WorldWideScience

Sample records for trainee materials unit

  1. Parental Leave Policies and Pediatric Trainees in the United States.

    Science.gov (United States)

    Dixit, Avika; Feldman-Winter, Lori; Szucs, Kinga A

    2015-08-01

    The American Academy of Pediatrics (AAP) states that each residency program should have a clearly delineated, written policy for parental leave. Parental leave has important implications for trainees' ability to achieve their breastfeeding goals. This study aimed to measure the knowledge and awareness among members of the AAP Section on Medical Students, Residents, and Fellowship Trainees (SOMSRFT) regarding parental leave. An online survey was emailed to SOMSRFT members in June 2013. Quantitative data are presented as percentage of respondents. Awareness of leave policies was analyzed based on having children and the sex of respondents. Nine hundred twenty-seven members responded to the survey. Among those with children, 40% needed to extend the duration of their training in order to have longer maternity leave, 44% of whom did so in order to breastfeed longer. Thirty percent of respondents did not know if their program had a written, accessible policy for parental leave. Trainees without children and men were more unaware of specific aspects of parental leave such as eligibility for the Family Medical Leave Act as compared to women and those with children. Despite the fact that United States national policies support parental leave during pediatrics training, and a majority of programs comply, trainees' awareness regarding these policies needs improvement. © The Author(s) 2015.

  2. Peer-mentoring junior surgical trainees in the United Kingdom: a pilot program.

    Science.gov (United States)

    Vulliamy, Paul; Junaid, Islam

    2012-04-16

    Peer-mentoring has attracted substantial interest in various healthcare professions, but has not been formally integrated into postgraduate surgical training. This study aimed to assess the feasibility and acceptability of a peer-mentor scheme among junior surgical trainees in the United Kingdom. Trainees entering the first year of core surgical training (CST) in a single postgraduate school of surgery were allocated a mentor in the second year of CST. Allocation was based on location of the initial clinical placement. An anonymised questionnaire regarding the mentorship scheme was sent to all participants in the third month following its introduction. 18 trainees participated in the scheme, of whom 12 (67%) responded to the questionnaire. All respondents had made contact with their allocated mentor or mentee, and no trainees had opted out of the scheme. Areas in which the mentees received guidance included examinations (83%), CV development (67%), and workplace-based assessments (67%). All respondents felt that the mentor scheme was a good addition to CST. Suggestions for improvement of the scheme included introduction of structured meetings and greater engagement with allocated mentors. A pilot peer-mentoring scheme was well received by junior surgical trainees. Consideration should be given to expansion of this scheme and more rigorous assessment of its value.

  3. Providing Transthoracic Echocardiography Training for Intensive Care Unit Trainees: An Educational Improvement Initiative.

    Science.gov (United States)

    Kuza, Catherine M; Hanifi, M Tariq; Koç, Melissa; Stopfkuchen-Evans, Matthias

    2018-04-09

    Transthoracic echocardiography (TTE) is important in the management of critically ill patients, yet it has not been incorporated into many residency programs' curricula. Our objective is to determine if trainees undergoing a 60-minute training session on TTE have improved knowledge, ultrasound skills, and increases the utilization of TTE during their rotation in the intensive care unit (ICU). We will also compare the results of participants with prior TTE exposure to TTE-naïve trainees. Our hypothesis is that after the training, participants' will have improved knowledge and ultrasound skills compared to before training. Our secondary hypotheses are that TTE-naïve trainees will have greater improvements in knowledge scores compared to those who have had prior TTE experience and trainees will increase their use of TTE in the ICU. Single-center, prospective trial. Brigham and Women's Hospital (academic hospital). Residents and fellows rotating through the ICU, at any level of postgraduate training. Forty-two trainees participated in the study. Statistically significant improvement after training was observed for all multiple choice questions (MCQ) and practical assessments (p < 0.001). When assessing the differences in score improvement between TTE-experienced versus TTE-naïve users, mean score improvements were notably higher for TTE-naïve participants (MCQ: 28.2 ± 11.6; echo clinical: 48.6 ± 23.4) compared to TTE-experienced users (MCQ: 18.6 ± 13.5, p = 0.01; echo clinical: 38.3 ± 30.2, p = 0.04). A short didactic presentation on TTE use may be useful in teaching ICU trainees basic TTE skills and encouraging the use of bedside TTE in the ICU. Copyright © 2018 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  4. Pengaruh Trainee terhadap Kinerja Karyawan di Unit Front Office di Hotel X Ancol Jakarta

    Directory of Open Access Journals (Sweden)

    Yuliana Yuliana

    2011-05-01

    Full Text Available Front office (FO is the poster image of a hotel. That is because this part of the first to welcome guests and can be regarded as the image of the hotel. Therefore, the officer who was in the front office should be able to serve guests with the best service so the guest will satisfaction can be realized and the image is formed with a good hotel. The existence of the front office as an image other than the hotel, as well as the information center. Customers only know part of this front office that can provide all the information you need, be it a hotel facilities as well as all information related to guest attractions such as location, schedule a show or concert. Hence, a front office staff should be kept up to date on the information circumstances surrounding the hotel and also the hotel. Officers in the unit front office should be able to well communicate and able to provide the needed of the guest. Because of limited number of employees, the trainees are very instrumental in petrified duties and responsibilities in the front office. Its presence will bring influence to the performance of employees in the front office. 

  5. Dissemination of CPR video self-instruction materials to secondary trainees: results from a hospital-based CPR education trial

    Science.gov (United States)

    Ikeda, Daniel J.; Buckler, David G.; Li, Jiaqi; Agarwal, Amit K.; Di Taranti, Laura J.; Kurtz, James; dos Reis, Ryan; Leary, Marion; Abella, Benjamin S.; Blewer, Audrey L.

    2016-01-01

    Background Cardiopulmonary resuscitation (CPR) video self-instruction (VSI) materials have been promoted as a scalable approach to increase the prevalence of CPR skills among the lay public, in part due to the opportunity for secondary training (i.e., sharing of training materials). However, the motivations for, and barriers to, disseminating VSI materials to secondary trainees is poorly understood. Methods This work represents an ancillary investigation of a prospective hospital-based CPR education trial in which family members of cardiac patients were trained using VSI. Mixed-methods surveys were administered to primary trainees six months after initial enrollment. Surveys were designed to capture motivations for, and barriers to, sharing VSI materials, the number of secondary trainees with whom materials were shared, and the settings, timing, and recipients of trainings. Results Between 07/2012–05/2015, 653 study participants completed a six-month follow-up interview. Of those, 345 reported sharing VSI materials with 1455 secondary trainees. Materials were shared most commonly with family members. In a logistic regression analysis, participants in the oldest quartile (age > 63 years) were less likely to share materials compared to those in the youngest quartile (age ≤ 44 years, OR 0.58, CI 0.37–0.90, p=0.02). Among the 308 participants who did not share their materials, time constraints was the most commonly cited barrier for not sharing. Conclusions VSI materials represent a strategy for secondary dissemination of CPR training, yet older individuals have a lower likelihood of sharing relative to younger individuals. Further work is warranted to remedy perceived barriers to CPR dissemination among the lay public using VSI approaches. PMID:26776900

  6. Defining our destiny: trainee working group consensus statement on the future of emergency surgery training in the United Kingdom.

    Science.gov (United States)

    Sharrock, A E; Gokani, V J; Harries, R L; Pearce, L; Smith, S R; Ali, O; Chu, H; Dubois, A; Ferguson, H; Humm, G; Marsden, M; Nepogodiev, D; Venn, M; Singh, S; Swain, C; Kirkby-Bott, J

    2015-01-01

    The United Kingdom National Health Service treats both elective and emergency patients and seeks to provide high quality care, free at the point of delivery. Equal numbers of emergency and elective general surgical procedures are performed, yet surgical training prioritisation and organisation of NHS institutions is predicated upon elective care. The increasing ratio of emergency general surgery consultant posts compared to traditional sub-specialities has yet to be addressed. How should the capability gap be bridged to equip motivated, skilled surgeons of the future to deliver a high standard of emergency surgical care? The aim was to address both training requirements for the acquisition of necessary emergency general surgery skills, and the formation of job plans for trainee and consultant posts to meet the current and future requirements of the NHS. Twenty nine trainees and a consultant emergency general surgeon convened as a Working Group at The Association of Surgeons in Training Conference, 2015, to generate a united consensus statement to the training requirement and delivery of emergency general surgery provision by future general surgeons. Unscheduled general surgical care provision, emergency general surgery, trauma competence, training to meet NHS requirements, consultant job planning and future training challenges arose as key themes. Recommendations have been made from these themes in light of published evidence. Careful workforce planning, education, training and fellowship opportunities will provide well-trained enthusiastic individuals to meet public and societal need.

  7. Illinois School Bus Driver Instructional Program. Trainee Guide. Revised.

    Science.gov (United States)

    Illinois State Board of Education, Springfield.

    This trainee guide contains six units of materials for use by those studying to become school bus drivers in the State of Illinois. Covered in the units are the following topics: school bus driver role and responsibility, passenger control, first aid, driving fundamentals, accidents and emergencies, and detecting hazards. Each unit contains a…

  8. General Practitioner (GP) trainees' experience of a '1-h protected supervision model' given during psychiatry placements in the United Kingdom.

    Science.gov (United States)

    Thomas, Gareth; McNeill, Helen

    2018-01-05

    Background A '1-hour protected supervision model' is well established for Psychiatry trainees. This model is also extended to GP trainees who are on placement in psychiatry. To explore the experiences of the '1-hour protected supervision model' for GP trainees in psychiatry placements in the UK. Methods Using a mixed methods approach, an anonymous online questionnaire was sent to GP trainees in the North West of England who had completed a placement in Psychiatry between February and August 2015. Results Discussing clinical cases whilst using the e-portfolio was the most useful learning event in this model. Patient care can potentially improve if a positive relationship develops between trainee/supervisor, which is impacted by the knowledge of this model at the start of the placement. Trainees found that clinical pressures were impacting on the occurrence of supervision. Conclusion The model works best when both GP trainees and their supervisors understand the model. The most frequently used and educationally beneficial aspect for GP trainees in psychiatry is the exploration of clinical cases using the learning portfolio as an educational tool. For effective delivery of this model of supervision, organisations must reflect on the balance between service delivery and allowing the supervisor and trainee adequate time for it to occur.

  9. Survey of core medical trainees in the United Kingdom 2013 - inconsistencies in training experience and competing with service demands.

    Science.gov (United States)

    Tasker, Fiona; Newbery, Nina; Burr, Bill; Goddard, Andrew F

    2014-04-01

    There is currently considerable concern about the attractiveness of hospital medicine as a career and experiences in core medical training (CMT) are a key determinant of whether trainees continue in the medical specialties. Little is understood about the quality and impact of the current CMT programme and this survey was designed to assess this. Three key themes emerged. Firstly, the demands of providing service have led to considerable loss of training opportunities, particularly in outpatients and formal teaching sessions. Trainees spend a lot of this service time doing menial tasks and over 90% report that service takes up 80-100% of their time. Secondly, clinical and educational supervision is variable, with trainees sometimes getting little consultant feedback on their clinical performance. Finally, 44% of trainees report that CMT has not prepared them to be a medical registrar and many trainees are put off acute medical specialties by their experiences in CMT.

  10. Obligatory course unit! Trainee astronomers learn to communicate their future scientific results

    Science.gov (United States)

    Del Puerto, C.

    2008-06-01

    A scientist must not only do science, but must also know how to communicate it. It is possible that he or she even ends up becoming devoted professionally either to outreach or to teaching. Therefore, the Master's Degree Course in Astrophysics, created by the University of La Laguna (ULL) with the collaboration of the Instituto de Astrofisica de Canarias (IAC), includes in its programme the four-month core course unit Communicating Astronomy: Professional Results and Educational Practice (in Spanish, Comunicación de Resultados Cientificos y Didactica de la Astronomia), that is worth three ECTs. In this poster, I present the results of our experience from the academic year 2006-2007, in which seventeen Master's students, in addition to learning the skills necessary to communicating their results within the scientific community, have also studied the language of popularisation in a practical and fun way through role-playing as science writers and schoolteachers in the classroom.

  11. Westinghouse European trainee program

    International Nuclear Information System (INIS)

    Jimenez, G.

    2010-01-01

    Westinghouse Electric Company is proud of giving its employees the possibility to work and act globally. The company's European Trainee Program provides an opportunity to work within different fields of business within Westinghouse, participating in a wide range of projects and experiencing and learning from the different cultures of the company. In 2006 the first Trainee Program started with seven Swedish Trainees. During these eighteen months they worked 12 months in Sweden and then went off to six-month-assignments in France and in the US. In April 2008, the first European Trainee Program was launched with ten Trainees from four different countries: five from Sweden, two from Germany, two from Spain and one from Belgium. As with the previous program, its length was eighteen months. During the first year, the European Trainees had the opportunity to work in various areas within their country of hire, as well as to visit different Westinghouse headquarters in Europe and the US to learn more about the global business. Their kick-off session took place in Vaesteraas, Sweden in April 2008. During four days, the Trainees participated in group dynamic exercises as well as presentations of the business of Westinghouse abroad and in Sweden. Two of the most interesting parts of this session were the visits to the Fuel Factory and to the Field Services mock-ups. The second session took place in June 2008 in Monroeville, Pennsylvania (USA), where Westinghouse had its main headquarters, nowadays located in Cranberry, PA. During two weeks, the trainees got to know even more about Westinghouse through visits, lectures and forums for open discussions. The visits comprised for example the tubing factory at Blairsville, the Field Services main headquarters in Madison and the George Westinghouse Research and Technology Park near Pittsburgh. The meetings included presentations of each Westinghouse business unit, detailed information about future projects and round table discussions

  12. "You Reap What You Sow" Idioms in Materials Designed by EFL Teacher-Trainees

    Science.gov (United States)

    Khan, Özlem; Can Daskin, Nilüfer

    2014-01-01

    Idioms, because of their cultural and figurative aspects, cannot be readily comprehended and used appropriately; hence, they need to be taught explicitly by means of instructional materials in language classrooms. Knowledge of idioms constitutes an important component of learners' communicative competence (Bachman, 1990) since idioms as part of…

  13. Improving Distance Courses: Understanding Teacher Trainees and their Learning Styles for the design of Teacher Training Courses and Materials at a Distance

    Directory of Open Access Journals (Sweden)

    Hisham DZAKIRIA

    2004-01-01

    Full Text Available Literature on distance education and teacher education seems to show that what we do not know about Distance Teacher Trainees (DTT and their learning process involved exceeds what we know about it. As more DTT enroll in distance education programmes globally, distance education providers and institutions will witness trainees coming with different backgrounds and experiences begin to take advantage of this learning opportunities. One important variable in the effectiveness of distance learning is the preference of the distance learner for a particular learning mode. A key to maintaining distance learners participation in learning lies in understanding the Learning Styles Preferences (LSP and the processes involved.This is also true for teacher training. There is much greater variation in the range of LSP and how to address them when preparing distance training materials and courses. The primary purpose of this paper is to propose ways in which individual learning differences should be accommodated when designing instructional learning materials in print for DTTs. Kolb’s (1984 model on learning cycle and styles are discussed to provide instructional design guidelines which accommodate each stage of the learning cycles and individual differences between DTT in processing and presenting information and knowledge. In addition, issues on teacher education, distance learning, individual differences, and ways in which the ‘differences’ can be accommodated when designing learning materials for DTT are also discussed. This paper resonates the idea and belief that if attempts are made to match learning styles of DTTs and andragogy with content to be learned, distance teacher educators (DTEs and instructors can develop better instructional materials with greater prospects of success. Getting to know and understand the teacher trainees and their learning process involved must first be addressed to facilitate the diverse needs of the Malaysian teacher

  14. Nuclear material control in the United States

    International Nuclear Information System (INIS)

    Jaeger, C.; Waddoups, I.

    1995-01-01

    The Department of Energy has defined a safeguards system to be an integrated system of physical protection, material accounting and material control subsystems designed to deter, prevent, detect, and respond to unauthorized possession, use, or sabotage of SNM. In practice, safeguards involve the development and application of techniques and procedures dealing with the establishment and continued maintenance of a system of activities. The system must also include administrative controls and surveillance to assure that the procedures and techniques of the system are effective and are being carried out. The control of nuclear material is critical to the safeguarding of nuclear materials within the United States. The U.S. Department of Energy includes as part of material control four functional performance areas. They include access controls, material surveillance, material containment and detection/assessment. This paper will address not only these areas but also the relationship between material control and other safeguards and security functions

  15. Association of Resident Duty Hour Restrictions, Level of Trainee, and Number of Available Residents with Mortality in the Neonatal Intensive Care Unit.

    Science.gov (United States)

    Beltempo, Marc; Clement, Karin; Lacroix, Guy; Bélanger, Sylvie; Julien, Anne-Sophie; Piedboeuf, Bruno

    2018-02-08

     This article assesses the effect of reducing consecutive hours worked by residents from 24 to 16 hours on yearly total hours worked per resident in the neonatal intensive care unit (NICU) and evaluates the association of resident duty hour reform, level of trainee, and the number of residents present at admission with mortality in the NICU.  This is a 6-year retrospective cohort study including all pediatric residents working in a Level 3 NICU ( N  = 185) and infants admitted to the NICU ( N  = 8,159). Adjusted odds ratios (aOR) were estimated for mortality with respect to Epoch (2008-2011 [24-hour shifts] versus 2011-2014 [16-hour shifts]), level of trainee, and the number of residents present at admission.  The reduction in maximum consecutive hours worked was associated with a significant reduction of the median yearly total hours worked per resident in the NICU (381 hour vs. 276 hour, p  duty hour reform and 0.8% (33/4,052) after the reform (aOR, 0.57; 95% confidence interval [CI], 0.33-0.98). Neither level of trainee (aOR, 1.22; 95% CI, 0.71-2.10; junior vs. senior) nor the number of residents present at admission (aOR, 2.08; 95% CI, 0.43-10.02, 5-8 residents vs. 0-2 residents) were associated with early mortality. Resident duty hour reform was not associated with hospital mortality (aOR, 0.73; 95% CI, 0.50-1.07; after vs. before resident duty hour reform).  Resident duty hour restrictions were associated with a reduction in the number of yearly hours worked by residents in the NICU as well as a significant decrease in adjusted odds of early mortality but not of hospital mortality in admitted neonates. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  16. United States Automotive Materials Partnership LLC (USAMP)

    Energy Technology Data Exchange (ETDEWEB)

    United States Automotive Materials Partnership

    2011-01-31

    The United States Automotive Materials Partnership LLC (USAMP) was formed in 1993 as a partnership between Chrysler Corporation, Ford Motor Company, and General Motors Corporation. Since then the U.S. Department of Energy (DOE) has supported its activities with funding and technical support. The mission of the USAMP is to conduct vehicle-oriented research and development in materials and materials processing to improve the competitiveness of the U.S. Auto Industry. Its specific goals are: (1) To conduct joint research to further the development of lightweight materials for improved automotive fuel economy; and (2) To work with the Federal government to explore opportunities for cooperative programs with the national laboratories, Federal agencies such as the DOE and universities. As a major component of the DOE's Office of FreedomCAR and Vehicle Technologies Program (FCVT) collaboration with the USAMP, the Automotive Lightweighting Materials (ALM) program focuses on the development and validation of advanced materials and manufacturing technologies to significantly reduce automotive vehicle body and chassis weight without compromising other attributes such as safety, performance, recyclability, and cost. The FCVT was announced in FY 2002 and implemented in FY 2003, as a successor of the Partnership for a New Generation of Vehicles (PNGV), largely addressed under the first Cooperative Agreement. This second USAMP Cooperative Agreement with the DOE has expanded a unique and valuable framework for collaboratively directing industry and government research efforts toward the development of technologies capable of solving important societal problems related to automobile transportation. USAMP efforts are conducted by the domestic automobile manufacturers, in collaboration with materials and manufacturing suppliers, national laboratories, universities, and other technology or trade organizations. These interactions provide a direct route for implementing newly

  17. Low fertility awareness in United States reproductive-aged women and medical trainees: creation and validation of the Fertility & Infertility Treatment Knowledge Score (FIT-KS).

    Science.gov (United States)

    Kudesia, Rashmi; Chernyak, Elizabeth; McAvey, Beth

    2017-10-01

    To create, validate, and use a fertility awareness survey based on current U.S. Cross-sectional study. Not applicable. Phase 1 included U.S. women ages 18-45; phase 2 included female medical students and obstetrics and gynecology trainees at two urban academic programs. Survey including demographics, the Fertility & Infertility Treatment Knowledge Score (FIT-KS) instrument, and General Nutrition Knowledge Questionnaire. Knowledge of natural fertility and infertility treatments. The FIT-KS was validated through detailed item and validity analyses. In phase 1, 127 women participated; their median age was 31 years, and 43.7% had children. Their mean FIT-KS score was 16.2 ± 3.5 (55.9% correct). In phase 2, 118 medical trainees participated; their median age was 25 years, and 12.4% had children. Their mean FIT-KS score was 18.8 ± 2.1 (64.9% correct), with year of training correlating to a higher score (r=0.40). Participant awareness regarding lifestyle factors varied, but it was particularly low regarding the effects of lubricants. The majority underestimated the spontaneous miscarriage rate and overestimated the fecundability of 40-year-old women. There was general overestimation of success rates for assisted reproductive technologies, particularly among medical trainees. The FIT-KS is validated to current U.S. data for use in both general and medical populations as a quick assessment of fertility knowledge. The knowledge gaps demonstrated in this study correlate with national trends in delayed childbearing and time to initiate treatment. For medical trainees, these results raise concerns about the quality of fertility counseling they may be able to offer patients. Greater educational outreach must be undertaken to enhance fertility awareness. Copyright © 2017 American Society for Reproductive Medicine. Published by Elsevier Inc. All rights reserved.

  18. Material, Structural Design of Armour Units

    DEFF Research Database (Denmark)

    Burcharth, Hans F.

    Stone and concrete are two materials generally used for the construction of rubble mound breakwaters. This paper deals with concrete only.......Stone and concrete are two materials generally used for the construction of rubble mound breakwaters. This paper deals with concrete only....

  19. Future career intentions of higher specialist trainees in general Paediatrics.

    Science.gov (United States)

    Butler, Grainne; Breatnach, Colm; Harty, Sinead; Gavin, Patrick; O'Donnell, Colm; O'Grady, Michael J

    2018-03-27

    A survey of paediatric higher specialist trainees was carried out in 2002 assessing career intentions and perception of training. Fourteen years later, with increased numbers of trainees and a national model of care and a tertiary paediatric hospital on the horizon, we re-evaluated the career intentions of the current trainee workforce. To assess the career intentions of the current paediatric higher specialist trainees. A 28-item questionnaire was developed based on a previously validated instrument and distributed online using the Royal College of Physicians of Ireland trainee database. We distributed the questionnaire to 118 eligible trainees and received responses from 92 (78%). Seventy-nine (86%) respondents desire a consultant post in Ireland. Seventy-five (82%) indicated that their preferred consultant post location was in a tertiary paediatric centre. Sixty-two trainees (67%) intend to become subspecialists with 25 (27%) planning a career in general paediatrics. This contrasts with the 2002 survey when 76% wished to work in urban centres and 61% of trainees planned a career in general paediatrics. There appears to be a mismatch between the career goals of the future paediatric consultant workforce and the requirements for staffing paediatric units nationally. This has the potential to complicate the proposed expansion of general paediatricians in regional centres and result in a significant proportion of current trainees failing to secure a post in their desired location.

  20. Trainee underperformance: a guide to achieving resolution.

    Science.gov (United States)

    Rashid, Prem; Grills, Richard; Kuan, Melvyn; Klein, Deborah

    2015-05-01

    Underperformance and the disharmony it can cause are not commonly faced by trainees. However, when it occurs, a process to recognize and manage the issues compassionately must be put in place. A literature review was undertaken to outline processes and themes in addressing and resolving these types of issues. A PubMed search using 'surgical underperformance' and 'remedial teaching' was used as a broad template to find papers that illustrated key concepts. One thousand four hundred and fifteen papers were identified. In papers where the titles were in line with the stated topic, 294 abstracts were reviewed. Key papers were used to develop themes. Additional cross-referenced papers were also included where relevant. There can be a variety of reasons for trainee underperformance. The root cause is not always clear. Disharmony can result in a surgical unit during this time. The involved trainee as well as the members of the clinical unit may experience a variety of stressors. A systematic process of management can be used to evaluate the situation and bring some resolution to difficulties in working relationships. Early constructive intervention improves outcomes. There should be a process to systematically and compassionately resolve underlying issues. This paper outlines the disharmony that can result from trainee underperformance and offers guidance for resolution to those involved. © 2014 Royal Australasian College of Surgeons.

  1. Cost Indexing and Unit Price Adjustments for Construction Materials

    Science.gov (United States)

    2012-10-30

    This project was focused on the assimilation of information regarding unit price adjustment clauses, or PACs, : that are offered for construction materials at the state Departments of Transportation (DOTs). It is intended to : provide the South Carol...

  2. Nuclear material control and accounting safeguards in the United States

    International Nuclear Information System (INIS)

    Woltermann, H.A.; Rudy, C.R.; Rakel, D.A.; DeVer, E.A.

    1982-01-01

    Material control and accounting (MC and A) of special nuclear material (SNM) must supplement physical security to protect SNM from unlawful use such as terrorist activities. This article reviews MC and A safeguards of SNM in the United States. The following topics are covered: a brief perspective and history of MC and A safeguards, current MC and A practices, measurement methods for SNM, historical MC and A performance, a description of near-real-time MC and A systems, and conclusions on the status of MC and A in the United States

  3. Sustainable energy development material management team report. Fossil business unit

    International Nuclear Information System (INIS)

    Bird, P.; Keller, P.; Manning, P.; Nolan, M.; Ricci, A.; Turnbull, F.; Varadinek, H.

    1995-01-01

    Report of the Material Management Sustainable Energy Development (SED) Team was presented, outlining strategic directions and initiative for embedding SED principles in the materials management function. Six principles underlying SED were prescribed, accompanied by a framework for analysis. Excerpts from position papers used in the formulation of SED recommendations and initiatives were provided. The general theme of the recommendations was: (1) materials management activities should be review to ensure consistency with SED, (2) strategic alliances should be developed where appropriate and (3) staff in the Fossil Business Unit should promote SED among industry suppliers

  4. Material specification for ductile cast iron in the United States

    International Nuclear Information System (INIS)

    Sorenson, K.B.

    1987-01-01

    The United States currently does not have formal design criteria for qualifying ductile cast iron (DCI) transportation casks. There is also no dedicated material standard for DCI for this particular application. A draft ASTM material specification has been written and is currently in the ASTM approval process. This paper reviews the brief history of the development of the specification, the technical basis for the material properties, the ASTM approval process and the current status of the draft specification. The expected implications of having an adopted ASTM specification on the licensing process are also discussed. (orig./DG)

  5. Assessing Trainee Surgeons’ Nontechnical Skills

    DEFF Research Database (Denmark)

    Spanager, Lene; Konge, Lars; Dieckmann, Peter

    2015-01-01

    BACKGROUND: Trainee surgeons would benefit from regular, formative assessments to ensure they learn the nontechnical aspects of surgical performance. Non-Technical Skills for Surgeons in Denmark (NOTSSdk) is a tool to assess surgeons' nontechnical skills (NTS) during an operation. The aims...... of this study were to explore which parts of NOTSSdk supervisors use to assess trainee surgeons' NTS, to determine the internal consistency reliability of NOTSSdk, and to estimate how many operations were needed to obtain reliable ratings of a trainee surgeon's NTS. METHODS: A total of 12 supervisors from 2...

  6. Material specification for ductile cast iron in the United States

    International Nuclear Information System (INIS)

    Sorenson, K.B.

    1987-01-01

    The United States currently does not have formal design criteria for qualifying ductile cast iron (DCI) transportation casks. There is also no dedicated material standard for DCI for this particular application. Recognizing the importance of a material standard for this application, Lawrence Livermore Laboratories, in a report to the NRC, recommended that steps be taken to develop an ASTM material specification suitable for spent fuel shipping containers. A draft ASTM material specification has been written and is currently in the ASTM approval process. This paper reviews the brief history of the development of the specification, the technical basis for the material properties, the ASTM approval process and the current status of the draft specification. The expected implications of having an adopted ASTM specification on the licensing process are also discussed. The relationship of fracture toughness to composition, microstructure and tensile properties has been evaluated at Sandia National Laboratories. The first main conclusion reached is that static fracture toughness is essentially decoupled from tensile properties such as yield strength, tensile strength and ductility. The significance of this finding is that tensile properties provided for in existing DCI specifications should not be used as an indicator of a material's ability to resist crack initiation. A material specification which includes fracture toughness requirements is needed to address the brittle fracture concerns. Second, static fracture toughness was found to correlate well with material microstructure; specifically, graphite nodule count or nodule spacing

  7. The united fund of materials about Chernobyl-related issues

    International Nuclear Information System (INIS)

    Bashilov, A. V.; Borisevich, N.Ya.; Sobolev, O.V.

    2013-01-01

    The United Fund of materials about Chernobyl-related issues was created in Russian-Belarusian Information Center on the Problems of the Consequences of the Catastrophe at Chernobyl NPP branch RSRUE 'Institute of Radiology' Ministry for Emergency Situations of the Republic of Belarus. It contains accumulated during the post-Chernobyl period systematized maps, scientific and practical, educational, documentary, journalistic, artistic, photographic and other information. (authors)

  8. Consumption of materials in the United States, 1900-1995

    Science.gov (United States)

    Matos, G.; Wagner, L.; ,

    1998-01-01

    The flows of nonfood and nonfuel materials through the economy have significant impact on our lives and the world around us. Growing populations and economies demand more goods, services, and infrastructure. Since the beginning of the twentieth century, the types of materials consumed in the United States have significantly changed. In 1900, on a per-weight basis, almost half of the materials consumed were from renewable resources, such as wood, fibers, and agricultural products, the rest being derived from nonrenewable resources. By 1995, the consumption of renewable resources had declined dramatically, to only 8% of total consumption. During this century, the quantity of materials consumed has grown, from 161 million metric tons in 1900 to 2.8 billion metric tons by 1995, an equivalent of 10 metric tons per person per year. Of all the materials consumed during this century, more than half were consumed in the last 25 years. This paper examines the general historical shifts in materials consumption and presents an analysis of different measurements of materials use and the significance of their trends.

  9. Map Database for Surficial Materials in the Conterminous United States

    Science.gov (United States)

    Soller, David R.; Reheis, Marith C.; Garrity, Christopher P.; Van Sistine, D. R.

    2009-01-01

    The Earth's bedrock is overlain in many places by a loosely compacted and mostly unconsolidated blanket of sediments in which soils commonly are developed. These sediments generally were eroded from underlying rock, and then were transported and deposited. In places, they exceed 1000 ft (330 m) in thickness. Where the sediment blanket is absent, bedrock is either exposed or has been weathered to produce a residual soil. For the conterminous United States, a map by Soller and Reheis (2004, scale 1:5,000,000; http://pubs.usgs.gov/of/2003/of03-275/) shows these sediments and the weathered, residual material; for ease of discussion, these are referred to as 'surficial materials'. That map was produced as a PDF file, from an Adobe Illustrator-formatted version of the provisional GIS database. The provisional GIS files were further processed without modifying the content of the published map, and are here published.

  10. Psychiatric trainees in Finland 2001.

    Science.gov (United States)

    Putkonen, Hanna; Holi, Matti; Kaltiala-Heino, Riittakerttu; Korkeila, Jyrki; Eronen, Markku

    2005-01-01

    This study examined Finnish psychiatric trainees' views on their education. This was a survey study of nationwide data on Finnish psychiatric trainees in 2001. The quality of training was considered at least moderate by 84% of the respondents. Training on epidemiology, on taking history and status, and on psychopharmacology was considered the best. Quality was rated bad for training in leadership and administration, and educating the community. Research was done by 20%, and a personal clinical supervisor was appointed to 52% of the respondents. Offensive treatment had been experienced by 49% of the trainees in this study. Generally, studies of training also reflect strengths and weaknesses of the profession. Based on our results, it seems especially that training in leadership and in educating the community need to be improved; both of these are quintessential skills to survive in the struggle for economic and human resources. Furthermore, treatment of the trainees could still be better; attention should be paid to supervision of all trainees. Moreover, research must become more attractive. Psychiatry can be developed by the development of psychiatric training.

  11. Investigation of thermal management materials for automotive electronic control units

    International Nuclear Information System (INIS)

    Mallik, Sabuj; Ekere, Ndy; Best, Chris; Bhatti, Raj

    2011-01-01

    Today's electronics packages are smaller and more powerful than ever before. This leads to ever increasing thermal challenges for the systems designer. The automotive electronic control unit (ECU) package faces the same challenge of thermal management as the industry in general. This is coupled with the latest European Union legislation (Euro 6 standard) which forced the ECU manufacturers to completely re-design their ECU platform with improved hardware and software capability. This will result in increased power densities and therefore, the ability to dissipate heat will be a key factor. A higher thermal conductivity (TC) material for the ECU housing (than the currently used Aluminium) could improve heat dissipation from the ECU. This paper critically reviews the state-of-the-art in thermal management materials which may be applicable to an automotive ECU. This review shows that of the different materials currently available, the Al/SiC composites in particular have very good potential for automotive ECU application. In terms of metal composites processing, the liquid metal infiltration process is recommended as it has a lower processing cost and it also has the ability to produce near net-shape materials.

  12. United States experience in the transportation of radioactive materials

    International Nuclear Information System (INIS)

    Platt, A.M.; Rhoads, R.E.; Hall, R.J.; Williams, L.D.; Brobst, W.A.; Shappert, L.B.; Jefferson, R.M.

    1977-01-01

    The transport of radioactive material forms a vital link in the nuclear fuel cycle in the United States. Actual U.S. experience and practice with such systems for the packaging and transport of uranium ore concentrates, uranium hexafluoride, fresh fuel, irradiated fuel, non-high-level waste, and plutonium with low heat generation rates are described. Specific shipping systems in current use for these services are illustrated. A comparison will be made of shipping requirements for nuclear parks versus dispersed facilities. Shipping systems for other fuel cycle materials (e.g., high-level waste and cladding hulls) have not been developed because there has been no need to transport these materials commercially. However, conceptual designs for packaging and transport of such materials have been developed. Selected systems are reviewed and summarized. Transport safety in the U.S. is regulated by the U.S. Department of Transportation and the Nuclear Regulatory Commission. Key regulations defining packaging requirements, allowable radiation dose rates, and handling procedures are reviewed. Although the radioactive material shipping industry has an outstanding safety record, opposition to nuclear fuel cycle shipments has surfaced in several areas. The U.S. congressional ban on the shipment of plutonium by air, the actions of New York City to prohibit certain shipments within the city limits, and the requirement of U.S. railroads to ship spent fuel casks only in dedicated trains are reviewed. In an attempt to provide information on the safety margins inherent in the design of radioactive materials packages, ERDA has undertaken a series of accident studies and full scale crash tests that stress the packages beyond the levels expected in severe accidents. In addition, the level of total risk associated with radioactive materials shipments is being evaluated. Current ERDA crash test and transportation risk assessment studies are reviewed. Concern about the possibility of

  13. Information for New Trainees and Fellows

    Science.gov (United States)

    Fellows and cancer research trainees will find information to support their onboarding at NCI, including stipend and tax information and NIH rules and regulations. Learn more about orientation for NCI trainees.

  14. Library Anxiety of Teacher Trainees

    Science.gov (United States)

    Sharma, Savita; Attri, Poonam

    2018-01-01

    This study investigates the library anxiety in Teacher Trainees and found it to be a prevalent phenomenon in students. The five dimensions of library anxiety, namely, barriers with staff, affective barriers, comfort with the library, knowledge of the library, and mechanical barriers have been identified. The sample of the study constituted 58…

  15. Documentation of in-training assessment for radiology trainees

    International Nuclear Information System (INIS)

    Long, Gillian

    2001-01-01

    AIM: To determine if the assessment of radiology trainees can be improved by modifying the in-training assessment form issued by the Royal College of Radiologists (RCR). MATERIALS AND METHODS: A qualitative study comparing the RCR assessment form with other alternative forms in use in the U.K. Individual semi-structured interviews were conducted with trainees (21) and trainers (18) in Sheffield to collect their views on the RCR form and an alternative form introduced on the North Trent Training Scheme. A postal questionnaire was sent to Heads of Training (24) to find out what assessment forms were in use at other centres and collect their views on the different forms. RESULTS: Trainees and trainers in Sheffield were virtually unanimous in their support of the new North Trent assessment form. The main advantages perceived were the encouragement of appraisal, setting of objectives and feedback from the trainees. Six other radiology training centres were using alternative assessment forms and all believed their forms had advantages over the RCR in-training assessment form. CONCLUSION: The results of this study suggest that the assessment process for radiology trainees can be improved by modifications to the RCR in-training assessment form and allows various recommendations to be made. Long, G. (2001)

  16. Degradation of cementitious materials associated with salstone disposal units

    Energy Technology Data Exchange (ETDEWEB)

    Flach, G. P. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL); Smith, F. G. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2014-09-01

    The Saltstone facilities at the DOE Savannah River Site (SRS) stabilize and dispose of low-level radioactive salt solution originating from liquid waste storage tanks at the site. The Saltstone Production Facility (SPF) receives treated salt solution and mixes the aqueous waste with dry cement, blast furnace slag, and fly ash to form a grout slurry which is mechanically pumped into concrete disposal cells that compose the Saltstone Disposal Facility (SDF). The solidified grout is termed “saltstone”. Cementitious materials play a prominent role in the design and long-term performance of the SDF. The saltstone grout exhibits low permeability and diffusivity, and thus represents a physical barrier to waste release. The waste form is also reducing, which creates a chemical barrier to waste release for certain key radionuclides, notably Tc-99. Similarly, the concrete shell of a saltstone disposal unit (SDU) represents an additional physical and chemical barrier to radionuclide release to the environment. Together the waste form and the SDU compose a robust containment structure at the time of facility closure. However, the physical and chemical state of cementitious materials will evolve over time through a variety of phenomena, leading to degraded barrier performance over Performance Assessment (PA) timescales of thousands to tens of thousands of years. Previous studies of cementitious material degradation in the context of low-level waste disposal have identified sulfate attack, carbonation influenced steel corrosion, and decalcification (primary constituent leaching) as the primary chemical degradation phenomena of most relevance to SRS exposure conditions. In this study, degradation time scales for each of these three degradation phenomena are estimated for saltstone and concrete associated with each SDU type under conservative, nominal, and best estimate assumptions.

  17. Degradation Of Cementitious Materials Associated With Saltstone Disposal Units

    International Nuclear Information System (INIS)

    Flach, G. P; Smith, F. G. III

    2013-01-01

    The Saltstone facilities at the DOE Savannah River Site (SRS) stabilize and dispose of low-level radioactive salt solution originating from liquid waste storage tanks at the site. The Saltstone Production Facility (SPF) receives treated salt solution and mixes the aqueous waste with dry cement, blast furnace slag, and fly ash to form a grout slurry which is mechanically pumped into concrete disposal cells that compose the Saltstone Disposal Facility (SDF). The solidified grout is termed ''saltstone''. Cementitious materials play a prominent role in the design and long-term performance of the SDF. The saltstone grout exhibits low permeability and diffusivity, and thus represents a physical barrier to waste release. The waste form is also reducing, which creates a chemical barrier to waste release for certain key radionuclides, notably Tc-99. Similarly, the concrete shell of an SDF disposal unit (SDU) represents an additional physical and chemical barrier to radionuclide release to the environment. Together the waste form and the SDU compose a robust containment structure at the time of facility closure. However, the physical and chemical state of cementitious materials will evolve over time through a variety of phenomena, leading to degraded barrier performance over Performance Assessment (PA) timescales of thousands to tens of thousands of years. Previous studies of cementitious material degradation in the context of low-level waste disposal have identified sulfate attack, carbonation influenced steel corrosion, and decalcification (primary constituent leaching) as the primary chemical degradation phenomena of most relevance to SRS exposure conditions. In this study, degradation time scales for each of these three degradation phenomena are estimated for saltstone and concrete associated with each SDU type under conservative, nominal, and best estimate assumptions. The nominal value (NV) is an intermediate result that is more probable than the conservative estimate

  18. Degradation Of Cementitious Materials Associated With Saltstone Disposal Units

    Energy Technology Data Exchange (ETDEWEB)

    Flach, G. P; Smith, F. G. III

    2013-03-19

    The Saltstone facilities at the DOE Savannah River Site (SRS) stabilize and dispose of low-level radioactive salt solution originating from liquid waste storage tanks at the site. The Saltstone Production Facility (SPF) receives treated salt solution and mixes the aqueous waste with dry cement, blast furnace slag, and fly ash to form a grout slurry which is mechanically pumped into concrete disposal cells that compose the Saltstone Disposal Facility (SDF). The solidified grout is termed “saltstone”. Cementitious materials play a prominent role in the design and long-term performance of the SDF. The saltstone grout exhibits low permeability and diffusivity, and thus represents a physical barrier to waste release. The waste form is also reducing, which creates a chemical barrier to waste release for certain key radionuclides, notably Tc-99. Similarly, the concrete shell of an SDF disposal unit (SDU) represents an additional physical and chemical barrier to radionuclide release to the environment. Together the waste form and the SDU compose a robust containment structure at the time of facility closure. However, the physical and chemical state of cementitious materials will evolve over time through a variety of phenomena, leading to degraded barrier performance over Performance Assessment (PA) timescales of thousands to tens of thousands of years. Previous studies of cementitious material degradation in the context of low-level waste disposal have identified sulfate attack, carbonation influenced steel corrosion, and decalcification (primary constituent leaching) as the primary chemical degradation phenomena of most relevance to SRS exposure conditions. In this study, degradation time scales for each of these three degradation phenomena are estimated for saltstone and concrete associated with each SDU type under conservative, nominal, and best estimate assumptions. The nominal value (NV) is an intermediate result that is more probable than the conservative

  19. United States Department of Energy Nuclear Materials Stewardship

    International Nuclear Information System (INIS)

    Newton, J. W.

