Simulation using novel equipment designed to explain spirometric abnormalities in respiratory disease enhances learning in higher cognitive domains

Simulation of disorders of respiratory mechanics shown by spirometry provides insight into the pathophysiology of disease but some clinically important disorders have not been simulated and none have been formally evaluated for education. We have designed simple mechanical devices which, along with existing simulators, enable all the main dysfunctions which have diagnostic value in spirometry to be simulated and clearly explained with visual and haptic feedback. We modelled the airways as Starling resistors by a clearly visible mechanical action to simulate intra- and extra-thoracic obstruction. A narrow tube was used to simulate fixed large airway obstruction and inelastic bands to simulate restriction. We hypothesized that using simulators whose action explains disease promotes learning especially in higher domain educational objectives. The main features of obstruction and restriction were correctly simulated. Simulation of variable extra-thoracic obstruction caused blunting and plateauing of inspiratory flow, and simulation of intra-thoracic obstruction caused limitation of expiratory flow with marked dynamic compression. Multiple choice tests were created with questions allocated to lower (remember and understand) or higher cognitive domains (apply, analyse and evaluate). In a cross-over design, overall mean scores increased after 1½ h simulation spirometry (43-68 %, effect size 1.06, P < 0.0001). In higher cognitive domains the mean score was lower before and increased further than lower domains (Δ 30 vs 20 %, higher vs lower effect size 0.22, P < 0.05). In conclusion, the devices successfully simulate various patterns of obstruction and restriction. Using these devices medical students achieved marked enhancement of learning especially in higher cognitive domains.

The Finometer can function as a standalone instrument in blood pressure variability studies and does not require support equipment to determine breathing frequency

Objective: The Finometer (FMS, Finapres Measurement Systems, Amsterdam) records the beat-to-beat finger pulse contour and has been recommended for research studies assessing shortterm changes of blood pressure and its variability. Variability measured in the frequency domain using spectral analysis requires that the impact of breathing be restricted to high frequency spectra (> 0.15 Hz) so data from participants needs to be excluded when the breathing impact occurs in the low frequency spectra (0.04 - 0.15 Hz). This study tested whether breathing frequency can be estimated from standard Finometer recordings using either stroke volume oscillation frequency or spectral stroke volume variability maximum scores. Methods: 22 healthy volunteers were tested for 270s in the supine and upright positions. Finometer recorded the finger pulse contour and a respiratory transducer recorded breathing. Stoke volume oscillation frequency was calculated manually while the stroke volume spectral maximums were obtained using the software Cardiovascular Parameter Analysis (Nevrokard Kiauta, Izola, Slovenia). These estimates were compared to the breathing frequency using the Bland-Altman procedures. Results: Stroke volume oscillation frequency estimated breathing frequency to <±10% 95% levels of agreement in both supine (-7.7 to 7.0%) and upright (-6.7 to 5.4%) postures. Stroke volume variability maximum scores did not accurately estimate breathing frequency. Conclusions: Breathing frequency can be accurately derived from standard Finometer recordings using stroke volume oscillations for healthy individuals in both supine and upright postures. The Finometer can function as a standalone instrument in blood pressure variability studies and does not require support equipment to determine breathing frequency.

Promoting Portuguese exports to Germany: An export promotion plan for the machinery & equipment sector

A Work Project, presented as part of the requirements for the Award of a Masters Degree in Management from the NOVA – School of Business and Economics

Regarding to Implementation of Genetic Algorithmsin Life Cycle Management of Electrotechnical Equipment

Genetic algorithms regarding to life cycle management of electrotechnical equipment are considered. The concept of “techno-individual” is introduced.

Photograph Negative - Donald Ziraldo working wine equipment

A photograph negative of Donald Ziraldo working a machine.

Letter - List of Surveying Equipment

Letter containing a handwritten list of prices for items such as tripods and sockets sent to Mr. S.D. Woodruff from Troughton and Simms of Fleet Street, London, England, Feb.23, 1846.

Letter of estimate sent to S.D. Woodruff for the total cost of construction and equipment of the extension of the line to Port Colborne

Letter of estimate sent to S.D. Woodruff for the total cost of construction and equipment of the extension of the line to Port Colborne [this is unsigned]. There is an envelope with this letter that suggests that it is from Mr. Shanly, Mar. 12, 1857.

Development of a portable composite equipment for coastal fishery and hydrographic investigations

This thesis reports on the details of the works done to develop a complete system for acquisition of the important marine environmental parameters namely, current, current direction, salinity, temperature and depth. It encompaéps transducers,signalconditioners display arrangements and remote controlled multiplexer which constitue the system. The various associate instruentation and environmental requisites and problems have been discussed and solved to considerable extend. The design and development features of this composite system includes an integrated approach in order to make the final equipment to be simple, inexpensive and easy for operation from small and large boats. This could be achieved with the successful development of all required components with features matching between them, such as sensors, signals conditioners remote operated multiplexers, comon display methods, quick performance check and calibration methods. The major success rests on the development of sensors with excellent performance characteristics suitable for marine environment. out of the 5 sensors. that of current salinity and depth are quite noval types with specific advantages. The environmental effects have been eliminated to the required extend. The common signal conditioner for salinity, temperature and depth has noval design features for achieving simplicity, reliability and accomodating the three sensors of different functional requirements.

Open Equipment data flow

Short set of slides explaining the workflow from a university website to equipment.data.ac.uk

Primary science equipment.

La ciencia en la escuela primaria resulta cada vez más solicitada, por ello los maestros deben aprender a elegir entre una gama de equipos cada vez más sofisticados. El objetivo es ayudar a los docentes en su tarea de garantizar que los niños accedan a un equipamiento científico adecuado,y que las escuelas desarrollen una política progresista en el suministro, uso y cuidado de estos aparatos.