Supervised classification of minimally invasive surgery psychomotor competence based on instruments motion analysis

Background Objective assessment of psychomotor skills has become an important challenge in the training of minimally invasive surgical (MIS) techniques. Currently, no gold standard defining surgical competence exists for classifying residents according to their surgical skills. Supervised classification has been proposed as a means for objectively establishing competence thresholds in psychomotor skills evaluation. This report presents a study comparing three classification methods for establishing their validity in a set of tasks for basic skills’ assessment. Methods Linear discriminant analysis (LDA), support vector machines (SVM), and adaptive neuro-fuzzy inference systems (ANFIS) were used. A total of 42 participants, divided into an experienced group (4 expert surgeons and 14 residents with >10 laparoscopic surgeries performed) and a nonexperienced group (16 students and 8 residents with <10 laparoscopic surgeries performed), performed three box trainer tasks validated for assessment of MIS psychomotor skills. Instrument movements were captured using the TrEndo tracking system, and nine motion analysis parameters (MAPs) were analyzed. The performance of the classifiers was measured by leave-one-out cross-validation using the scores obtained by the participants. Results The mean accuracy performances of the classifiers were 71 % (LDA), 78.2 % (SVM), and 71.7 % (ANFIS). No statistically significant differences in the performance were identified between the classifiers. Conclusions The three proposed classifiers showed good performance in the discrimination of skills, especially when information from all MAPs and tasks combined were considered. A correlation between the surgeons’ previous experience and their execution of the tasks could be ascertained from results. However, misclassifications across all the classifiers could imply the existence of other factors influencing psychomotor competence.

Accessibility instruments for planning practice: bridging the gap between academic research and decision-making.

One of the core objectives of urban planning practice is to provide spatial equity in terms of opportunities and use of public space and facilities. Accessibility is the element that serves this purpose as a concept linking the reciprocal relationship between transport and land use, thus shaping individual potential mobility to reach the desired destinations. Accessibility concepts are increasingly acknowledged as fundamental to understand the functioning of cities and urban regions. Indeed, by introducing them in planning practice, better solutions can be achieved in terms of spatial equity. The COST Action TU1002 "Accessibility instruments for planning practice" was specifically designed to address the gap between scientific research in measuring and modelling accessibility, and the current use of indicators of accessibility in urban planning practice. This paper shows the full process of introducing an easily understandable measure of accessibility to planning practitioners in Madrid, which is one of the case studies of the above-mentioned COST action. Changes in accessibility after the opening of a new metro line using contour measures were analyzed and then presented to a selection of urban planners and practitioners in Madrid as part of a workshop to evaluate the usefulness of this tool for planning practice. Isochrone maps were confirmed as an effective tool, as their utility can be supplemented by other indicators, and being GIS-based, it can be easily computed (when compared with transport models) and integrated with other datasets.

Estudio de la plataforma SensorTag de Texas Instruments para aplicaciones de Redes Inalámbricas de Sensores

El presente proyecto es un estudio teórico-práctico de una plataforma: Multi-Standart Senortag (denominada “Sensortag” en este proyecto). En este contexto se evalúa la viabilidad de Sensortag como plataforma de desarrollo para redes de sensores, y su competitividad en diferentes aspectos respecto a las Cookies, otra plataforma desarrollada por el Centro de Electrónica Industrial (CEI). El objetivo de presente trabajo es estudiar las posibilidades de Sensortag, tanto para medir como procesar y transmitir la información, así como evaluar su simplicidad de uso. Para lograrlo se introducen los conceptos de Red Inalámbrica de Sensores y Internet de Cosas, se desarrolla una serie de aplicaciones prácticas de prueba, y para completar el estudio se propone posibles aplicaciones en la vida real así como vías de investigación futura. El estudio se puede dividir según la siguiente estructura: - Introducción y avances tecnológicos relacionados con el ámbito de estudio (Capítulos 1). - Desarrollo del proyecto (Capítulo 2): - Sensortag: sus características y sus prestaciones. - El estudio del dispositivo, su arquitectura, su diseño de Hardware. - El estudio de las herramientas y del Software que puede soportar: - El procesado – el Sistema Operativo - Transmisión de datos - Protocolos de comunicación - Las pruebas y las aplicaciones realizadas: - Resultados (Capítulo 3) - Experiencia, conclusiones y líneas futuras de investigación (Capítulo 4): - Trabajos previos y experiencia personal, - Resumen y conclusiones del estudio - Propuestas para seguir investigando

Instruments for analysing urban conflicts in the Global South: The case of urban transformation processes in Dakar

Physical and social transformation processes that take place in urban contexts with strong spatial growth and hardly any economic development frequently have significant adverse impacts for the affected people, which tend to be made invisible. This paper presents an analytical framework to explore different ways to approach urban transformation processes (supply side), their impacts on the set of needs of the community (demand side) and their consequences on the urban environment as a whole (context). The proposed method has been used to assess three actions related to the physical and social transformation of the largest self-made settlement in the city of Dakar, Senegal, during the 2005–2012 period. Research findings show how exogenous interests are privileged over the common good when the affected citizens are not effectively involved in decision-making processes.