    2002-01-01

    The Department of Energy launched the Nuclear Materials Stewardship Initiative in January 2000 to accelerate the work of achieving integration and cutting long-term costs associated with the management of the Department's nuclear materials, with the principal focus on excess materials. Management of nuclear materials is a fundamental and enduring responsibility that is essential to meeting the Department's national security, nonproliferation, energy, science, and environmental missions into the distant future. The effective management of nuclear materials is important for a set of reasons: (1) some materials are vital to our national defense; (2) the materials pose physical and security risks; (3) managing them is costly; and (4) costs are likely to extend well into the future. The Department currently manages nuclear materials under eight programs, with offices in 36 different locations. Through the Nuclear Materials Stewardship Initiative, progress was during calendar year 20 00 in achieving better coordination and integration of nuclear materials management responsibilities and in evaluating opportunities to further coordinate and integrate cross-program responsibilities for the treatment, storage, and disposition of excess nuclear materials. During CY 2001 the Departmental approach to nuclear materials stewardship changed consistent with the business processes followed by the new administration. This paper reports on the progress of the Nuclear Materials Stewardship Initiative in evaluating and implementing these opportunities, and the remaining challenges in integrating the long-term management of nuclear materials

  20. Piano instruction for nursery school trainees

    OpenAIRE

    新海, 節; Makoto, SHINKAI; 藤女子大学人間生活学部保育学科

    2012-01-01

    It is important piano instruction in childcare training schools be viewed primarily as "music for childcare". To this end,it is also important that the view of piano instruction for nursery school trainees be switched from one mainly focused on the technical aspects of performance using many etudes to a form of instruction based on developing the musicality of the trainees and their ability to display emotion through music. Further, through this instruction, the trainees need to develop the a...

  1. Formative assessment of GP trainees' clinical skills.

    Science.gov (United States)

    Wiener-Ogilvie, Sharon; Begg, Drummond

    2012-03-01

    Clinical skill assessment (CSA) has been an integral part of the Royal College of General Practitioners' membership examination (MRCGP) since 2008. It is an expensive, high-stakes examination with first time pass rates ranging from 76.4 to 81.3. In this paper we describe the South East Scotland Deanery, NHS Education Scotland, pilot of a formative clinical skills assessment (fCSA) using the principles of formative assessment and OSCE. The purpose of the study was to assess the acceptability of the fCSA and to examine whether trainees, identified during the fCSA as 'at risk of failing the MRCGP CSA exam', are more likely to fail the MRCGP CSA exam later on in the year. Trainees were assessed in four clinical skills stations under exam conditions. After each station they were given verbal feedback and subsequently both trainee and their trainer received written feedback. We assessed the value of the exercise through written feedback from trainees and trainers. Each trainee's performance in fCSA was triangulated with trainer assessment to identify 'flagged trainees'. We compared flagged and non-flagged trainees' performance in MRCGP CSA. Both trainees and trainers highly rated the fCSA. Overall 97% of non-flagged trainees have passed the RCGP CSA exam by May of that year in comparison to 80% of flagged trainees who have passed the RCGP CSA (P = 0.005). Trainers and trainees rated the fCSA as excellent and useful. We were able to demonstrate that the fCSA can be used to identify those trainees likely to fail the RCGP CSA. Contrary to reservations about the potential to demoralise trainees, the fCSA was viewed as a useful and a positive experience by both trainees and trainers. In addition, we suggest that feedback from fCSA was useful in triggering appropriate educational interventions. Early intervention with trainees who are predicted to fail the CSA has the potential to reduce deaneries overall fail rate. Preventing one trainee failure could save over £30 000.

  2. The Influence of Organisational Commitment, Job Involvement and Utility Perceptions on Trainees' Motivation to Improve Work through Learning

    Science.gov (United States)

    von Treuer, Kathryn; McHardy, Katherine; Earl, Celisha

    2013-01-01

    Workplace training is a key strategy often used by organisations to optimise performance. Further, trainee motivation is a key determinant of the degree to which the material learned in a training programme will be transferred to the workplace, enhancing the performance of the trainee. This study investigates the relationship between several…

  3. Strengthening Your Surgical Hand: Strengths-Based Profiling and Coaching of Surgical Trainees

    Directory of Open Access Journals (Sweden)

    D.A.L. Macafee

    2012-01-01

    Full Text Available Introduction As scientific and professional disciplines, medicine and surgery have a tendency to focus on deficiencies, namely what trainees do not know or are not good at doing. The philosophy of Positive Psychology and the notion of “Strengths” takes a different stance. It is an inherently positive process, seeing each trainee as an individual bringing a unique set of strengths to every situation. There is clear evidence from the commercial sector regarding improved performance and well-being when focusing on one's strengths. We were therefore keen to investigate its potential role in the global development of trainee surgeons. Methods Surgical trainees from Core Training 1 to Specialty Training 8 in one training region of the United Kingdom were invited to voluntarily undertake the online Strengthscope™ assessment tool. The computer-generated report was reviewed by an Occupational Psychologist and trainees were then invited to have a strengths-focused feedback discussion on that report, either face-to-face or via telephone. Results Thirty four surgical trainees ranging from CT1 to ST6 completed the tool and 28 undertook the voluntary feedback sessions. Decisiveness, self-improvement, efficiency, emotional control and critical thinking were common strengths identified. Less commonly represented were leading, creativity and developing others. Trainees found that the tool and feedback helped them identify their strengths and embrace them, rather than fitting the surgical mould. It further aided the recognition of strengths in-overdrive and for some trainees it helped explain difficulties they had experienced in previous jobs. It provided insight into individual motivations and character whilst also highlighting how others in the workplace might perceive them. Trainees liked the emphasis on the building up of positive attributes and utilizing innate skills and strengths. The feedback consultation from an accredited coach trained in the

  4. English Primary Trainee Teachers' Perceptions of Geography

    Science.gov (United States)

    Morley, Emma

    2012-01-01

    This paper summarises the findings of research conducted with one cohort of English undergraduate primary teacher trainees on point of entry to a 4-year course. The research examines the perceptions held of geography as a subject discipline and the purposes of teaching the subject. Two hundred and eleven trainees were asked to define geography and…

  5. Understanding Trainees' Perception Concerning the Educational ...

    African Journals Online (AJOL)

    Background: Trainees' skills and the teaching process can be improved by consideration of candidates' views. Aim: To find out the trainees' perception and views about the features and teaching methods of the Family Practice Training Program (FPSTP) in Kuwait to upgrade its standard. Methods: The study design is cross ...

  6. Factors for Personal Counseling among Counseling Trainees

    Science.gov (United States)

    Byrne, J. Stephen; Shufelt, Brett

    2014-01-01

    The present study explored the use of counseling among counselor trainees and the characteristics of consumers and nonconsumers. Approximately 61% of those surveyed (n = 85) reported that they had received counseling, with the majority being mental health counseling trainees. Nonconsumers (n = 54) indicated that they coped with problems in other…

  7. Materials Process Design Branch. Work Unit Directive (WUD) 54

    National Research Council Canada - National Science Library

    LeClair, Steve

    2002-01-01

    The objectives of the Manufacturing Research WUD 54 are to 1) conduct in-house research to develop advanced materials process design/control technologies to enable more repeatable and affordable manufacturing capabilities and 2...

  8. Real time material accountability in a chemical reprocessing unit

    International Nuclear Information System (INIS)

    Morrison, G.W.; Blakeman, E.D.

    1979-01-01

    Real time material accountability for a pulse column in a chemical reprocessing plant has been investigated using a simple two state Kalman Filter. Operation of the pulse column was simulated by the SEPHIS-MOD4 code. Noisy measurements of the column inventory were obtained from two neutron detectors with various simulated counting errors. Various loss scenarios were simulated and analyzed by the Kalman Filter. In all cases considered the Kalman Filter was a superior estimator of material loss

  9. NUMATH: a nuclear-material-holdup estimator for unit operations and chemical processes

    International Nuclear Information System (INIS)

    Krichinsky, A.M.

    1981-01-01

    A computer program, NUMATH (Nuclear Material Holdup Estimator), has been developed to permit inventory estimation in vessels involved in unit operations and chemical processes. This program has been implemented in an operating nuclear fuel processing plant. NUMATH's purpose is to provide steady-state composition estimates for material residing in process vessels until representative samples can be obtained and chemical analyses can be performed. Since these compositions are used for inventory estimation, the results are determined for and cataloged in container-oriented files. The estimated compositions represent material collected in applicable vessels-including consideration for material previously acknowledged in these vessels. The program utilizes process measurements and simple material balance models to estimate material holdups and distribution within unit operations. During simulated run testing, NUMATH-estimated inventories typically produced material balances within 7% of the associated measured material balances for uranium and within 16% of the associated, measured material balance for thorium during steady-state process operation

  10. Job-sharing in paediatric training in Australia: availability and trainee perceptions.

    Science.gov (United States)

    Whitelaw, C M; Nash, M C

    2001-04-16

    To examine the current availability of job-sharing in paediatric training hospitals in Australia and to evaluate job-sharing from the trainees' perspective. National survey with structured telephone interviews and postal questionnai res. The eight major paediatric training hospitals in Australia. Directors of Paediatric Physician Training (DPPTs) at each hospital (or a staff member nominated by them) provided information by phone interview regarding job-sharing. All paediatric trainees who job-shared in 1998 (n=34) were sent written questionnaires, of which 25 were returned. Hospitals differed in terms of whether a trainee was required to give a reason for wishing to job-share, and what reasons were acceptable. One hospital stated that two specialty units (Intensive Care and Neonatal Intensive Care) were excluded from job-sharing, and another stated that certain units were unlikely to be allocated job-sharers. The remaining six hospitals said that all units were available for job-sharing, but the majority of their trainees disagreed. Only one hospital had a cap on the number of job-share positions available yearly. Trainees perceived benefits of job-sharing to include decreased tiredness, increased enthusiasm for work, and the ability to strike a balance between training and other aspects of life. Trainees believed job-sharing did not adversely affect the quality of service provided to patients, and that part-time training was not of lower quality than full-time training. Job-sharing in Australian paediatric training hospitals varies in terms of the number of positions available, eligibility criteria, and which units are available for job-sharing. In our survey, trainees' experience of job-sharing was overwhelmingly positive.

  11. Analysis of irradiated materials in Ul-chin unit 5

    International Nuclear Information System (INIS)

    Jung, Y. H.; Yoo, B. O.; Kim, H. M.; Joo, Y. S.

    2007-02-01

    The microstructure examination, the fracture surface observation, the composition analysis and the micro-hardness measurement were carried out for investigation of debris apart from structure in Ul-chin uint 5. As the results of investigation, those of debris were found out screw bolts and the washer. The screw bolts and the washer were coincident with materials from ASTM A-193 by quantitative analysis. The screw bolts and the washer were made by STS 304. Finally, all of screw bolts were parts of the LPSI pump case even though one of them was found in different place. The washer was part of the heat exchanger

  12. A real-time material control concept for safeguarding special nuclear material in United States licensed processing facilities

    International Nuclear Information System (INIS)

    Shea, T.E.

    1976-01-01

    This paper describes general safeguards research being undertaken by the United States Nuclear Regulatory Commission. Efforts to improve the ability of United States licensed plants to contend with the perceived threat of covert material theft are emphasized. The framework for this improvement is to break down the internal control and accounting system into subsystems to achieve material isolation, inventory control, inventory characterization, and inventory containment analysis. A general programme is outlined to develop and evaluate appropriate mechanisms, integrate selected mechanisms into subsystems, and evaluate the subsystems in the context of policy requirements. (author)

  13. Radiographers and trainee radiologists reporting accident radiographs

    DEFF Research Database (Denmark)

    Buskov, L; Abild, A; Christensen, A

    2013-01-01

    To compare the diagnostic accuracy and clinical validity of reporting radiographers with that of trainee radiologists whom they have recently joined in reporting emergency room radiographs at Bispebjerg University Hospital....

  14. Reconnaissance for radioactive materials in northeastern United States during 1952

    Science.gov (United States)

    McKeown, Francis A.; Klemic, Harry

    1953-01-01

    Reconnaissance for radioactive materials was made in parts of Maine, New York, New Jersey, and Pennsylvania. The primary objective was to examine the iron ore deposits and associated rocks in the Adirondack Mountains of New York and the Highlands of New Jersey. In addition, several deposits known or reported to contain radioactive minerals were examined to delimit their extent. Most of the deposits examined are not significant as possible sources of radioactive elements and the data pertaining to them are summarized in table form. Deposits that do warrant more description than can be given in table form are: Benson Mines, St. Lawrence County, N. Y.; Rutgers mine, Clinton County, N. Y.; Mineville Mines, Essex County, N. Y.l Canfield phosphate mine, Morris County, N. J.; Mullgan quarry, Hunterdon County, N. J.; and the Chestnut Hill-Marble Mountain area, Pennsylvania and New Jersey. The Old Bed in the Mineville district is the only deposit that may be economically significant. Apatite from Old Bed ore contains as much as 4.9 percent total rare earth. 0.04 percent thorium, and 0.018 percent uranium. Magnetite ore at the Rutgers mine contains radioactive zircon and apatite. Radioactivity measurements of outcrops and dump material show that the ore contains from 0.005 to 0.010 percent equivalent uranium. One sample of lean magnetite ore contains 0.006 percent equivalent uranium. Garnet-rich zones in the Benson Mines magnetite deposit contain as much as 0.017 equivalent uranium. Most of the rock and ore, however, contains about 0.005 percent equivalent uranium. Available data indicate that the garnet-rich zones are enriched in radioactive allanite. A shear zone in the Kittatinny limestone of Cambrian age at the Mulligan quarry contains uraniferous material. Radioactivity anomalies elsewhere in the quarry and in adjacent fields indicate that there may be other uraniferous shear zones. Assays of samples and measurements of outcrop radioactivity indicate that the uranium

  15. Junior Radiologists' Forum (JRF): National trainee survey

    International Nuclear Information System (INIS)

    Ilyas, S.; Beatie, A.; Pettet, G.; Kharay, A.; Hedayati, V.; Hameed, S.; McCleery, M.A.; Papadakos, N.; Chari, B.

    2014-01-01

    Aim: To gather information in order to highlight areas within training that could be improved and share ideas of good practice and, in addition, to compare national results with those of local training schemes. Materials and methods: A request to participate in the survey was emailed to 1158 radiology trainees across 36 UK training schemes in October 2012. The electronic replies were anonymous. The survey remained active for 6 weeks. The data were collated and analysed by members of the JRF. The survey itself was divided into seven sections, covering a diverse range of topics. Results: Six hundred and four trainees from 36 UK training schemes completed the survey, resulting in a response rate of 52%. - Highlights: • First Radiology specific national survey, written by trainees. • Training schemes can benchmark their performance against a national average. • Also can share areas of good practice; and highlight those that need improvement. • Summary of the results, highlighting the most pertinent findings from each section

  16. Predicting error in detecting mammographic masses among radiology trainees using statistical models based on BI-RADS features

    Energy Technology Data Exchange (ETDEWEB)

    Grimm, Lars J., E-mail: Lars.grimm@duke.edu; Ghate, Sujata V.; Yoon, Sora C.; Kim, Connie [Department of Radiology, Duke University Medical Center, Box 3808, Durham, North Carolina 27710 (United States); Kuzmiak, Cherie M. [Department of Radiology, University of North Carolina School of Medicine, 2006 Old Clinic, CB No. 7510, Chapel Hill, North Carolina 27599 (United States); Mazurowski, Maciej A. [Duke University Medical Center, Box 2731 Medical Center, Durham, North Carolina 27710 (United States)

    2014-03-15

    Purpose: The purpose of this study is to explore Breast Imaging-Reporting and Data System (BI-RADS) features as predictors of individual errors made by trainees when detecting masses in mammograms. Methods: Ten radiology trainees and three expert breast imagers reviewed 100 mammograms comprised of bilateral medial lateral oblique and craniocaudal views on a research workstation. The cases consisted of normal and biopsy proven benign and malignant masses. For cases with actionable abnormalities, the experts recorded breast (density and axillary lymph nodes) and mass (shape, margin, and density) features according to the BI-RADS lexicon, as well as the abnormality location (depth and clock face). For each trainee, a user-specific multivariate model was constructed to predict the trainee's likelihood of error based on BI-RADS features. The performance of the models was assessed using area under the receive operating characteristic curves (AUC). Results: Despite the variability in errors between different trainees, the individual models were able to predict the likelihood of error for the trainees with a mean AUC of 0.611 (range: 0.502–0.739, 95% Confidence Interval: 0.543–0.680,p < 0.002). Conclusions: Patterns in detection errors for mammographic masses made by radiology trainees can be modeled using BI-RADS features. These findings may have potential implications for the development of future educational materials that are personalized to individual trainees.

  17. Predicting error in detecting mammographic masses among radiology trainees using statistical models based on BI-RADS features.

    Science.gov (United States)

    Grimm, Lars J; Ghate, Sujata V; Yoon, Sora C; Kuzmiak, Cherie M; Kim, Connie; Mazurowski, Maciej A

    2014-03-01

    The purpose of this study is to explore Breast Imaging-Reporting and Data System (BI-RADS) features as predictors of individual errors made by trainees when detecting masses in mammograms. Ten radiology trainees and three expert breast imagers reviewed 100 mammograms comprised of bilateral medial lateral oblique and craniocaudal views on a research workstation. The cases consisted of normal and biopsy proven benign and malignant masses. For cases with actionable abnormalities, the experts recorded breast (density and axillary lymph nodes) and mass (shape, margin, and density) features according to the BI-RADS lexicon, as well as the abnormality location (depth and clock face). For each trainee, a user-specific multivariate model was constructed to predict the trainee's likelihood of error based on BI-RADS features. The performance of the models was assessed using area under the receive operating characteristic curves (AUC). Despite the variability in errors between different trainees, the individual models were able to predict the likelihood of error for the trainees with a mean AUC of 0.611 (range: 0.502-0.739, 95% Confidence Interval: 0.543-0.680,p errors for mammographic masses made by radiology trainees can be modeled using BI-RADS features. These findings may have potential implications for the development of future educational materials that are personalized to individual trainees.

  18. Predicting error in detecting mammographic masses among radiology trainees using statistical models based on BI-RADS features

    International Nuclear Information System (INIS)

    Grimm, Lars J.; Ghate, Sujata V.; Yoon, Sora C.; Kim, Connie; Kuzmiak, Cherie M.; Mazurowski, Maciej A.

    2014-01-01

    Purpose: The purpose of this study is to explore Breast Imaging-Reporting and Data System (BI-RADS) features as predictors of individual errors made by trainees when detecting masses in mammograms. Methods: Ten radiology trainees and three expert breast imagers reviewed 100 mammograms comprised of bilateral medial lateral oblique and craniocaudal views on a research workstation. The cases consisted of normal and biopsy proven benign and malignant masses. For cases with actionable abnormalities, the experts recorded breast (density and axillary lymph nodes) and mass (shape, margin, and density) features according to the BI-RADS lexicon, as well as the abnormality location (depth and clock face). For each trainee, a user-specific multivariate model was constructed to predict the trainee's likelihood of error based on BI-RADS features. The performance of the models was assessed using area under the receive operating characteristic curves (AUC). Results: Despite the variability in errors between different trainees, the individual models were able to predict the likelihood of error for the trainees with a mean AUC of 0.611 (range: 0.502–0.739, 95% Confidence Interval: 0.543–0.680,p < 0.002). Conclusions: Patterns in detection errors for mammographic masses made by radiology trainees can be modeled using BI-RADS features. These findings may have potential implications for the development of future educational materials that are personalized to individual trainees

  19. Radiographers and trainee radiologists reporting accident radiographs: A comparative plain film-reading performance study

    International Nuclear Information System (INIS)

    Buskov, L.; Abild, A.; Christensen, A.; Holm, O.; Hansen, C.; Christensen, H.

    2013-01-01

    Aim: To compare the diagnostic accuracy and clinical validity of reporting radiographers with that of trainee radiologists whom they have recently joined in reporting emergency room radiographs at Bispebjerg University Hospital. Materials and methods: Plain radiographs of the appendicular skeleton from 1000 consecutive emergency room patients were included in the study: 500 primarily reported by radiographers and 500 by trainee radiologists. The final reporting was subsequently undertaken by a consultant radiologist in consensus with an orthopaedic surgeon. Two observers classified reports as either true positive/negative or false positive/negative based on the final report, which was considered the reference standard. To evaluate the severity of incorrect primary reports, errors were graded into three categories concerning clinical impact and erroneous reports graded as the most severe category were subsequently analysed. Mann–Whitney and Chi-squared tests were used to compare differences and associations between radiographers versus trainee radiologists regarding film reporting. Results: The sensitivity for correct diagnosis was 99% for reporting radiographers and 94% for trainee radiologists. The specificity was found to be 97% for reporting radiographers and 99% for trainee radiologists. Radiographers missed significantly fewer fractures (n = 2) than trainee radiologists (n = 14; p = 0.006) but had a higher, but not significant, degree of overcalling. No significant difference was found between groups regarding clinical impact of incorrect reporting. Conclusion: Trained radiographers report accident radiographs of the extremities with high accuracy and constitute a qualified resource to help meet increasing workload and demands in quality standards.

  20. "Their Little Wooden Bricks": A History of the Material Culture of Kindergarten in the United States

    Science.gov (United States)

    Prochner, Larry

    2011-01-01

    This article explores the material culture of kindergarten in the United States in relation to the production and consumption of materials and kindergarten theory and pedagogy. The focus is on Friedrich Froebel's building gifts as they were manufactured and sold by the Milton Bradley Company from 1869 to 1939. A review of trade catalogues over the…

  1. Sustainable Materials Management (SMM) - Materials and Waste Management in the United States Key Facts and Figures

    Data.gov (United States)

    U.S. Environmental Protection Agency — Each year EPA produces a report called Advancing Sustainable Materials Management: Facts and Figures. It includes information on municipal solid waste (MSW)...

  2. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement.

    Science.gov (United States)

    Johnson Faherty, Laura; Mate, Kedar S; Moses, James M

    2016-04-01

    Trainees, as frontline providers who are acutely aware of quality improvement (QI) opportunities and patient safety (PS) issues, are key partners in achieving institutional quality and safety goals. However, as academic medical centers accelerate their initiatives to prioritize QI and PS, trainees have not always been engaged in these efforts. This article describes the development of an organizing framework with three suggested models of varying scopes and time horizons to effectively involve trainees in the quality and safety work of their training institutions. The proposed models, which were developed through a literature review, expert interviews with key stakeholders, and iterative testing, are (1) short-term, team-based, rapid-cycle initiatives; (2) medium-term, unit-based initiatives; and (3) long-term, health-system-wide initiatives. For each, the authors describe the objective, scope, duration, role of faculty leaders, steps for implementation in the clinical setting, pros and cons, and examples in the clinical setting. There are many barriers to designing the ideal training environments that fully engage trainees in QI/PS efforts, including lack of protected time for faculty mentors, time restrictions due to rotation-based training, and structural challenges. However, one of the most promising strategies for overcoming these barriers is integrating QI/PS principles into routine clinical care. These models provide opportunities for trainees to successfully learn and apply quality and safety principles to routine clinical care at the team, unit, and system level.

  3. Adaptive leadership curriculum for Indian paramedic trainees.

    Science.gov (United States)

    Mantha, Aditya; Coggins, Nathaniel L; Mahadevan, Aditya; Strehlow, Rebecca N; Strehlow, Matthew C; Mahadevan, S V

    2016-12-01

    Paramedic trainees in developing countries face complex and chaotic clinical environments that demand effective leadership, communication, and teamwork. Providers must rely on non-technical skills (NTS) to manage bystanders and attendees, collaborate with other emergency professionals, and safely and appropriately treat patients. The authors designed a NTS curriculum for paramedic trainees focused on adaptive leadership, teamwork, and communication skills critical to the Indian prehospital environment. Forty paramedic trainees in the first academic year of the 2-year Advanced Post-Graduate Degree in Emergency Care (EMT-paramedic equivalent) program at the GVK-Emergency Management and Research Institute campus in Hyderabad, India, participated in the 6-day leadership course. Trainees completed self-assessments and delivered two brief video-recorded presentations before and after completion of the curriculum. Independent blinded observers scored the pre- and post-intervention presentations delivered by 10 randomly selected paramedic trainees. The third-party judges reported significant improvement in both confidence (25 %, p leadership (2.6 vs. 4.6, p confidence (3.0 vs. 4.8, p leadership curriculum for prehospital providers demonstrated significant improvement in self-reported NTS commonly required of paramedics in the field. The authors recommend integrating focused NTS development curriculum into Indian paramedic education and further evaluation of the long term impacts of this adaptive leadership training.

  4. PREMATH: a Precious-Material Holdup Estimator for unit operations and chemical processes

    International Nuclear Information System (INIS)

    Krichinsky, A.M.; Bruns, D.D.

    1982-01-01

    A computer program, PREMATH (Precious Material Holdup Estimator), has been developed to permit inventory estimation in vessels involved in unit operations and chemical processes. This program has been implemented in an operating nuclear fuel processing plant. PREMATH's purpose is to provide steady-state composition estimates for material residing in process vessels until representative samples can be obtained and chemical analyses can be performed. Since these compositions are used for inventory estimation, the results are determined for and cataloged in container-oriented files. The estimated compositions represent material collected in applicable vessels - including consideration for material previously acknowledged in these vessels. The program utilizes process measurements and simple material balance models to estimate material holdups and distribution within unit operations. During simulated run testing, PREMATH-estimated inventories typically produced material balances within 7% of the associated measured material balances for uranium and within 16% of the associated, measured material balances for thorium (a less valuable material than uranium) during steady-state process operation

  5. Requirements for the transport of surplus fissile materials in the United States

    International Nuclear Information System (INIS)

    Wilson, R.K.

    1995-01-01

    This paper discusses the requirements and issues associated with the transportation of surplus fissile materials in the United States. The paper describes the materials that will be transported, the permissible modes of transport for these materials, and the safety and security requirements for each mode of transport. The paper also identifies transportation issues associated with these requirements, including the differences in requirements corresponding to who owns the material and whether the transport is on-site or off-site. Finally, the paper provides a discussion that suggests that by adopting the spent fuel standard and stored weapon standard proposed by the National Academy of Sciences, the requirements for transportation become straightforward

  6. Quality of colonoscopy performance among gastroenterology and surgical trainees: a need for common training standards for all trainees?

    Science.gov (United States)

    Leyden, J E; Doherty, G A; Hanley, A; McNamara, D A; Shields, C; Leader, M; Murray, F E; Patchett, S E; Harewood, G C

    2011-11-01

    Cecal intubation and polyp detection rates are objective measures of colonoscopy performance. Minimum cecal intubation rates greater than 90% have been endorsed by the American Society for Gastrointestinal Endoscopy (ASGE) and the Joint Advisory Group (JAG) UK. Performance data for medical and surgical trainee endoscopists are limited, and we used endoscopy quality parameters to compare these two groups. Retrospective review of all single-endoscopist colonoscopies done by gastroenterology and surgical trainees ("registrars," equivalent to fellows, postgraduate year 5) with more than two years' endoscopy experience, in 2006 and 2007 at a single academic medical center. Completion rates and polyp detection rates for endoscopists performing more than 50 colonoscopies during the study period were audited. Colonoscopy withdrawal time was prospectively observed in a representative subset of 140 patients. Among 3079 audited single-endoscopist colonoscopies, seven gastroenterology trainees performed 1998 procedures and six surgery trainees performed 1081. The crude completion rate was 82%, 84% for gastroenterology trainees and 78% for surgery trainees (P gastroenterology trainees, and 84% for surgical trainees (P gastroenterology and surgical trainees, respectively (P gastroenterology trainees 14% and surgical trainees 9% (P = 0.0065). In the prospectively audited procedures, median withdrawal time was greater in the gastroenterology trainee group and polyp detection rates correlated closely with withdrawal time (r = 0.99). The observed disparity in endoscopic performance between surgical and gastroenterology trainees suggests the need for a combined or unitary approach to endoscopy training for specialist medical and surgical trainees. © Georg Thieme Verlag KG Stuttgart · New York.

  7. IAEA verification of weapon-origin fissile material in the Russian Federation and the United States

    International Nuclear Information System (INIS)

    2001-01-01

    The Secretary of Energy of the United States, Spencer Abraham, Minister of the Russian Federation on Atomic Energy, Alexander Rumyantsev, and Director General of the International Atomic Energy Agency (IAEA), Mohamed ElBaradei, met in Vienna on 18 September 2001 to review progress on the Trilateral Initiative. The Initiative was launched in 1996 to develop a new IAEA verification system for weapon-origin material designated by the United States and the Russian Federation as released from their defence programmes. The removal of weapon-origin fissile material from the defence programmes of the Russian Federation and the United States is in furtherance of the commitment to disarmament undertaken by the two States pursuant to Article VI of the Treaty on the Non-Proliferation of Nuclear Weapons (NPT). IAEA verification under this Initiative is intended to promote international confidence that fissile material made subject by either of the two States to Agency verification remains irreversibly removed from nuclear weapon programmes

  8. Attitudes and intentions of current anaesthetic trainees.

    Science.gov (United States)

    Fröhlich, S; Moriarty, J

    2013-03-01

    We report the results of a survey of Irish anaesthetic specialist trainees to establish their future training intentions, their interest in seeking a Consultant position in Ireland and identification of factors that may reduce the attractiveness of future employment in the HSE. 149 responses were received (71% of trainees). 137 (92%) are likely to complete further training abroad, but only 24 (16.1%) are definitely planning to return to work in Ireland. Factors, in order of importance that influence their return to Ireland include equivalence of all Consultants, salary level and availability of flexible work practices. Almost all (131 - 91%) would only consider working in Ireland at Consultant level. These results reveal that the current cohort of specialist trainees do not consider Ireland an attractive place to work, and any further diminution of the current Consultant grade will only serve to worsen this perception.

  9. IAEA verification of weapon-origin fissile material in the Russian Federation and the United States

    International Nuclear Information System (INIS)

    2000-01-01

    The document informs about the meeting of the Minister of the Russian Federation on Atomic Energy, the Administrator of the National Nuclear Security Administration of the United States, and the Director General of the IAEA, on 18 September 2000 in Vienna, to review progress on the Trilateral Initiative which was launched in 1996 to develop a new IAEA verification system for weapon-origin material designated as released from defense programs by the United States or the Russian Federation

  10. The impact of the European Working Time Regulations on Ophthalmic Specialist Training--a national trainee survey.

    Science.gov (United States)

    O'Gallagher, M K; Lewis, G; Mercieca, K; Moutray, T

    2013-01-01

    To assess ophthalmic trainees' perspective of the impact of the European Working Time Regulations (EWTR) on their training. All trainees in ophthalmology in the UK were emailed a link to an electronic survey asking about their experiences of the EWTR. 324 trainees (46% of those invited) responded to the survey. 44.4% of trainees reported that their posts were compliant with the EWTR. 40.7% felt that training had been adversely affected. 49.1% thought that ophthalmic trainees should opt out of the EWTR to work more than 48 h per week, with 57 the mean number of hours suggested appropriate. Many ophthalmic trainees in the United Kingdom are working in rotas which are not compliant with the European Working Time Directive. Many trainees feel that implementation of the EWTD has had a negative effect on training and feel it would be acceptable to work a higher number of hours per week. Copyright © 2013 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

  11. Use of raw materials in the United States from 1900 through 2014

    Science.gov (United States)

    Matos, Grecia R.

    2017-08-22

    The economic growth of an industrialized nation such as the United States requires raw materials for construction (buildings, bridges, highways, and so forth), defense, and processing and manufacture of goods and services. Since the beginning of the 20th century, the types and quantities of raw materials used have increased and changed significantly. This fact sheet quantifies the amounts of raw materials (other than food and fuel) that have been used in the U.S. economy annually for a period of 115 years, from 1900 through 2014. It provides a broad overview of the quantity (weight) of nonfood and nonfuel materials used in the economy and illustrates the use and significance of raw nonfuel minerals in particular as building blocks of society.These data have been compiled to help the public and policymakers understand the changing annual flow of raw materials put into use in the United States. Such information can be helpful in assessing the potential effects of materials use on the environment, assessing materials’ intensity of use, and examining the role that these materials play in the economy. The data presented indicate the substitution and shift in materials usage from renewable to nonrenewable materials during the 20th century. The disaggregated quantities by commodity (not shown in this fact sheet) may be tested against supply adequacy and end of life issues.

  12. Assessment of materials selection and performance for direct-coal- liquefaction plants in the United States

    Energy Technology Data Exchange (ETDEWEB)

    Olsen, A.R.; Judkins, R.R.; Keiser, J.R.

    1996-09-01

    Several direct coal liquefaction processes have been demonstrated at the pilot plant level in the United States. Presently only one plant remains operational, namely, the Hydrocarbon Technologies, Inc., 4.0- ton-per-day process development unit in Lawrenceville, New Jersey. The period from 1974 to 1982 saw the greatest amount of development of direct coal liquefaction in the United States with four major pilot plants being devoted to variants of this technology. The plants included the SRC-I plant at Wilsonville, Alabama, which operated from 1974 to 1992; the SRC-I/II plant at Fort Lewis, Washington, which operated from 1974 to 1981; the H-Coal plant at Catlettsburg, Kentucky, which operated from 1980 to 1982; and the Exxon Coal Liquefaction Pilot Plant at Baytown, Texas, which operated from 1980 to 1982. Oak Ridge National Laboratory scientists and engineers were actively involved in many phases and technical disciplines at all four of these plants, especially in materials testing, evaluation, and failure analyses. In addition, ORNL materials scientists and engineers conducted reviews of the demonstration and commercial plant designs for materials selections. The ORNL staff members worked closely with materials engineers at the pilot plants in identifying causes of materials degradation and failures, and in identifying solutions to these problems. This report provides a comprehensive summary of those materials activities. Materials performance data from laboratory and coal liquefaction pilot plant tests, failure analyses, and analyses of components after use in pilot plants were reviewed and assessed to determine the extent and causes of materials degradation in direct coal liquefaction process environments. Reviews of demonstration and commercial plant design documents for materials selections were conducted. These reviews and assessments are presented to capture the knowledge base on the most likely materials of construction for direct coal liquefaction plants.

  13. Attitudes towards attrition among UK trainees in obstetrics and gynaecology

    OpenAIRE

    Gafson, I.; Currie, J.; O Dwyer, S.; Woolf, K.; Griffin, A.

    2017-01-01

    Physician dissatisfaction in the workplace has consequences for patient safety. Currently in the UK, 1 in 5 doctors who enter specialist training in obstetrics and gynaecology leave the programme before completion. Trainee attrition has implications for workforce planning, organization of health-care services and patient care. The authors conducted a survey of current trainees' and former trainees' views concerning attrition and ‘peri-attrition’ – a term coined to describe the trainee who has...

  14. Influence of light-curing units and restorative materials on the micro hardness of resin cements

    Directory of Open Access Journals (Sweden)

    Kuguimiya Rosiane

    2010-01-01

    Full Text Available Aim: The aim of this study was to evaluate the effect of indirect restorative materials (IRMs and light-curing units (LCUs on the micro hardness of dual-cured resin cement. Materials and Methods: A total of 36 cylindrical samples (2 mm thick were prepared with dual-cured resin cement (Relyx ARC photo-activated with either a QTH (Optilight Plus for 40s or a LED (Radii light-curing unit for 65s. Photo-activation was performed through the 2-mm- thick IRMs and the samples were divided into six groups (n=6 according to the combination of veneering materials (without, ceramic and indirect resin and LCUs (QTH and LED. In the control group, the samples were light-cured with a QTH unit without the interposition of any restorative material. Vickers micro hardness test was performed on the top and bottom surfaces of each sample (load of 50 g for 15 secs. The data were statistically analyzed using a three-way ANOVA followed by Tukey x s post-hoc test ( P < 0.05. Results: There were no statistically significant differences on the top surface between the light curing-units ( P > 0.05; however, the LED provided greater hardness on the bottom surface when a ceramic material was used ( P < 0.05. The mean hardness in photo-activated samples, in which there was no interposition of indirect materials, was significantly greater ( P < 0.01. Conclusions: It may be concluded that the interposition of the restorative material decreased the micro hardness in the deeper cement layer. Such decrease, however, was lower when the ceramic was interposed and the cement light-cured with LED.

  15. Corn Production. A Unit for Teachers of Vocational Agriculture. Production Agriculture Curriculum Materials Project.

    Science.gov (United States)

    Grace, Clyde, Jr.

    Designed to provide instructional materials for use by vocational agriculture teachers, this unit contains nine lessons based upon competencies needed to maximize profits in corn production. The lessons cover opportunities for growing corn; seed selection; seedbed preparation; planting methods and practices; fertilizer rates and application;…

  16. Ecologia: Spanish Ecology Packet Resource Units and Materials for Intermediate and Advanced Spanish Classes.

    Science.gov (United States)

    Bell, Mozelle Sawyer; Arribas, E. Jaime

    This Spanish ecology packet contains resource units and materials for intermediate and advanced Spanish classes. It is designed to be used for individual and small-group instruction in the senior high school to supplement the Spanish language curriculum. Included are articles, pictures, and cartoons from Spanish-language newspapers and magazines…

  17. 3D-Printing Crystallographic Unit Cells for Learning Materials Science and Engineering

    Science.gov (United States)

    Rodenbough, Philip P.; Vanti, William B.; Chan, Siu-Wai

    2015-01-01

    Introductory materials science and engineering courses universally include the study of crystal structure and unit cells, which are by their nature highly visual 3D concepts. Traditionally, such topics are explored with 2D drawings or perhaps a limited set of difficult-to-construct 3D models. The rise of 3D printing, coupled with the wealth of…

  18. 77 FR 58173 - Proposed Extension of Existing Information Collection; Explosive Materials and Blasting Units...

    Science.gov (United States)

    2012-09-19

    ... information in accordance with the Paperwork Reduction Act of 1995. This program helps to assure that requested data can be provided in the desired format, reporting burden (time and financial resources) is... Extension of Existing Information Collection; Explosive Materials and Blasting Units (Pertains to Metal and...

  19. Environmental impact of accident-free transportation of radioactive material in the United States

    International Nuclear Information System (INIS)

    Taylor, J.M.; Smith, D.R.; Luna, R.E.

    1978-01-01

    A recent study performed for the Nuclear Regulatory Commission (NRC) by Sandia Laboratories which considered transportation of radioactive materials in the United States suggests that a significant portion of the radiological impact results from accident-free transport. This paper explores the basis for that conclusion

  20. Challenges of restarting Bruce Units 3 and 4 from a chemistry and materials perspective

    International Nuclear Information System (INIS)

    Roberts, J.G.; Langguth, K.

