night ventilation, solar gains and night sky radiation cooling. The results reflect the impact of passive design strategies on the houses' comfort and efficiency, as well as their influence in helping to achieve the Zero Energy Buildings category.

Women and Performance in Corporate America

Women and Performance in Corporate America The glass ceiling has been shattered. Women like Indra Nooyi, the CEO of PepsiCo.; Angela Braly, the CEO of Wellpoint; and Patricia Woertz, the CEO of Archer Daniels Midland, are proof that women can achieve top leadership positions in corporate America. However, the scarcity of female leaders occupying the top ranks of corporate America, and the significant wage gap between men and women, suggest that there are significant complications along the path toward success for women in the corporate world.The data show that a disproportionately small number of women are making it to top leadership positions in corporate America. According to the US Department of Labor, in 2007 women accounted for 46% of the total work force, and 51 % of all workers in management, professional, and related occupations. Women outnumbered men in occupations including financial managers, human resource managers, education administrators, medical and health service managers, accountants and auditors, budget analysts, and property, real estate, and social and community association managers (US Department of Labor, 2007). However, women hold only 15.2% of board director positions, 15.7% of corporate officer positions, and 6.2% of top earner positions (Catalyst, 2009b). Additionally, according to a 2008 Corporate Library survey, only 2.6% of Fortune 500 companies currently have female CEOs (as cited in Jones, 2009).The data also show that women earn less than men in the work force. The US Department of Labor found that women working full time in 2007 made only 80% of the salaries of men (US Department of Labor, 2008). Studies designed to control for factors other than gender have not been able to account for the wage gap between men and women (Eagly & Carli, 2007, US Government Accountability Office, 2003). Even among CEO's of fortune 500 companies, female CEO's make only 85% of the salaries of male CEO's (Jones, 2009).

Passenger vehicle, light truck and van convex mirror optimization and evaluation studies. Volume 1: convex mirror optimization. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Passenger vehicle, light truck and van convex mirror optimization and evaluation studies. Volume 2: evaluation of alternative mirror configurations. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Field test evaluation of rear lighting deceleration signals: I - analytical and experimental studies. Interim report.

National Highway Traffic Safety Administration, Washington, D.C.

Potential of spark ignition and diesel engines, engine catalog and performance analysis. Final report.

National Highway Traffic Safety Administration, Office of Research and Development, Washington, D.C.

The theory of the theatre, and other principles of dramatic criticism,

Mode of access: Internet.