Multiwavelength study of quiescent states of MrK 421 with unprecedented hard x-Ray coverage provided by NuStar in 2013

We present coordinated multiwavelength observations of the bright, nearby BL Lacertae object Mrk 421 taken in 2013 January–March, involving GASP-WEBT, Swift, NuSTAR, Fermi-LAT, MAGIC, VERITAS, and other collaborations and instruments, providing data from radio to very high energy (VHE) γ-ray bands. NuSTAR yielded previously unattainable sensitivity in the 3–79 keV range, revealing that the spectrum softens when the source is dimmer until the X-ray spectral shape saturates into a steep G » 3 power law, with no evidence for an exponential cutoff or additional hard components up "aprox" 80keV. For the first time, we observed both the synchrotron and the inverse-Compton peaks of the spectral energy distribution (SED) simultaneously shifted to frequencies below the typical quiescent state by an order of magnitude. The fractional variability as a function of photon energy shows a double-bump structure that relates to the two bumps of the broadband SED. In each bump, the variability increases with energy, which, in the framework of the synchrotron self-Compton model, implies that the electrons with higher energies are more variable. The measured multi band variability, the significant X-ray-toVHE correlation down to some of the lowest fluxes ever observed in both bands, the lack of correlation between optical/UV and X-ray flux, the low degree of polarization and its significant (random) variations, the short estimated electron cooling time, and the significantly longer variability timescale observed in the NuSTAR light curves point toward in situ electron acceleration and suggest that there are multiple compact regions contributing to the broadband emission of Mrk 421 during low-activity states.

A viagem da U. S. Astronomical Expedition (1849-1852): observar estrelas e relatar a América do Sul

O trabalho analisa a expedição astronômica realizada pela Marinha norteamericana ao Chile, durante os anos de 1849 a 1852, comandada pelo oficial e também astrônomo James Melville Gilliss. O objetivo foi compreender os interesses científicos, políticos, geopolíticos e comerciais que motivaram a viagem, bem como as imagens e representações sobre a América do Sul, especialmente do Panamá, Peru, Chile e Argentina, construídas e divulgadas através do relatório oficial da expedição, com o título \"The U.S. Naval Astronomical Expedition to the Southern Hemisphere during the years (1849- 1852). Esta pesquisa também procura examinar os diferentes dispositivos discursivos utilizados pelos oficiais que escreveram o relatório, James Gilliss e Archibald MacRae, discutindo dissensões e diferentes visões sobre o modo de veicular dados científicos, e também modos distintos de relatar a América do Sul.

Development of data reduction pipelines for GTC instruments at the UCM

The UCM Instrumentation Group (GUAIX) is developing currently Data Reduction Pipelines (DRP) for four instruments of the GTC: EMIR, FRIDA, MEGARA and MIRADAS. The purpose of the DRPs is to provide astronomers scientific quality data, removing instrumental biases, calibrating the images in physical units and providing a estimation of the associated uncertainties.

Do Things Change in Therapy That Are Not Measured By Self-report Instruments?

This study investigates a new way of assessing change in psychotherapy, with the goal of decreasing the schism in the field of psychology between research and clinical practice. Change in psychotherapy was assessed in clients presenting with depressive symptoms who were seeking therapy at the Professional Psychology Center (PPC) at the University of Denver. Prior to beginning treatment, the subjects completed the Beck Depression Inventory- II (BDI-II) and the Symptom Checklist-90-R (SCL-90), and were also assessed by independent clinicians using the Shedler-Westen Assessment Procedure II (SWAP-II). Six to nine months later, after completing at least 12 psychotherapy sessions (range 12-21 sessions), the assessment procedure was repeated.There were no significant differences pre- to post-treatment on any measure. However, two subjects in the sample appeared to benefit from treatment, as assessed by both the self-report measures and the SWAP-II. The findings for these two subjects suggest that the SWAP-II can provide a greater depth of understanding about what can change in therapy than self-report measures alone. Possible reasons for the lack of treatment effects in the larger sample are discussed.

Els instruments científics dels instituts d'ensenyament mitjà: un extraordinari patrimoni cultural que hem de preservar i estudiar

Several important collections of scientific instruments are preserved in secondary schools but just a small group have been properly catalogued and studied. Unfortunately, they are not commonly regarded as a relevant part of the cultural heritage. However, recent trends in history of science offer new perspectives to study these objects from new points of view. We review some recent studies about collections of scientific instruments in secondary schools and we offer preliminary conclusions of our current work on this topic.