    2005-01-01

    In 2001, Bruce Power leased the Bruce Units 1-8 reactors from Ontario Power Generation. Bruce Power decided to restart Bruce Units 3 and 4 following a condition assessment of Bruce A Units 3 and 4. This paper describes the challenges that were encountered and how they were overcome, specifically for heat transport system chemistry in order to adequately protect carbon steel surfaces. The heat transport system, by design, has close inter-relations with other station systems and the related issues of some of these systems are also discussed. Considerations of material impacts have significant influences on the approach to, and control of, chemistry. Specific material impacts led to a novel, and successful, approach. This approach was arrived at following significant efforts by a multi-disciplinary team of operations, maintenance and chemistry staff. The issues, approaches considered and solutions used for a successful outcome will be presented. (author)

  1. Challenges of restarting Bruce Units 3 and 4 from a chemistry and materials perspective

    Energy Technology Data Exchange (ETDEWEB)

    Roberts, J.G.; Langguth, K. [Bruce Power, Tiverton, Ontario (Canada)

    2005-07-01

    In 2001, Bruce Power leased the Bruce Units 1-8 reactors from Ontario Power Generation. Bruce Power decided to restart Bruce Units 3 and 4 following a condition assessment of Bruce A Units 3 and 4. This paper describes the challenges that were encountered and how they were overcome, specifically for heat transport system chemistry in order to adequately protect carbon steel surfaces. The heat transport system, by design, has close inter-relations with other station systems and the related issues of some of these systems are also discussed. Considerations of material impacts have significant influences on the approach to, and control of, chemistry. Specific material impacts led to a novel, and successful, approach. This approach was arrived at following significant efforts by a multi-disciplinary team of operations, maintenance and chemistry staff. The issues, approaches considered and solutions used for a successful outcome will be presented. (author)

  2. Diagnosis and management of acute kidney injury: deficiencies in the knowledge base of non-specialist, trainee medical staff.

    Science.gov (United States)

    Muniraju, T M; Lillicrap, M H; Horrocks, J L; Fisher, J M; Clark, R M W; Kanagasundaram, N S

    2012-06-01

    Enhanced education has been recommended to improve non-specialist management of acute kidney injury (AKI). However, the extent of any gaps in knowledge has yet to be defined fully. The aim of this study was to assess understanding of trainee doctors in the prevention, diagnosis and initial management of AKI. An anonymised questionnaire was completed by hospital-based trainees across Newcastle Renal Unit's catchment area. Responses were evaluated against a panel of pre-defined ideal answers. The median score was 9.5 out of 20 (n = 146; range 0-17) and was lower in more junior trainees. Fifty percent of trainees could not define AKI, 30% could not name more than two risk factors for AKI and 37% could not name even one indication for renal referral. These serious gaps in knowledge highlight the need for enhanced education aimed at all training grades. Organisational changes may also be required to optimise patient safety.

  3. Safe laparoscopic colorectal surgery performed by trainees

    DEFF Research Database (Denmark)

    Langhoff, Peter Koch; Schultz, Martin; Harvald, Thomas

    2013-01-01

    Laparoscopic surgery for colorectal cancer is safe, but there have been hesitations to implement the technique in all departments. One of the reasons for this may be suboptimal learning possibilities since supervised trainees have not been allowed to do the operations to an adequate extent...

  4. Communication Skills among Surgical Trainees: Perceptions of ...

    African Journals Online (AJOL)

    Objective Communication between the surgeon and the patient is a core clinical skill. The ability to communicate with patients and their family members is very important in the optimum care of the surgical patient. Few studies have assessed communication between surgical trainees and their patients in sub-Saharan Africa.

  5. Job burnout in 159 anesthesiology trainees

    Directory of Open Access Journals (Sweden)

    Yesim Cokay Abut

    2012-01-01

    Full Text Available Background: Anesthesiology may be stressful and most anesthesiologists develop mechanisms for coping. However, inexperienced trainee anesthesiologists seem to be vulnerable. We studied stress perception and job burnout in trainee anesthesiologists. Methods: Responses to perceived stress scale (PSS and Maslach Burnout Inventory (MBI were evaluated in 159 trainee anesthesiologists. Results: In our results, when perceived stress was increased, emotional exhaustion and depersonalization increased but personal accomplishment decreased, as expected. Perceived stress was very high in the early years of training. There was a negative correlation between age and emotional exhaustion and depersonalization, but positive correlation with personal accomplishment. Female anesthesiologists had higher personal accomplishment, but lower depersonalization points than male anesthesiologists in our study. There was no statistical association between marital status, PSS, and MBI; ≥2 children group had a significant high personal accomplishment but low depersonalization and emotional exhaustion scores. Line regression analysis showed a statistically significant relationship between PSS and emotional exhaustion and between age and depersonalization. Conclusions: Social factors such as gender and number of children affect the work life of our trainees.

  6. 360-degree feedback for medical trainees

    DEFF Research Database (Denmark)

    Holm, Ellen; Holm, Kirsten; Sørensen, Jette Led

    2015-01-01

    feedback and assessment. In order to secure reliability 8-15 respondents are needed. It is a matter of discussion whether the respondents should be chosen by the trainee or by a third part, and if respondents should be anonymous. The process includes a feedback session with a trained supervisor....

  7. 29 CFR 553.214 - Trainees.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Trainees. 553.214 Section 553.214 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR REGULATIONS APPLICATION OF THE FAIR LABOR STANDARDS ACT TO EMPLOYEES OF STATE AND LOCAL GOVERNMENTS Fire Protection and Law...

  8. Psychosocial Resolution and Counsellor Trainee Empathy.

    Science.gov (United States)

    Gold, Joshua M.

    1992-01-01

    Entry-level counseling students (n=74) were surveyed to investigate the relationship between resolution of Erikson's psychosocial stage of intimacy/isolation and counselor trainee empathy. Results revealed a significant positive relationship between measures of psychosocial stage resolution and counselor empathy and a significant main effect for…

  9. Educational Supervision Appropriate for Psychiatry Trainee's Needs

    Science.gov (United States)

    Rele, Kiran; Tarrant, C. Jane

    2010-01-01

    Objective: The authors studied the regularity and content of supervision sessions in one of the U.K. postgraduate psychiatric training schemes (Mid-Trent). Methods: A questionnaire sent to psychiatry trainees assessed the timing and duration of supervision, content and protection of supervision time, and overall quality of supervision. The authors…

  10. Innovative model of delivering quality improvement education for trainees – a pilot project

    Directory of Open Access Journals (Sweden)

    Kannan Ramar

    2015-09-01

    Full Text Available Background: After incorporating quality improvement (QI education as a required curriculum for our trainees in 2010, a need arose to readdress our didactic sessions as they were too long, difficult to schedule, and resulting in a drop in attendance. A ‘flipped classroom’ (FC model to deliver QI education was touted to be an effective delivery method as it allows the trainees to view didactic materials on videos, on their own time, and uses the classroom to clarify concepts and employ learned tools on case-based scenarios including workshops. Methods: The Mayo Quality Academy prepared 29 videos that incorporated the previously delivered 17 weekly didactic sessions, for a total duration of 135 min. The half-day session clarified questions related to the videos, followed by case examples and a hands-on workshop on how to perform and utilize a few commonly used QI tools and methods. Results: Seven trainees participated. There was a significant improvement in knowledge as measured by pre- and post-FC model test results [improvement by 40.34% (SD 16.34, p<0.001]. The survey results were overall positive about the FC model with all trainees strongly agreeing that we should continue with this model to deliver QI education. Conclusions: The pilot project of using the FC model to deliver QI education was successful in a small sample of trainees.

  11. Virtual study groups and online Observed Structured Clinical Examinations practices - enabling trainees to enable themselves.

    Science.gov (United States)

    Davidson, Dennisa; Evans, Lois

    2018-03-01

    To explore online study groups as augmentation tools in preparing for the Royal Australian and New Zealand College of Psychiatrists Observed Structured Clinical Examinations (OSCE) for fellowship. An online survey of New Zealand trainees was carried out to assess exam preparedness and openness to virtual study groups and results analysed. Relevant material around virtual study groups for fellowship examinations was reviewed and used to inform a pilot virtual study group. Four New Zealand trainees took part in the pilot project, looking at using a virtual platform to augment OSCE preparation. Of the 50 respondents 36% felt adequately prepared for the OSCE. Sixty-four per cent were interested in using a virtual platform to augment their study. Virtual study groups were noted to be especially important for rural trainees, none of whom felt able to form study groups for themselves. The pilot virtual study group was trialled successfully. All four trainees reported the experience as subjectively beneficial to their examination preparation. Virtual platforms hold promise as an augmentation strategy for exam preparation, especially for rural trainees who are more geographically isolated and less likely to have peers preparing for the same examinations.

  12. Taekwondo trainees' satisfaction towards using the virtual taekwondo training environment prototype

    Science.gov (United States)

    Jelani, Nur Ain Mohd; Zulkifli, Abdul Nasir; Ismail, Salina; Yusoff, Mohd Fitri

    2017-10-01

    Taekwondo is among the most popular martial arts which have existed more than 3000 years ago and have millions of followers all around the world. The typical taekwondo training session takes place in a hall or large open spaces in the presence of a trainer. Even though this is the most widely used approach of Taekwondo training, this approach has some limitations in supporting self-directed training. Self-directed taekwondo training is required for the trainees to improve their skills and performance. There are varieties of supplementary taekwondo training materials available, however, most of them are still lacking in terms of three-dimensional visualization. This paper introduces the Virtual Taekwondo Training Environment (VT2E) prototype for self-directed training. The aim of this paper is to determine whether the intervention of the new taekwondo training approach using virtual reality contributes to the trainees' satisfaction in self-directed training. Pearson Correlation and Regression analyses were used to determine the effects of Engaging, Presence, Usefulness and Ease of Use on trainees' satisfaction in using the prototype. The results provide empirical support for the positive and statistically significant relationship between Usefulness and Ease of Use and trainees' satisfaction for taekwondo training. However, Engaging and Presence do not have a positive and significant relationship with trainees' satisfaction for self-directed training.

  13. Process and unit for gasification of combustible material. Verfahren und Aggregat zur Vergasung brennbaren Gutes

    Energy Technology Data Exchange (ETDEWEB)

    Linneborn, J

    1987-05-21

    The invention refers to a process for the gasification of solid and combustible material in a moving bed and a unit in which this process can be carried out. By material to be gasified one means small material such as ground fossil coal and all organic substances such as wood, straw, husks and shells of fruit, to which sewage sludge can be added. The new process can be carried out, according to the invention, in a closed duct moved by vibration or shaking, in which the material or the ash produced moves from one end to the other by suitable vibration and comes into contact with round heat sources largely resistant to friction. This achieves rapid gasification of the material (at about 1000/sup 0/C) by convection and radiation.

  14. Learning, technology and intellectual property: a survey of the philosophies and preferences of our trainees and peers.

    Science.gov (United States)

    Bedoya, Maria A; Back, Susan J; Scanlon, Mary H; Delgado, Jorge; Darge, Kassa; Reid, Janet R

    2016-12-01

    Increasing workloads threaten the quality of teaching in academic radiology practices. There is a wealth of unfiltered educational resources for radiology on the internet. As a digital native, today's radiology trainee may have differing opinions from teachers about learning and intellectual property. To identify the preferences and philosophies regarding learning, technology and intellectual property toward the future development of an innovative radiology curriculum. An electronic survey with 22 questions was sent to 2,010 members of the Society for Pediatric Radiology and 100 radiology trainees. Three hundred sixty-one of the 2,110 surveys were returned. All questions were completed in 342 surveys. Fifty-three respondents were trainees (residents and fellows) and 289 respondents were radiologists (teachers). Time needed for a single learning activity in both groups is learning environments were point-of-care and outside work hours for both groups. Ideal lecture durations were 31-45 min for trainees and 21-30 min for teachers (P=0.001). Adoption of new technology showed late majority and laggard trends for both groups (P=0.296). Interest in gadgets was greater in trainees (17%) than teachers (2%) (Peducational materials (P=0.028); 27% versus 13%, respectively, disagreed with dissemination of those materials beyond the institution (P=0.013). While millennial trainees are adult learners with a stronger comfort with technology, learning styles of trainees and teachers are more similar than was previously believed. Trainees and teachers hold conflicting philosophies about intellectual property. Results herein speak favorably for revising our teaching portfolio to include practical learning materials of short duration available at point-of-care.

  15. Impact of child death on paediatric trainees.

    Science.gov (United States)

    Hollingsworth, Clare E; Wesley, Carla; Huckridge, Jaymie; Finn, Gabrielle M; Griksaitis, Michael J

    2018-01-01

    To assess the prevalence of symptoms of acute stress reactions (ASR) and post-traumatic stress disorder (PTSD) in paediatric trainees following their involvement in child death. A survey designed to identify trainees' previous experiences of child death combined with questions to identify features of PTSD. Quantitative interpretation was used alongside a χ 2 test. A p value of death of a child, although 190/284 (67%) had no training in child death. 118/248 (48%) of trainees were given a formal debrief session following their most recent experience. 203/251 (81%) of trainees reported one or more symptoms or behaviours that could contribute to a diagnosis of ASR/PTSD. 23/251 (9%) of trainees met the complete criteria for ASR and 13/251 (5%) for PTSD. Attending a formal debrief and reporting feelings of guilt were associated with an increase in diagnostic criteria for ASR/PTSD (p=0.036 and pdeath of a child. The feeling of guilt should be identified and acknowledged to allow prompt signposting to further support, including psychological assessment or intervention if required. Clear recommendations need to be made about the safety of debriefing sessions as, in keeping with existing evidence, our data suggest that debrief after the death of a child may be associated with the development of symptoms suggestive of ASR/PTSD. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  16. Verbal Aggressiveness Among Physicians and Trainees.

    Science.gov (United States)

    Lazarus, Jenny Lynn; Hosseini, Motahar; Kamangar, Farin; Levien, David H; Rowland, Pamela A; Kowdley, Gopal C; Cunningham, Steven C

    2016-01-01

    To better understand verbal aggressiveness among physicians and trainees, including specialty-specific differences. The Infante Verbal Aggressiveness Scale (IVAS) was administered as part of a survey to 48 medical students, 24 residents, and 257 attending physicians. The 72 trainees received the IVAS and demographic questions, whereas the attending physicians received additional questions regarding type of practice, career satisfaction, litigation, and personality type. The IVAS scores showed high reliability (Cronbach α = 0.83). Among all trainees, 56% were female with mean age 28 years, whereas among attending physicians, 63% were male with mean age 50 years. Average scores of trainees were higher than attending physicians with corresponding averages of 1.88 and 1.68, respectively. Among trainees, higher IVAS scores were significantly associated with male sex, non-US birthplace, choice of surgery, and a history of bullying. Among attending physicians, higher IVAS scores were significantly associated with male sex, younger age, self-reported low-quality of patient-physician relationships, and low enjoyment talking to patients. General surgery and general internal medicine physicians were significantly associated with higher IVAS scores than other specialties. General practitioners (surgeons and medical physicians) had higher IVAS scores than the specialists in their corresponding fields. No significant correlation was found between IVAS scores and threats of legal action against attending physicians, or most personality traits. Additional findings regarding bullying in medical school, physician-patient interactions, and having a method to deal with inappropriate behavior at work were observed. Individuals choosing general specialties display more aggressive verbal communication styles, general surgeons displaying the highest. The IVAS scoring system may identify subgroups of physicians with overly aggressive (problematic) communication skills and may provide a

  17. On Materiality and Dimensionality of the Space. Is There Some Unit of the Field?

    Directory of Open Access Journals (Sweden)

    Belyakov A. V.

    2014-10-01

    Full Text Available The article presents arguments with a view to recognize that space is material and has possibly a fractal dimension in the range of from three to two. It is proposed that along to the unit of substance (atom Some Unit of the field (vortex tubes should be set. It is shown that the formation of the field structures being a kind “ doubles” of atomic ones is possible. The existence of the three-zone electron structure is confirmed. It is indicated that this concept have already resulted in to the successful explanation of phenomena and to finding of their important parameters at different levels of the organization of matter.

  18. Determination of Unit Pressure Force in Material Volume in the Course of Refractory Stamping Press Moulding

    Directory of Open Access Journals (Sweden)

    Orłowicz A.W.

    2016-06-01

    Full Text Available The paper presents results of assessment of the unit pressure force within the refractory material volume in the course press-moulding of stampings for refractory precast shapes. The force was evaluated with the use of physical simulation of deformation undergone by lead balls placed in the raw refractory mass subjected to pressing in a metal die. To determine the value of unit pressure force applied to the aggregate grains in the course of stamping press-moulding, physical model of deformation of a sphere induced by the uniaxial stress state was used.

  19. Trainee satisfaction in surgery residency programs: modern management tools ensure trainee motivation and success.

    Science.gov (United States)

    von Websky, Martin W; Oberkofler, Christian E; Rufibach, Kaspar; Raptis, Dimitri A; Lehmann, Kuno; Hahnloser, Dieter; Clavien, Pierre-Alain

    2012-11-01

    To assess trainee satisfaction in their surgery residency with a validated instrument and identify the contributing factors. Currently, surgery is deemed unattractive by medical students and ignored by many candidates planning to enter an academic career. New insights on the rational for such lack of interest are needed. Job satisfaction is a central concept in organizational and behavioral research that is well understood by large companies such as Google, IBM, and Toyota. Similar assessment can likewise be used to improve trainee satisfaction in surgery residency. A survey among 2039 surgery residents was conducted in three European countries analyzing satisfaction at work using the Global Job Satisfaction Instrument (validated in Emergency Room physicians). Crucial factors covering different aspects of surgery residency where identified using the GJS instrument combined with multiple logistic regression analysis. With an overall response rate of 23%, we identified trainee dissatisfaction in one third of residents. Factors affecting satisfaction related almost exclusively to training issues, such as assignment of surgery procedures according to skills (OR 4.2), training courses (OR 2.7), availability of a structured training curriculum (OR 2.4), bedside teaching, and availability of morbidity-mortality conferences (OR 2.3). A good working climate among residents (OR 3.7) and the option for part time work (OR 2.1) were also significant factors for trainee satisfaction. Increased working hours had a modest (OR 0.98)-though cumulative- negative effect. The sex of the trainee was not related to trainee satisfaction. Validated measurement of job satisfaction as used in the industry appears to be an efficient tool to assess trainee satisfaction in surgery residency and thereby identify the key contributing factors. Improvement of conceptual training structures and working conditions might facilitate recruitment, decrease drop-out, and attract motivated candidates with

  20. Sexual harassment of psychiatric trainees: experiences and attitudes

    Science.gov (United States)

    Morgan, J.; Porter, S.

    1999-01-01

    A survey was carried out of psychiatric trainees' work-related experiences of unwanted sexual contact. A structured postal questionnaire was administered to 100 psychiatric trainees from senior house officer to specialist registrar level in a large psychiatric rotation. There was an 85% response rate; 86% (73) of the sample had experienced unwanted sexual contact, with 47% (40) experiencing deliberate touching, leaning over or cornering, and 18% (15) receiving letters, telephone calls or material of a sexual nature. Three-quarters (64) of respondents had experienced unwanted sexual contact from patients and 64% (54) from staff. Experiences and attitudes did not generally differ by gender, grade or training experience. Four out of 48 female respondents described stalking by patients. Of the 39 respondents who had reported harassment by patients, 31 felt supported by colleagues, while of the 13 who had reported harassment by colleagues, eight felt supported. Two-thirds of the respondents considered sexual harassment `sometimes' or `frequently' a problem for the profession. Diagnoses of confusional states, mania or schizophrenia made subjects less likely to consider unwanted sexual behaviour to be `sexual harassment' (86%, 80%, and 67%, respectively), but not for other diagnoses. Levels of threatening and intrusive sexual harassment are unacceptably high in this study group. Health trusts should adopt policies of `zero tolerance' and all incidents should be reported. Psychological impact on victims should be acknowledged even when the behaviour of the perpetrator can be explained by diagnosis.
 PMID:10474725

  1. Sexual harassment of psychiatric trainees: experiences and attitudes.

    Science.gov (United States)

    Morgan, J F; Porter, S

    1999-07-01

    A survey was carried out of psychiatric trainees' work-related experiences of unwanted sexual contact. A structured postal questionnaire was administered to 100 psychiatric trainees from senior house officer to specialist registrar level in a large psychiatric rotation. There was an 85% response rate; 86% (73) of the sample had experienced unwanted sexual contact, with 47% (40) experiencing deliberate touching, leaning over or cornering, and 18% (15) receiving letters, telephone calls or material of a sexual nature. Three-quarters (64) of respondents had experienced unwanted sexual contact from patients and 64% (54) from staff. Experiences and attitudes did not generally differ by gender, grade or training experience. Four out of 48 female respondents described stalking by patients. Of the 39 respondents who had reported harassment by patients, 31 felt supported by colleagues, while of the 13 who had reported harassment by colleagues, eight felt supported. Two-thirds of the respondents considered sexual harassment 'some-times' or 'frequently' a problem for the profession. Diagnoses of confusional states, mania or schizophrenia made subjects less likely to consider unwanted sexual behaviour to be 'sexual harassment' (86%, 80%, and 67%, respectively), but not for other diagnoses. Levels of threatening and intrusive sexual harassment are unacceptably high in this study group. Health trusts should adopt policies of 'zero tolerance' and all incidents should be reported. Psychological impact on victims should be acknowledged even when the behaviour of the perpetrator can be explained by diagnosis.

  2. Bullying among trainee doctors in Southern India: A questionnaire study

    Directory of Open Access Journals (Sweden)

    Bairy K

    2007-01-01

    Full Text Available Background: Workplace bullying is an important and serious issue in a healthcare setting because of its potential impact on the welfare of care-providers as well as the consumers. Aims: To gauge the extent of bullying among the medical community in India; as a subsidiary objective, to assess the personality trait of the bullying victims. Settings and Design: A cross-sectional, anonymous, self-reported questionnaire survey was undertaken among a convenient sample of all the trainee doctors at a Government Medical College in Tamil Nadu, India. Materials and Methods: A questionnaire, in English with standard written explanation of bullying was used. Basic information like age, sex, job grade and the specialty in case of Postgraduates (PGs were also collected. Statistical Analysis: The results were subjected to descriptive statistical analysis and Chi-square test for comparison of frequencies. Results: A total of 174 doctors (115 PGs and 59 junior doctors, took part in the study with a cent percent response. Nearly half of the surveyed population reported being subjected to bullying. Nearly 54 (53% of the men and 35 (48% of women were subjected to bullying. Significant proportions ( P < 0.0001 of medical personnel and paramedical staff bullied the PGs and junior doctors, respectively. More than 85 (90% of bullying incidents went unreported. A significant ( P < 0.0001 percentage of PGs and junior doctors revealed a personality trait towards bully. Conclusions: Workplace bullying is common among trainee doctors and usually goes unreported.

  3. The distribution of common construction materials at risk to acid deposition in the United States

    Science.gov (United States)

    Lipfert, Frederick W.; Daum, Mary L.

    Information on the geographic distribution of various types of exposed materials is required to estimate the economic costs of damage to construction materials from acid deposition. This paper focuses on the identification, evaluation and interpretation of data describing the distributions of exterior construction materials, primarily in the United States. This information could provide guidance on how data needed for future economic assessments might be acquired in the most cost-effective ways. Materials distribution surveys from 16 cities in the U.S. and Canada and five related databases from government agencies and trade organizations were examined. Data on residential buildings are more commonly available than on nonresidential buildings; little geographically resolved information on distributions of materials in infrastructure was found. Survey results generally agree with the appropriate ancillary databases, but the usefulness of the databases is often limited by their coarse spatial resolution. Information on those materials which are most sensitive to acid deposition is especially scarce. Since a comprehensive error analysis has never been performed on the data required for an economic assessment, it is not possible to specify the corresponding detailed requirements for data on the distributions of materials.

  4. Individualized Physical 3-dimensional Kidney Tumor Models Constructed From 3-dimensional Printers Result in Improved Trainee Anatomic Understanding.

    Science.gov (United States)

    Knoedler, Margaret; Feibus, Allison H; Lange, Andrew; Maddox, Michael M; Ledet, Elisa; Thomas, Raju; Silberstein, Jonathan L

    2015-06-01

    To evaluate the effect of 3-dimensionally (3D) printed physical renal models with enhancing masses on medical trainee characterization, localization, and understanding of renal malignancy. Proprietary software was used to import standard computed tomography (CT) cross-sectional imaging into 3D printers to create physical models of renal units with enhancing renal lesions in situ. Six different models were printed from a transparent plastic resin; the normal parenchyma was printed in a clear, translucent plastic, with a red hue delineating the suspicious renal lesion. Medical students, who had completed their first year of training, were given an overview and tasked with completion of RENAL nephrometry scores, separately using CT imaging and 3D models. Trainees were also asked to complete a questionnaire about their experience. Variability between trainees was assessed by intraclass correlation coefficients (ICCs), and kappa statistics were used to compare the trainee to experts. Overall trainee nephrometry score accuracy was significantly improved with the 3D model vs CT scan (P renal mass. Physical 3D models using readily available printing techniques improve trainees' understanding and characterization of individual patients' enhancing renal lesions. Published by Elsevier Inc.

  5. Surgical Education and Health Care Reform: Defining the Role and Value of Trainees in an Evolving Medical Landscape.

    Science.gov (United States)

    Fayanju, Oluwadamilola M; Aggarwal, Reena; Baucom, Rebeccah B; Ferrone, Cristina R; Massaro, David; Terhune, Kyla P

    2017-03-01

    Health care reform and surgical education are often separated functionally. However, especially in surgery, where resident trainees often spend twice as much time in residency and fellowship than in undergraduate medical education, one must consider their contributions to health care. In this short commentary, we briefly review the status of health care in the United States as well as some of the recent and current changes in graduate medical education that pertain to surgical trainees. This is a perspective piece that draws on the interests and varied background of the multiinstitutional and international group of authors. The authors propose 3 main areas of focus for research and practice- (1) accurately quantifying the care provided currently by trainees, (2) determining impact to trainees and hospital systems of training parameters, focusing on long-term outcomes rather than short-term outcomes, and (3) determining practice models of education that work best for both health care delivery and trainees. The authors propose that surgical education must align itself with rather than separate itself from overall health care reform measures and even individual hospital financial pressures. This should not be seen as additional burden of service, but rather practical education in training as to the pressures trainees will face as future employees. Rethinking the contributions and training of residents and fellows may also synergistically work to impress to hospital administrators that providing better, more focused and applicable education to residents and fellows may have long-term, strategic, positive impacts on institutions.

  6. Mersey deanery ophthalmology trainees' views of the objective assessment of surgical and technical skills (OSATS) workplace-based assessment tool.

    Science.gov (United States)

    Tsagkataki, Myrto; Choudhary, Anshoo

    2013-02-01

    Objective assessment of surgical and technical skills (OSATS) workplace-based assessment tool is now mandatory during ophthalmology speciality training in the United Kingdom. The opinions of those undergoing this assessment have not been formally sought. This study evaluated the views of ophthalmology trainees on OSATS assessment as applied to cataract surgery. A questionnaire was circulated to 34 ophthalmology speciality trainees of the Mersey deanery. A total of 28 responses were received. The most positive aspects of the process identified were feedback, learning and opportunity for reflective practice. The most negative aspects were time constraints, assessor's availability and case selection. Of the trainees, 93 % mentioned that no previous agreed action was taken into consideration when filling in subsequent forms and their performance was not discussed in their annual summative assessment. This study highlights important aspects of trainees' perceptions of OSATS. Trainees appreciate the formative aspects of OSATS assessment. Some problems came to light, which can be resolved by specification of standards, training of assessors, and commitment from both trainers and trainees. Changes are needed to allow demonstration of surgical progression with time. The issues identified here will be relevant to other specialities as well. A larger survey would be beneficial.

  7. Unit-Sphere Multiaxial Stochastic-Strength Model Applied to Anisotropic and Composite Materials

    Science.gov (United States)

    Nemeth, Noel, N.

    2013-01-01

    Models that predict the failure probability of brittle materials under multiaxial loading have been developed by authors such as Batdorf, Evans, and Matsuo. These "unit-sphere" models assume that the strength-controlling flaws are randomly oriented, noninteracting planar microcracks of specified geometry but of variable size. This methodology has been extended to predict the multiaxial strength response of transversely isotropic brittle materials, including polymer matrix composites (PMCs), by considering (1) flaw-orientation anisotropy, whereby a preexisting microcrack has a higher likelihood of being oriented in one direction over another direction, and (2) critical strength, or K (sub Ic) orientation anisotropy, whereby the level of critical strength or fracture toughness for mode I crack propagation, K (sub Ic), changes with regard to the orientation of the microstructure. In this report, results from finite element analysis of a fiber-reinforced-matrix unit cell were used with the unit-sphere model to predict the biaxial strength response of a unidirectional PMC previously reported from the World-Wide Failure Exercise. Results for nuclear-grade graphite materials under biaxial loading are also shown for comparison. This effort was successful in predicting the multiaxial strength response for the chosen problems. Findings regarding stress-state interactions and failure modes also are provided.

  8. Developing Communication Skills of EFL Teacher Trainees

    OpenAIRE

    Akpınar, Kadriye Dilek

    2009-01-01

    Higher Education Council of Turkey has added a one term course named as “Effective Communication Skills” to the curriculum since 2006 in Foreign Language Education Departments because of the crucial importance of communication in the information society. In order to test the effectiveness of this course, a research project was developed by looking at the pre-and post course interviews conducted with first year teacher trainees about communication skills compared with the fourth year students’...

  9. 'Oh my God, I can't handle this!': trainees' emotional responses to complex situations.

    Science.gov (United States)

    Helmich, Esther; Diachun, Laura; Joseph, Radha; LaDonna, Kori; Noeverman-Poel, Nelleke; Lingard, Lorelei; Cristancho, Sayra

    2018-02-01

    Dealing with emotions is critical for medical trainees' professional development. Taking a sociocultural and narrative approach to understanding emotions, we studied complex clinical situations as a specific context in which emotions are evoked and influenced by the social environment. We sought to understand how medical trainees respond to emotions that arise in those situations. In an international constructivist grounded theory study, 29 trainees drew two rich pictures of complex clinical situations, one exciting and one frustrating. Rich pictures are visual representations that capture participants' perceptions about the people, situations and factors that create clinical complexity. These pictures were used to guide semi-structured, individual interviews. We analysed visual materials and interviews in an integrated way, starting with looking at the drawings, doing a 'gallery walk', and using the interviews to inform the aesthetic analysis. Participants' drawings depicted a range of personal emotions in response to complexity, and disclosed unsettling feelings and behaviours that might be considered unprofessional. When trainees felt confident, they were actively participating, engaged in creative problem-solving strategies, and emphasised their personal involvement. When trainees felt the situation was beyond their control, they described how they were running away from the situation, hiding themselves behind others or distancing themselves from patients or families. A sense of control seems to be a key factor influencing trainees' emotional and behavioural responses to complexity. This is problematic, as complex situations are by their nature emergent and dynamic, which limits possibilities for control. Following a social performative approach to emotions, we should help students understand that feeling out of control is an inherent property of participating in complex clinical situations, and, by extension, that it is not something they will 'grow out of

  10. 24 CFR 245.417 - Initial submission of materials to HUD: Conversion of residential units to a nonresidential use...

    Science.gov (United States)

    2010-04-01

    ... HUD: Conversion of residential units to a nonresidential use, or to cooperative housing or... Covered Action § 245.417 Initial submission of materials to HUD: Conversion of residential units to a nonresidential use, or to cooperative housing or condominiums. In the case of a conversion of residential units...

  11. Notice to exporters on products prohibited from export (nuclear material, equipment and large nuclear units)

    International Nuclear Information System (INIS)

    1988-01-01

    In order to ensure that the policy to avoid the proliferation of nuclear weapons is complied with, the French Administration applies stricter controls over the export of certain sensitive products, materials and equipment. To this effect, lists of such products, materials and equipment are published in the form of Notices to exporters and periodically revised. This Notice repeals and replaces the previous Notice published in the Official Gazette of 21 January 1986. Annex I contains the list of materials whose export is subject to nuclear non-proliferation controls. Annex II lists the equipment whose export is subject to the same controls. Annex III includes the list of large nuclear units for which an application for prior approval of export must be submitted to the Administrations concerned. (NEA) [fr

  12. What do gastroenterology trainees want: recognition, remuneration or recreation?

    LENUS (Irish Health Repository)

    Harewood, G C

    2010-07-27

    BACKGROUND: Occupational psychologists have identified three factors important in motivating physicians: financial reward, academic recognition, time off. AIM: To assess motivators among gastroenterology (GI) trainees. METHODS: A questionnaire was distributed to GI trainees to assess their motivators: (1) work fewer hours for less lucrative rate, (2) reduction in salary\\/increase in hours for academic protected time, and (3) work longer hours for higher total salary, but less lucrative hourly rate. RESULTS: Overall, 61 trainees responded; 52% of trainees would work shorter hours for less lucrative rate; 60% would accept a disproportionate reduction in salary\\/increase in hours for academic protected time; 54% would work longer hours for more money but less lucrative rate. Most trainees (93%) accepted at least one scenario. CONCLUSIONS: Most GI trainees are willing to modify their job description to align with their personal values. Tailoring job descriptions according to these values can yield economic benefits to GI Divisions.

  13. What do gastroenterology trainees want: recognition, remuneration or recreation?

    LENUS (Irish Health Repository)

    Harewood, G C

    2012-02-01

    BACKGROUND: Occupational psychologists have identified three factors important in motivating physicians: financial reward, academic recognition, time off. AIM: To assess motivators among gastroenterology (GI) trainees. METHODS: A questionnaire was distributed to GI trainees to assess their motivators: (1) work fewer hours for less lucrative rate, (2) reduction in salary\\/increase in hours for academic protected time, and (3) work longer hours for higher total salary, but less lucrative hourly rate. RESULTS: Overall, 61 trainees responded; 52% of trainees would work shorter hours for less lucrative rate; 60% would accept a disproportionate reduction in salary\\/increase in hours for academic protected time; 54% would work longer hours for more money but less lucrative rate. Most trainees (93%) accepted at least one scenario. CONCLUSIONS: Most GI trainees are willing to modify their job description to align with their personal values. Tailoring job descriptions according to these values can yield economic benefits to GI Divisions.

  14. ENT audit and research in the era of trainee collaboratives.

    Science.gov (United States)

    Smith, Matthew E; Hardman, John; Ellis, Matthew; Williams, Richard J

    2018-05-26

    Large surgical audits and research projects are complex and costly to deliver, but increasingly surgical trainees are delivering these projects within formal collaboratives and research networks. Surgical trainee collaboratives are now recognised as a valuable part of the research infrastructure, with many perceived benefits for both the trainees and the wider surgical speciality. In this article, we describe the activity of ENT trainee research collaboratives within the UK, and summarise how INTEGRATE, the UK National ENT Trainee Research Network, successfully delivered a national audit of epistaxis management. The prospective audit collected high-quality data from 1826 individuals, representing 94% of all cases that met the inclusion criteria at the 113 participating sites over the 30-day audit period. It is hoped that the audit has provided a template for subsequent high-quality and cost-effective national studies, and we discuss the future possibilities for ENT trainee research collaboratives.

  15. Down woody materials as an indicator of wildlife habitat, fuels, and carbon stocks of the United States

    Science.gov (United States)

    Christopher W. Woodall

    2007-01-01

    Why Are Down Woody Materials Important? The down woody materials (DWM) indicator is used to estimate the quantity of deadorganic material (resulting from plant mortality and leaf turnover) in forest ecosystems of the United States. The DWM indicator, coupled with other components of the enhanced Forest Inventory and Analysis (FIA) program, can indicate the...

  16. Trainee-Associated Factors and Proficiency at Percutaneous Nephrolithotomy.

    Science.gov (United States)

    Aghamir, Seyed Mohammad Kazem; Behtash, Negar; Hamidi, Morteza; Farahmand, Hasan; Salavati, Alborz; Mortaz Hejri, Sara

    2017-07-01

    Percutaneous nephrolithotomy (PNL) is a complicated procedure for urology trainees. This study was designed to investigate the effect of trainees' ages and previous experience, as well as the number of operated cases, on proficiency at PNL by using patient outcomes. A cross sectional observational study was designed during a five-year period. Trainees in PNL fellowship programs were included. At the end of the program, the trainees' performance in PNL was assessed regarding five competencies and scored 1-5. If the overall score was 4 or above, the trainee was considered as proficient. The trainees' age at the beginning of the program and the years passed from their residency graduation were asked and recorded. Also, the number of PNL cases operated by each trainee was obtained via their logbooks. The age, years passed from graduation, and number of operated cases were compared between two groups of proficient and non-proficient trainees. Univariate and multivariate binary logistic regression analysis was applied to estimate the effect of aforementioned variables on the occurrence of the proficiency. Forty-two trainees were included in the study. The mean and standard deviation for the overall score were 3.40 (out of 5) and 0.67, respectively. Eleven trainees (26.2%) recognized as proficient in performing PNL. Univariate regression analysis indicated that each of three variables (age, years passed from graduation and number of operated cases) had statistically significant effect on proficiency. However, the multivariate regression analysis revealed that just the number of cases had significant effect on achieving proficiency. Although it might be assumed that trainees' age negatively correlates with their scores, in fact, it is their amount of practice that makes a difference. A certain number of cases is required to be operated by a trainee in order to reach the desired competency in PNL.

  17. Application of controllable unit approach (CUA) to performance-criterion-based nuclear material control and accounting

    International Nuclear Information System (INIS)

    Foster, K.W.; Rogers, D.R.

    1979-01-01

    The Nuclear Regulatory Commission is considering the use of maximum-loss performance criteria as a means of controlling SNM in nuclear plants. The Controllable Unit Approach to material control and accounting (CUA) was developed by Mound to determine the feasibility of controlling a plant to a performance criterion. The concept was tested with the proposed Anderson, SC, mixed-oxide plant, and it was shown that CUA is indeed a feasible method for controlling a complex process to a performance criterion. The application of CUA to an actual low-enrichment plant to assist the NRC in establishing performance criteria for uranium processes is discussed. 5 refs

  18. EWTD compliance amongst Anaesthesia trainees in Ireland.

    Science.gov (United States)

    Brohan, J; Moore, D

    2017-02-01

    The implications of the EWTD include a limit of 48 h working week and 11 consecutive hours rest every 24 h. This survey was designed to assess EWTD compliance over designated 1-week and 1-month periods amongst College of Anaesthesetists of Ireland (CAI) trainees and non-training Anaesthesia NCHDs. The two key elements of EWTD compliance were assessed; the compliance to a 48 h working week, and a minimizing of shift duration to 24 h. Existence of protected training time and teaching time were also assessed. This survey was completed by 191 Anaesthesia NCHDs, including 151 responses from CAI trainees; 75 % response rate from CAI trainees. 71 % of respondents worked in excess of 48 h. 37 % of respondents reported to have worked a shift >24 h duration. The average hours worked was 66 h (range 48.5-103 h). Our figures are a contrast to the reported figures in the HSE "Performance Assurance Report". 49 % of respondents reported a change in their working patterns to facilitate EWTD compliance. There appears to be a negative impact on training however, with 68 % respondents missing departmental teaching sessions and 30 % not receiving protected training time. 33 % of respondents were not in favour of full EWTD compliance. As work patterns change, it is vital to ensure that training is not compromised. Previous reports have recommended an increase in consultant numbers, which has yet to be achieved. This may provide a solution to allow service provision, NCHD training and EWTD compliance amongst NCHDs.

  19. Educational system of laparoscopic gastrectomy for trainee-how to teach, how to learn.

    Science.gov (United States)

    Kaito, Akio; Kinoshita, Takahiro

    2017-01-01

    The feasibility of laparoscopic gastrectomy (LG) has been gradually proven by several scientific works, however, proper training method for this kind of surgery are still under investigation and debate. Here we report our educational system of LG to enhance the skill of young surgeons in our hospital. Our training program for trainee consists of 3 years of junior residency and 2 years of senior residency programs, requiring 5 years in total. In order to master LG, three following factors seem to be essential: learning, practice and experience. Learning means that trainee study techniques and concepts by educational materials, such as operative videos, lectures, or textbook. Practice means animal laboratory training or dry box training to acquire hand-eye coordination or bi-hand coordination, leading to precise movement of surgical devices. Experience means actual on-site training, participating in clinical LG as scopist, assistant or operator. In the actual surgery, we have some common principles for scopist, assistant and operator, respectively, and these principles are shared by entire surgical team. These principles are transmitted from trainer to trainee using simple keywords repeatedly. In conclusion, combination and balance of the three factors, learning, practice and experience are necessary to efficiently advance education of LG for trainee and may leads to benefits for gastric cancer patients.

  20. Socialising journalist trainees in the newsroom

    DEFF Research Database (Denmark)

    Gravengaard, Gitte; Rimestad, Lene

    2014-01-01

    In this article we investigate socialisation practices in the newsroom. The analyses demonstrate how journalist trainees are socialised into this particular professional culture and community of practice. Theoretically, we combine the traditional news ethnography with linguistic anthropology...... play a key role in the socialisation process as important loci for learning about the craft because of the constant reinforcement of competent practice which takes place here. Thus, these interactions are important sites for cultural production and reproduction supporting the construction of the craft...... ethos, the enactment of expertise, and the building of professional vision....

  1. IAEA verification of weapon-origin fissile material in the Russian Federation and the United States

    International Nuclear Information System (INIS)

    2002-01-01

    Full text: Russian Federation Minister of Atomic Energy Alexander Rumyantsev, United States Secretary of Energy Spencer Abraham and Director General of the International Atomic Energy Agency (IAEA) Mohamed ElBaradei met in Vienna on 16 September 2002 to review the status of the Trilateral Initiative and agree on its future direction. The parties concluded that the task entrusted to the Trilateral Initiative Working Group in 1996 has been fulfilled. The work completed has demonstrated practical approaches for IAEA verification of weapon-origin fissile material designated as released from defence programmes in classified forms or at certain sensitive facilities. The work included the examination of technical, legal and financial issues associated with such verification. The removal of weapon-origin fissile material from defence programmes of the Russian Federation and the United States is in furtherance of the commitment to disarmament steps undertaken by the two States pursuant to Article VI of the Treaty on the Non-Proliferation of Nuclear Weapons (NPT). IAEA verification of the materials declared excess to nuclear weapons programmes and made subject to this Initiative would build international confidence that this material will never again be used in nuclear weapons. Minister Rumyantsev, Secretary Abraham and Director General ElBaradei recognized the value of the groundbreaking work completed over the last six years. Building on the work completed, they directed the technical experts to begin without delay discussions on future possible cooperation within the trilateral format. Minister Rumyantsev, Secretary Abraham and Director General ElBaradei agreed that the Principals would meet again in September 2003 to review progress within the trilateral format. (IAEA)

  2. Evaluation of the educational climate for specialty trainees in dermatology.

    Science.gov (United States)

    Goulding, J M R; Passi, V

    2016-06-01

    Dermatology specialty trainees (STs) in the United Kingdom (UK) are few in number and will join a thinly spread national consultant body. It is of paramount importance to deliver training programmes of the highest quality for these doctors, central to which is the establishment and maintenance of an educational climate conducive to learning. To conduct a pilot study to evaluate the educational climate for dermatology STs in one UK deanery (West Midlands). Secondary analysis of published data was performed, from the UK's General Medical Council (GMC) national training survey, and the Job Evaluation Survey Tool (JEST) administered by the West Midlands deanery. A modified online version of the Postgraduate Hospital Educational Environment Measure (PHEEM) was circulated among dermatology STs. The GMC's survey data show that UK dermatology STs rated their training highly in comparison with undifferentiated UK postgraduate trainees. West Midlands dermatology STs (n = 22) scored very similarly to UK dermatology STs. The JEST gave broadly encouraging results, with 21/22 (95%) happy to recommend their posts to colleagues. The modified PHEEM yielded a global mean score of 96.5/152, attracting the descriptor 'more positive than negative but room for improvement'. Despite inherent methodological limitations, the GMC, JEST and modified PHEEM surveys have revealed useful comparative triangulated data which allows the conclusion that West Midlands dermatology STs seem to be training in a favourable educational climate. This represents an important facet of the quality assurance process for medical education, and allows insight into areas which may require improvement. © 2015 European Academy of Dermatology and Venereology.

  3. An audit of ultrasonography performed and reported by trainee radiologists.

    Science.gov (United States)

    Eze, K C; Marchie, T T; Eze, C U

    2009-01-01

    Proforma information, instructions and procedures of training in radiology are lacking in Nigeria. To describe the errors in ultrasonography performed by unsupervised trainee radiologists. The radiology records of all ultrasound scans (USS) carried out and all reports that came back to the unit of the authors on account of misdiagnosis, doubtful diagnosis, misinformation or error in the reports were studied. The patients with the returned reports were rescanned where available by consultants and the collected data analysed. A total of 4680 patients had ultrasound studies without supervision resulting in 605 (12.93%) queried reports. The USS scans of 235 (5.02%) patients were repeated with consultants in attendance resulting in significant change in reports of 95 (2.03%) patients. Analysis of the request cards of 605 queried reports showed omission of relevant clinical information 463 (76.53%), outright wrong information 65 (10.73%),and unconventional abbreviations 139 (22.98%), while 493 (81.49%) were completed by a nurse, medical student or junior resident. Typographical errors comprised 174 (28.76%) of the 605 queried reports. False negative error was the highest type of error seen in 55 (57.89%) of the 95 patients with significant change in their report after repeat scan as lesions not detected were not documented. Trainee radiologists make significant errors in carrying out and reporting ultrasonography without adequate direct supervision of the study by their training consultants. Majority of the errors originate from lack of accurate filling of the patients request cards by the requesting physicians, lack of adequate preparation for the intended study, and typographical errors in writing reports. False negative reports are by far the greatest cause of errors recorded as lesions not detected were not documented.

  4. Non-technical skills of surgical trainees and experienced surgeons.

    Science.gov (United States)

    Gostlow, H; Marlow, N; Thomas, M J W; Hewett, P J; Kiermeier, A; Babidge, W; Altree, M; Pena, G; Maddern, G

    2017-05-01

    In addition to technical expertise, surgical competence requires effective non-technical skills to ensure patient safety and maintenance of standards. Recently the Royal Australasian College of Surgeons implemented a new Surgical Education and Training (SET) curriculum that incorporated non-technical skills considered essential for a competent surgeon. This study sought to compare the non-technical skills of experienced surgeons who completed their training before the introduction of SET with the non-technical skills of more recent trainees. Surgical trainees and experienced surgeons undertook a simulated scenario designed to challenge their non-technical skills. Scenarios were video recorded and participants were assessed using the Non-Technical Skills for Surgeons (NOTSS) scoring system. Participants were divided into subgroups according to years of experience and their NOTSS scores were compared. For most NOTSS elements, mean scores increased initially, peaking around the time of Fellowship, before decreasing roughly linearly over time. There was a significant downward trend in score with increasing years since being awarded Fellowship for six of the 12 NOTSS elements: considering options (score -0·015 units per year), implementing and reviewing decisions (-0·020 per year), establishing a shared understanding (-0·014 per year), setting and maintaining standards (-0·024 per year), supporting others (-0·031 per year) and coping with pressure (-0·015 per year). The drop in NOTSS score was unexpected and highlights that even experienced surgeons are not immune to deficiencies in non-technical skills. Consideration should be given to continuing professional development programmes focusing on non-technical skills, regardless of the level of professional experience. © 2017 BJS Society Ltd Published by John Wiley & Sons Ltd.

  5. Mapping watershed potential to contribute phosphorus from geologic materials to receiving streams, southeastern United States

    Science.gov (United States)

    Terziotti, Silvia; Hoos, Anne B.; Harned, Douglas; Garcia, Ana Maria

    2010-01-01

    As part of the southeastern United States SPARROW (SPAtially Referenced Regressions On Watershed attributes) water-quality model implementation, the U.S. Geological Survey created a dataset to characterize the contribution of phosphorus to streams from weathering and erosion of surficial geologic materials. SPARROW provides estimates of total nitrogen and phosphorus loads in surface waters from point and nonpoint sources. The characterization of the contribution of phosphorus from geologic materials is important to help separate the effects of natural or background sources of phosphorus from anthropogenic sources of phosphorus, such as municipal wastewater or agricultural practices. The potential of a watershed to contribute phosphorus from naturally occurring geologic materials to streams was characterized by using geochemical data from bed-sediment samples collected from first-order streams in relatively undisturbed watersheds as part of the multiyear U.S. Geological Survey National Geochemical Survey. The spatial pattern of bed-sediment phosphorus concentration is offered as a tool to represent the best available information at the regional scale. One issue may weaken the use of bed-sediment phosphorus concentration as a surrogate for the potential for geologic materials in the watershed to contribute to instream levels of phosphorus-an unknown part of the variability in bed-sediment phosphorus concentration may be due to the rates of net deposition and processing of phosphorus in the streambed rather than to variability in the potential of the watershed's geologic materials to contribute phosphorus to the stream. Two additional datasets were created to represent the potential of a watershed to contribute phosphorus from geologic materials disturbed by mining activities from active mines and inactive mines.

  6. The primary circuit materials properties results analysis performed on archive material used in NPP V-1 and Kola NPP Units 1 and 2

    Energy Technology Data Exchange (ETDEWEB)

    Kupca, L.; Beno, P. [Nuclear Power Plants Research Institute Inc., Trnava (Slovakia)

    1997-04-01

    A very brief summary is provided of a primary circuit piping material properties analysis. The analysis was performed for the Bohunice V-1 reactor and the Kola-1 and -2 reactors. Assessment was performed on Bohunice V-1 archive materials and primary piping material cut from the Kola units after 100,000 hours of operation. Main research program tasks included analysis of mechanical properties, corrosion stability, and microstructural properties. Analysis results are not provided.

  7. Assessing the Nontechnical Skills of Surgical Trainees: Views of the Theater Team.

    Science.gov (United States)

    Al-Jundi, Wissam; Wild, Jonathan; Ritchie, Judith; Daniels, Sarah; Robertson, Eleanor; Beard, Jonathan

    2016-01-01

    This study aims to explore the views of members of theater teams regarding the proposed introduction of a workplace-based assessment of nontechnical skills of surgeons (NOTSS) into the Intercollegiate Surgical Curriculum Programme in the United Kingdom. In addition, the previous training and familiarity of the members of the surgical theater team with the concept and assessment of NOTSS would be evaluated. A regional survey of members of theater teams (consultant surgeons, anesthetists, scrub nurses, and trainees) was performed at 1 teaching and 2 district general hospitals in South Yorkshire. There were 160 respondents corresponding to a response rate of 81%. The majority (77%) were not aware of the NOTSS assessment tool with only 9% of respondents reporting to have previously used the NOTSS tool and just 3% having received training in NOTSS assessment. Overall, 81% stated that assessing NOTSS was as important as assessing technical skills. Trainees attributed less importance to nontechnical skills than the other groups (p ≤ 0.016). Although opinion appears divided as to whether the presence of a consultant surgeon in theater could potentially make it difficult to assess a trainee's leadership skills and decision-making capabilities, overall 60% agree that the routine use of NOTSS assessment would enhance safety in the operating theater and 80% agree that the NOTSS tool should be introduced to assess the nontechnical skills of trainees in theater. However, a significantly lower proportion of trainees (45%) agreed on the latter compared with the other groups (p = 0.001). Our survey demonstrates acceptability among the theater team for the introduction of the NOTSS tool into the surgical curriculum. However, lack of familiarity highlights the importance of faculty training for assessors before such an introduction. Copyright © 2015 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

  8. The materials flow of mercury in the economies of the United States and the world

    Science.gov (United States)

    Sznopek, John L.; Goonan, Thomas G.

    2000-01-01

    Although natural sources of mercury exist in the environment, measured data and modeling results indicate that the amount of mercury released into the biosphere has increased since the beginning of the industrial age. Mercury is naturally distributed in the air, water, and soil in minute amounts, and can be mobile within and between these media. Because of these properties and the subsequent impacts on human health, mercury was selected for an initial materials flow study, focusing on the United States in 1990. This study was initiated to provide a current domestic and international analysis. As part of an increased emphasis on materials flow, this report researched changes and identified the associated trends in mercury flows; it also updates statistics through 1996. In addition to domestic flows, the report includes an international section, because all primary mercury-producing mines are currently foreign, 86 percent of the mercury cell sector of the worldwide chlor-alkali industry is outside the United States, there is a large international mercury trade (1,395 t 1 in 1996), and environmental regulations are not uniform or similarly enforced from country to country. Environmental concerns have brought about numerous regulations that have dramatically decreased both the use and the production of mercury since the late 1980?s. Our study indicates that this trend is likely to continue into the future, as the world eliminates the large mercury inventories that have been stockpiled to support prior industrial processes and products.

  9. Performance analysis of phase-change material storage unit for both heating and cooling of buildings

    Science.gov (United States)

    Waqas, Adeel; Ali, Majid; Ud Din, Zia

    2017-04-01

    Utilisation of solar energy and the night ambient (cool) temperatures are the passive ways of heating and cooling of buildings. Intermittent and time-dependent nature of these sources makes thermal energy storage vital for efficient and continuous operation of these heating and cooling techniques. Latent heat thermal energy storage by phase-change materials (PCMs) is preferred over other storage techniques due to its high-energy storage density and isothermal storage process. The current study was aimed to evaluate the performance of the air-based PCM storage unit utilising solar energy and cool ambient night temperatures for comfort heating and cooling of a building in dry-cold and dry-hot climates. The performance of the studied PCM storage unit was maximised when the melting point of the PCM was ∼29°C in summer and 21°C during winter season. The appropriate melting point was ∼27.5°C for all-the-year-round performance. At lower melting points than 27.5°C, declination in the cooling capacity of the storage unit was more profound as compared to the improvement in the heating capacity. Also, it was concluded that the melting point of the PCM that provided maximum cooling during summer season could be used for winter heating also but not vice versa.

  10. Changing patterns in the use, recycling, and material substitution of mercury in the United States

    Science.gov (United States)

    Wilburn, David R.

    2013-01-01

    Environmental concerns have led to numerous regulations that have dramatically decreased the reported production and use of mercury in the United States since the 1980s. Government legislation and subsequent industry actions have led to increased collection of mercury-containing materials and the recovery of mercury through recycling. Mercury emissions have been reduced and effective alternatives to mercury products have been developed for many applications. This study updates and quantifies the changes in demand, supply, use, and material flow for mercury in various sectors in the United States that have taken place since 1996. Nearly all primary mercury produced in the United States is derived as a byproduct of processing of gold and silver ore in Nevada. Since 2001, annual production of mercury from gold and silver mining in Nevada has decreased by 22 percent overall because ore from greater depths containing low grade mercury is recovered, and mercury emissions from this source have decreased by 95 percent as a result of increased regulation and improved collection and suppression technology. The distribution of consumption of mercury in the United States has changed as a result of regulation (elimination of large-scale mercury use in the paint and battery sectors), reduction by consumers (decommissioning of mercury-cell chloralkali manufacturing capacity), and technological advances (improvements in dental, lighting, and wiring sectors). Mercury use in the chloralkali sector, the leading end-use sector in the United States in 1996, has declined by 98 percent from 136 metric tons (t) in 1996 to about 0.3 t in 2010 because of increased processing and recycling efficiencies and plant closures or conversion to other technologies. As plants were closed, mercury recovered from the infrastructure of decommissioned plants has been exported, making the United States a net exporter of mercury, even though no mercury has been produced as the primary product from mines in

  11. Novelly formed products of the interaction of fuel with construction materials of the 4th unit of Chernobyl NPP

    International Nuclear Information System (INIS)

    Borovoj, A.A.; Galkin, B.Ya.; Krinitsyn, A.P.; Pazukhin, Eh.M.; Kheruvimov, A.N.; Chechcherov, K.P.; Anderson, E.B.

    1991-01-01

    Radiation environment and map of sampling route in the steam distributing collector of the 4th unit of the Chernobyl NPP are described. The results of gamma- and alpha radiometric analyses as well as chemical analysis are presented. Samples of core materials taken from the depth of fuel-containing masses by drilling through reactor vault wall of the damaged power unit are described

  12. Communications Received from the United States of America Regarding the Supply of Nuclear Material Through the Agency

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1975-08-29

    On 17 April 1975 the Director General received a letter dated 15 April from the Resident Representative of the United States of America to the Agency providing information in connection with contracts and other agreements signed by or on behalf of the United States Atomic Energy Commission for the supply of nuclear material through the Agency.

  13. High-Throughput Characterization of Porous Materials Using Graphics Processing Units

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jihan; Martin, Richard L.; Rübel, Oliver; Haranczyk, Maciej; Smit, Berend

    2012-05-08

    We have developed a high-throughput graphics processing units (GPU) code that can characterize a large database of crystalline porous materials. In our algorithm, the GPU is utilized to accelerate energy grid calculations where the grid values represent interactions (i.e., Lennard-Jones + Coulomb potentials) between gas molecules (i.e., CH$_{4}$ and CO$_{2}$) and material's framework atoms. Using a parallel flood fill CPU algorithm, inaccessible regions inside the framework structures are identified and blocked based on their energy profiles. Finally, we compute the Henry coefficients and heats of adsorption through statistical Widom insertion Monte Carlo moves in the domain restricted to the accessible space. The code offers significant speedup over a single core CPU code and allows us to characterize a set of porous materials at least an order of magnitude larger than ones considered in earlier studies. For structures selected from such a prescreening algorithm, full adsorption isotherms can be calculated by conducting multiple grand canonical Monte Carlo simulations concurrently within the GPU.

  14. Trainee ophthalmologists' opinions on ways to improve cataract ...

    African Journals Online (AJOL)

    Objective: To know the opinions of trainee ophthalmologists on ways to improve cataract surgical rate (CSR) with a view to having insight into actions that should be of high priority for achieving this improvement. Methods: A survey of 27 trainee ophthalmologists using structured self-administered questionnaire. Results: ...

  15. Trainees' Perceptions of a Final Oral Competency Examination

    Science.gov (United States)

    Goldberg, Robert W.; Young, Kevin R.

    2016-01-01

    Objective(s): The focus on competency attainment by professional psychology trainees obligates training programs to assess these competencies prior to completion of an internship. However, little is known about how trainees may perceive such testing. This study examines relationships between performance on an Oral Final Competency Examination of a…

  16. Training family medicine residents to practice collaboratively with psychology trainees.

    Science.gov (United States)

    Porcerelli, John H; Fowler, Shannon L; Murdoch, William; Markova, Tsveti; Kimbrough, Christina

    2013-01-01

    This article will describe a training curriculum for family medicine residents to practice collaboratively with psychology (doctoral) trainees at the Wayne State University/Crittenton Family Medicine Residency program. The collaborative care curriculum involves a series of patient care and educational activities that require collaboration between family medicine residents and psychology trainees. Activities include: (1) clinic huddle, (2) shadowing, (3) pull-ins and warm handoffs, (4) co-counseling, (5) shared precepting, (6) feedback from psychology trainees to family medicine residents regarding consults, brief interventions, and psychological testing, (7) lectures, (8) video-observation and feedback, (9) home visits, and (10) research. The activities were designed to teach the participants to work together as a team and to provide a reciprocal learning experience. In a brief three-item survey of residents at the end of their academic year, 83% indicated that they had learned new information or techniques from working with the psychology trainees for assessment and intervention purposes; 89% indicated that collaborating with psychology trainees enhanced their patient care; and 89% indicated that collaborating with psychology trainees enhanced their ability to work as part of a team. Informal interviews with the psychology trainees indicated that reciprocal learning had taken place. Family medicine residents can learn to work collaboratively with psychology trainees through a series of shared patient care and educational activities within a primary care clinic where an integrated approach to care is valued.

  17. Life and Work Values of Counselor Trainees: A National Survey

    Science.gov (United States)

    Busacca, Louis A.; Beebe, Ronald S.; Toman, Sarah M.

    2010-01-01

    This national web-based study used the Schwartz Value Survey (Schwartz, 1994) and Super's Work Values Inventory-Revised (Zytowski, n.d.) to identify general life and work value orientations of 674 female and male entry-level counselor trainees residing in 27 states. In general, trainees emphasized benevolence, self-direction, and achievement and…

  18. Competent Counseling for Middle Eastern American Clients: Implications for Trainees

    Science.gov (United States)

    Soheilian, Sepideh S.; Inman, Arpana G.

    2015-01-01

    The authors used a factorial multivariate analysis of variance (MANOVA) to determine whether counselor trainees' group differences on measures of multicultural competence, empathy, and multicultural counseling self-efficacy (CSE) when working with Middle Eastern American (MEA) clients were moderated by trainee race. Two hundred and fifty-six…

  19. Pick up a book or "google it?" a survey of radiologist and trainee-preferred references and resources.

    Science.gov (United States)

    Niederhauser, Blake D; Liaw, Kevin; McDonald, Robert J; Thomas, Kristen B; Hudson, Kathleen T; Kallmes, David F

    2014-02-01

    The purpose of this study was to investigate radiologist and trainee-preferred sources for solving imaging questions. The institutional review board determined this study to be exempt from informed consent requirements. Web-based surveys were distributed to radiology staff and trainees at 16 academic institutions. Surveys queried ownership and use of tablet computers and habits of utilization of various electronic and hardcopy resources for general reference. For investigating specific cases, respondents identified a single primary resource. Comparisons were performed using Fisher's exact test. For staff, use of Google and online journals was nearly universal for general imaging questions (93 [103/111] and 94 % [104/111], respectively). For trainees, Google and resident-generated study materials were commonly utilized for such questions (82 [111/135] and 74 % [100/135], respectively). For specific imaging questions, online journals and PubMed were rarely chosen as a primary resource; the most common primary resources were STATdx for trainees and Google for staff (44 [55/126] and 52 % [51/99], respectively). Use of hard copy journals was nearly absent among trainees. Sixty percent of trainees (78/130) own a tablet computer versus 41 % of staff (46/111; p = 0.005), and 71 % (55/78) of those trainees reported at least weekly use of radiology-specific tablet applications, compared to 48 % (22/46) of staff (p Staff radiologists rely heavily on Google for both general and specific imaging queries, while residents utilize customized, radiology-focused products and apps. Interestingly, residents note continued use of hard copy books but have replaced hard copy journals with online resources.

  20. Trainee Knowledge of Imaging Appropriateness and Safety: Results of a Series of Surveys From a Large Academic Medical Center.

    Science.gov (United States)

    Hollingsworth, Thaddeus D; Duszak, Richard; Vijayasarathi, Arvind; Gelbard, Rondi B; Mullins, Mark E

    2017-10-31

    In order to provide high quality care to their patients and utilize imaging most judiciously, physician trainees should possess a working knowledge of appropriate use, radiation dose, and safety. Prior work has suggested knowledge gaps in similar areas. We aimed to evaluate the knowledge of imaging appropriateness, radiation dose, and MRI and contrast safety of physician trainees across a variety of specialties. Between May 2016 and January 2017, three online surveys were distributed to all interns, residents, and fellows in ACGME accredited training programs at a large academic institution over two academic years. Response rates to three surveys ranged from 17.2% (218 of 1266) for MRI and contrast material safety, 19.1% (242 of 1266) for imaging appropriateness, to19.9% (246 of 1238) for radiation dose. Overall 72% (509 of 706) of survey respondents reported regularly ordering diagnostic imaging examinations, but fewer than half (47.8%; 470 of 984) could correctly estimate radiation dose across four commonly performed imaging studies. Only one third (34%; 167 of 488) of trainees chose appropriate imaging in scenarios involving pregnant patients. Trainee post-graduate year was not significantly correlated with overall radiation safety scores, and no significant difference was found between radiation safety or appropriate imaging scores of those who participated in a medical school radiology elective vs. those who did not. A total of 84% (57 of 68) of radiology trainees and 43% (269 of 630) of non-radiology trainees considered their knowledge adequate but that correlated only weakly correlated to actual knowledge scores (pimaging safety exist among many trainees. In order to enhance the value of imaging at the population level, further work is needed to assess the most appropriate method and stage of training to address these knowledge gaps. Copyright © 2017 Elsevier Inc. All rights reserved.

  1. Special Inspector General for Afghanistan Reconstruction Quarterly Report to the United States Congress

    Science.gov (United States)

    2014-07-30

    Trainee A landfill containing furniture and other materials from the facilities at Camp Leatherneck, Helmand Province, that are not being returned to... rehabilitation of roads, road maintenance, contracting for road construction with private sector/road companies, monitoring and planning of railways...structures” in order to partner with the 135 GOVERNANCE REPORT TO THE UNITED STATES CONGRESS I JULY 30, 2014 Afghan Ministry of Rural Rehabilitation

  2. Attitudes towards attrition among UK trainees in obstetrics and gynaecology.

    Science.gov (United States)

    Gafson, Irene; Currie, Jane; O'Dwyer, Sabrina; Woolf, Katherine; Griffin, Ann

    2017-06-02

    Physician dissatisfaction in the workplace has consequences for patient safety. Currently in the UK, 1 in 5 doctors who enter specialist training in obstetrics and gynaecology leave the programme before completion. Trainee attrition has implications for workforce planning, organization of health-care services and patient care. The authors conducted a survey of current trainees' and former trainees' views concerning attrition and 'peri-attrition' - a term coined to describe the trainee who has seriously considered leaving the specialty. The authors identified six key themes which describe trainees' feelings about attrition in obstetrics and gynaecology: morale and undermining; training processes and paperwork; support and supervision; work-life balance and realities of life; NHS environment; and job satisfaction. This article discusses themes of an under-resourced health service, bullying, lack of work-life balance and poor personal support.

  3. A United States perspective on long term management of areas contaminated with radioactive materials

    International Nuclear Information System (INIS)

    Jones, C.R.

    2003-01-01

    Full text: The United States has far-reaching experience in the long-term management of areas contaminated with radioactive materials. The events resulting from the atmospheric testing of nuclear weapons in the Marshall Islands, follow-up from Hiroshima and Nagasaki, accidents, and the environmental cleanup of our weapons complex have resulted in an extensive body of lessons learned and best practices. The lack of trust created in the affected population, regardless of cause of the spread of radioactive material, creates the working environment for long-term management of the situation. The extent of advanced planning for such an event will define and bound your ultimate success in reaching a conclusion acceptable to the affected parties. The two key issues to be addressed in the long-term management of areas contaminated with radioactive materials are the two 'T's' - technical and trust. The technical issues to be resolved include: access to the affected area; infrastructure to support operations; local and imported staffing; health care for the affected population; and payment to name a few. In addressing the issue of trust it is critical to establish open, honest and inclusive communications and decision making with the affected population and stakeholders, with clear roles and responsibilities defined. Actions must be sensitive to local cultural issues and agreements reached with affected populations prior to actions being taken. Establishment of an alternative views resolution process helps build trust and allow actions to taken. Government to government relations and agreements must be established with an acceptance and understanding of the long term investment in time and resources needed. Planning ahead for such an eventuality and putting in place procedures, agreements and resources needed to address the technical and trust issues associated with the long-term management of areas contaminated with radioactive materials enhances success. (author)

  4. Peer mentoring for core medical trainees: uptake and impact.

    Science.gov (United States)

    Webb, Jessica; Brightwell, Alexandra; Sarkar, Pamela; Rabbie, Roy; Chakravorty, Indranil

    2015-04-01

    To assess the uptake and impact of a peer mentoring scheme for core medical trainees on both mentors and mentees. All second year core medical trainees in the Southwest London Training programme in September 2012 were invited to mentor a first year core medical trainee. In parallel, all first year core medical trainees were invited to be mentored. Both potential mentors and mentees were asked to submit personal statements, to attend a three-session mentoring training programme and to be matched into mentoring pairs. The impact of the mentoring scheme on trainees' behaviour and outlook was assessed through questionnaires distributed at the start and at the end of the year. 31 of 72 (43%) core medical trainees submitted personal statements and 40 of 72 (56%) attended training sessions. 42 trainees (58%) participated in the scheme (21 mentor/mentee pairs were established). Of the trainees who participated, 23 of 42 (55%) completed the end of year questionnaire. Participating trainees viewed the scheme positively. Reported benefits included changes in their behaviour and acquiring transferable skills that might help them in later career roles, such as an educational supervisor. The end of year questionnaire was sent to all trainees and 10 responded who had not participated. They were asked why they had not participated and their reasons included lack of time, lack of inclination and a desire for more senior mentors. Their suggestions for improvement included more structured sessions to allow the mentor/mentee pairs to meet. This simple peer mentoring scheme was popular despite busy workloads and benefited all concerned. It is a simple effective way of supporting doctors. More work is needed to improve training for mentors and to improve access to mentoring. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  5. A Private [School] Matter: The State of Materials Challenges in Private College Preparatory School Libraries in the Southeast United States

    Science.gov (United States)

    Franklin, Renee E.

    2008-01-01

    Materials challenges and censorship occur often in public and private educational settings. Private schools and their library media centers are not subject to the First Amendment but research reported in this article examines the state of challenges to materials held in private schools media centers in the southeast United States as a way to gauge…

  6. Design of the breeder units in the new HCPB modular blanket concept and material requirements

    International Nuclear Information System (INIS)

    Boccaccini, L.V.; Fischer, U.; Hermsmeyer, S.; Reimann, J.; Xu, Z.; Koehly, C.

    2004-01-01

    ; according to the experience from the old design no major problems are expected concerning stress levels and gap formation in the pebble beds; in fact, the situation should be more favourable due to the reduced dimensions (max. 20 cm) of the beds that should minimise ratcheting and particle flow phenomena. In respect to tritium extraction, the most favourable features of the HCPB concept (e.g. an overall low partial pressure of tritium in the beds that minimise permeation into the main coolant system) can be kept in the new design; a complication could be the necessity to provide each cell with a system of tubes to inlet the purge helium in the front part of the beds or to divide the purge flow for Be and CB. The modular design of the new HCPB blanket, that makes the breeder units almost independent on the structural design of the box, opens interesting possibilities in the development of these units. The present design can be optimised on the basis of the results of the present R and D programme on Be and CB. In addition, new requirements could appear to improve the design performances or manufacturing: i.e. in respect to filling procedures of the beds (use of pre-packed breeder units) or the necessity of insulating layer to thermally decouple the breeder units from the box or the selection of new materials with a better compatibility with Be and CB at high temperatures as protection of the steel structure. (author)

  7. Developing Communication Skills of EFL Teacher Trainees

    Directory of Open Access Journals (Sweden)

    Kadriye Dilek Akpınar

    2009-04-01

    Full Text Available Higher Education Council of Turkey has added a one term course named as “Effective Communication Skills” to the curriculum since 2006 in Foreign Language Education Departments because of the crucial importance of communication in the information society. In order to test the effectiveness of this course, a research project was developed by looking at the pre-and post course interviews conducted with first year teacher trainees about communication skills compared with the fourth year students’ ideas who did not take the course. This paper describes both the significance of effective communication skills and the benefits of the course for developing teacher trainees’ effective communication skills. The implementations and suggestions for teacher education has also been discussed.

  8. On material and energy sources of formation of fuel-containing materials during Chernobyl NPP UNIT 4 accident

    Directory of Open Access Journals (Sweden)

    O. V. Mikhailov

    2016-12-01

    Full Text Available Results of detailed analysis of material substance of lava-like fuel-containing materials sources (FCM and clusters with high uranium concentration were presented. Material and energy balance are aggregated in a process model for optimal composition of sacrificial materials and FCM. Quantitative estimate is given for spent nuclear fuel’ afterheat in a number of other heat energy sources in reactor vault. Conclusion was made that upon condition of 50 % heat loss, remained amount of “useful” heat would be sufficient for proceeding of blast furnace version of fuel-containing materials.

  9. Covalent Organic Framework Material bearing Phloroglucinol Building Units as a Potent Anticancer Agent

    KAUST Repository

    Bhanja, Piyali; Mishra, Snehasis; Manna, Krishnendu; Mallick, Arijit; Das Saha, Krishna; Bhaumik, Asim

    2017-01-01

    Covalent organic frameworks (COFs) having periodicity in pores of nanoscale dimensions can be suitably designed for the organic building units bearing reactive functional groups at their surfaces. Thus, they are an attractive option as an anticancer agent to overcome the limitations of chemotherapy. Herein, we first report a new porous biodegradable nitrogen containing COF material, EDTFP-1 (ethylenedianiline-triformyl phloroglucinol), synthesized using 4,4'-ethylenedianiline and 2,4,6-triformylphloroglucinol via Schiff base condensation reaction. EDTFP-1 exhibited 3D-hexagonal porous structure with average pores of ca. 1.5 nm dimension. Here, we have explored the anti-cancer potentiality of EDTFP-1. Result demonstrated an enhanced cytotoxicity was observed against four cancer cells HCT 116, HepG2, A549, and MIA-Paca2 with significant lower IC50 on HCT116 cells. Additionally, EDTFP-1-induced cell death was associated with the characteristic apoptotic changes like cell membrane blebbing, nuclear DNA fragmentation, externalization of phosphatidylserine from the cell membrane followed by a loss of mitochondrial membrane potential as well as modulation of pro and anti-apoptotic proteins. Further, the result depicted a direct correlation between the generations of ROS with mitochondrial-dependant apoptosis through the involvement of p53 phosphorylation upon EDTFP-1 induction, suggesting this COF material is a novel chemotherapeutic agent for cancer treatment.

  10. Covalent Organic Framework Material bearing Phloroglucinol Building Units as a Potent Anticancer Agent

    KAUST Repository

    Bhanja, Piyali

    2017-08-23

    Covalent organic frameworks (COFs) having periodicity in pores of nanoscale dimensions can be suitably designed for the organic building units bearing reactive functional groups at their surfaces. Thus, they are an attractive option as an anticancer agent to overcome the limitations of chemotherapy. Herein, we first report a new porous biodegradable nitrogen containing COF material, EDTFP-1 (ethylenedianiline-triformyl phloroglucinol), synthesized using 4,4\\'-ethylenedianiline and 2,4,6-triformylphloroglucinol via Schiff base condensation reaction. EDTFP-1 exhibited 3D-hexagonal porous structure with average pores of ca. 1.5 nm dimension. Here, we have explored the anti-cancer potentiality of EDTFP-1. Result demonstrated an enhanced cytotoxicity was observed against four cancer cells HCT 116, HepG2, A549, and MIA-Paca2 with significant lower IC50 on HCT116 cells. Additionally, EDTFP-1-induced cell death was associated with the characteristic apoptotic changes like cell membrane blebbing, nuclear DNA fragmentation, externalization of phosphatidylserine from the cell membrane followed by a loss of mitochondrial membrane potential as well as modulation of pro and anti-apoptotic proteins. Further, the result depicted a direct correlation between the generations of ROS with mitochondrial-dependant apoptosis through the involvement of p53 phosphorylation upon EDTFP-1 induction, suggesting this COF material is a novel chemotherapeutic agent for cancer treatment.

  11. Influences of Radiology Trainees on Screening Mammography Interpretation.

    Science.gov (United States)

    Hawley, Jeffrey R; Taylor, Clayton R; Cubbison, Alyssa M; Erdal, B Selnur; Yildiz, Vedat O; Carkaci, Selin

    2016-05-01

    Participation of radiology trainees in screening mammographic interpretation is a critical component of radiology residency and fellowship training. The aim of this study was to investigate and quantify the effects of trainee involvement on screening mammographic interpretation and diagnostic outcomes. Screening mammograms interpreted at an academic medical center by six dedicated breast imagers over a three-year period were identified, with cases interpreted by an attending radiologist alone or in conjunction with a trainee. Trainees included radiology residents, breast imaging fellows, and fellows from other radiology subspecialties during breast imaging rotations. Trainee participation, patient variables, results of diagnostic evaluations, and pathology were recorded. A total of 47,914 mammograms from 34,867 patients were included, with an overall recall rate for attending radiologists reading alone of 14.7% compared with 18.0% when involving a trainee (P radiology trainees, with no change in cancer detection rate. Radiology faculty members should be aware of this potentiality and mitigate tendencies toward greater false positives. Copyright © 2016 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  12. Developing leadership as a trainee- opportunities, barriers and potential improvements.

    Science.gov (United States)

    Doherty, Rachel; Lawson, Sara; Mc Laughlin, Laura; Donaghy, Grainne; Courtney, Julia; Gardiner, Keith

    2018-05-01

    The General Medical Council explicitly state that doctors completing training should demonstrate capabilities in leadership and teamwork. 1 However, most trainees receive little formal training in leadership. In March 2017, at the Faculty of Medical Leadership and Management (FMLM) Northern Ireland Regional Conference, a workshop on developing leadership skills as a trainee was hosted and the views of doctors in training regarding current opportunities, potential barriers and improvements were sought. In Northern Ireland presently there are a number of opportunities available for trainees to gain experience in leadership - both by learning through observation and learning through experience. These range from informal activities which do not require significant time commitment to focused, immersive leadership experiences such as ADEPT (Achieve Develop Explore Programme for Trainees) 2 , and the Royal College of Physicians' Chief Registrar scheme. 3 Several barriers to developing leadership have been identified, including limited understanding of what constitutes leadership, a lack of senior support and little formal recognition for trainees leading teams. Time pressures, frequently rotating jobs, limited resources and difficulty upscaling can also undermine the sustainability of improvement and other leadership projects. Incorporating awareness of and training in leadership skills, as well as greater engagement with senior leaders and managers, at an early stage in training could promote understanding and encourage trainees. Formalising leadership roles within training posts may improve experience. Deaneries and Trusts can also enable leadership opportunities by facilitating study leave, raising awareness amongst supervisors, and providing career enhancing incentives for interested trainees.

  13. Comprehensive feedback on trainee surgeons’ non-technical skills

    Science.gov (United States)

    Dieckmann, Peter; Beier-Holgersen, Randi; Rosenberg, Jacob; Oestergaard, Doris

    2015-01-01

    Objectives This study aimed to explore the content of conversations, feedback style, and perceived usefulness of feedback to trainee surgeons when conversations were stimulated by a tool for assessing surgeons’ non-technical skills. Methods Trainee surgeons and their supervisors used the Non-Technical Skills for Surgeons in Denmark tool to stimulate feedback conversations. Audio recordings of post-operation feedback conversations were collected. Trainees and supervisors provided questionnaire responses on the usefulness and comprehensiveness of the feedback. The feedback conversations were qualitatively analyzed for content and feedback style. Usefulness was investigated using a scale from 1 to 5 and written comments were qualitatively analyzed. Results Six trainees and six supervisors participated in eight feedback conversations. Eighty questionnaires (response rate 83 percent) were collected from 13 trainees and 12 supervisors. Conversations lasted median eight (2-15) minutes. Supervisors used the elements and categories in the tool to structure the content of the conversations. Supervisors tended to talk about the trainees’ actions and their own frames rather than attempting to understand the trainees’ perceptions. Supervisors and trainees welcomed the feedback opportunity and agreed that the conversations were useful and comprehensive. Conclusions The content of the feedback conversations reflected the contents of the tool and the feedback was considered useful and comprehensive. However, supervisors talked primarily about their own frames, so in order for the feedback to reach its full potential, supervisors may benefit from training techniques to stimulate a deeper reflection among trainees. PMID:25602262

  14. Paediatric trainee supervision: management changes and perceived education value.

    Science.gov (United States)

    van den Boom, Mirjam; Pinnock, Ralph; Weller, Jennifer; Reed, Peter; Shulruf, Boaz

    2012-07-01

    Supervision in postgraduate training is an under-researched area. We measured the amount, type and effect of supervision on patient care and perceived education value in a general paediatric service. We designed a structured observation form and questionnaire to document the type, duration and effect of supervision on patient management and perceived education value. Most supervision occurred without the paediatrician confirming the trainee's findings. Direct observation of the trainee was rare. Management was changed in 30% of patients seen on the inpatient ward round and in 42% of the patients discussed during the chart reviews but not seen by the paediatrician. Management was changed in 48% of the cases when the paediatrician saw the patient with the trainee in outpatients but in only 21% of patients when the patient was but not seen. Changes made to patient management, understanding and perceived education value, differed between inpatient and out patient settings. There was more impact when the paediatrician saw the patient with the trainee in outpatients; while for inpatients, the opposite was true. Trainees rated the value of the supervision more highly than their supervisors did. Trainees' comments on what they learnt from their supervisor related almost exclusively to clinical knowledge rather than professional behaviours. We observed little evidence of supervisors directly observing trainees and trainees learning professional behaviours. A review of supervisory practices to promote more effective learning is needed. Communicating to paediatricians the value their trainees place on their input could have a positive effect on their engagement in supervision. © 2012 The Authors. Journal of Paediatrics and Child Health © 2012 Paediatrics and Child Health Division (Royal Australasian College of Physicians).

  15. Making robust assessments of specialist trainees' workplace performance.

    Science.gov (United States)

    Weller, J M; Castanelli, D J; Chen, Y; Jolly, B

    2017-02-01

    Workplace-based assessments should provide a reliable measure of trainee performance, but have met with mixed success. We proposed that using an entrustability scale, where supervisors scored trainees on the level of supervision required for the case would improve the utility of compulsory mini-clinical evaluation exercise (CEX) assessments in a large anaesthesia training program. We analysed mini-CEX scores from all Australian and New Zealand College of Anaesthetists trainees submitted to an online database over a 12-month period. Supervisors' scores were adjusted for the expected supervision requirement for the case for trainees at different stages of training. We used generalisability theory to determine score reliability. 7808 assessments were available for analysis. Supervision requirements decreased significantly (P  0.7) with a feasible number of assessments. Adjusting scores against the expected supervision requirement considerably improved reliability, with G > 0.8 achieved with only nine assessments. Three per cent of trainees generated average mini-CEX scores below the expected standard. Using an entrustment scoring system, where supervisors score trainees on the level of supervision required, mini-CEX scores demonstrated moderate reliability within a feasible number of assessments, and evidence of validity. When scores were adjusted against an expected standard, underperforming trainees could be identified, and reliability much improved. Taken together with other evidence on trainee ability, the mini-CEX is of sufficient reliability for inclusion in high stakes decisions on trainee progression towards independent specialist practice. © The Author 2017. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  16. Auckland regional emergency medicine trainee mentoring uptake survey.

    Science.gov (United States)

    Nicholls, Gordon Michael Mike; Lawrey, Emma; Jones, Peter

    2017-10-01

    The primary objective of this study is to quantify how many Auckland region emergency medicine (EM) trainees would like a formal mentoring programme. The secondary objectives were to quantify how many Auckland region EM trainees would like to participate in a formal mentoring programme; to determine trainees' current understanding of mentoring; how trainees prefer mentors to be allocated; why trainees may want a mentor; what mentees perceive would be good qualities in a mentor; and trainees' prior experience with mentoring. Online survey of EM trainees in the Auckland region in June 2015. Of 61 potential respondents, 40 (65.6%) respondents replied to the survey. Of the 40, 38 (95%; 95% confidence interval (CI) 82.6-99.5) respondents indicated they would like some form of mentoring system, and of the 38, 25 (65.8%; 95% CI 49.8-78.9) preferred this to be formal. Of the 38, 19 (50%; 95% CI 34.9-65.2) currently wanted assistance obtaining a mentor. Of the 40, 30 (75%; 95% CI 59.6-86.0) are not currently in any form of mentoring relationship. Respondents believed that mentors would be most beneficial in critical incidents, career development and with work/life balance. The attributes participants considered most important in a mentor were respecting confidentiality, being honest and the ability to provide constructive feedback. Many EM trainees in Auckland want a formal mentoring system and would like a mentor. Appropriate mentor-mentee matching through a formalised voluntary system, with adequate mentor training, may enable the Auckland region to develop a suitable mentoring programme for EM trainees. © 2017 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine.

  17. Comprehensive feedback on trainee surgeons' non-technical skills

    DEFF Research Database (Denmark)

    Spanager, Lene; Dieckmann, Peter; Beier-Holgersen, Randi

    2015-01-01

    OBJECTIVE: This study aimed to explore the content of conversations, feedback style, and perceived usefulness of feedback to trainee surgeons when conversations were stimulated by a tool for assessing surgeons' non-technical skills. METHODS: Trainee surgeons and their supervisors used the Non...... qualitatively analyzed for content and feedback style. Usefulness was investigated using a scale from 1 to 5 and written comments were qualitatively analyzed. RESULTS: Six trainees and six supervisors participated in eight feedback conversations. Eighty questionnaires (response rate 83 percent) were collected...

  18. International perspectives on plagiarism and considerations for teaching international trainees.

    Science.gov (United States)

    Heitman, Elizabeth; Litewka, Sergio

    2011-01-01

    In the increasingly global community of biomedical science and graduate science education, many US academic researchers work with international trainees whose views on scientific writing and plagiarism can be strikingly different from US norms. Although a growing number of countries and international professional organizations identify plagiarism as research misconduct, many international trainees come from research environments where plagiarism is ill-defined and even commonly practiced. Two research-ethics educators consider current perspectives on plagiarism around the world and contend that US research-training programs should focus on trainees' scientific writing skills and acculturation, not simply on preventing plagiarism. Copyright © 2011 Elsevier Inc. All rights reserved.

  19. The 4th surveillance testing for Kori unit 3 reactor vessel materials

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Kee Ok; Kim, Byoung Chul; Lee, Sam Lai; Choi, Kwun Jae; Gong, Un Sik; Chang, Jong Hwa; Joo, Yong Sun; Ahn, Sang Bok; Hong, Joon Hwa [Korea Atomic Energy Research Institute, Taejeon (Korea)

    2000-10-01

    Surveillance testing for reactor vessel materials is performed in order to evaluate the irradiation embrittlement due to neutrons during operation and set the condition of safe operation of nuclear reactor. The 4th surveillance testing was performed completely by Korea Atomic Energy Research Institute at Taejeon after the capsule was transported from Kori site including its removal from reactor. Fast neutron fluences for capsules were calculated and various testing including mechanical and chemistry analysis were performed in order to evaluate the integrity of Kori unit 3 reactor vessel during the operation until life time. The evaluation results are as follows; Fast neutron fluences for capsules U, V, X and W are 4.983E+18, 1.641E+19, 3.158E+19, and 4.469E+19n/cm{sup 2}, respectively. The bias factor, the ratio of calculation/measurement, was 0.840 for the 1st through 4th testing and the calculational uncertainty, 12% satisfied the requirement of USNRC Reg.Guide DG-1053, 20%. The best estimated neutron fluence for reactor vessel inside surface was 1.362E+19n/cm{sup 2} based on the end of 12th fuel cycle and it was predicted that the fluences of vessel inside surface at 32, 40, 48 and 56EFPY would reach 3.481E+19, 4.209E+19, 5.144E+19 and 5.974E+19n/cm{sup 2} based on the current calculation. The result through this analysis for Kori unit 3 showed that there would be no problem for the pressurized thermal shock(PTS) during the operation until design life. 48 refs., 35 figs., 41 tabs. (Author)

  20. The 5th surveillance testing for Kori unit 2 reactor vessel materials

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Kee Ok; Kim, Byoung Chul; Lee, Sam Lai; Choi, Kwon Jae; Gong, Un Sik; Chang, Jong Hwa; Joo, Yong Sun; Ahn, Sang Bok; Hong, Joon Hwa [Korea Atomic Energy Research Institute, Taejeon (Korea)

    2001-03-01

    Surveillance testing for reactor vessel materials is performed in order to evaluate the irradiation embrittlement due to neutrons during operation and set the condition of safe operation of nuclear reactor. The 5th surveillance testing was performed completely by Korea Atomic Energy Research Institute at Taejeon after the capsule was transported from Kori site including its removal from reactor. Fast neutron fluences for capsules were calculated and various testing including mechanical and chemistry analysis were performed in order to evaluate the integrity of Kori unit 2 reactor vessel during the operation until life time. The evaluation results are as follows; Fast neutron fluences for capsules V, R, P, T and N are 2.837E+18, 1.105E+19, 2.110E+19, 3.705E+19 and 4.831E+19n/cm{sup 2}, respectively. The bias factor, the ratio of measurement/calculation, was 0.918 for the 1st through 5th testing and the calculational uncertainty, 11.6% satisfied the requirement of USNRC Reg.Guide DG-1053, 20%. The best estimated neutron fluence for reactor vessel inside surface was 1.898E+19n/cm{sup 2} based on the end of 15th fuel cycle and it was predicted that the fluences of vessel inside surface at 32, 40, 48 and 56EFPY would reach 4.203E+19, 5.232E+19, 6.262E+19 and 7.291E+19n/cm{sup 2} based on the current calculation. The result through this analysis for Kori unit 2 showed that there would be no problem for the pressurized thermal shock(PTS) during the operation until design life. 49 refs., 35 figs., 48 tabs. (Author)

  1. Report on residual radioactive materials on public or acquired lands of the United States

    Energy Technology Data Exchange (ETDEWEB)

    None

    1979-07-01

    This report identifies sites located on public or acquired lands of the United States containing residual radioactive materials and other radioactive waste (excluding waste resulting from the production of electric energy) and was developed in accordance with the provisions of Section 114(b) of Public Law 95-604, "Uranium Mill Tailings Radiation Control Act of 1978," enacted on November 8, 1978. Additionally, the report specifies which Federal agency has jurisdiction over such sites and, where appropriate data were available, provides a description of the radiological status of each of the sites reported. For purpose of providing a timely report t o t h e Congress, a termination date of May 31, 1979 was established for the receipt, correlation, and analysis of the input data. As of this date, residual radioactive materials and other radioactive waste have been identified by six Federal agencies at 48 sites throughout the United States. Table 1 on page vi provides a summary listing of the number of sites under the jurisdiction of each of these reporting agencies. A cross listing in tabular form by affected state is presented in Table 2 on page viii. Of the 48 sites reported, 36 are located i n three western states - Colorado (27 sites), Wyoming (5 sites), and Utah (4 sites). Based upon t h e data submitted, the sites were categorized into three broad radiological status categories -- controlled, unstabilized, and risk to the public. At controlled sites, the residue is stabilized, access t o t h e site is controlled, the s i t e is well monitored, and does not currently constitute a risk to the public. At sites in the unstabilized category, a probability exists for the spread of contamination. Sites in the risk category contain residue which represents a long-term risk to the public under present conditions. Of the 48 reported sites,. 9 (approximately 19%) could be classified in the controlled category; 38 (approximately 79%) were in the unstabilized category and

  2. HEAT STORAGE SYSTEM WITH PHASE CHANGE MATERIALS IN COGENERATION UNITS: STUDY OF PRELIMINARY MODEL

    Directory of Open Access Journals (Sweden)

    Claudio Caprara

    2008-12-01

    Full Text Available The continuous increase in the mechanization of farm activities, the rise in fuel prices and the environmental aspects concerning gas emissions are the main driving forces behind efforts toward more effective use of renewable energy sources and cogeneration systems even in agricultural and cattle farms. Nevertheless these systems are still not very suitable for this purpose because of their little flexibility in following the changing energy demand as opposed to the extremely various farm load curves, both in daytime and during the year. In heat recovery systems, the available thermal energy supply is always linked to power production, thus it does not usually coincide in time with the heat demand. Hence some form of thermal energy storage (TES is necessary in order to reach the most effective utilization of the energy source. This study deals with the modelling of a packed bed latent heat TES unit, integrating a cogeneration system made up of a reciprocating engine. The TES unit contains phase change materials (PCMs filled in spherical capsules, which are packed in an insulated cylindrical storage tank. Water is used as heat transfer fluid (HTF to transfer heat from the tank to the final uses, and exhausts from the engine are used as thermal source. PCMs are considered especially for their large heat storage capacity and their isothermal behaviour during the phase change processes. Despite their high energy storage density, most of them have an unacceptably low thermal conductivity, hence PCMs encapsulation technique is adopted in order to improve heat transfer. The special modular configuration of heat exchange tubes and the possibility of changing water flow through them allow to obtain the right amount of thermal energy from the tank, according to the hourly demand of the day. The model permits to choose the electrical load of the engine, the dimensions of the tank and the spheres, thickness and diameter of heat exchanger and the nature of

  3. Relationship between the merit factor of thermoelectric materials and the air conditioning unit of urban electric cars

    International Nuclear Information System (INIS)

    Buffet, J.

    1994-01-01

    The main benefit of electric cars is to reduce air pollution in cities that is thus desirable to equip them with non polluting air conditioning units and this rules out frigorific compressors operating with CFC. The planned replacement of CFC by HFC is at best an interim solution. The best solution is certainly to use thermoelectric air conditioning units, which are inherently pollution-free. However, these have a fairly low COPF when compared to traditional compressor units. We study the relationship between the cooling of the interior of urban electric cars and the merit factor of the thermoelectric material in their Peltier unit. This should help provide concrete target properties of future T E materials. copyright 1995 American Institute of Physics

  4. Optimizing Team Dynamics: An Assessment of Physician Trainees and Advanced Practice Providers Collaborative Practice.

    Science.gov (United States)

    Foster, Cortney B; Simone, Shari; Bagdure, Dayanand; Garber, Nan A; Bhutta, Adnan

    2016-09-01

    The presence of advanced practice providers has become increasingly common in many ICUs. The ideal staffing model for units that contain both advanced practice providers and physician trainees has not been described. The objectives of this study were to evaluate ICU staffing models that include physician trainees and advanced practice providers and their effects on patient outcomes, resident and fellow education, and training experience. A second aim was to assess strategies to promote collaboration between team members. PubMed, CINAHL, OVID MEDLINE, and Cochrane Review from 2002 to 2015. Experimental study designs conducted in an ICU setting. Two reviewers screened articles for eligibility and independently abstracted data using the identified search terms. We found 21 articles describing ICU team structure and outcomes. Four articles were found describing the impact of advanced practice providers on resident or fellow education. Two articles were found discussing strategies to promote collaboration between advanced practice providers and critical care fellows or residents. Several articles were identified describing the utilization of advanced practice providers in the ICU and the impact of models of care on patient outcomes. Limited data exist describing the impact of advanced practice providers on resident and fellow education and training experience. In addition, there are minimal data describing methods to enhance collaboration between providers. Future research should focus on determining the optimal ICU team structure to improve patient outcomes, education of trainees, and job satisfaction of team members and methods to promote collaboration between advanced practice providers and physicians in training.

  5. Heat transfer and thermal storage performance of an open thermosyphon type thermal storage unit with tubular phase change material canisters

    International Nuclear Information System (INIS)

    Wang, Ping-Yang; Hu, Bo-Wen; Liu, Zhen-Hua

    2015-01-01

    Highlights: • A novel open heat pipe thermal storage unit is design to improve its performance. • Mechanism of its operation is phase-change heat transfer. • Tubular canisters with phase change material were placed in thermal storage unit. • Experiment and analysis are carried out to investigate its operation properties. - Abstract: A novel open thermosyphon-type thermal storage unit is presented to improve design and performance of heat pipe type thermal storage unit. In the present study, tubular canisters filled with a solid–liquid phase change material are vertically placed in the middle of the thermal storage unit. The phase change material melts at 100 °C. Water is presented as the phase-change heat transfer medium of the thermal storage unit. The tubular canister is wrapped tightly with a layer of stainless steel mesh to increase the surface wettability. The heat transfer mechanism of charging/discharging is similar to that of the thermosyphon. Heat transfer between the heat resource or cold resource and the phase change material in this device occurs in the form of a cyclic phase change of the heat-transfer medium, which occurs on the surface of the copper tubes and has an extremely high heat-transfer coefficient. A series of experiments and theoretical analyses are carried out to investigate the properties of the thermal storage unit, including power distribution, start-up performance, and temperature difference between the phase change material and the surrounding vapor. The results show that the whole system has excellent heat-storage/heat-release performance

  6. Analysis of the necessity for inserting new surveillance capsule into the Kori Unit 1 RPV to monitor material fracture toughness

    International Nuclear Information System (INIS)

    Song, Taek Ho

    2007-01-01

    In association with monitoring of reactor pressure vessel (RPV) fracture toughness, surveillance capsule test specimens have been used to monitor the material property of nuclear reactor vessel. As far as Kori Unit 1 is concerned, 6 capsules were put into the vessel before commercial operation of the plant. Up to now, all the six capsules have been withdrawn to test and monitor the fracture toughness of RPV material. The last capsule has been withdrawn on June this year, and the Kori unit 1 has been shut downed since July 2007 and will be shut downed until December this year for about 6 months, preparing the life extension of the plant to operate the plant 10 more years. With the situation that all the surveillance capsules have been withdrawn, public ask the following question, 'To extend the life of Kori Unit 1 more than 10 years, is it necessary to insert new surveillance capsules into the Kori Unit 1 to monitor RPV material fracture toughness?' In connection with this issue, planning project have been carried out since spring this year. In this paper, it is described that inserting new surveillance capsule into the Kori Unit 1 RPV has some meaning in some public acceptance point of view and is not necessary in material engineering point of view

  7. Work-family balance by women GP specialist trainees in Slovenia: a qualitative study.

    Science.gov (United States)

    Petek, Davorina; Gajsek, Tadeja; Petek Ster, Marija

    2016-01-28

    Women physicians face many challenges while balancing their many roles: doctor, specialist trainee, mother and partner. The most opportune biological time for a woman to start a family coincides with a great deal of demands and requirements at work. In this study we explored the options and capabilities of women GP specialist trainees in coordinating their family and career. This is a phenomenological qualitative research. Ten GP specialist trainees from urban and rural areas were chosen by the purposive sampling technique, and semi-structured in-depth interviews were conducted, recorded, transcribed and analysed by using thematic analysis process. Open coding and the book of codes were formed. Finally, we performed the process of code reduction by identifying the themes, which were compared, interpreted and organised in the highest analytical units--categories. One hundred fifty-five codes were identified in the analysis, which were grouped together into eleven themes. The identified themes are: types, causes and consequences of burdens, work as pleasure and positive attitude toward self, priorities, planning and help, and understanding of superiors, disburdening and changing in specialisation. The themes were grouped into four large categories: burdens, empowerment, coordination and needs for improvement. Women specialist trainees encounter intense burdens at work and home due to numerous demands and requirements during their specialisation training. In addition, there is also the issue of the work-family conflict. There are many consequences regarding burden and strain; however, burnout stands out the most. In contrast, reconciliation of work and family life and needs can be successful. The key element is empowerment of women doctors. The foremost necessary systemic solution is the reinforcement of general practitioners in primary health care and their understanding of the specialisation training scheme with more flexible possibilities for time adaptations of

  8. Employment prospects and trends for gastroenterology trainees in Canada: A nationwide survey

    Science.gov (United States)

    Razik, Roshan; Cino, Maria; Nguyen, Geoffrey C

    2013-01-01

    BACKGROUND: Many gastroenterology (GI) trainees face a variety of barriers to stable employment and are finding it increasingly difficult to secure employment in their chosen field. OBJECTIVE: To elucidate factors that contribute to the burden of unemployment and underemployment, and to examine solutions that may remedy this growing problem in the field of GI. METHODS: A nationwide survey of current, incoming and recently graduated individuals of GI training programs in Canada was conducted. Trainees in pediatric GI programs and those enrolled in sub-specialty programs within GI were also included. RESULTS: The response rate was 62%, with 93% of respondents enrolled in an adult GI training program. Many (73%) respondents planned to pursue further subspecialty training and the majority (53%) reported concerns regarding job security after graduation as contributory factors. Only 35% of respondents were confident that they would secure employment within six months of completing their training. Regarding barriers to employment, the most cited perceived reasons were lack of funding (both from hospitals and provincial governments) and senior physicians who continue to practice beyond retirement years. Sixty-nine per cent perceived a greater need for career guidance and 49% believed there were too many GI trainees relative to the current job market in their area. Most residents had a contingency plan if they remained unemployed >18 months, which often included moving to another province or to the United States. CONCLUSION: GI trainees throughout Canada reported substantial concerns about securing employment, citing national retirement trends and lack of funding as primary barriers to employment. Although these issues are not easily modifiable, certain problems should be targeted including optimizing training quotas, tailoring career guidance to the needs of the population, and emphasizing credentialing and quality control in endoscopy. PMID:24199210

  9. Employment prospects and trends for gastroenterology trainees in Canada: a nationwide survey.

    Science.gov (United States)

    Razik, Roshan; Cino, Maria; Nguyen, Geoffrey C

    2013-11-01

    Many gastroenterology (GI) trainees face a variety of barriers to stable employment and are finding it increasingly difficult to secure employment in their chosen field. To elucidate factors that contribute to the burden of unemployment and underemployment, and to examine solutions that may remedy this growing problem in the field of GI. A nationwide survey of current, incoming and recently graduated individuals of GI training programs in Canada was conducted. Trainees in pediatric GI programs and those enrolled in subspecialty programs within GI were also included. The response rate was 62%, with 93% of respondents enrolled in an adult GI training program. Many (73%) respondents planned to pursue further subspecialty training and the majority (53%) reported concerns regarding job security after graduation as contributory factors. Only 35% of respondents were confident that they would secure employment within six months of completing their training. Regarding barriers to employment, the most cited perceived reasons were lack of funding (both from hospitals and provincial governments) and senior physicians who continue to practice beyond retirement years. Sixty-nine per cent perceived a greater need for career guidance and 49% believed there were too many GI trainees relative to the current job market in their area. Most residents had a contingency plan if they remained unemployed >18 months, which often included moving to another province or to the United States. GI trainees throughout Canada reported substantial concerns about securing employment, citing national retirement trends and lack of funding as primary barriers to employment. Although these issues are not easily modifiable, certain problems should be targeted including optimizing training quotas, tailoring career guidance to the needs of the population, and emphasizing credentialing and quality control in endoscopy.

  10. Interprofessional immersion: Use of interprofessional education collaborative competencies in side-by-side training of family medicine, pharmacy, nursing, and counselling psychology trainees.

    Science.gov (United States)

    Boland, Daubney Harper; Scott, Mary Alice; Kim, Helen; White, Traci; Adams, Eve

    2016-11-01

    While supported by the Affordable Care Act, in the United States, interprofessional training often takes place after healthcare providers graduate and are practicing in the field. This article describes the implementation and evaluation of an interprofessional training for graduate-level healthcare trainees. A group of interprofessional healthcare faculty provided a weeklong interprofessional immersion for doctoral-level healthcare trainees (n = 24) in Pharmacy, Counselling Psychology, Nursing, and Family Medicine residents. Healthcare faculty and staff from each profession worked side-by-side to provide integrated training utilising the Interprofessional Education Collaborative core competency domains. Trainees were placed into small teams with representatives from each profession; each team observed, learned, and practiced working within teams to provide quality patient care. Qualitative and quantitative data were collected to identify the effect of the training on trainees' self-reported team skills, as well as the extent to which the trainees learned and utilised the competencies. The results suggest that after completing the training, trainees felt more confident in their ability to work within an interprofessional team and more likely to utilise a team-based approach in the future.

  11. Career planning and mentorship: a few key considerations for trainees.

    Science.gov (United States)

    Badawy, Sherif M

    2017-01-01

    Publishing and securing funding are considered our "academic currency", and therefore, both should be emphasized during training, both residency and fellowship. Trainees should make an effort to find funding opportunities at or outside of their institutions and try to identify their short- and long-term goals. Establishing a track record of publications can help trainees get hired, funded, and promoted as junior faculty, and effective networking and mentorship are critical determinants of academic success. Given the positive effects of mentorship, trainees should understand what comprises a good mentor-mentee relationship and how to optimize the mentoring process. The objective of this article is to discuss few key considerations for trainees in residency or fellowship regarding mentorship and career planning in academic medicine.

  12. A survey of British senior psychiatry trainees' ethnocultural personal values.

    Science.gov (United States)

    Neelam, Kishen; Duddu, Venugopal; Chaudhry, Imran Bashir; Antonysamy, A S; Husain, Nusrat

    2009-01-01

    The authors explored the ethnocultural values of a group of senior psychiatry trainees in the northwest region of England. The authors surveyed senior psychiatry trainees using the Personal Values Questionnaire and analyzed responses under the headings of ethnic stereotypes, ethnocultural service issues, and perceptions of racism. They also explored training requirements on cultural issues in a subsample of trainees. The majority of the trainees disagreed with certain commonly held ethnic stereotypes and acknowledged the role of culture in mental health. However, they had contrasting views on the need for culture-specific services and on perceptions of racism. They expressed interest in training programs on cultural issues in psychiatric practice. In multicultural settings, personal beliefs, perceptions, and values are likely to influence psychiatric practice. A training program on cultural aspects of mental health could help improve awareness and sensitivity of these issues and the quality of care.

  13. Radiation safety knowledge and practices among Irish orthopaedic trainees.

    LENUS (Irish Health Repository)

    Nugent, M

    2014-04-23

    Fluoroscopy is frequently used in orthopaedic surgery, particularly in a trauma setting. Exposure of patients and staff to ionising radiation has been studied extensively; however, little work has been done to evaluate current knowledge and practices among orthopaedic trainees.

  14. The 5th surveillance testing for Kori unit 1 reactor vessel materials

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Kee Ok; Kim, Byoung Chul; Lee, Sam Lai; Choi, Kwun Jae; Gong, Un Sik; Chang, Jong Hwa; Joo, Yong Sun; Ahn, Sang Bok; Hong, Joon Hwa [Korea Atomic Energy Research Institute, Taejeon (Korea)

    2000-08-01

    Surveillance testing for reactor vessel materials is performed in order to evaluate the irradiation embrittlement due to neutrons during operation and set the condition of safe operation of nuclear reactor. The 5th surveillance testing was performed primarily by Korea Atomic Energy Research Institute and Westinhouse corporation partially involved in testing and calculation data evaluation in order to obtain reliable test result. Fast neutron fluences for capsule V, T, S, R and P were 5.087E+18, 1.115E+19, 1.228E+19, 2.988E+19, and 3.938E+19n/cm2, respectively. The bias factor, the ratio of calculation/measurement, was 0.940 for the 1st through 5th testing and the calculational uncertainty, 7% satisfied the requirement of USNRC Reg.Guide DG-1053, 20%. The best estimated neutron fluence for reactor vessel inside surface was 1.9846E+19n/cm{sup 2} based on the end of 17th fuel cycle and it was predicted that the fluences of vessel inside surface at 24, 32, 40 and 48EFPY would reach 3.0593E+19, 4.0695E+19, 5.0797E+19 and 6.0900E+19n/cm{sup 2} based on the current calculation. PTS analysis for Kori unit 1 showed that 27.93EFPY was the threshold value for 300 deg F requirement. 71 refs., 33 figs., 52 tabs. (Author)

  15. Intelligent Flexible Materials for Space Structures: Expandable Habitat Engineering Development Unit

    Science.gov (United States)

    Hinkle, Jon; Sharpe, George; Lin, John; Wiley, Cliff; Timmers, Richard

    2010-01-01

    Expandable habitable elements are an enabling technology for human exploration in space and on planetary surfaces. Large geometries can be deployed from a small launch volume, allowing greater mission capability while reducing mass and improving robustness over traditional rigid shells. This report describes research performed by ILC Dover under the Intelligent Flexible Materials for Space Structures program on the design and manufacture of softgoods for LaRC's Expandable Habitat Engineering Development Unit (EDU). The EDU is a full-scale structural test article of an expandable hybrid habitat, integrating an expandable softgoods center section with two rigid end caps. The design of the bladder, restraint layer and a mock-up Thermal Micrometeoroid Cover is detailed together with the design of the interface hardware used to attach them to the end caps. The integration and design of two windows and a floor are also covered. Analysis was performed to study the effects of the open weave design, and to determine the correct webbing and fabric configuration. Stress analyses were also carried out on the interfaces between the softgoods and the end caps and windows. Testing experimentally determined the strength of the fabric and straps, and component testing was used to proof several critical parts of the design. This program established new manufacturing and design techniques that can be applied to future applications in expandable structures.

  16. Carbon Flux of Down Woody Materials in Forests of the North Central United States

    International Nuclear Information System (INIS)

    Woodall, C.W.

    2010-01-01

    Across large scales, the carbon (C) flux of down woody material (DWM) detrital pools has largely been simulated based on forest stand attributes (e.g., stand age and forest type). The annual change in forest DWM C stocks and other attributes (e.g., size and decay class changes) was assessed using a forest inventory in the north central United States to provide an empirical assessment of strategic-scale DWM C flux. Using DWM inventory data from the USDA Forest Service's Forest Inventory and Analysis program, DWM C stocks were found to be relatively static across the study region with an annual flux rate not statistically different from zero. Mean C flux rates across the study area were -0.25, -0.12, -0.01, and -0.04 (Mg/ha/yr) for standing live trees, standing dead trees, coarse woody debris, and fine woody debris, respectively. Flux rates varied in their both magnitude and status (emission/sequestration) by forest types, latitude, and DWM component size. Given the complex dynamics of DWM C flux, early implementation of inventory re measurement, and relatively low sample size, numerous future research directions are suggested.

  17. Review of laparoscopic training in pediatric surgery in the United Kingdom.

    Science.gov (United States)

    Stormer, Emma J; Sabharwal, Atul J

    2009-04-01

    To review the exposure pediatric surgery trainees have to laparoscopic surgery in the United Kingdom (UK). A confidential postal questionnaire was sent to all trainees working at registrar level in centers responsible for pediatric surgical training in the UK. Questions assessed the number of consultants with an interest in laparoscopic surgery, types of cases performed laparoscopically, and trainees' role in laparoscopic appendicectomy (LA). Questionnaires were sent to 112 trainees with a 55% response rate (62 replies). At least one response was received from each unit. Based on responses, 49 to 67 consultants in 21 training centers have an interest in laparoscopic surgery (0%-100% of consultants per unit). LA was offered in 20 out of 21 training centers. There was no significant difference in the proportion of appendicectomies performed laparoscopically by junior (years 1-3) and senior (years 4-6) trainees. A significantly higher proportion of junior trainees had not performed any LAs (P = 0.02). Seventy-three percent of trainees were the principal operator. For trainees who were principal operators, the cameraperson was a consultant in 52% and a junior trainee in 17%. The time of day affected the likelihood of a procedure being carried out laparoscopically in 43 (81%) responses. The majority of trainees' exposure to laparoscopic surgery could be viewed as suboptimal; however, the exposure gained varies significantly between different units throughout the UK. In an age moving in favor of minimal access surgery, all units must be in a position to offer pediatric laparoscopic surgical training.

  18. Trainee-Associated Factors and Proficiency at Percutaneous Nephrolithotomy

    Directory of Open Access Journals (Sweden)

    Seyed Mohammad Kazem Aghamir

    2017-09-01

    Full Text Available Percutaneous nephrolithotomy (PNL is a complicated procedure for urology trainees. This study was designed to investigate the effect of trainees’ ages and previous experience, as well as the number of operated cases, on proficiency at PNL by using patient outcomes. A cross sectional observational study was designed during a five-year period. Trainees in PNL fellowship programs were included. At the end of the program, the trainees’ performance in PNL was assessed regarding five competencies and scored 1-5. If the overall score was 4 or above, the trainee was considered as proficient. The trainees’ age at the beginning of the program and the years passed from their residency graduation were asked and recorded. Also, the number of PNL cases operated by each trainee was obtained via their logbooks. The age, years passed from graduation, and number of operated cases were compared between two groups of proficient and non-proficient trainees. Univariate and multivariate binary logistic regression analysis was applied to estimate the effect of aforementioned variables on the occurrence of the proficiency. Forty-two trainees were included in the study. The mean and standard deviation for the overall score were 3.40 (out of 5 and 0.67, respectively. Eleven trainees (26.2% recognized as proficient in performing PNL. Univariate regression analysis indicated that each of three variables (age, years passed from graduation and number of operated cases had statistically significant effect on proficiency. However, the multivariate regression analysis revealed that just the number of cases had significant effect on achieving proficiency. Although it might be assumed that trainees’ age negatively correlates with their scores, in fact, it is their amount of practice that makes a difference. A certain number of cases is required to be operated by a trainee in order to reach the desired competency in PNL.

  19. Sexual harassment of psychiatric trainees: experiences and attitudes

    OpenAIRE

    Morgan, J.; Porter, S.

    1999-01-01

    A survey was carried out of psychiatric trainees' work-related experiences of unwanted sexual contact. A structured postal questionnaire was administered to 100 psychiatric trainees from senior house officer to specialist registrar level in a large psychiatric rotation. There was an 85% response rate; 86% (73) of the sample had experienced unwanted sexual contact, with 47% (40) experiencing deliberate touching, leaning over or cornering, and 18% (15) receiving letters, telephone calls or mate...

  20. Medical microbiology training needs and trainee experience.

    Science.gov (United States)

    Seale, Josephine; Elamin, Wael; Millar, Michael

    2014-02-01

    Training in microbiology is continuing to evolve. Standardisation of this process has, in part, been achieved through the development of a training curriculum by the Royal College of Pathologists (RCPath). A substantial proportion of microbiology training occurs through telephone consultations. To ascertain the content of these interactions and the extent to which the necessary skills outlined by the curriculum are attainable via these consultations. Records of telephone consultations made by microbiology registrars (SpR) on the Laboratory Information Management System (LIMS) over a 6 month period were analysed with regard to who initiated contact and the type of advice provided. An average of 426 SpR entries per month were made on the LIMS following telephone consultations. These consultations were predominantly initiated by fellow clinicians as opposed to the SpR. The majority (79%) of advice entailed guidance as to the use of antimicrobials which resulted in an alteration of the current regimen in 54% of cases. This study represents the first attempt to quantify the telephone consultations of microbiology trainees. It is concluded that although such interactions provide a means of attaining some of the competencies outlined by the RCPath curriculum, the bias towards antimicrobial advice reflects a discrepancy between the needs of the service users and the broad skill set advocated by the current microbiology training programme. Future modifications will need to take this into account to ensure both the training of SpRs and the microbiology service is fit for purpose.

  1. Personality, cognitive styles and Morningness-Eveningness disposition in a sample of Yoga trainees

    Science.gov (United States)

    Cavallera, Guido M.; Gatto, Massimo; Boari, Giuseppe

    2014-01-01

    Background Yoga is a psychophysical, spiritual science of holistic living, aiming towards body and mind development; it can influence well-being, cognitive processes, personality (Gunas), psychophysiological parameters, and human health. Since it has been observed that Morningness-Eveningness disposition is associated with personality, and that personality can characterize people practicing Yoga, in this exploratory study we posited that Morningness-Eveningness might be associated with personality in Yoga trainees. Since Yoga can have influences over cognitive perspectives, and since it has been observed that Morningness-Eveningness disposition can associate with cognitive processes, we investigated a sample of Yoga trainees with reference to relationship with styles of learning and thinking (relevant aspects of cognitive functioning) and also with Morningness-Eveningness disposition. Material/Method We tested 184 Yoga trainees using the following questionnaires: Styles of Learning and Thinking (Torrance), Big Five Questionnaire (Caprara, Barbaranelli, Borgogni), and reduced Morningness-Eveningness Questionnaire (Natale). Results We found that Morning types score significantly higher than Evening types on Conscientiousness, Friendliness, Scrupulousness, Openness to Culture, emotional Stability, emotion Control, they score higher than intermediate types on Conscientiousness, Friendliness, Scrupulousness. Moreover, data showed that the high majority of subjects, also with reference to Morningness-Eveningness disposition, have right-sided styles of learning and thinking, pointing out a tendency towards right-sided cognitive precessing in the whole sample. Personality traits of the Yoga trainees were also investigated. Conclusions Data are discussed with reference to existing literature, psychological and neuroscientific perspectives are suggested, previous studies about Yoga published on Medical Science Monitor are also considered. PMID:24531385

  2. Dentist Material Selection for Single-Unit Crowns: Findings from The National Dental Practice-Based Research Network

    Science.gov (United States)

    Makhija, Sonia K.; Lawson, Nathaniel C.; Gilbert, Gregg H.; Litaker, Mark S.; McClelland, Jocelyn A.; Louis, David R.; Gordan, Valeria V.; Pihlstrom, Daniel J.; Meyerowitz, Cyril; Mungia, Rahma; McCracken, Michael S.

    2016-01-01

    Objectives Dentists enrolled in the National Dental Practice-Based Research Network completed a study questionnaire about techniques and materials used for single-unit crowns and an enrollment questionnaire about dentist/practice characteristics. The objectives were to quantify dentists’ material recommendations and test the hypothesis that dentist’s and practice’s characteristics are significantly associated with these recommendations. Methods Surveyed dentists responded to a contextual scenario asking what material they would use for a single-unit crown on an anterior and posterior tooth. Material choices included: full metal, porcelain-fused-to-metal (PFM), all-zirconia, layered zirconia, lithium disilicate, leucite-reinforced ceramic, or other. Results 1,777 of 2,132 eligible dentists responded (83%). The top 3 choices for anterior crowns were lithium disilicate (54%), layered zirconia (17%), and leucite-reinforced glass ceramic (13%). There were significant differences (p<0.05) by dentist’s gender, race, years since graduation, practice type, region, practice busyness, hours worked/week, and location type. The top 3 choices for posterior crowns were all-zirconia (32%), PFM (31%), and lithium disilicate (21%). There were significant differences (p<0.05) by dentist’s gender, practice type, region, practice busyness, insurance coverage, hours worked/week, and location type. Conclusions Network dentists use a broad range of materials for single-unit crowns for anterior and posterior teeth, adopting newer materials into their practices as they become available. Material choices are significantly associated with dentist’s and practice’s characteristics. Clinical Significance Decisions for crown material may be influenced by factors unrelated to tooth and patient variables. Dentists should be cognizant of this when developing an evidence-based approach to selecting crown material. PMID:27693778

  3. Surface interactions between nanoscale iron and organic material: Potential uses in water treatment process units

    Science.gov (United States)

    Storms, Max

    Membrane systems are among the primary emergent technologies in water treatment process units due to their ease of use, small physical footprint, and high physical rejection. Membrane fouling, the phenomena by which membranes become clogged or generally soiled, is an inhibitor to optimal efficiency in membrane systems. Novel, composite, and modified surface materials must be investigated to determine their efficacy in improving fouling behavior. Ceramic membranes derived from iron oxide nanoparticles called ferroxanes were coated with a superhydrophillic, zwitterionic polymer called poly (sulfobetaine methacrylate) (polySBMA) to form a composite ceramic-polymeric membrane. Membrane samples with and without polySBMA coating were subjected to fouling with a bovine serum albumin solution and fouling was observed by measuring permeate flux at 10 mL intervals. Loss of polySBMA was measured using total organic carbon analysis, and membrane samples were characterized using x-ray diffraction, scanning electron microscopy, and optical profilometry. The coated membrane samples decreased initial fouling rate by 27% and secondary fouling rate by 24%. Similarly, they displayed a 30% decrease in irreversible fouling during the initial fouling stage, and a 27% decrease in irreversible fouling in the secondary fouling stage; however, retention of polySBMA sufficient for improved performance was not conclusive. The addition of chemical disinfectants into drinking water treatment processes results in the formation of compounds called disinfection by-products (DBPs). The formation of DBPs occurs when common chemical disinfectants (i.e. chlorine) react with organic material. The harmful effects of DBP exposure require that they be monitored and controlled for public safety. This work investigated the ability of nanostructured hematite derived from ferroxane nanoparticles to remove organic precursors to DBPs in the form of humic acid via adsorption processes. The results show that p

  4. 40 CFR 63.7886 - What are the general standards I must meet for my affected remediation material management units?

    Science.gov (United States)

    2010-07-01

    ... refinery) is no longer subject to this subpart. (3) If the remediation material management unit is also... emissions limitations and work practice standards under the other subpart (e.g., you install and operate the required air pollution controls or have implemented the required work practice to reduce HAP emissions to...

  5. 77 FR 26317 - Exemption of Material for Proposed Disposal Procedures for the Humboldt Bay Power Plant, Unit 3...

    Science.gov (United States)

    2012-05-03

    ... decontamination and dismantlement phase of HBPP Unit 3 decommissioning commenced. PG&E requested NRC authorization... waste consists of approximately 2,000,000 cubic feet (56,634 cubic meters) of hazardous waste, soil, and... waste material consists of hazardous waste, soil, and debris containing low-activity radioactive debris...

  6. Frequency shift of a crystal quartz resonator in thickness-shear modes induced by an array of hemispherical material units.

    Science.gov (United States)

    Yuantai Hu; Huiliang Hu; Bin Luo; Huan Xue; Jiemin Xie; Ji Wang

    2013-08-01

    A two-dimensional model was established to study the dynamic characteristics of a quartz crystal resonator with the upper surface covered by an array of hemispherical material units. A frequency-dependent equivalent mass ratio was proposed to simulate the effect of the covered units on frequency shift of the resonator system. It was found that the equivalent mass ratio alternately becomes positive or negative with change of shear modulus and radius of each material unit, which indicates that the equivalent mass ratio is strongly related to the vibration mode of the covered loadings. The further numerical results show the cyclical feature in the relationship of frequency shift and shear modulus/radius as expected. The solutions are useful in the analysis of frequency stability of quartz resonators and acoustic wave sensors.

  7. Characterisation of the IAEA-152 milk powder reference material for radioactivity with assigned values traceable to the SI units

    International Nuclear Information System (INIS)

    Altzitzoglou, T.; Bohnstedt, A.

    2008-01-01

    The Institute for Reference Materials and Measurements (IRMM) participated in a research project initiated by the International Atomic Energy Agency (IAEA) to upgrade some of its existing reference materials (RMs). The aim of the project is to improve the RM metrological status by establishing traceability of their assigned values to SI units. The purpose of the work described in this article was to establish traceability to the International System of Units (SI) of the activity concentrations of the radionuclides 134 Cs, 137 Cs, 40 K, and 90 Sr in the IAEA-152 milk powder RM. The choice of the particular RM was based on the concern about radioactivity levels in foodstuff. The sample preparation and the assaying of the activity concentrations in the milk powder, the methods used to achieve instrument calibrations and measurements traceable to the SI units, the data reduction and analysis, and finally, the results obtained are presented

  8. Providing Experiential Business and Management Training for Biomedical Research Trainees.

    Science.gov (United States)

    Petrie, Kimberly A; Carnahan, Robert H; Brown, Abigail M; Gould, Kathleen L

    2017-01-01

    Many biomedical PhD trainees lack exposure to business principles, which limits their competitiveness and effectiveness in academic and industry careers. To fill this training gap, we developed Business and Management Principles for Scientists, a semester-long program that combined didactic exposure to business fundamentals with practical team-based projects aimed at solving real business problems encountered by institutional shared--resource core facilities. The program also included a retreat featuring presentations by and networking with local life science entrepreneurs and final team presentations to expert judges. Quantitative and qualitative metrics were used to evaluate the program's impact on trainees. A pretest-posttest approach was used to assess trainees' baseline knowledge and mastery of module concepts, and each individual's pretest and posttest responses were compared. The mean score improved by more than 17 percentage points. Trainees also took an online survey to provide feedback about the module. Nearly all participants agreed or strongly agreed that the module was a valuable use of their time and will help guide their career decisions and that project work helped drive home module concepts. More than 75% of trainees reported discussing the module with their research advisors, and all of these participants reported supportive or neutral responses. Collectively, the trainee feedback about the module, improvement in test scores, and trainee perception of advisor support suggest that this short module is an effective method of providing scientists with efficient and meaningful exposure to business concepts. © 2017 K. A. Petrie et al. CBE—Life Sciences Education © 2017 The American Society for Cell Biology. This article is distributed by The American Society for Cell Biology under license from the author(s). It is available to the public under an Attribution–Noncommercial–Share Alike 3.0 Unported Creative Commons License (http

  9. Deafness among physicians and trainees: a national survey.

    Science.gov (United States)

    Moreland, Christopher J; Latimore, Darin; Sen, Ananda; Arato, Nora; Zazove, Philip

    2013-02-01

    To describe the characteristics of and accommodations used by the deaf and hard-of-hearing (DHoH) physician and trainee population and examine whether these individuals are more likely to care for DHoH patients. Multipronged snowball sampling identified 86 potential DHoH physician and trainee participants. In July to September 2010, a Web-based survey investigated accommodations used by survey respondents. The authors analyzed participants' demographics, accommodation and career satisfaction, sense of institutional support, likelihood of recommending medicine as a career, and current/anticipated DHoH patient population size. The response rate was 65% (56 respondents; 31 trainees and 25 practicing physicians). Modified stethoscopes were the most frequently used accommodation (n = 50; 89%); other accommodations included auditory equipment, note-taking, computer-assisted real-time captioning, signed interpretation, and oral interpretation. Most respondents reported that their accommodations met their needs well, although 2 spent up to 10 hours weekly arranging accommodations. Of 25 physicians, 17 reported primary care specialties; 7 of 31 trainees planned to enter primary care specialties. Over 20% of trainees anticipated working with DHoH patients, whereas physicians on average spent 10% of their time with DHoH patients. Physicians' accommodation satisfaction was positively associated with career satisfaction and recommending medicine as a career. DHoH physicians and trainees seemed satisfied with frequent, multimodal accommodations from employers and educators. These results may assist organizations in planning accommodation provisions. Because DHoH physicians and trainees seem interested in primary care and serving DHoH patients, recruiting and training DHoH physicians has implications for the care of this underserved population.

  10. Survey method for radiological surveys of 300 FF-1 Operable Unit soil and materials

    International Nuclear Information System (INIS)

    Greif, A.A.

    1997-06-01

    This technical basis document is to be used to survey soils at the 300-FF-1 Operable Unit during remediation of the site. Its purpose is to provide a basis for the survey methods to be employed by the Radiological Control Technician to determine if excavated areas require continued remediation in accordance with the Record of Decision for the operable unit

  11. Closure Report for Corrective Action Unit 166: Storage Yards and Contaminated Materials, Nevada Test Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    NSTec Environmental Restoration

    2009-08-01

    Corrective Action Unit (CAU) 166 is identified in the Federal Facility Agreement and Consent Order (FFACO) as 'Storage Yards and Contaminated Materials' and consists of the following seven Corrective Action Sites (CASs), located in Areas 2, 3, 5, and 18 of the Nevada Test Site: CAS 02-42-01, Condo Release Storage Yd - North; CAS 02-42-02, Condo Release Storage Yd - South; CAS 02-99-10, D-38 Storage Area; CAS 03-42-01, Conditional Release Storage Yard; CAS 05-19-02, Contaminated Soil and Drum; CAS 18-01-01, Aboveground Storage Tank; and CAS 18-99-03, Wax Piles/Oil Stain. Closure activities were conducted from March to July 2009 according to the FF ACO (1996, as amended February 2008) and the Corrective Action Plan for CAU 166 (U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office, 2007b). The corrective action alternatives included No Further Action and Clean Closure. Closure activities are summarized. CAU 166, Storage Yards and Contaminated Materials, consists of seven CASs in Areas 2, 3, 5, and 18 of the NTS. The closure alternatives included No Further Action and Clean Closure. This CR provides a summary of completed closure activities, documentation of waste disposal, and confirmation that remediation goals were met. The following site closure activities were performed at CAU 166 as documented in this CR: (1) At CAS 02-99-10, D-38 Storage Area, approximately 40 gal of lead shot were removed and are currently pending treatment and disposal as MW, and approximately 50 small pieces of DU were removed and disposed as LLW. (2) At CAS 03-42-01, Conditional Release Storage Yard, approximately 7.5 yd{sup 3} of soil impacted with lead and Am-241 were removed and disposed as LLW. As a BMP, approximately 22 ft{sup 3} of asbestos tile were removed from a portable building and disposed as ALLW, approximately 55 gal of oil were drained from accumulators and are currently pending disposal as HW, the portable building was removed and

  12. Closure Report for Corrective Action Unit 166: Storage Yards and Contaminated Materials, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    2009-01-01

    Corrective Action Unit (CAU) 166 is identified in the Federal Facility Agreement and Consent Order (FFACO) as 'Storage Yards and Contaminated Materials' and consists of the following seven Corrective Action Sites (CASs), located in Areas 2, 3, 5, and 18 of the Nevada Test Site: CAS 02-42-01, Condo Release Storage Yd - North; CAS 02-42-02, Condo Release Storage Yd - South; CAS 02-99-10, D-38 Storage Area; CAS 03-42-01, Conditional Release Storage Yard; CAS 05-19-02, Contaminated Soil and Drum; CAS 18-01-01, Aboveground Storage Tank; and CAS 18-99-03, Wax Piles/Oil Stain. Closure activities were conducted from March to July 2009 according to the FF ACO (1996, as amended February 2008) and the Corrective Action Plan for CAU 166 (U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office, 2007b). The corrective action alternatives included No Further Action and Clean Closure. Closure activities are summarized. CAU 166, Storage Yards and Contaminated Materials, consists of seven CASs in Areas 2, 3, 5, and 18 of the NTS. The closure alternatives included No Further Action and Clean Closure. This CR provides a summary of completed closure activities, documentation of waste disposal, and confirmation that remediation goals were met. The following site closure activities were performed at CAU 166 as documented in this CR: (1) At CAS 02-99-10, D-38 Storage Area, approximately 40 gal of lead shot were removed and are currently pending treatment and disposal as MW, and approximately 50 small pieces of DU were removed and disposed as LLW. (2) At CAS 03-42-01, Conditional Release Storage Yard, approximately 7.5 yd 3 of soil impacted with lead and Am-241 were removed and disposed as LLW. As a BMP, approximately 22 ft 3 of asbestos tile were removed from a portable building and disposed as ALLW, approximately 55 gal of oil were drained from accumulators and are currently pending disposal as HW, the portable building was removed and disposed as LLW, and

  13. Mechanical Properties of Ti-6Al-4V Octahedral Porous Material Unit Formed by Selective Laser Melting

    Directory of Open Access Journals (Sweden)

    Jianfeng Sun

    2012-01-01

    Full Text Available The Ti-6Al-4V octahedral porous material unit is designed to calculate its load. In this paper, ANSYS is adopted for the load simulation of the unit. And a simplified model of dimensional theoretical calculation is established, by which the analytical equation of the fracture load is obtained and the calculation of the load of Ti-6Al-4V is completed. Moreover, selective laser melting is adopted in processing the Ti-6Al-4V porous material unit. The experimental value of fracture load of this material is obtained through compression experiment. The results show that the simulation curves approximate the variation tendency of the elastic deformation of the compression curves; the curves of theoretical calculation approximate the general variation tendency; and the experimental value of fracture load is very close to the theoretical value. Therefore, the theoretical prediction accuracy of fracture load is high, which lays the foundation for the mechanical properties of the octahedral porous material.

  14. The Influence of Gender on ProfessionalismFemale in Trainees.

    Science.gov (United States)

    Ahn, Jae Hee

    2012-06-01

    This study aimed to analyze the experience of female trainees who were trained in hospitals after graduating from medical school, focusing on methods of representing their gender in training courses. We interviewed 8 trainees who had been trained in a hospital in Seoul and 4 faculties from June 2010 to October 2010. We analyzed their similarities and differences and developed a vocational identity formation process to represent gender. Gender was represented contradictorily in their training course, affecting their choice of specialties and interactions with patients. But, female trainees did not want to their being distinguished from their male counterparts with regard to being a good doctor to be influenced by meritocracy. It was difficult for them to bear children and balance work and family life due to aspects of the training system, including long work hours and the lack of replacement workers. Consequently, they asked their parents to help with child care, because hospitals are not interested in the maternity system. Female trainees did not consider being a doctor to be a male profession. Likely, they believed that their femininity influenced their professionalism positively. The methods of representing gender are influenced by the training system, based a male-dominated apprenticeship. Thus, we will research the mechanisms that influence gender-discriminated choices in specialties, hospitals, and medical schools and prepare a maternity care system for female trainees. Strategies that maximize recruitment and retention of women in medicine should include a consideration of alternative work schedules and optimization of maternity leave and child care opportunities.

  15. The use of smartphone applications by urology trainees.

    Science.gov (United States)

    Nason, G J; Burke, M J; Aslam, A; Kelly, M E; Akram, C M; Giri, S K; Flood, H D

    2015-10-01

    Mobile phone technology is continuously advancing- the smartphone allows users instant access to information via the internet. Downloadable applications (apps) are becoming widespread across medical specialities. The aim of this study was to assess the use of smartphone apps among urology trainees in Ireland. An anonymous electronic survey was distributed via Survey Monkey(®) to all urology trainees in Ireland assessing their ownership and use of smartphones and downloadable apps. A search of urology apps was performed using the Apple App Store and the Android Market. 36 (81.8%) of trainees responded with 100% ownership of smartphones. 28 (77%) report downloading apps with 11 (30.6%) reporting paying for them. The mean number of apps downloaded was 4 (Range 1-12). 16 (44.4%) trainees think apps for smartphones are very useful in clinical practice, 14 (42.4%) think they are useful. A total of 126 urology apps were available. 76 (60.3%) were designed for physicians, 46 (36.5%) for patients, 2 (1.6%) for students and 2 (1.6%) for urological nurses. There are an ever increasing number of urology apps available. Urology trainees are using smartphones as an educational and reference tool and find them a useful aide in clinical practice. Copyright © 2014 Royal College of Surgeons of Edinburgh (Scottish charity number SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd. All rights reserved.

  16. Semi-automated scoring of pulmonary emphysema from X-ray CT: Trainee reproducibility and accuracy

    Energy Technology Data Exchange (ETDEWEB)

    Owrangi, Amir M., E-mail: aowrangi@robarts.ca [Imaging Research Laboratories, Robarts Research Institute, London (Canada); Entwistle, Brandon, E-mail: Brandon.Entwistle@londonhospitals.ca; Lu, Andrew, E-mail: Andrew.Lu@londonhospitals.ca; Chiu, Jack, E-mail: Jack.Chiu@londonhospitals.ca; Hussain, Nabil, E-mail: Nabil.Hussain@londonhospitals.ca; Etemad-Rezai, Roya, E-mail: Roya.EtemadRezai@lhsc.on.ca; Parraga, Grace, E-mail: gparraga@robarts.ca [Imaging Research Laboratories, Robarts Research Institute, London (Canada); Graduate Program in Biomedical Engineering, Department of Medical Imaging, Department of Medical Biophysics, The University of Western Ontario, London (Canada)

    2013-11-01

    Objective: We developed a semi-automated tool to quantify emphysema from thoracic X-ray multi-detector (64-slice) computed tomography (CT) for training purposes and multi-reader studies. Materials and Methods: Thoracic X-ray CT was acquired in 93 ex-smokers, who were evaluated by six trainees with little or no expertise (trainees) and a single experienced thoracic radiologist (expert). A graphic user interface (GUI) was developed for emphysema quantification based on the percentile of lung where a score of 0 = no abnormalities, 1 = 1–25%, 2 = 26–50%, 3 = 51–75% and 4 = 76–100% for each lung side/slice. Trainees blinded to subject characteristics scored randomized images twice; accuracy was determined by comparison to expert scores, density histogram 15th percentile (HU{sub 15}), relative area at −950 HU (RA{sub 950}), low attenuation clusters at −950 HU (LAC{sub 950}), −856 HU (LAC{sub 856}) and the diffusing capacity for carbon monoxide (DL{sub CO%pred}). Intra- and inter-observer reproducibility was evaluated using coefficients-of-variation (COV), intra-class (ICC) and Pearson correlations. Results: Trainee–expert correlations were significant (r = 0.85–0.97, p < 0.0001) and a significant trainee bias (0.15 ± 0.22) was observed. Emphysema score was correlated with RA{sub 950} (r = 0.88, p < 0.0001), HU{sub 15} (r = −0.77, p < 0.0001), LAC{sub 950} (r = 0.76, p < 0.0001), LAC{sub 856} (r = 0.74, p = 0.0001) and DL{sub CO%pred} (r = −0.71, p < 0.0001). Intra-observer reproducibility (COV = 4–27%; ICC = 0.75–0.94) was moderate to high for trainees; intra- and inter-observer COV were negatively and non-linearly correlated with emphysema score. Conclusion: We developed a GUI for rapid and interactive emphysema scoring that allows for comparison of multiple readers with clinical and radiological standards.

  17. Programas trainees corporativos e o governo das almas Trainees corporate programs and the government of souls

    Directory of Open Access Journals (Sweden)

    Jairo Antônio da Cruz

    2012-04-01

    Full Text Available O artigo busca problematizar as transformações do trabalho na passagem da Modernidade para a Contemporaneidade, e alguns de seus efeitos nos domínios educacionais. Para tanto, mostramos o deslocamento de ênfase de um trabalho fabril para um trabalho que vem sendo chamado imaterial, que já não prioriza um sistema baseado na obediência a regulamentos e na vigilância do corpo. Sua organização lança mão de formas muito mais sutis de poder, apoiando-se em formas mais sofisticadas e complexas de atuar sobre os sujeitos. Esse quadro teórico serve de suporte para a análise de três programas trainees corporativos, que buscam capturar "grandes talentos" egressos de cursos superiores e torná-los fiéis colaboradores das organizações empresariais, fazendo com que desejem e passem a agir como autoem-presários prestadores de serviços.The article attempts to discuss changes in work in the passage from Modernity to Contemporary and some of its effects in education. For this, we show the displacement in emphasis from a factory work, guided by a disciplinary organization, to a work that is being called immaterial. This is no longer a priority a system based on obedience to rules and surveillance of the body. Its organization makes use of more subtle forms of power, relying on more sophisticated and complex ways of acting on the subject. This theoretical framework supports the analysis of three trainees corporate programs, whose purpose is capturing "great talents" graduates from colleges and making them loyal employees of business organizations, making they wish and start to act as self-entrepreneurs service providers.

  18. Sustainable Materials Management (SMM) Web Academy Webinar: Advancing Sustainable Materials Management: Facts and Figures 2013 - Assessing Trends in Materials Generation, Recycling and Disposal in the United States

    Science.gov (United States)

    This is a webinar page for the Sustainable Management of Materials (SMM) Web Academy webinar titled Let’s WRAP (Wrap Recycling Action Program): Best Practices to Boost Plastic Film Recycling in Your Community

  19. Discussion Material for Small Unit Leaders: Issues of Garrison Ethics and Leadership

    Science.gov (United States)

    2009-01-01

    for dinner at a very nice restaurant , on him, and offers you front row tickets for that night’s basketball game, and your favorite team is playing...sales of merchandise (like yard sales and bake sales) or services (car washes). Key considerations are that the activities or sales are occasional...occasional sales of merchandise and services. Gifts and donations to the small unit fund can only come through the voluntary contributions of unit members

  20. Psychiatry trainees' attitudes towards euthanasia and physician-assisted suicide.

    Science.gov (United States)

    Kontaxaki, M-I; Paplos, K; Dasopoulou, M; Kontaxakis, V

    2018-01-01

    We investigated the attitudes towards Euthanasia (EUT) and Physician-Assisted Suicide (PAS) in a sample of Greek Psychiatry trainees (PT), (n=120, mean age 32.01±0.21, male 60.0%) and compared these to those of medical trainees of other specialties (OMT), i.e. internal medicine, surgery, intensive care (n=154, mean age 32.97±1.17, male 57.1%). Most of the responders were for the acceptance of EUT and PAS under some circumstances. More often PT answer "never" in the question regarding the permission to withdraw life-sustaining medical treatment to hasten death, if that requested by a terminally ill patient (pquality of life (plife decisions. Also, it is important for educators to have understanding the views of the trainees since soon in the future, the new generation of physicians will have to make end of life decisions.

  1. Occupational Blood Exposure among Health Care Personnel and Hospital Trainees

    Directory of Open Access Journals (Sweden)

    M Hajjaji Darouiche

    2014-01-01

    Full Text Available Blood and body fluid Exposure is a major occupational safety problems for health care workers. Therefore, we conducted a descriptive and retrospective study to identify the characteristics of blood exposure accidents in health care settings which lasted five years (2005-2009 at the two university hospitals of Sfax. We have 593 blood exposure accidents in health care settings 152 (25.6% health personnel and 441 (74.4% trainees' doctors, nurses and health technicians. The mechanism of blood and body fluid exposure was accidental needle-stick injury in 78.9% of health staff, and 81% of trainees, accidental cut in 14.7% of health workers and 10.2% of trainees. The increasing severity of blood exposure accidents is linked to the lack of safe behavior against this risk.

  2. Making the Road by Walking: Using Role-Play and Instructor Feedback to Teach Basic Counseling Skills to Singaporean Trainee Educational Psychologists

    Science.gov (United States)

    Kit, Phey Ling; Garces-Bacsal, Rhoda Myra; Burgetova, Kristina

    2015-01-01

    This study focused on the experiential learning experiences of eight trainee educational psychologists (school psychologists in the United States) from Singapore who participated in three role-play sessions during a two-day Basic Counseling Skills Training Program. Data collected from transcriptions of video-recorded sessions, a focus group…

  3. Theoretical characterization and design of small molecule donor material containing naphthodithiophene central unit for efficient organic solar cells.

    Science.gov (United States)

    Duan, Yu-Ai; Geng, Yun; Li, Hai-Bin; Jin, Jun-Ling; Wu, Yong; Su, Zhong-Min

    2013-07-15

    To seek for high-performance small molecule donor materials used in heterojunction solar cell, six acceptor-donor-acceptor small molecules based on naphtho[2,3-b:6,7-b']dithiophene (NDT) units with different acceptor units were designed and characterized using density functional theory and time-dependent density functional theory. Their geometries, electronic structures, photophysical, and charge transport properties have been scrutinized comparing with the reported donor material NDT(TDPP)2 (TDPP  =  thiophene-capped diketopyrrolopyrrole). The open circuit voltage (V(oc)), energetic driving force(ΔE(L-L)), and exciton binding energy (E(b)) were also provided to give an elementary understanding on their cell performance. The results reveal that the frontier molecular orbitals of 3-7 match well with the acceptor material PC61 BM, and compounds 3-5 were found to exhibit the comparable performances to 1 and show promising potential in organic solar cells. In particular, comparing with 1, system 7 with naphthobisthiadiazole acceptor unit displays broader absorption spectrum, higher V(oc), lower E(b), and similar carrier mobility. An in-depth insight into the nature of the involved excited states based on transition density matrix and charge density difference indicates that all S1 states are mainly intramolecular charge transfer states with the charge transfer from central NDT unit to bilateral acceptor units, and also imply that the exciton of 7 can be dissociated easily due to its large extent of the charge transfer. In a word, 7 maybe superior to 1 and may act as a promising donor candidate for organic solar cell. Copyright © 2013 Wiley Periodicals, Inc.

  4. Novelly formed products of the interaction of fuel with construction materials of the 4th unit of Chernobyl NPP

    International Nuclear Information System (INIS)

    Borovoj, A.A.; Galkin, B.Ya.; Drapchinskij, L.V.; Krinitsyn, A.P.; Pazukhin, Eh.M.; Petrov, B.F.; Pleskachevskij, L.A.; Checherov, K.P.

    1991-01-01

    Radiation environment and position of fuel-containing masses in the bubbler pond of the 4th unit of the Chernobyl NPP are described. Classification of the products of fuel interaction with structural materials is given. Amounts of fuel on the 1st and 2nd floor of the bubbler pond are estimated. Postaccident pictures of the premises of the bubbler pond are presented for the first time

  5. Analysis of qualitative interviews with Action Research Trainees, February 2007

    DEFF Research Database (Denmark)

    Meyer, Bente; Levinsen, Karin

    Interviews with trainees were conducted after the Action Research period (November-December 2006), when LBs 1-4 were tested on trainees. The aim of the interviews was to understand how teachers learn to teach and to relate to the online environment through the specific context of the Lancelot live...... online course.  The focus of the interviews was on the one hand the ability of the course to support this learning process and on the other hand the correction and adjustment of the syllabus for the spring pilot testing phase (beginning March 2007)....

  6. Effect of Engaging Trainees by Assessing Peer Performance

    DEFF Research Database (Denmark)

    Loumann Krogh, Charlotte; Ringsted, Charlotte; Kromann, Charles B

    2014-01-01

    during training. Outcome measures were in-training performance and performance, both of which were measured two weeks after the course. Trainees' performances were videotaped and assessed by two expert raters using a checklist that included a global rating. Trainees' satisfaction with the training...... was also evaluated. RESULTS: The intervention group obtained a significantly higher overall in-training performance score than the control group: mean checklist score 20.87 (SD 2.51) versus 19.14 (SD 2.65) P = 0.003 and mean global rating 3.25 SD (0.99) versus 2.95 (SD 1.09) P = 0.014. Postcourse...

  7. Report on the Trilateral Initiative. IAEA verification of weapon-origin material in the Russian Federation and the United States

    International Nuclear Information System (INIS)

    Shea, Thomas E.

    2001-01-01

    Just over five years ago, the Trilateral Initiative was launched to investigate the technical, legal and financial issues associated with IAEA verification of weapon-origin fissile material in the Russian Federation and the United States. Since then, the Joint Working Group has developed concepts and equipment suitable for such a verification mission, anticipating that the States would submit classified forms of fissile material to IAEA verification under new agreements developed for this purpose. This article summarizes the accomplishments to date and identifies the future steps foreseen under the Trilateral Initiative. As there is no legal commitment on the Parties to this Initiative as yet, the issues considered are still changing. Since it was launched, the Initiative has been given a sense of importance and weight, raising the expectations of the international community. The Final Document of the 2000 Conference on the Treaty on the Non-Proliferation of Nuclear Weapons (NPT), for example, under the review of Article VI of the Treaty, includes the statement to 'complete and implement the Trilateral Initiative'. It was launched following independent statements by the President of the United States beginning in 1993, and by the President of the Russian Federation in 1996. It is an Initiative between the IAEA, the Russian Federation and the United States that is in the context of Article VI of the NPT. The intention is to examine the technical, legal and financial issues associated with IAEA verification of weapon origin and other fissile material released from defense programmes in those two countries

  8. Fluoroscopically guided transforaminal epidural steroid injections at a quaternary-care teaching institution: effect of trainee involvement and patient body mass index on fluoroscopy time and patient dose

    International Nuclear Information System (INIS)

    Tiegs-Heiden, C.A.; Murthy, N.S.; Geske, J.R.; Diehn, F.E.; Schueler, B.A.; Wald, J.T.; Kaufmann, T.J.; Lehman, V.T.; Carr, C.M.; Amrami, K.K.; Morris, J.M.; Thielen, K.R.; Maus, T.P.

    2016-01-01

    Aim: To investigate whether there are differences in fluoroscopy time and patient dose for fluoroscopically guided lumbar transforaminal epidural steroid injections (TFESIs) performed by staff radiologists versus with trainees and to evaluate the effect of patient body mass index (BMI) on fluoroscopy time and patient dose, including their interactions with other variables. Materials and methods: Single-level lumbar TFESIs (n=1844) between 1 January 2011 and 31 December 2013 were reviewed. Fluoroscopy time, reference point air kerma (K_a_,_r), and kerma area product (KAP) were recorded. BMI and trainee involvement were examined as predictors of fluoroscopy time, K_a_,_r, and KAP in models adjusted for age and gender in multivariable linear models. Stratified models of BMI groups by trainee presence were performed. Results: Increased age was the only significant predictor of increased fluoroscopy time (p<0.0001). K_a_,_r and KAP were significantly higher in patients with a higher BMI (p<0.0001 and p=0.0009). When stratified by BMI, longer fluoroscopy time predicted increased K_a_,_r and KAP in all groups (p<0.0001). Trainee involvement was not a statistically significant predictor of fluoroscopy time or K_a_,_r in any BMI category. KAP was lower with trainees in the overweight group (p=0.0009) and higher in male patients for all BMI categories (p<0.02). Conclusion: Trainee involvement did not result in increased fluoroscopy time or patient dose. BMI did not affect fluoroscopy time; however, overweight and obese patients received significantly higher K_a_,_r and KAP. Male patients received a higher KAP in all BMI categories. Limiting fluoroscopy time and good collimation practices should be reinforced in these patients. - Highlights: • Trainee involvement did not contribute to increased fluoroscopy time or dose. • BMI did not affect fluoroscopy time. • Overweight and obese patients received significantly higher Ka,r and KAP.

  9. Survey Method for Radiological Surveys of 300-FF-1 Operable Unit Soils and Material

    International Nuclear Information System (INIS)

    Brehm, D.M.

    1998-06-01

    This technical basis is to be used to survey soils at the 300-FF-1 Operable Unit during remediation of the site. Its purpose is to provide a basis for the survey methods to be employed by radiological control technician (RCTs) to guide the excavation effort in accordance with the 300-FF-1 waste site Record of Decision (ROD). The ROD for the 300-FF-1 Operable Unit requires selective excavation, removal, and disposal of contaminated soil above 350 pCi/g total uranium activity. Soil above this level will be disposed of as radioactive waste. The remaining soil will remain onsite

  10. Demand forecast for rail shipment of radioactive material in the United States

    International Nuclear Information System (INIS)

    Allen, G.C.; Cashwell, J.W.

    1981-01-01

    A summary of the market potential for radioactive material (in millions of ton-miles) is presented in tabular form. These include the following: milled uranium ore; mill tailings; natural uranium hexafluoride; enriched uranium hexafluoride; fresh fuel, spent fuel; low-level waste; transuranic waste; and high-level waste. The maximum realistic market share for rail carriers is always less than these values because of the lack of rail access to some shipping and receiving facilities, small material quantities which could most easily move by other modes, short shipping distances for certain transport segments and greater operational convenience of other modes for some material categories. While market share and revenues for radioactive material are presently small, rail carriers appear to have a market advantage for milled uranium ore, transuranic waste and high-level waste. The potential for a significantly increased market share exists for spent fuel and uranium hexafluoride. While more fresh fuel and low-level waste can be transported by rail, it is unlikely that rail market share for radioactive materials (RAM) in general will rise to the potential maximum because many of these materials have historically been moved by truck and transported in frequent, small shipments

  11. Core II Materials for Rural Agriculture Programs. Units E-H.

    Science.gov (United States)

    Biondo, Ron; And Others

    This curriculum guide includes teaching packets for 21 problem areas to be included in a core curriculum for 10th grade students enrolled in a rural agricultural program. Covered in the four units included in this volume are crop science (harvesting farm crops and growing small grains); soil science and conservation of natural resources…

  12. Wood Products Other Building Materials Used in New Residential Construction in the United States

    Science.gov (United States)

    David B. McKeever; Joe Elling

    2015-01-01

    On average, new residential construction accounts for about one-third of all wood products consumed in the United States annually. During periods of robust housing activity, 45% or more of all wood products consumed are for new single-family and multifamily housing. This can fall to as low as 20% or less during times of economic recession. Unfortunately, 2012 was not...

  13. Wood and Other Materials Used to Construct Nonresidential Buildings in the United States 2011 Executive Summary

    Science.gov (United States)

    David B. McKeever

    2013-01-01

    The construction of low-rise nonresidential buildings is an important market for lumber, engineered wood products, and structural and nonstructural wood panels in the United States. This report examines low-rise nonresidential buildings of six or fewer stories. Those with more than six stories are normally severely restricted by building codes from being wood framed....

  14. Wood and Other Materials Used to Construct Nonresidential Buildings in the United States 2011

    Science.gov (United States)

    Craig Adair; David B. McKeever; Chris Gaston; Margaret. Stewart

    2013-01-01

    The construction of low-rise nonresidential buildings is an important market for lumber, engineered wood products, and structural and nonstructural wood panels in the United States. This report examines low-rise nonresidential buildings of six or fewer stories. Those with more than six stories are normally severely restricted by building codes from being wood framed....

  15. Exploration of Support Behavior in Counseling Groups with Counseling Trainees

    Science.gov (United States)

    Harel, Yoni; Shechtman, Zipora; Cutrona, Carolyn

    2012-01-01

    The study explores the types of support expressed in counseling groups attended by trainee counselors. Support is a crucial factor in human life in general, and in groups in particular, yet little is known about the type of support presented in counseling groups. Type of support was categorized by means of the Social Support Behavior Code (SSBC;…

  16. Exploring the impact of workplace cyberbullying on trainee doctors.

    Science.gov (United States)

    Farley, Samuel; Coyne, Iain; Sprigg, Christine; Axtell, Carolyn; Subramanian, Ganesh

    2015-04-01

    Workplace bullying is an occupational hazard for trainee doctors. However, little is known about their experiences of cyberbullying at work. This study examines the impact of cyberbullying among trainee doctors, and how attributions of blame for cyberbullying influence individual and work-related outcomes. Doctors at over 6 months into training were asked to complete an online survey that included measures of cyberbullying, blame attribution, negative emotion, job satisfaction, interactional justice and mental strain. A total of 158 trainee doctors (104 women, 54 men) completed the survey. Overall, 73 (46.2%) respondents had experienced at least one act of cyberbullying. Cyberbullying adversely impacted on job satisfaction (β = - 0.19; p cyberbullying influenced its impact and the path of mediation. Negative emotion mediated the relationship between self-blame for a cyber-bullying act and mental strain, whereas interactional injustice mediated the association between blaming the perpetrator and job dissatisfaction. Acts of cyberbullying had been experienced by nearly half of the sample during their training and were found to significantly relate to ill health and job dissatisfaction. The deleterious impact of cyberbullying can be addressed through both workplace policies, and training for trainee doctors and experienced medical professionals. © 2015 John Wiley & Sons Ltd.

  17. Counseling Psychology Doctoral Trainees' Satisfaction with Clinical Methods Training

    Science.gov (United States)

    Menke, Kristen Ann

    2015-01-01

    Counseling psychology doctoral trainees' satisfaction with their clinical methods training is an important predictor of their self-efficacy as counselors, persistence in graduate programs, and probability of practicing psychotherapy in their careers (Fernando & Hulse-Killacky, 2005; Hadjipavlou & Ogrodniczuk, 2007; Morton & Worthley,…

  18. The Impact of Facebook in Teaching Practicum: Teacher Trainees' Perspectives

    Science.gov (United States)

    Goktalay, Sehnaz Baltaci

    2015-01-01

    Prompt feedback is one of the critical components of teacher education programs. To reap the greatest benefit from the teaching practicum process, the quality of feedback as well as its implementation by stakeholders, supervisors, cooperating teachers, and teacher trainees, takes on great importance. The purpose of this study is to examine how Web…

  19. Spine surgery training and competence of European Neurosurgical Trainees

    NARCIS (Netherlands)

    Boszczyk, Bronek Maximilian; Mooij, Jan Jakob; Schmitt, Natascha; Di Rocco, Concezio; Fakouri, Baroum Baroum; Lindsay, Kenneth W.

    Little is known about the nature of spine surgery training received by European neurosurgical trainees during their residency and the level of competence they acquire in dealing with spinal disorders. A three-part questionnaire entailing 32 questions was devised and distributed to the neurosurgical

  20. Providing Experiential Business and Management Training for Biomedical Research Trainees

    Science.gov (United States)

    Petrie, Kimberly A.; Carnahan, Robert H.; Brown, Abigail M.; Gould, Kathleen L.

    2017-01-01

    Many biomedical PhD trainees lack exposure to business principles, which limits their competitiveness and effectiveness in academic and industry careers. To fill this training gap, we developed Business and Management Principles for Scientists, a semester-long program that combined didactic exposure to business fundamentals with practical…

  1. Appraisal of in-service trainee teachers' competency on applications ...

    African Journals Online (AJOL)

    Most procedures used to obtain information about student learning are subsumed under assessment. This study appraised in-service trainee teachers' competency on applications of principles of test items writing. One Study Centre was purposively drawn from the National Teachers' Institute for the study. A sample of 33 ...

  2. Burnout and the learning environment of anaesthetic trainees.

    Science.gov (United States)

    Castanelli, D J; Wickramaarachchi, S A; Wallis, S

    2017-11-01

    Burnout has a high prevalence among healthcare workers and is increasingly recognised as an environmental problem rather than reflecting a personal inability to cope with work stress. We distributed an electronic survey, which included the Maslach Burnout Inventory Health Services Survey and a previously validated learning environment instrument, to 281 Victorian anaesthetic trainees. The response rate was 50%. We found significantly raised rates of burnout in two of three subscales. Ninety-one respondents (67%) displayed evidence of burnout in at least one domain, with 67 (49%) reporting high emotional exhaustion and 57 (42%) reporting high depersonalisation. The clinical learning environment tool demonstrated a significant negative correlation with burnout (r=-0.56, P Burnout was significantly more common than when previously measured in Victoria in 2008 (62% versus 38%). Trainees rated examination preparation the most stressful aspect of the training program. There is a high prevalence of burnout among Victorian anaesthetic trainees. We have shown a significant correlation exists between the clinical learning environment measure and the presence of burnout. This correlation supports the development of interventions to improve the clinical learning environment, as a means to improve trainee wellbeing and address the high prevalence of burnout.

  3. Knowledge, attitude and practice of the trainee seafarers to HIV ...

    African Journals Online (AJOL)

    Each trainee completed an anonymous self- administered questionnaire and was tested for syphilis, trichomoniasis and HIV. Seventy one (75.5%) of the respondents were between ages 21-25 years. Twenty three (25%) did not believe that having sex with commercial sex workers puts them at high risk of HIV while eighteen ...

  4. Experiences of Pharmacy Trainees from an Interprofessional Immersion Training

    Directory of Open Access Journals (Sweden)

    Daubney Boland

    2018-04-01

    Full Text Available Interprofessional education is essential in that it helps healthcare disciplines better utilize each other and provide team-based collaboration that improves patient care. Many pharmacy training programs struggle to implement interprofessional education. This purpose of the study was to examine the effect of a 30-h interprofessional training that included pharmacy students to determine if the training helped these students build valuable knowledge and skills while working alongside other health care professions. The interprofessional training included graduate-level trainees from pharmacy, behavioral health, nursing, and family medicine programs where the trainees worked within teams to build interprofessional education competencies based on the Interprofessional Education Collaborative core competencies. Sixteen pharmacy trainees participated in the training and completed pre- and post-test measures. Data were collected over a two-year period with participants completing the Team Skills Scale and the Interprofessional Attitudes Scale. Paired sample t-tests indicated that, after this training, pharmacy trainees showed significant increases in feeling better able to work in healthcare teams and valuing interprofessional practice.

  5. Competence development of synchronously coached trainee teachers in collaborative learning

    NARCIS (Netherlands)

    Hooreman, Ralph W.; Kommers, Petrus A.M.; Jochems, Wim M.G.

    2007-01-01

    The need to make trainee teachers more prepared to coach collaborative learning effectively is increasing, as collaborative learning is becoming more important. One complication in this training process is that it is hard for the teacher trainer to hear and understand the students’ utterances and

  6. Trainee Teachers with Dyslexia: Personal Narratives of Resilience

    Science.gov (United States)

    Glazzard, Jonathan; Dale, Kirsty

    2013-01-01

    This paper tells the stories of two trainee teachers and their personal experiences of dyslexia. Both informants were English and training to be primary school teachers in England. Through drawing on their own experiences of education, the stories illustrate how dyslexia has shaped the self-concept, self-esteem and resilience of each informant.…

  7. Engaging trainees in shaping the future of health policy.

    Science.gov (United States)

    Atkinson, Stephen; Sachedina, Nabihah; King, Judith; Mak, Matthew; Morganstein, Louise; Mytton, Oliver T; Thomas, Justyn

    2011-04-01

    This paper presents an analysis of the views and ideas generated at a recent health policy discussion for doctors in training. This provides an illustration of the creativity and enthusiasm that trainees can bring to the policy sphere by providing unique insights and a fresh perspective.

  8. Counselor Trainee Attitudes toward Alcohol and Other Drug Abuse

    Science.gov (United States)

    Davis, Sharon J.; Sneed, Zachery B.; Koch, D. Shane

    2010-01-01

    Using the Counselor Trainee Attitudes Measure (CTAM) to assess student attitudes toward alcohol and other drug abuse (AODA), results indicated that students had more positive attitudes toward AODA when they were in recovery or had a family member in recovery. Furthermore, completion of AODA related courses predicted more positive attitudes toward…

  9. Correlating Trainee Attributes to Performance in 3D CAD Training

    Science.gov (United States)

    Hamade, Ramsey F.; Artail, Hassan A.; Sikstrom, Sverker

    2007-01-01

    Purpose: The purpose of this exploratory study is to identify trainee attributes relevant for development of skills in 3D computer-aided design (CAD). Design/methodology/approach: Participants were trained to perform cognitive tasks of comparable complexity over time. Performance data were collected on the time needed to construct test models, and…

  10. How Do Primary Education Trainee Teachers Perceive Educational Psychology?

    Science.gov (United States)

    Alvarez, Ibis M.; Weise, Crista; Vall, Berta; González, Montserrat; Morodo, Andy

    2018-01-01

    Educational Psychology makes a significant contribution to the development of skills to research the effectivity of teacher practices in class. However, there is little agreement on what educational psychology concepts are most relevant for teacher training. This paper reports on trainee teachers' self-perceived mastery of, and attributed…

  11. Experiences of Pharmacy Trainees from an Interprofessional Immersion Training.

    Science.gov (United States)

    Boland, Daubney; White, Traci; Adams, Eve

    2018-04-25

    Interprofessional education is essential in that it helps healthcare disciplines better utilize each other and provide team-based collaboration that improves patient care. Many pharmacy training programs struggle to implement interprofessional education. This purpose of the study was to examine the effect of a 30-h interprofessional training that included pharmacy students to determine if the training helped these students build valuable knowledge and skills while working alongside other health care professions. The interprofessional training included graduate-level trainees from pharmacy, behavioral health, nursing, and family medicine programs where the trainees worked within teams to build interprofessional education competencies based on the Interprofessional Education Collaborative core competencies. Sixteen pharmacy trainees participated in the training and completed pre- and post-test measures. Data were collected over a two-year period with participants completing the Team Skills Scale and the Interprofessional Attitudes Scale. Paired sample t -tests indicated that, after this training, pharmacy trainees showed significant increases in feeling better able to work in healthcare teams and valuing interprofessional practice.

  12. Writing Autobiographies: A Meaningful Way to Sensitize Trainee Teachers

    Science.gov (United States)

    Quintero, Josefina C.; López, Margarita M.; Zuluaga, Carmen T. C.

    2013-01-01

    This article discusses the final results from a research work which aimed to identify the pedagogical processes that emerge from the autobiographies that modern languages trainee teachers at the University of Caldas write. These autobiographies become a starting point to develop their teaching practicum, and are considered to be of great…

  13. Ethical dilemmas experienced by clinical psychology trainee therapists.

    Science.gov (United States)

    Bhola, Poornima; Sinha, Ananya; Sonkar, Suruchi; Raguram, Ahalya

    2015-01-01

    Ethical dilemmas are inevitable during psychotherapeutic interactions, and these complexities and challenges may be magnified during the training phase. The experience of ethical dilemmas in the arena of therapy and the methods of resolving these dilemmas were examined among 35 clinical psychologists in training, through an anonymous and confidential online survey. The trainees' responses to four open-ended questions on any one ethical dilemma encountered during therapy were analysed, using thematic content analysis. The results highlighted that the salient ethical dilemmas related to confidentiality and boundary issues. The trainees also raised ethical questions regarding therapist competence, the beneficence and non-maleficence of therapeutic actions, and client autonomy. Fifty-seven per cent of the trainees reported that the dilemmas were resolved adequately, the prominent methods of resolution being supervision or consultation and guidance from professional ethical guidelines. The trainees felt that the professional codes had certain limitations as far as the effective resolution of ethical dilemmas was concerned. The findings indicate the need to strengthen training and supervision methodologies and professional ethics codes for psychotherapists and counsellors in India.

  14. Evaluation of feedback given to trainees in medical specialties.

    Science.gov (United States)

    Tham, Tony Ck; Burr, Bill; Boohan, Mairead

    2017-07-01

    The aim of this study was to evaluate the quality of feedback provided to specialty trainees (ST3 or higher) in medical specialties during their workplace-based assessments (WBAs). The feedback given in WBAs was examined in detail in a group of 50 ST3 or higher trainees randomly selected from those taking part in a pilot study of changes to the WBA system conducted by the Joint Royal Colleges of Physicians Training Board. They were based in Health Education Northeast (Northern Deanery) and Health Education East of England (Eastern Deanery). Thematic analysis was used to identify commonly occurring themes. Feedback was mainly positive but there were differences in quality between specialties. Problems with feedback included insufficient detail, such that it was not possible to map the progression of the trainee, insufficient action plans made and the timing of feedback not being contemporaneous (feedback not being given at the time of assessment). Recommendations included feedback should be more specific; there need to be more options in the feedback forms for the supervisor to compare the trainee's performance to what is expected and action plans need to be made. © Royal College of Physicians 2017. All rights reserved.

  15. Exploring Emotional Intelligence among Master's-Level Counseling Trainees

    Science.gov (United States)

    Gutierrez, Daniel; Mullen, Patrick R.; Fox, Jesse

    2017-01-01

    The authors explored the relationship between counseling trainees' emotional intelligence (EI), empathy, stress, distress, and demographics. Results indicated that higher levels of EI were associated with lower stress and distress, higher affective and cognitive empathy, and age. These findings suggest curricular integration of EI and potential…

  16. Psychiatry Trainees' Training and Experience in Fetal Alcohol Spectrum Disorders

    Science.gov (United States)

    Eyal, Roy; O'Connor, Mary J.

    2011-01-01

    Background/Objective: Alcohol is a teratogen. Fetal alcohol spectrum disorders (FASDs) affect about 1% of live births, causing severe impairment. Individuals affected by FASDs are overrepresented in psychiatric settings. This study reports on the education and experience of psychiatry trainees in approaching FASDs. Method: Data were collected from…

  17. Clinical Skills Verification, Formative Feedback, and Psychiatry Residency Trainees

    Science.gov (United States)

    Dalack, Gregory W.; Jibson, Michael D.

    2012-01-01

    Objective: The authors describe the implementation of Clinical Skills Verification (CSV) in their program as an in-training assessment intended primarily to provide formative feedback to trainees, strengthen the supervisory experience, identify the need for remediation of interviewing skills, and secondarily to demonstrating resident competence…

  18. Transient analysis of a thermal storage unit involving a phase change material

    Science.gov (United States)

    Griggs, E. I.; Pitts, D. R.; Humphries, W. R.

    1974-01-01

    The transient response of a single cell of a typical phase change material type thermal capacitor has been modeled using numerical conductive heat transfer techniques. The cell consists of a base plate, an insulated top, and two vertical walls (fins) forming a two-dimensional cavity filled with a phase change material. Both explicit and implicit numerical formulations are outlined. A mixed explicit-implicit scheme which treats the fin implicity while treating the phase change material explicitly is discussed. A band algorithmic scheme is used to reduce computer storage requirements for the implicit approach while retaining a relatively fine grid. All formulations are presented in dimensionless form thereby enabling application to geometrically similar problems. Typical parametric results are graphically presented for the case of melting with constant heat input to the base of the cell.

  19. Knowledge model of trainee for training support system of plant operation

    Energy Technology Data Exchange (ETDEWEB)

    Furuhama, Yutaka; Furuta, Kazuo; Kondo, Shunsuke [Tokyo Univ. (Japan). Faculty of Engineering

    1996-10-01

    We have already proposed a knowledge model of a trainee, which model consists of two layers: hierarchical function and qualitative structure. We developed a method to generate normative operator knowledge based on this knowledge model structure, and to identify trainee`s intention by means of truth maintenance. The methods were tested by cognitive experiment using a prototype of training support system. (author)

  20. Assessing Changes in Counselor Trainees' Multicultural Competence Related to Service Learning

    Science.gov (United States)

    Lee, Debbiesiu L.; Rosen, Adam D.; McWhirter, J. Jeffries

    2014-01-01

    This mixed methods study examined changes in self-reported multicultural competence and distress reactions of 32 counselor trainees engaged in service learning. Whereas 3 trainees significantly increased in self-reported multicultural competence, 5 significantly decreased. Trainees who significantly increased in multicultural competence reported…

  1. PENDELEGASIAN TUGAS KEPADA TRAINEE DI MAIN KITCHEN GRAND ROYAL PANGHEGAR HOTEL BANDUNG

    Directory of Open Access Journals (Sweden)

    Asep Rijwan

    2016-03-01

      Abstrak - Masalah yang di teliti adalah bagaimana pendelegasian tugas kepadatraineedi main kitchen, bagaimana standar operasional prosedur pendelegasian tugas kepada trainee di main kitchen, serta bagaimana kesempatan dan peluang dari pendelegasian tugas kepada trainee di main kitchen.  Dalam hal pengolahan data, penulis menggunakan analisis deskriptif, yaitu metode yang berusaha mengumpulkan data dan sesuai dengan keadaan yang sebenarnya, menyajikan serta menganalisanya sehigga dapat memberikan gambaran yang cukup jelas atas objek yang diteliti dan kemudian di ambil kesimpulannya. Berdasarkan hasil observasi ini dapat disimpulkan bahwa pendelegasian tugas kepada trainee di Main Kitchen Grand Royal Panghegar Hotel sudah dilaksanakan dengan sangat baik, hal ini dapat dilihat dengan di selesaikannya delegasi tugas dengan baik pula oleh trainee. Standar operasional prosedur pendelegasian kepada trainee di Main Kitchen Grand Royal Panghegar Hotel sudah baik, hal ini dapat dilihat bahwa trainee dapat melaksanakan kegiatan- kegiatan yang ada di main kitchen dengan baik pula. Peluang dari pendelegasian tugas kepada trainee di Main Kitchen Grand Royal Panghegar Hotel menjadikan trainee lebih percaya diri, memiliki pengalaman baru dalam mengolah makanan, lebih meningkatnya skill trainee, dan memiliki pengetahuan yang lebih dari sebelumnya, dan staff pun tidak akan mendapat terlalu banyak beban pekerjaan, karena sebagian dapat dikerjakan oleh trainee dengan baik. Berdasarkan dari hasil observasi dan pembahasan tersebut, penulis menyimpulkan bahwa apabila standar operasional prosedur pendelegasian kepada Trainee dijalankan dengan baik, maka selain berdampak baik kepada trainee akan berdampak baik pula kepada staff atau hotel itu sendiri.

  2. Emotional Creativity (EC) among Pre-Service and In-Service Trainee Teachers

    Science.gov (United States)

    Singh, Gaurav; Kumar, Girijesh

    2010-01-01

    In the personality of a teacher, his emotional creativity is an important counterpart. In current study, researchers have carried out an investigation of emotional creativity of trainee teachers of pre-service and in-service trainee teachers. The objectives were to compare the emotional creativity of Trainee teachers of Pre-service Courses and…

  3. Self-Esteem and Emotional Intelligence among B.Ed Trainees of Tsunami Affected Coastal Belt

    Science.gov (United States)

    Babu M, Sameer

    2008-01-01

    Through this study the author investigates the relationship between self-esteem and emotional intelligence among B.Ed trainees of Tsunami affected coastal belt of Alappey district of Kerala, India. Stream of study, marital status and age based comparisons were made among the B.Ed trainees. 92 B.Ed trainees were the participants in the study. It…

  4. A United States perspective on long-term management of areas contaminated with radioactive materials

    International Nuclear Information System (INIS)

    Jones, C. R.

    2004-01-01

    The US has far-reaching and extensive experience in the long-term management of areas contaminated with radioactive materials. This experience base includes the Dept. of Energy's continued follow-up with Hiroshima and Nagasaki from the 1940's at the Radiological Effects Research Foundation in Hiroshima (Japan)), the long-term management of the Marshall Islands Programme, the clean-up of the US nuclear weapons complex and the ongoing management of accident sites such as in Palomares (Spain)). This paper discusses the lessons learnt and best practices gained from this far-reaching and extensive experience in the long-term management of areas contaminated with radioactive materials. (authors)

  5. Radiation exposure resulting from the transport of radioactive materials within the United Kingdom

    International Nuclear Information System (INIS)

    Shaw, K.B.; Mairs, J.H.; Gelder, R.; Hughes, J.S.; Holyoak, B.

    1983-01-01

    The transport of technetium generators for hospital use accounts for some 50% of the occupational exposure from the normal transport of radioactive materials. Other isotopes for medical and industrial use contribute about 35% of the occupational exposure and some 15% can be attributed to transportation as a result of the nuclear fuel cycle including the transport of irradiated nuclear fuel. 5 references, 6 tables

  6. Biomass and carbon attributes of downed woody materials in forests of the United States

    Science.gov (United States)

    C.W. Woodall; B.F. Walters; S.N. Oswalt; G.M. Domke; C. Toney; A.N. Gray

    2013-01-01

    Due to burgeoning interest in the biomass/carbon attributes of forest downed and dead woody materials (DWMs) attributable to its fundamental role in the carbon cycle, stand structure/diversity, bioenergy resources, and fuel loadings, the U.S. Department of Agriculture has conducted a nationwide field-based inventory of DWM. Using the national DWM inventory, attributes...

  7. Challenges to Library Materials from Principals in United States Secondary Schools--A "Victory" of Sorts.

    Science.gov (United States)

    Hopkins, Dianne McAfee

    1995-01-01

    Examines challenges to school library materials initiated by principals in public middle, junior, and senior high school libraries based on a 1990 survey. A review of literature emphasizing the leadership of principals, their role in school library program development, and the principal and school library censorship is included. (Author/LRW)

  8. What IAPT CBT High-Intensity Trainees Do After Training.

    Science.gov (United States)

    Liness, Sheena; Lea, Susan; Nestler, Steffen; Parker, Hannah; Clark, David M

    2017-01-01

    The UK Department of Health Improving Access to Psychological Therapies (IAPT) initiative set out to train a large number of therapists in cognitive behaviour therapies (CBT) for depression and anxiety disorders. Little is currently known about the retention of IAPT CBT trainees, or the use of CBT skills acquired on the course in the workplace after training has finished. This study set out to conduct a follow-up survey of past CBT trainees on the IAPT High Intensity CBT Course at the Institute of Psychiatry, Psychology and Neuroscience (IoPPN), King's College London (KCL), one of the largest IAPT High Intensity courses in the UK. Past trainees (n = 212) across 6 cohorts (2008-2014 intakes) were contacted and invited to participate in a follow-up survey. A response rate of 92.5% (n = 196) was achieved. The vast majority of IAPT trainees continue to work in IAPT services posttraining (79%) and to practise CBT as their main therapy modality (94%); 61% have become CBT supervisors. A minority (23%) have progressed to other senior roles in the services. Shortcomings are reported in the use of out-of-office CBT interventions, the use of disorder-specific outcome measures and therapy recordings to inform therapy and supervision. Past trainees stay working in IAPT services and continue to use CBT methods taught on the course. Some NICE recommended treatment procedures that are likely to facilitate patients' recovery are not being routinely implemented across IAPT services. The results have implications for the continued roll out of the IAPT programme, and other future large scale training initiatives.

  9. Do trainees feel that they belong to a team?

    Science.gov (United States)

    Price, Sophie; Lusznat, Rosie

    2017-05-18

    Postgraduate medical education has undergone significant reorganisation in recent years, with changes to the traditional apprenticeship model and an increasing reliance on shift working. The importance of teamwork in clinical care is well established; however, there is little literature on the extent to which trainees actually feel part of a team in the context of current working patterns. This is a qualitative study using semi-structured interviews of medical and surgical trainees. Data were analysed thematically using an inductive qualitative approach. Fifteen trainees who had worked in a range of hospitals across the UK participated. Emerging themes fell into several categories: what constitutes the team; the effect of shift patterns on the team; the role of the team in education, support and well-being; and influences on team rapport. Whilst in general interviewees felt part of a team, this was not true for all posts. The nature of the team was also highly variable, and had evolved from the traditional 'Firm' structure to a more nebulous concept. Shift-working patterns could result in the fragmentation of the team, which had implications for patient care as well as for training. The team played an important role in both education and well-being for trainees, and several factors were identified that could engender a more supportive team. With an ageing population and with increasing demands on limited resources, the requirement for shift work is likely to increase, and there is a fundamental need to maintain support for the next generation of doctors. There is little literature on the extent to which trainees actually feel part of a team. © 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

  10. [Professional Development Processes of Trainee and Experienced Psychotherapists in Turkey].

    Science.gov (United States)

    Bilican, F Işıl; Soygüt, Gonca

    2015-01-01

    This study explored professional characteristics of psychotherapists in Turkey, examined the changes in their professional developmental processes, and compared the professional characteristics of the trainees and experienced therapists. The participants were 88 psychotherapists, including trainee (N=37) and experienced (N=51) psychotherapists in Turkey. They completed the Development of Psychotherapists International Study-Common Core Questionnaire (DPCCQ), developed by the Collaborative Research Network. The participants identified with the cognitive theoretical orientation most often. 30% of the participants had more than two salient orientations. The most prevalent therapy modality was individual, followed by couples, family, and group psychotherapy. Ongoing supervision rate was 44%. Trainees scored lower on effectiveness in engaging patients in a working alliance, feeling natural while working with patients, effectiveness in communicating their understanding and concern to their patients, and feeling confident in their role as a therapist. Experienced therapists made changes in the therapeutic contract and invited collaboration from families more compared to the trainees. 63% of the variance in Healing Involvement was explained by Overall Career Development, Currently Experienced Growth, being influenced by the humanistic approach, and the impact of the main therapeutic environment; 26% of the variance in Stressful Involvement was explained by the length of official supervision received and having control over the length of therapy sessions. Therapists were more cognitively oriented, less eclectic, and had less supervision compared to their international counterparts. Experienced therapists were more flexible, natural, and confident than the trainees. Supervision, a supportive work environment, the humanistic approach, and investing in career development were essential to providing a healing experience.

  11. Appropriate working hours for surgical training according to Australasian trainees.

    Science.gov (United States)

    O'Grady, Gregory; Harper, Simon; Loveday, Benjamin; Adams, Brandon; Civil, Ian D; Peters, Matthew

    2012-04-01

    The demands of surgical training, learning and service delivery compete with the need to minimize fatigue and maintain an acceptable lifestyle. The optimal balance of working hours is uncertain. This study aimed to define the appropriate hours to meet these requirements according to trainees. All Australian and New Zealand surgical trainees were surveyed. Roster structures, weekly working hours and weekly 'sleep loss hours' (work practices were then correlated with sufficiency of training time, time for study, fatigue and its impacts, and work-life balance preferences. Multivariate and univariate analyses were performed. The response rate was 55.3% with responders representative of the total trainee body. Trainees who worked median 60 h/week (interquartile range: 55-65) considered their work hours to be appropriate for 'technical' and 'non-technical' training needs compared with 55 h/week (interquartile range: 50-60) regarded as appropriate for study/research needs. Working ≥65 h/week, or accruing ≥5.5 weekly 'sleep loss hours', was associated with increased fatigue, reduced ability to study, more frequent dozing while driving and impaired concentration at work. Trainees who considered they had an appropriate work-life balance worked median 55 h/week. Approximately, 60 h/week proved an appropriate balance of working hours for surgical training, although study and lifestyle demands are better met at around 55 h/week. Sleep loss is an important determinant of fatigue and its impacts, and work hours should not be considered in isolation. © 2012 The Authors. ANZ Journal of Surgery © 2012 Royal Australasian College of Surgeons.

  12. Assessment of extent and degree of thermal damage to polymeric materials in the Three Mile Island Unit 2 reactor building

    International Nuclear Information System (INIS)

    Alvares, N.J.

    1986-01-01

    This paper describes assumptions and procedures used to perform thermal damage analysis caused by post loss-of-coolant-accident (LOCA) hydrogen deflagration at Three Mile Island Unit 2 Reactor. Examination of available photographic evidence yields data on the extent and range of thermal and burn damage. Thermal damage to susceptible material in accessible regions of the reactor building was distributed in non-uniform patterns. No clear explanation for non-uniformity was found in examined evidence, e.g., burned materials were adjacent to materials that appear similar but were not burned. Because these items were in proximity to vertical openings that extend the height of the reactor building, the authors assume the unburned materials preferentially absorbed water vapor during periods of high, local steam concentration. A control pendant from the polar crane located in the top of the reactor building sustained asymmetric burn damage of decreasing degree from top to bottom. Evidence suggests the polar-crane pendant side that experienced heaviest damage was exposed to intense radiant energy from a transient fire plume in the reactor containment volume. Simple hydrogen-fire-exposure tests and heat transfer calculations approximate the degree of damage found on inspected materials from the containment building and support for an estimated 8% pre-fire hydrogen

  13. Temperature changes under demineralized dentin during polymerization of three resin-based restorative materials using QTH and LED units

    Directory of Open Access Journals (Sweden)

    Sayed-Mostafa Mousavinasab

    2014-08-01

    Full Text Available Objectives Light-curing of resin-based materials (RBMs increases the pulp chamber temperature, with detrimental effects on the vital pulp. This in vitro study compared the temperature rise under demineralized human tooth dentin during light-curing and the degrees of conversion (DCs of three different RBMs using quartz tungsten halogen (QTH and light-emitting diode (LED units (LCUs. Materials and Methods Demineralized and non-demineralized dentin disks were prepared from 120 extracted human mandibular molars. The temperature rise under the dentin disks (n = 12 during the light-curing of three RBMs, i.e. an Ormocer-based composite resin (Ceram. X, Dentsply DeTrey, a low-shrinkage silorane-based composite (Filtek P90, 3M ESPE, and a giomer (Beautifil II, Shofu GmbH, was measured with a K-type thermocouple wire. The DCs of the materials were investigated using Fourier transform infrared spectroscopy. Results The temperature rise under the demineralized dentin disks was higher than that under the non-demineralized dentin disks during the polymerization of all restorative materials (p 0.05. Conclusions Although there were no significant differences in the DCs, the temperature rise under demineralized dentin disks for the silorane-based composite was higher than that for dimethacrylate-based restorative materials, particularly with QTH LCU.

  14. Assessment of extent and degree of thermal damage to polymeric materials in the Three Mile Island Unit 2 Reactor building

    International Nuclear Information System (INIS)

    Alvares, N.J.

    1985-06-01

    This paper describes assumptions and procedures used to perform thermal damage analysis caused by post loss-of-coolant-accident (LOCA) hydrogen deflagration at Three Mile Island Unit 2 Reactor. Examination of available photographic evidence yields data on the extent and range of thermal and burn damage. Thermal damage to susceptible material in accessible regions of the reactor building was distributed in non-uniform patterns. No clear explanation for non-uniformity was found in examined evidence, e.g., burned materials were adjacent to materials that appear similar but were not burned. Because these items were in proximity to vertical openings that extend the height of the reactor building, we assume the unburned materials preferentially absorbed water vapor during periods of high, local steam concentration. A control pendant from the polar crane located in the top of the reactor building sustained asymmetric burn damage of decreasing degree from top to bottom. Evidence suggests the polar-crane pendant side that experienced heaviest damage was exposed to intense radiant energy from a transient fire plume in the reactor containment volume. Simple hydrogen-fire-exposure tests and heat transfer calculations approximate the degree of damage found on inspected materials from the containment building and support for an estimated 8% pre-fire hydrogen

  15. Radiation oncology career decision variables for graduating trainees seeking positions in 2003-2004

    International Nuclear Information System (INIS)

    Wilson, Lynn D.; Flynn, Daniel F.; Haffty, Bruce G.

    2005-01-01

    Purpose: Radiation oncology trainees must consider an array of variables when deciding upon an academic or private practice career path. This prospective evaluation of the 2004 graduating radiation oncology trainees, evaluates such variables and provides additional descriptive data. Methods: A survey that included 15 questions (one subjective, eleven categorical, and 3 continuous variables) was mailed to the 144 graduating radiation oncology trainees in United States programs in January of 2004. Questions were designed to gather information regarding factors that may have influenced career path choices. The responses were anonymous, and no identifying information was sought. Survey data were collated and analyzed for differences in both categorical and continuous variables as they related to choice of academic or private practice career path. Results: Sixty seven (47%) of the surveys were returned. Forty-five percent of respondents indicated pursuit of an academic career. All respondents participated in research during training with 73% participating in research publication authorship. Post graduate year-3 was the median in which career path was chosen, and 20% thought that a fellowship position was 'perhaps' necessary to secure an academic position. Thirty percent of the respondents revealed that the timing of the American Board of Radiology examination influenced their career path decision. Eighteen variables were offered as possibly influencing career path choice within the survey, and the top five identified by those seeking an academic path were: (1) colleagues, (2) clinical research, (3) teaching, (4) geography, (5) and support staff. For those seeking private practice, the top choices were: (1) lifestyle, (2) practice environment, (3) patient care, (4) geography, (5) colleagues. Female gender (p = 0.064), oral meeting presentation (p = 0.053), and international meeting presentation (p 0.066) were the variables most significantly associated with pursuing an

  16. Radiation oncology career decision variables for graduating trainees seeking positions in 2003-2004

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, Lynn D [Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT (United States); Flynn, Daniel F [Department of Radiation Oncology, Holy Family Hospital, Methuen, MA (United States); Haffty, Bruce G [Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT (United States)

    2005-06-01

    Purpose: Radiation oncology trainees must consider an array of variables when deciding upon an academic or private practice career path. This prospective evaluation of the 2004 graduating radiation oncology trainees, evaluates such variables and provides additional descriptive data. Methods: A survey that included 15 questions (one subjective, eleven categorical, and 3 continuous variables) was mailed to the 144 graduating radiation oncology trainees in United States programs in January of 2004. Questions were designed to gather information regarding factors that may have influenced career path choices. The responses were anonymous, and no identifying information was sought. Survey data were collated and analyzed for differences in both categorical and continuous variables as they related to choice of academic or private practice career path. Results: Sixty seven (47%) of the surveys were returned. Forty-five percent of respondents indicated pursuit of an academic career. All respondents participated in research during training with 73% participating in research publication authorship. Post graduate year-3 was the median in which career path was chosen, and 20% thought that a fellowship position was 'perhaps' necessary to secure an academic position. Thirty percent of the respondents revealed that the timing of the American Board of Radiology examination influenced their career path decision. Eighteen variables were offered as possibly influencing career path choice within the survey, and the top five identified by those seeking an academic path were: (1) colleagues, (2) clinical research, (3) teaching, (4) geography, (5) and support staff. For those seeking private practice, the top choices were: (1) lifestyle, (2) practice environment, (3) patient care, (4) geography, (5) colleagues. Female gender (p = 0.064), oral meeting presentation (p = 0.053), and international meeting presentation (p 0.066) were the variables most significantly associated with pursuing an

  17. Quality of colonoscopy performance among gastroenterology and surgical trainees: a need for common training standards for all trainees?

    LENUS (Irish Health Repository)

    Leyden, J E

    2011-11-01

    Cecal intubation and polyp detection rates are objective measures of colonoscopy performance. Minimum cecal intubation rates greater than 90% have been endorsed by the American Society for Gastrointestinal Endoscopy (ASGE) and the Joint Advisory Group (JAG) UK. Performance data for medical and surgical trainee endoscopists are limited, and we used endoscopy quality parameters to compare these two groups.

  18. Analysing the operative experience of basic surgical trainees in Ireland using a web-based logbook

    LENUS (Irish Health Repository)

    Lonergan, Peter E

    2011-09-25

    Abstract Background There is concern about the adequacy of operative exposure in surgical training programmes, in the context of changing work practices. We aimed to quantify the operative exposure of all trainees on the National Basic Surgical Training (BST) programme in Ireland and compare the results with arbitrary training targets. Methods Retrospective analysis of data obtained from a web-based logbook (http:\\/\\/www.elogbook.org) for all general surgery and orthopaedic training posts between July 2007 and June 2009. Results 104 trainees recorded 23,918 operations between two 6-month general surgery posts. The most common general surgery operation performed was simple skin excision with trainees performing an average of 19.7 (± 9.9) over the 2-year training programme. Trainees most frequently assisted with cholecystectomy with an average of 16.0 (± 11.0) per trainee. Comparison of trainee operative experience to arbitrary training targets found that 2-38% of trainees achieved the targets for 9 emergency index operations and 24-90% of trainees achieved the targets for 8 index elective operations. 72 trainees also completed a 6-month post in orthopaedics and recorded 7,551 operations. The most common orthopaedic operation that trainees performed was removal of metal, with an average of 2.90 (± 3.27) per trainee. The most common orthopaedic operation that trainees assisted with was total hip replacement, with an average of 10.46 (± 6.21) per trainee. Conclusions A centralised web-based logbook provides valuable data to analyse training programme performance. Analysis of logbooks raises concerns about operative experience at junior trainee level. The provision of adequate operative exposure for trainees should be a key performance indicator for training programmes.

  19. A United States perspective on long-term management of areas contaminated with radioactive materials.

    Science.gov (United States)

    Jones, C Rick

    2004-01-01

    The US has far-reaching and extensive experience in the long-term management of areas contaminated with radioactive materials. This experience base includes the Department of Energy's continued follow-up with Hiroshima and Nagasaki from the 1940s at the Radiological Effects Research Foundation in Hiroshima, Japan, the long-term management of the Marshall Islands Programme, the clean-up of the US nuclear weapons complex and the ongoing management of accident sites such as in Palomares, Spain. This paper discusses the lessons learnt and best practices gained from this far-reaching and extensive experience in the long-term management of areas contaminated with radioactive materials. Copyright 2004 Oxford University Press

  20. The radiological impact of the normal rail transport of radioactive materials in the United Kingdom

    International Nuclear Information System (INIS)

    Mairs, J.H.

    1983-01-01

    Recently the NRPB, under contract to the Health and Safety Executive, and in association with the British Railways Board, has assessed the radiological impact of consignments transported on the British Rail system. The work has shown the radiation exposure of British Rail staff and of the public to be low. This paper identifies the types of radioactive materials transported by rail, outlines the methods used to assess the doses to persons exposed and presents the results of these assessments. (author)

  1. United States of America Ocean Dumping Report for Calendar Year 1981. Dredged Material.

    Science.gov (United States)

    1982-06-01

    ocean dumping rules and regulations, F.R. Vol 42 No. 7, 11 Jan 1977 (2) Metals: () esame as above(3) Orga& nics : same as above 1). Other :iiLvs.is: (I...results: (1) Nutrients: Meets chemical - biological testing criteria II (2) Metals: * B 1 t U S(3) Orga! nics : b. Other analyses: (1) Metals: (2...description of dredged material, dredging, and transportation made: a. Description: Silty sand to silty clay noncohesive Hydrogen Sulfide smell. BIDDLE b

  2. Historic Properties Report: United States Army Materials and Mechanics Research Center, Watertown, Massachusetts

    Science.gov (United States)

    1984-12-01

    typescript, "Report on Inspection and Recommendations for Safety in the Workplace , 1914," describing working conditions at the Arsenal. The report also...breaking point, the development of radiography introduced non-destruc- tive materials testing techniques to Watertown and to the metallurgical field...Pioneered by Horace H. Lester in 1922, x- radiography was used for the inspection and control of castings and welds in foundry practice. (Fig. 5-8

  3. NUMATH: a nuclear material holdup estimator for unit operations and chemical processes

    International Nuclear Information System (INIS)

    Krichinsky, A.M.

    1982-01-01

    NUMATH provides inventory estimation by utilizing previous inventory measurements, operating data, and, where available, on-line process measurements. For the present time, NUMATH's purpose is to provide a reasonable, near-real-time estimate of material inventory until accurate inventory determination can be obtained from chemical analysis. Ultimately, it is intended that NUMATH will further utilize on-line analyzers and more advanced calculational techniques to provide more accurate inventory determinations and estimates

  4. United States assistance to Kazakstan in the area of nuclear material security

    International Nuclear Information System (INIS)

    Tittemore, G.; Mitchell, W.

    1996-01-01

    The US has agreed to pursue cooperative nuclear Material Protection, Control and Accounting (MPC and A) programs with the Republic of Kazakstan. As part of this cooperation, a state system of control accounting and physical protection for nuclear materials is being developed. The US Department of Energy is providing assistance at the four nuclear sites in the Republic to enhance MPC and A systems, techniques, hardware, software, procedures, and training. US survey teams, which include both material control and accounting (MC and A) and physical protection experts, have visited four nuclear sites in Kazakstan. MPC and A assistance is being provided to the Ulba State Holding Company, the Institute of Atomic Energy at Kurchatov City and Ala Tau, and the Mangyshlak Atomic Energy Complex (MAEC) BN-350 nuclear power plant in Aktau. At these sites, the facility staffs and DOE technical teams are working together to identify conditions not completely conforming with accepted international standards, as well as potential enhancements to correct such conditions. Design packages for enhancements at each of these facilities are prepared in collaboration with Kazakstani specialists. After agreement is reached on the specifications by the US and Kazakstan, MPC and A equipment is procured and installed. This paper summarizes the approach to the cooperative programs at these facilities, program status, and future plans

  5. Remote Detection and Location of Illegal Radioactive Materials Units in Uzbekistan

    International Nuclear Information System (INIS)

    Khaydarov, R. A.; Khaydarov, R. R.

    2007-01-01

    Uzbekistan is a checkpoint for transportation between Russia and some Asian countries, such as Iran, Pakistan, Afghanistan and Tajikistan that might be attractive destinations for those smuggling nuclear materials or weapons. Currently there are over 200 border crossing points. Most of them have equipped with monitors able to reliably detect nuclear materials. Uzbekistan also has substantial radioactive ore mining, and these monitors also allow the Customs Service to maintain safe conditions for their inspectors as well as for population of Uzbekistan and its neighbors. But it is very important to detect radioactive materials inland, their location and travel. This task cannot be solved by using stationary detectors which are used at border crossing points. New method, electronic scheme and software for remote detection, location and travel of radioactive sources were developed. The operation principle lies in detection of radiation by 6 detectors situated in a leaden cylindrical shield collimating gamma-radiation in 6 directions. Besides the detection system contains 6 amplifiers, 6 counters and JPS-system connected with computer. The detection system is transported by car. Field tests of the detection system have shown that the detection limit is 5. 106 Bq and 4.106 Bq for Co60 and Cs137 respectively when the radioactive sources distance is 400 m. (author)

  6. Performance of Loaded Thermal Storage Unit with a Commercial Phase Change Materials based on Energy and Exergy Analysis

    Directory of Open Access Journals (Sweden)

    Abdullah Nasrallh Olimat

    2017-11-01

    Article History: Received July 6th 2017; Received in revised form September 15th 2017; Accepted 25th Sept 2017; Available online How to Cite This Article: Olimat, A.N., Awad, A.S., Al-Gathain, F.M., and Shaban, N.A.. (2017 Performance of Loaded Thermal Storage Unit With A Commercial Phase Change Materials Based on Energy and Exergy Analysis. International Journal of Renewable Energy Develeopment, 6(3,283-290. https://doi.org/10.14710/ijred.6.3.283-290

  7. Clouds and silver linings: training experiences of psychodynamically oriented mental health trainees.

    Science.gov (United States)

    Rouff, L C

    2000-01-01

    This paper discusses the experiences of today's psychodynamically oriented mental health trainees. Recent changes in the training environment, such as the increase in managed care, rise in use of psychotropic medication, the waning popularity of psychodynamic thinking, and reduced funding for psychotherapy training, in general, have all affected current trainees' professional development. In particular, trainees struggle with problems of demoralization, professional isolation, and reduced financial opportunities. Advantages that current trainees experience, as well as suggestions for training directors and trainees, will also be discussed.

  8. Sweden, United States and nuclear energy. The establishment of a Swedish nuclear materials control 1945-1995

    International Nuclear Information System (INIS)

    Jonter, T.

    1999-05-01

    This report deals mainly with the United States nuclear energy policy towards Sweden 1945-1960. Although Sweden contained rich uranium deposits and retained high competence in the natural sciences and technology, the country had to cooperate with other nations in order to develop the nuclear energy. Besides developing the civil use of nuclear power, the Swedish political elite also had plans to start a nuclear weapons programme. From the beginning of the 1950s up to 1968, when the Swedish parliament decided to sign the non-proliferation treaty, the issue was widely debated. In this report, American policy is analyzed in two periods. In the first period, 1945-1953, the most important aim was to prevent Sweden from acquiring nuclear materials, technical know-how, and advanced equipment which could be used in the production of nuclear weapons. The Swedish research projects were designed to contain both a civil and military use of nuclear energy. The first priority of the American administration was to discourage the Swedes from exploiting their uranium deposits, especially for military purposes. In the next period, 1953-1960, the American policy was characterized by extended aid to the development of the Swedish energy programme. Through the 'Atoms for Peace'-programme, the Swedish actors now received previously classified technical information and nuclear materials. Swedish companies and research centers could now buy enriched uranium and advanced equipment from the United States. This nuclear trade was, however, controlled by the American Atomic Energy Commission (AEC). The American help was shaped to prevent the Swedes from developing nuclear weapons capability. From mid-50s Swedish politicians and defence experts realised that a national production of nuclear bombs would cost much more money than was supposed 4-5 years earlier. As a consequence, Swedish officials started to explore the possibilities of acquiring nuclear weapons from United States. The American

  9. JNC-JAERI united research report. A study on degradation of structural materials under irradiation environment in nuclear reactors

    International Nuclear Information System (INIS)

    Hoshiya, Taiji; Takaya, Shigeru; Nagae, Yuji; Aoto, Kazumi; Abe, Yasuhiro; Nakamura, Yasuo; Ueno, Fumiyoshi; Nemoto, Yoshiyuki; Miwa, Yukio; Tsukada, Takashi; Ohmi, Masao; Saito, Junichi; Shimizu, Michio

    2004-10-01

    Japan Nuclear Cycle Development Institute (JNC) and Japan Atomic Energy Research Institute (JAERI) have started a JNC-JAERI united research program cooperatively in fiscal year 2003, which has been aimed for efficient progress and synergistic effect on the research activities of both Institutes in order to lead the facing task of unification between JNC and JAERI. This study has been chosen one of the united research themes because it has been common objective for both Institutes in the research field of structural materials such as Fast Breeder Reactor and Light Water Reactors components. The purpose of the study is to clarify damage mechanism of structural materials under irradiation, and then to develop the methods for damage evaluation and detection in earlier stage of progressing process of damage along grain boundaries. In fiscal year 2003, magnetic flux density distribution (JNC) and micro-corrosion (JAERI) measurement apparatus were newly developed and equipped in Hot Facilities in two Institutes, respectively. The former apparatus, supersensitive Flux Gate sensor was installed, could detector leaked magnetic flux from material damaged by neutron irradiation. The latter one, Atomic Force Microscope was installed, could detect grain boundary corrosion loss after an electrochemical corrosion test of irradiated material. These apparatus were designed and produced in consideration of radiation resistance and remote-controlled operation to equip in hot cells. As the results of preliminary studies using Ni ion irradiated specimen, damage detection by corrosion property in grain boundary was possible but magnetic property change could not detect. We will start the study on neutron irradiation damage by employing the two apparatus as the next step. (author)

  10. Design and development of an ultrasonic pulser-receiver unit for non-destructive testing of materials

    International Nuclear Information System (INIS)

    Patankar, V.H.; Joshi, V.M.

    2002-11-01

    The pulser/receiver constitutes the most vital part of an ultrasonic flaw detector or an ultrasonic imaging system used for inspection of materials. The ultrasonic properties of the material and resolution requirements govern the choice of the frequency of ultrasound that can be optimally used. The pulser/receiver in turn decides the efficiency of excitation of the transducer and the overall signal to noise ratio of the system for best sensitivity and resolution. A variety of pulsers are used in the ultrasonic instruments employed for materials inspection. This report describes a square wave type of an ultrasonic pulser-receiver unit developed at Ultrasonic Instrumentation Section, Electronics Division, BARC. It has been primarily designed for excitation of the transducer that is used with a multi-channel ultrasonic imaging system ULTIMA 100M targeted for inspection of SS403 billets, which are in turn used as the base material for fabrication of end fittings for coolant channels of pressurized heavy water nuclear reactors (PHWRs). The design of the pulser is based upon very fast MOSFETs, configured as electronic switches. The pulser is operated with a linear bipolar H.V. supply (+/- 500V max.). The receiver provides a 60 dB gain with a -3 dB BW of 40 MHz. This pulser/receiver unit has been successfully interfaced with a 4 channel ULTIMA 100 M4 multichannel ultrasonic C-scan imaging system, also designed and developed by the authors at Ultrasonic Instrumentation Section (Electronics Division, BARC) and supplied to Centre for Design and Manufacturer - CDM, BARC. This system is being regularly used in C-scan imaging mode for volumetric inspection of SS403 billets for end fittings of 500 MWe PHWRs. (author)

  11. Temperature changes under demineralized dentin during polymerization of three resin-based restorative materials using QTH and LED units.

    Science.gov (United States)

    Mousavinasab, Sayed-Mostafa; Khoroushi, Maryam; Moharreri, Mohammadreza; Atai, Mohammad

    2014-08-01

    Light-curing of resin-based materials (RBMs) increases the pulp chamber temperature, with detrimental effects on the vital pulp. This in vitro study compared the temperature rise under demineralized human tooth dentin during light-curing and the degrees of conversion (DCs) of three different RBMs using quartz tungsten halogen (QTH) and light-emitting diode (LED) units (LCUs). Demineralized and non-demineralized dentin disks were prepared from 120 extracted human mandibular molars. The temperature rise under the dentin disks (n = 12) during the light-curing of three RBMs, i.e. an Ormocer-based composite resin (Ceram. X, Dentsply DeTrey), a low-shrinkage silorane-based composite (Filtek P90, 3M ESPE), and a giomer (Beautifil II, Shofu GmbH), was measured with a K-type thermocouple wire. The DCs of the materials were investigated using Fourier transform infrared spectroscopy. The temperature rise under the demineralized dentin disks was higher than that under the non-demineralized dentin disks during the polymerization of all restorative materials (p 0.05). Although there were no significant differences in the DCs, the temperature rise under demineralized dentin disks for the silorane-based composite was higher than that for dimethacrylate-based restorative materials, particularly with QTH LCU.

  12. United States of America [Status and technology of polymer-containing fibrous materials in the Western Hemisphere

    International Nuclear Information System (INIS)

    Rotariu, G.J.; Mott, W.E.

    1968-01-01

    A research and development program on the radiation curing of wood impregnated with a monomer was initiated in the United States in 1961 by the U.S. Atomic Energy Commission at West Virginia University; this program has continued until today. The USAEC has also sponsored three studies covering different geographical areas of the country, in an attempt to determine the potential of wood-polymer materials. Another effort led to the design of a 200 pound per hour pilot plant for the manufacture of wood-methyl methacrylate materials and projected costs for a 300 pound per hour production plant. And the most recent AEC study involved the evaluation of over 8000 pounds of wood-polymer materials by 68 manufacturers of wood products; the wood-polymer materials utilizing 41 species of wood were produced for the AEC by Lockheed-Georgia Company, Dawsonville, Georgia. In 1965, studies on the thermal-catalytic production of wood polymers were begun at the College of Forestry, Syracuse University, Syracuse, New York

  13. United States of America [Status and technology of polymer-containing fibrous materials in the Western Hemisphere

    Energy Technology Data Exchange (ETDEWEB)

    Rotariu, G. J.; Mott, W. E. [United States Atomic Energy Commission, Washington, DC 2054 (United States)

    1968-10-15

    A research and development program on the radiation curing of wood impregnated with a monomer was initiated in the United States in 1961 by the U.S. Atomic Energy Commission at West Virginia University; this program has continued until today. The USAEC has also sponsored three studies covering different geographical areas of the country, in an attempt to determine the potential of wood-polymer materials. Another effort led to the design of a 200 pound per hour pilot plant for the manufacture of wood-methyl methacrylate materials and projected costs for a 300 pound per hour production plant. And the most recent AEC study involved the evaluation of over 8000 pounds of wood-polymer materials by 68 manufacturers of wood products; the wood-polymer materials utilizing 41 species of wood were produced for the AEC by Lockheed-Georgia Company, Dawsonville, Georgia. In 1965, studies on the thermal-catalytic production of wood polymers were begun at the College of Forestry, Syracuse University, Syracuse, New York.

  14. Materialism.

    Science.gov (United States)

    Melnyk, Andrew

    2012-05-01

    Materialism is nearly universally assumed by cognitive scientists. Intuitively, materialism says that a person's mental states are nothing over and above his or her material states, while dualism denies this. Philosophers have introduced concepts (e.g., realization and supervenience) to assist in formulating the theses of materialism and dualism with more precision, and distinguished among importantly different versions of each view (e.g., eliminative materialism, substance dualism, and emergentism). They have also clarified the logic of arguments that use empirical findings to support materialism. Finally, they have devised various objections to materialism, objections that therefore serve also as arguments for dualism. These objections typically center around two features of mental states that materialism has had trouble in accommodating. The first feature is intentionality, the property of representing, or being about, objects, properties, and states of affairs external to the mental states. The second feature is phenomenal consciousness, the property possessed by many mental states of there being something it is like for the subject of the mental state to be in that mental state. WIREs Cogn Sci 2012, 3:281-292. doi: 10.1002/wcs.1174 For further resources related to this article, please visit the WIREs website. Copyright © 2012 John Wiley & Sons, Ltd.

  15. Teaching health-care trainees empathy and homelessness IQ through service learning, reflective practice, and altruistic attribution.

    Science.gov (United States)

    Chrisman-Khawam, Leanne; Abdullah, Neelab; Dhoopar, Arjun

    2017-05-01

    This article describes a novel inter-professional curriculum designed to address the needs of homeless patients in a Midwestern region of the United States which has high rates of poverty. The curriculum is intended for healthcare trainees coming from undergraduate pre-medical programs, nursing, pharmacy, social work, clinical psychology, medical school and post-graduate medical training in family medicine, medicine-pediatrics, and psychiatry. The clinical component is specifically designed to reach destitute patients and the curriculum is structured to reverse commonly held myths about homelessness among the trainees, thereby improving their Homelessness Information Quotient, the ability to more fully understand homelessness. Participants across all disciplines and specialties have shown greater empathy and helper behavior as determined by qualitative measures. Learners have also developed a greater understanding of health-care systems allowing them to more consistently address social determinants of health identified by the authors as their Disparity Information Quotient. This article outlines the process of initiating a homeless service program, a curriculum for addressing common myths about homelessness and the effective use of narrative methods, relational connections, and reflective practice to enable trainees to process their experience and decrease burnout by focusing on the value of altruism and finding meaning in their work.

  16. Transport of radioactive material in the United States: results of a survey to determine the magnitude and characteristics of domestic, unclassified shipments of radioactive materials. Final report

    International Nuclear Information System (INIS)

    Javitz, H.S.; Lyman, T.R.; Maxwell, C.; Myers, E.L.; Thompson, C.R.

    1985-04-01

    SRI International has completed a project for the Sandia National Laboratories designed to create a statistical data base identifying the volume and characteristics of shipments of unclassified radioactive materials (RAM)* in the continental United States. Agencies providing resources for this project have included: Nuclear Regulatory Commission (NRC) Department of Transportation (DOT) Department of Energy (DOE) Federal Emergency Management Agency (FEMA). Technical management of the project was the responsibility of the Transportation Technology Center (TTC) of Sandia National Laboratories. This report is intended only as a brief summary of a project having as its primary product the Radioactive Materials Transportation (RAMT) survey data base provided by SRI to TTC. The data in the RAMT data base comes from two principal sources - a survey of NRC and Agreement State licensees (referred to as the Licensee survey) and a survey of DOE contractors (referred to as the DOE survey). This report provides summary information on: project background; objectives; approach; survey response; basic tables and discussion of shipment characteristics; and technical appendices. 21 figs., 15 tabs

  17. Current status of control of radiation sources and radioactive materials in the United Republic of Tanzania

    International Nuclear Information System (INIS)

    Nyaruba, M.M.; Mompome, W.K.

    2001-01-01

    A Protection from Radiation Act was enacted in Tanzania in 1983 to regulate the use of ionizing radiation and protect people against its danger. The Act established a regulatory authority known as National Radiation Commission (NRC), which is the corporate body to enforce the law and regulations. From the beginning of 2000, the NRC has kept inventory of 200 and 324 radiation installations, and radiation sources and radioactive materials in the country, respectively; and has provided personnel monitoring services to 665 radiation workers. However, due to the trade liberalization that is currently being experienced in the country, the increase in the number of radiation practices is observed yearly. To cope with the situation, the whole system of notification, authorization, registration and licensing needs to be improved. The improvement has now started by amending the existing Protection from Radiation Act. (author)

  18. Method to develop data supporting consequence analyses of transporting nuclear materials in the United States

    International Nuclear Information System (INIS)

    Reese, R.T.; Sandoval, R.P.

    1980-01-01

    The Transportation System Safety Evaluation (TSSE) program at Sandia National Laboratories' Transportation Technology Center was initiated to provide the necessary information on source terms for nuclear materials subjected to extreme environments. The techniques for derivation of source terms for the fuel alone has been described as well as the outline for package response. An additional facet of this problem is the development of analytical methods to describe the transport of the released radionuclides from the fuel rods to possible release points. This work is also covered in the TSSE program. Not all the work required will be performed or funded by Sandia; rather existing work will be sought out and ongoing work will be utilized in an attempt to unify the presentation of data and thus increase its usefulness

  19. Nanocluster metal films as thermoelectric material for radioisotope mini battery unit

    International Nuclear Information System (INIS)

    Borisyuk, P.V.; Krasavin, A.V.; Tkalya, E.V.; Lebedinskii, Yu.Yu.; Vasiliev, O.S.; Yakovlev, V.P.; Kozlova, T.I.; Fetisov, V.V.

    2016-01-01

    The paper is devoted to studying the thermoelectric and structural properties of films based on metal nanoclusters (Au, Pd, Pt). The experimental results of the study of single nanoclusters’ tunneling conductance obtained with scanning tunneling spectroscopy are presented. The obtained data allowed us to evaluate the thermoelectric power of thin film consisting of densely packed individual nanoclusters. It is shown that such thin films can operate as highly efficient thermoelectric materials. A scheme of miniature thermoelectric radioisotope power source based on the thorium-228 isotope is proposed. The efficiency of the radioisotope battery using thermoelectric converters based on nanocluster metal films is shown to reach values up to 1.3%. The estimated characteristics of the device are comparable with the parameters of up-to-date radioisotope batteries based on nickel-63.

  20. Emergency response capabilities developed in the United States to deal with nuclear materials transportation accidents

    International Nuclear Information System (INIS)

    Vandevender, S.G.; Reese, R.T.; Schilling, A.H.

    1980-01-01

    The non-existence of emergency response programs is frequently stated as a reason for restricting the movement of radioactive materials through states or local jurisdictions. Yet, studies discussed here indicate that emergency response capability, while not in the best condition, is getting more money, interest and attention, and in most states response networks exist which could be effective in responding to radiological emergencies. Awareness of such capabilities by the public is an important feature in increasing the public's confidence in the ability of federal, state and local officials in controlling hazards. One aspect of this awareness program could be in broader availability of radioactive emergency techniques for possible first responders to emergencies. This training, public awareness and more emphasis on workable emergency plans will help to assure reliable and workable emergency response plans

  1. Material Units, Structures/Landforms, and Stratigraphy for the Global Geologic Map of Ganymede (1:15M)

    Science.gov (United States)

    Patterson, G. Wesley; Head, James W.; Collins, Geoffrey C.; Pappalardo, Robert T.; Prockter, Louis M.; Lucchitta, Baerbel K.

    2008-01-01

    In the coming year a global geological map of Ganymede will be completed that represents the most recent understanding of the satellite on the basis of Galileo mission results. This contribution builds on important previous accomplishments in the study of Ganymede utilizing Voyager data and incorporates the many new discoveries that were brought about by examination of Galileo data. Material units have been defined, structural landforms have been identified, and an approximate stratigraphy has been determined utilizing a global mosaic of the surface with a nominal resolution of 1 km/pixel assembled by the USGS. This mosaic incorporates the best available Voyager and Galileo regional coverage and high resolution imagery (100-200 m/pixel) of characteristic features and terrain types obtained by the Galileo spacecraft. This map has given us a more complete understanding of: 1) the major geological processes operating on Ganymede, 2) the characteristics of the geological units making up its surface, 3) the stratigraphic relationships of geological units and structures, and 4) the geological history inferred from these relationships. A summary of these efforts is provided here.

  2. Rechargeable biofilm-controlling tubing materials for use in dental unit water lines.

    Science.gov (United States)

    Luo, Jie; Porteous, Nuala; Sun, Yuyu

    2011-08-01

    A simple and practical surface grafting approach was developed to introduce rechargeable N-halamine-based antimicrobial functionality onto the inner surfaces of continuous small-bore polyurethane (PU) dental unit waterline (DUWL) tubing. In this approach, tetrahydrofuran (THF) solution of a free-radical initiator, dicumyl peroxide (DCP), flowed through the PU tubing (inner diameter of 1/16 in., or 1.6 mm) to diffuse DCP into the tubing's inner walls, which was used as initiator in the subsequent grafting polymerization of methacrylamide (MAA) onto the tubing. Upon chlorine bleach treatment, the amide groups of the grafted MAA side chains were transformed into acyclic N-halamines. The reactions were confirmed with attenuated total reflectance infrared (ATR) spectra and iodometric titration. The mechanical properties of the tubing were not significantly affected by the grafting reactions. The biofilm-controlling function of the new N-halamine-based PU tubing was evaluated with Pseudomonas aeruginosa (P. aeruginosa), one of the most isolated water bacteria from DUWLs, in a continuous bacterial flow model. Bacteria culturing and SEM studies showed that the inner surfaces of the new N-halamine-based PU tubing completely prevented bacterial biofilm formation for at least three to four weeks. After that, bacteria began to colonize the tubing surface. However, the lost function was fully regenerated by exposing the tubing inner surfaces to diluted chlorine bleach. The recharging process could be repeated periodically to further extend the biofilm-controlling duration for long-term applications.

  3. The projected environmental impacts of transportation of radioactive material to the first United States repository site

    International Nuclear Information System (INIS)

    Cashwell, J.W.; Neuhauser, K.S.; Reardon, P.C.; McNair, G.W.

    1987-01-01

    The relative national environmental impacts of transporting spent fuel and other nuclear wastes to each of 9 candidate repository sites in the United States were analyzed for the 26-year period of repository operation. Two scenarios were examined for each repository: 1) shipment of 5-year-old spent fuel and Defence High-Level Waste (DHLW) directly from their points of origin to a repository (reference case); and 2) shipment of 5-year-old spent fuel to a Monitored Retrievable Storage (MRS) facility and shipment (by dedicated rail) of 10-year-old consolidated spent fuel from the MRS to a repository. Transport by either all truck or all rail from the points of origin were analyzed as bounding cases. The computational system used to analyze these impacts included the WASTES II logistics code and the RADTRAN III risk analysis code. The radiological risks for the reference case increased as the total shipment miles to a repository increased for truck; the risks also increased with mileage for rail but at a lower rate. For the MRS scenario the differences between repository sites were less pronounced for both modal options, because of the reduction in total shipment miles possible with the large dedicated rail casks. All the risks reported are small in comparison to the radiological risks due to 'natural background'

  4. MUSCULOSKELETAL PAIN TRAINEES IN PHYSICAL THERAPY OF UESB

    Directory of Open Access Journals (Sweden)

    Marta Rodrigues Barreto Neta

    2015-01-01

    Full Text Available To determine musculoskeletal disorders presented in algic way of undergraduates supervised I and II of the physiotherapy course at the State University of Southwest Bahia, Jequié campus. The study of descriptive, transversal and quantitative character, with a sample of 35 trainees of the physiotherapy course at the State University of Southwest Bahia. Data were obtained through questionnaires demographic social, Nordic and Mc Gill. Of the participants 20% were male and 80% female, aged between 20-29 years (23 ± 2. The regions most affected by musculoskeletal disorders in the current period, 7 days and 12 months were the lower back (40%, shoulder (28,6%, neck and upper back (25.7%. Regarding the classification of pain, trainees described as tiring (60%; thin (40%; sharp and stabbing (34%. This study concluded that physiotherapy graduates have high musculoskeletal pain complaints, before entering the labor market.

  5. MUSCULOSKELETAL PAIN TRAINEES IN PHYSICAL THERAPY OF UESB

    Directory of Open Access Journals (Sweden)

    Marta Rodrigues Barreto Neta

    2015-05-01

    Full Text Available To determine musculoskeletal disorders presented in algic way of undergraduates supervised I and II of the physiotherapy course at the State University of Southwest Bahia, Jequié campus. The study of descriptive, transversal and quantitative character, with a sample of 35 trainees of the physiotherapy course at the State University of Southwest Bahia. Data were obtained through questionnaires demographic social, Nordic and Mc Gill. Of the participants 20% were male and 80% female, aged between 20-29 years (23 ± 2. The regions most affected by musculoskeletal disorders in the current period, 7 days and 12 months were the lower back (40%, shoulder (28,6%, neck and upper back (25.7%. Regarding the classification of pain, trainees described as tiring (60%; thin (40%; sharp and stabbing (34%. This study concluded that physiotherapy graduates have high musculoskeletal pain complaints, before entering the labor market.

  6. Trainees' perceptions of practitioner competence during patient transfer.

    Science.gov (United States)

    Grierson, Lawrence; Dubrowski, Adam; So, Steph; Kistner, Nicole; Carnahan, Heather

    2012-01-01

    Technical and communicative skills are both important features for one's perception of practitioner competence. This research examines how trainees' perceptions of practitioner competence change as they view health care practitioners who vary in their technical and communicative skill proficiencies. Occupational therapy students watched standardized encounters of a practitioner performing a patient transfer in combinations of low and high technical and communicative proficiency and then reported their perceptions of practitioner competence. The reports indicate that technical and communicative skills have independently identifiable impacts on the perceptions of practitioner competency, but technical proficiency has a special impact on the students' perceptions of practitioner communicative competence. The results are discussed with respect to the way in which students may evaluate their own competence on the basis of either technical or communicative skill. The issue of how this may lead trainees to dedicate their independent learning efforts to an incomplete set of features needed for the development of practitioner competency is raised.

  7. Palatalization in English: An Articulation Problem for Turkish Teacher Trainees

    Directory of Open Access Journals (Sweden)

    Prof. Dr. Mehmet Demirezen

    2005-04-01

    Full Text Available In the field of teacher training, there is a scarcity of teaching pronunciation teachingmethodology to cure the fossilized mistakes of teacher trainees and foreign language teacherson-the-job. A case study pertaining to this situation is handled for the first time in this articleunder the title of “Audio-articulation Method” (Demirezen, 2003; Hişmanoğlu, 2004. Thismethod takes up a fossilized mistake of teacher trainees or teachers on-the-job in fifty minutesand brings in pronunciation correction by using tongue-twisters, idioms, proverbs, and thelike. Thus, it cures the fossilized mistake to a grater extent by creating a higher awareness andimproving communicative fluency. This method through task-based point of view removesthe related fossilized mistake and brings in pronunciation betterment to the teacher traineesand the teachers on-the-job.

  8. [What do family medicine trainees think about gratitude payment?

    Science.gov (United States)

    Győrffy, Zsuzsa; Kalabay, László; Mohos, András; Márkus, Bernadett; Nánási, Anna; Rinfel, József; Girasek, Edmond; Torzsa, Péter

    2017-07-01

    The issue of gratuity is one of the most important health policy issues in Hungary. The authors' aim is to investigate the attitude of Hungarian family medicine trainees towards gratitude payment. Quantitative, paper-based survey among trainees from four Departments of Family Medicine in Hungary (n = 152). More than 50 percent of the residents do not approve of accepting gratitude money. Men (pgratitude patients feel (52%). According to the participants, the least influencing factor was the low salary of physicians (14.4%). They believe that accepting gratuity is a corruption, and it's humiliating for doctors (80-80%). Family medicine residents approve of gratitude money even less as compared to the results of previous studies, but related to other gratitude payment issues we have found similar opinions. Orv Hetil. 2017; 158(26): 1028-1035.

  9. Inclusion and exclusion processes in teacher trainees' professional practice

    DEFF Research Database (Denmark)

    Elle, Birgitte

    In the autumn of 2009, a new initiative and way of thinking about teacher education started on a small scale in Denmark. This new Danish initiative consisted of a simultaneous trainee employment at a school, and maintaining the study activities at the teacher education college. This initiative...... differs from other ways that are well-known in western countries, of organising teacher education as school-based, with a strong workplace focus, as well as from the use of the teacher assistant as support staff in schools, or later in-service teacher education. This paper will discuss key findings...... between the teacher training college, the trainee jobs and the learning processes of the students. The results of the study are important for rethinking teacher education, but also for future discussions on the possible directions for the renewal of university colleges. It contributes to an understanding...

  10. A survey of collection development for United States Medical Licensing Examination (USMLE) and National Board Dental Examination (NBDE) preparation material.

    Science.gov (United States)

    Hendrix, Dean; Hasman, Linda

    2008-07-01

    The research sought to ascertain medical and dental libraries' collection development policies, evaluation methods, purchase decisions, and issues that relate to print and electronic United States Medical Licensing Examination (USMLE) and National Board Dental Examination (NBDE) preparation materials. The investigators surveyed librarians supporting American Association of Medical Colleges (AAMC)-accredited medical schools (n = 58/125) on the USMLE and librarians supporting American Dental Association (ADA)-accredited dental schools (n = 23/56) on the NBDE. The investigators analyzed the data by cross-tabulating and filtering the results using EFM Continuum web survey software. Investigators also surveyed print and electronic USMLE and NBDE preparation materials from 2004-2007 to determine the number of publications and existence of reviews. A majority of responding AAMC libraries (62%, n = 58) provide at least 1 electronic or online USMLE preparation resource and buy an average of 11.6 print USMLE titles annually. Due to a paucity of NBDE print and electronic resources, ADA libraries bought significantly fewer print resources, and only 1 subscribed to an electronic resource. The most often reported evaluation methods for both populations were feedback from medical or dental students, feedback from medical or dental faculty, and online trials. Some AAMC (10%, n = 58) and ADA libraries (39%, n = 23) libraries reported that no evaluation of these materials occured at their libraries. From 2004-2007, publishers produced 45 USMLE preparation resources (total n = 546) to every 1 NBDE preparation resource (total n = 12). Users' needs, institutional missions and goals, financial status, and official collection policies most often underlie decisions to collect or not collect examination preparation materials. Evaluating the quality of examination preparation materials can be problematic due to lack of published reviews, lack of usability testing by libraries, and

  11. Fracture Strength of Three-Unit Implant Supported Fixed Partial Dentures with Excessive Crown Height Fabricated from Different Materials

    Directory of Open Access Journals (Sweden)

    Vahideh Nazari

    2017-01-01

    Full Text Available Objectives: Fracture strength is an important factor influencing the clinical long-term success of implant-supported prostheses especially in high stress situations like excessive crown height space (CHS. The purpose of this study was to compare the fracture strength of implant-supported fixed partial dentures (FPDs with excessive crown height, fabricated from three different materials.Materials and Methods: Two implants with corresponding abutments were mounted in a metal model that simulated mandibular second premolar and second molar. Thirty 3-unit frameworks with supportive anatomical design were fabricated using zirconia, nickel-chromium alloy (Ni-Cr, and polyetheretherketone (PEEK (n=10. After veneering, the CHS was equal to 15mm. Then; samples were axially loaded on the center of pontics until fracture in a universal testing machine at a crosshead speed of 0.5 mm/minute. The failure load data were analyzed by one-way ANOVA and Games-Howell tests at significance level of 0.05.Results: The mean failure loads for zirconia, Ni-Cr and PEEK restorations were 2086±362N, 5591±1200N and 1430±262N, respectively. There were significant differences in the mean failure loads of the three groups (P<0.001. The fracture modes in zirconia, metal ceramic and PEEK restorations were cohesive, mixed and adhesive type, respectively.Conclusions: According to the findings of this study, all implant supported three-unit FPDs fabricated of zirconia, metal ceramic and PEEK materials are capable to withstand bite force (even para-functions in the molar region with excessive CHS.Keywords: Dental Implants; Polyetheretherketone; Zirconium oxide; Dental Restoration Failure; Dental Porcelain

  12. Factors influencing career choices in radiology trainees in Queensland, Australia.

    Science.gov (United States)

    Ip, S W; Ko, H S; Applegate, K E

    2010-04-01

    The aim of this study was to investigate factors influencing career choices in radiology trainees. We distributed a 27-question written survey to all radiology registrars in Queensland. The questions investigated whether radiology was their first specialty choice, career satisfaction, ideal working conditions and attitudes regarding having children during the time of training. Forty-four of 51 surveys were returned (86% participation rate, 73% men, P = 0.048055) with 100% reporting a high job satisfaction; 28% of male registrars compared to 8% of female registrars did extra work outside of training to earn extra money (P = 0.000003), and 17% of female registrars took a leave of absence during their training, while no male registrar did (P = 0.087923). Only one female trainee worked part-time (P = 0.272727). In addition, 58% of female registrars planned a pregnancy (P = 0.731789) before completion of training; 83% of women versus 75% of men had no children (P = 0.329263). Only 5% of trainees agreed that it was easy to arrange part-time training, only 14% stated that it was easy to negotiate flexible work schedules and 7% agreed that it was easy to return to work after a period of absence. 'Time spent with immediate family' was rated the most important lifestyle factor, followed by 'work hours' and 'on-call duty'. The least important factors were 'being away from extended family', 'availability of part-time work' and whether 'work was in a rural location'. Overall job satisfaction is high among radiology trainees. Nevertheless, lifestyle factors, particularly those related to work time, are becoming more important for career decisions. This should be taken into account when designing and structuring radiology training to ensure that it is considered an attractive career choice.

  13. An ethics curriculum for short-term global health trainees

    OpenAIRE

    DeCamp, Matthew; Rodriguez, Joce; Hecht, Shelby; Barry, Michele; Sugarman, Jeremy

    2013-01-01

    Background Interest in short-term global health training and service programs continues to grow, yet they can be associated with a variety of ethical issues for which trainees or others with limited global health experience may not be prepared to address. Therefore, there is a clear need for educational interventions concerning these ethical issues. Methods We developed and evaluated an introductory curriculum, ?Ethical Challenges in Short-term Global Health Training.? The curriculum was deve...

  14. Clinical Leadership: can the skills be learned by trainee paediatricians?

    OpenAIRE

    Klaber, R. E.

    2016-01-01

    Aim: To explore whether paediatricians in training can develop leadership skills through participating in a specifically designed leadership development initiative. Methods: A systematic review was conducted to explore the healthcare leadership literature for empirical evidence of different approaches to leadership development. Informed by this review, and conceptualised by key leadership theories, a work-based leadership development initiative was established within a newly formed trainee co...

  15. Serotonin as a Biomarker: Stress Resilience among Battlefield Airmen Trainees

    Science.gov (United States)

    2016-05-21

    anxiety, anger, impulsivity, lethargy, sleepiness, and mood disorders [2-5,11,12]. Studies have also shown that prolonged exercise increases...are likely to abandon training on their own. These data may improve the design of biomarker performance prediction models for stress, cognitive...findings demonstrate potential for using serotonin data to identify trainees who are likely to abandon training on their own. These data may improve

  16. Improving Novice Radiology Trainees' Perception Using Fine Art.

    Science.gov (United States)

    Goodman, Thomas Rob; Kelleher, Michael

    2017-10-01

    To determine if fine art perception training improved performance in novice radiology trainees. On the first day of their residency, 15 radiology residents underwent a basic radiology perception test in which they were shown 15 different radiographs that each had a significant abnormality. This was followed by a focused session of interpretation training at a local art gallery where art experts taught the trainees how to thoroughly analyze a painting. After this fine art session, the residents were once again shown 15 different radiographs and asked, in the same manner as before, to identify the location of the abnormality. The results of both radiograph assessments were then compared. The 15 residents correctly identified the areas of abnormality on 35 of 225 cases pre-art training with a mean score of 2.33 and a SD of 1.4. After art training, the figure for correctly identifying the area of abnormality rose to 94 of 225 cases with a mean score of 6.27 and a SD of 1.79 (P art gallery may be a novel, effective transitional starting point for novice radiology trainees. Copyright © 2017. Published by Elsevier Inc.

  17. Does medical education erode medical trainees' ethical attitude and behavior?

    Science.gov (United States)

    Yavari, Neda

    2016-01-01

    In the last few years, medical education policy makers have expressed concern about changes in the ethical attitude and behavior of medical trainees during the course of their education. They claim that newly graduated physicians (MDs) are entering residency years with inappropriate habits and attitudes earned during their education. This allegation has been supported by numerous research on the changes in the attitude and morality of medical trainees. The aim of this paper was to investigate ethical erosion among medical trainees as a serious universal problem, and to urge the authorities to take urgent preventive and corrective action. A comparison with the course of moral development in ordinary people from Kohlberg’s and Gilligan's points of view reveals that the growth of ethical attitudes and behaviors in medical students is stunted or even degraded in many medical schools. In the end, the article examines the feasibility of teaching ethics in medical schools and the best approach for this purpose. It concludes that there is considerable controversy among ethicists on whether teaching ethical virtues is plausible at all. Virtue-based ethics, principle-based ethics and ethics of care are approaches that have been considered as most applicable in this regard. PMID:28050246

  18. Does direct observation of procedural skills reflect trainee's progress in otolaryngology?

    Science.gov (United States)

    Awad, Z; Hayden, L; Muthuswamy, K; Ziprin, P; Darzi, A; Tolley, N S

    2014-06-01

    UK surgical trainees are required to undertake work-based assessments each year in order to progress in their training. Direct Observation of Procedural Skills (DOPS) is one of these assessments. We aim to investigate the validity of DOPS in assessing otolaryngology trainees at all levels. A retrospective search of the portfolios of all otolaryngology trainees in North Thames was carried out to identify otolaryngology-specific DOPS. A score (Cs) was calculated for each DOPS based on the percentage of satisfactorily-rated items. The overall performance rating (Ps) was analysed as a separate variable and compared with Cs. The Ps and Cs results were then compared across trainee grades and levels within each grade: Core trainees (CT1-CT2) and specialty trainees (ST3-ST8). Seven hundred and sixty-seven otolaryngology DOPS were completed between August 2008 and September 2013. The tool was found to be reliable and internally consistent. Trainees in ST grade had higher Cs and Ps scores than CT grade (P Otolaryngology DOPS is a useful tool in assessing otolaryngology trainees especially from CT1-ST3 level. DOPS can also differentiate between junior and senior trainees. However, it was not able to demonstrate progress at levels above ST3, most likely due to the simplicity of the procedures which trainees tend to master in the first few years of training. © 2014 John Wiley & Sons Ltd.

  19. Learning to Be a More Effective Research Mentor for Your Trainees: Undergraduates to Post-docs

    Science.gov (United States)

    Hooper, Eric; Mathieu, R.; Pfund, C.; Branchaw, J.; UW-Madison Research Mentor Training Development Team

    2010-01-01

    How do you effectively mentor individuals at different stages of their careers? Can you learn to become a more effective mentor through training? Does one size fit all? Are you ready to address the NSF's new requirement about mentoring post-docs in your next proposal? For many academics, typical answers to these questions include, "I try to make adjustments based on the trainee, but I don't have a specific plan” "Yeah, I'd better start thinking about that” and "There's training?” Scientists often are not trained for their crucial role of mentoring the next generation. The University of Wisconsin-Madison has developed, field tested, and publically released research mentor training materials for several STEM (science, technology, engineering and mathematics) disciplines, including astronomy, to help fill this gap and improve the educational experience and ultimate success of research trainees at several career stages, from high school students to post-doctoral scholars. While initially aimed at the mentoring of undergraduate researchers at research extensive institutions, the topics are broad enough (e.g., expectations, communication, understanding, diversity, ethics, independence) to be applicable to mentoring in a wide range of project-based educational activities. Indeed, these materials have been modified, only modestly, to prepare graduate students and undergraduates to mentor high school students. In this session, we will describe the UW-Madison research mentor training seminar and illustrate how the training can be adapted and implemented. We will introduce an interactive "shopping cart” style website which allows users to obtain the materials and instructions on how to run the program at their institution. Most of the session will be devoted to an interactive implementation of elements of research mentor training using small discussion groups. Participants will experience the training seminar in practice, come face-to-face with some common mentoring

  20. Becoming a More Effective Research Mentor for Your Trainees: Undergraduates to Post-docs

    Science.gov (United States)

    Hooper, Eric J.; Mathieu, R.; Pfund, C.; Branchaw, J.; UW-Madison Research Mentor Training Development Team

    2010-05-01

    How do you effectively mentor individuals at different stages of their careers? Can you learn to become a more effective mentor through training? Does one size fit all? Are you ready to address the NSF's new requirement about mentoring post-docs in your next proposal? For many academics, typical answers to these questions include, "I try to make adjustments based on the trainee, but I don't have a specific plan” "Yeah, I'd better start thinking about that” and "There's training?” Scientists often are not trained for their crucial role of mentoring the next generation. The University of Wisconsin-Madison has developed, field tested, and publicly released research mentor training materials for several STEM (science, technology, engineering and mathematics) disciplines, including astronomy, to help fill this gap and improve the educational experience and ultimate success of research trainees at several career stages, from high school students to post-doctoral scholars. While initially aimed at the mentoring of undergraduate researchers at research extensive institutions, the topics are broad enough (e.g., expectations, communication, understanding, diversity, ethics, independence) to be applicable to mentoring in a wide range of project-based educational activities. Indeed, these materials have been modified, only modestly, to prepare graduate students and undergraduates to mentor high school students. In this session, we will describe the UW-Madison research mentor training seminar and illustrate how the training can be adapted and implemented. We will introduce an interactive "shopping cart” style website which allows users to obtain the materials and instructions on how to run the program at their institution. Most of the session will be devoted to an interactive implementation of elements of research mentor training using small discussion groups. Participants will experience the training seminar in practice, come face-to-face with some common mentoring

  1. Self-entrustment: how trainees' self-regulated learning supports participation in the workplace.

    Science.gov (United States)

    Sagasser, Margaretha H; Kramer, Anneke W M; Fluit, Cornelia R M G; van Weel, Chris; van der Vleuten, Cees P M

    2017-10-01

    Clinical workplaces offer postgraduate trainees a wealth of opportunities to learn from experience. To promote deliberate and meaningful learning self-regulated learning skills are foundational. We explored trainees' learning activities related to patient encounters to better understand what aspects of self-regulated learning contribute to trainees' development, and to explore supervisor's role herein. We conducted a qualitative non-participant observational study in seven general practices. During two days we observed trainee's patient encounters, daily debriefing sessions and educational meetings between trainee and supervisor and interviewed them separately afterwards. Data collection and analysis were iterative and inspired by a phenomenological approach. To organise data we used networks, time-ordered matrices and codebooks. Self-regulated learning supported trainees to increasingly perform independently. They engaged in self-regulated learning before, during and after encounters. Trainees' activities depended on the type of medical problem presented and on patient, trainee and supervisor characteristics. Trainees used their sense of confidence to decide if they could manage the encounter alone or if they should consult their supervisor. They deliberately used feedback on their performance and engaged in reflection. Supervisors appeared vital in trainees' learning by reassuring trainees, discussing experience, knowledge and professional issues, identifying possible unawareness of incompetence, assessing performance and securing patient safety. Self-confidence, reflection and feedback, and support from the supervisor are important aspects of self-regulated learning in practice. The results reflect how self-regulated learning and self-entrustment promote trainees' increased participation in the workplace. Securing organized moments of interaction with supervisors is beneficial to trainees' self-regulated learning.

  2. Materials

    CSIR Research Space (South Africa)

    Van Wyk, Llewellyn V

    2009-02-01

    Full Text Available . It is generally included as part of a structurally insulated panel (SIP) where the foam is sandwiched between external skins of steel, wood or cement. Cement composites Cement bonded composites are an important class of building materials. These products... for their stone buildings, including the Egyptians, Aztecs and Inca’s. As stone is a very dense material it requires intensive heating to become warm. Rocks were generally stacked dry but mud, and later cement, can be used as a mortar to hold the rocks...

  3. Core trainee boot camp-A method for improving technical and non-technical skills of novice surgical trainees. A before and after study.

    Science.gov (United States)

    Bamford, R; Langdon, L; Rodd, C A; Eastaugh-Waring, S; Coulston, J E

    2018-04-10

    The transition to surgical training can be a stressful time for trainees and is most evident during national handover periods where new graduates start and senior trainees rotate to new programmes. During this time, patient mortality can increase and Hospital efficiency reduces. This influence is compounded by the impact of working time directives. Intensive, simulation rich training programmes or "Boot Camps" have been postulated as a solution. This article highlights the development of a surgical boot camp for novice surgical trainees and the impact this can have on training. A novel surgical boot camp was developed for all trainees within a surgical training region including nine acute NHS trusts. Participating cohort of trainees completed pre and post course questionnaires to assess technical and non-technical skills. 25 trainees attended and completed the pre and post boot camp questionnaire. Significant improvements were seen with technical skills (p = 0.0429), overall non-technical skills (p skills (p = 0.005) and outpatient skill (p = 0.002). Trainees reported significantly increased ability to assess and manage a critically unwell patient (p = 0.001) and a trauma patient (p = 0.001). 96% of trainees have utilised the skills they learnt on Boot Camp and all trainees would recommend it as an induction programme. Surgical Boot Camps offer a timely chance to develop technical and non-technical skills whilst enhancing a trainee's confidence and knowledge and reduce the patient safety impact of the handover period. Copyright © 2018. Published by Elsevier Ltd.

  4. Accidental hazardous material releases with human impacts in the United States: exploration of geographical distribution and temporal trends.

    Science.gov (United States)

    Sengul, Hatice; Santella, Nicholas; Steinberg, Laura J; Chermak, Christina

    2010-09-01

    To investigate the circumstances and geographic and temporal distributions of hazardous material releases and resulting human impacts in the United States. Releases with fatalities, injuries, and evacuations were identified from reports to the National Response Center between 1990 and 2008, correcting for data quality issues identified in previous studies. From more than 550,000 reports, 861 deaths, 16,348 injuries and 741,427 evacuations were identified. Injuries from releases of chemicals at fixed facilities and natural gas from pipelines have decreased whereas evacuations from petroleum releases at fixed facilities have increased. Results confirm recent advances in chemical and pipeline safety and suggest directions for further improvement including targeted training and inspections and adoption of inherently safer design principles.

  5. Progressive shortfall in open aneurysm experience for vascular surgery trainees with the impact of fenestrated and branched endovascular technology.

    Science.gov (United States)

    Dua, Anahita; Koprowski, Steven; Upchurch, Gilbert; Lee, Cheong J; Desai, Sapan S

    2017-01-01

    In 2014, we published a series of articles in the Journal of Vascular Surgery that detailed the decrease in volume of open aneurysm repair (OAR) completed for abdominal aortic aneurysm (AAA) by vascular surgery trainees. At that time, only data points from 2000 through 2011 were available, and reliable predictions could only be made through 2015. Lack of data on endovascular aneurysm repair (EVAR) using fenestrated (FEVAR) and branched (BrEVAR) endografts also affected our findings. Despite these limitations, our predictions for OAR completed by vascular trainees were accurate for 2012 to 2014. This report uses updated data points through 2014 in conjunction with data on FEVAR and BrEVAR obtained from industry to predict trends in OAR and how it will affect vascular surgery training through 2020. An S-curve modified logistic function was used to model the effect of introducing new technologies (EVAR, FEVAR, BrEVAR) on the standard management of AAA with OAR starting in the year 2000, similar to the technique that we have previously described. Weighted samples and data from the United States Census Bureau were used in conjunction with volume estimates derived from the National Inpatient Sample, State Inpatient Databases, and industry sources to determine trends in OAR and EVAR. The number of cases completed at teaching hospitals was calculated using the National Inpatient Sample, and Accreditation Council for Graduate Medical Education case logs were used to forecast the number of cases completed by vascular surgery trainees through 2020. Sensitivity analysis and trend analysis were completed. Approximately 45,000 AAA repairs are completed annually in the United States, but only 15% of these are now completed using OAR compared with >50% just a decade ago. Further, with the accelerating adoption of FEVAR and BrEVAR, and expanding indications for standard EVAR, our model predicts that model predicts that a vascular surgery trainee in a fellowship program will

  6. Methodical aspects of group work organization of the trainees in the professional development programs in long distance format

    Directory of Open Access Journals (Sweden)

    Igor A. Valdman

    2017-01-01

    Full Text Available In Russia and abroad the teamwork gained popularity in the labor market as a form of collective interaction between multiprofessional groups of specialists in implementing business projects, carrying out research and development projects, designing technological solutions and creating innovative products. At the same time, in the educational practice, especially when using distant educational technologies, the command method of instruction is quite rare. The reason for this is that the teamwork in the implementation of educational programs requires fixating individual educational outcomes of each trainee, their contribution to the performance of the group task. It complicates the organization of the educational process. As the result, educational organizations do not often use this educational form because of the complexity of its application in the conduct of intermediate and final attestation.Research goal. search and validation of a problem solution that can be formulated as a contradiction between the need to perform group homework assignments in distant learning and the necessity to fix the individual educational results of each trainee for the purpose of intermediate and final attestation. The authors of the article offer basic methodological principles that allow finding the balance in-between the requirements of legislation and preserving the team approach in the process of group work of trainees.Materials and methods. The initial materials of the research are an overview of existing publications on the organization of teamwork of trainees is used, including the implementation of training in a long distance format, the legislation of the Russian Federation regarding interim and final certification of trainees, as well as practical experience in implementing training programs, based on ANO “E-learning for Nanoindustry (“eNano””. Based on these materials, the authors offer basic methodological principles, obtained empirically and

  7. Dynamic J-R Characteristics of RCS Pipe Materials for Ulchin Unit 3/4. (Evaluation of Dynamic Strain Aging Effects)

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Jun Hwa; Lee, Bong Sang; Yoon, Ji Hyun; Oh, Jong Myung; Kim, Jin Won [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    1997-09-01

    5 materials (45 1T-CT specimens) were tested to evaluate dynamic J-R characteristics of RCS Pipe Materials for Ulchin Unit 3/4 (Evaluation of Dynamic Strain Aging Effects). The tests were performed by DCPD method at 316 deg C and 25 deg C. The loading rates were 1000mm/min and 2000mm/min. The objectives of this project were to obtain the dynamic J-R curves data of ferritic steels for application of LBB to the RCS pipes of Ulchin Unit 3/4. The test results showed that all of the tested dynamic J-R curves of 5 materials were above the lower bound curve of static J-R curve of pipe materials for Ulchin Unit 3/4. 10 refs., 4 tabs., 16 figs. (author)

  8. Coping With Stress of Teacher Trainees With Different Levels of Computer Anxiety

    OpenAIRE

    Ceyhan, Esra

    2004-01-01

    The aim of this study is to examine whether levels and styles of coping with the stress of teacher trainees having low and high levels of computer anxiety across a number of variables. This research was carried out with 800 teacher trainees. Data were collected using the Computer Anxiety Scale, Coping With Stress Scale, and an Information Form. The results of the study indicate that the computer anxiety levels of teacher trainees differentiate levels and styles of coping with stress. It was f...

  9. Evaluation of formal feedback on endoscopic competence among trainees: the EFFECT trial.

    LENUS (Irish Health Repository)

    Harewood, G C

    2008-09-01

    The medical literature describes disparity in colonoscopy performance. This randomised, controlled study aimed to characterise the impact of feedback on colonoscopy performance among gastroenterology (GI) trainees.

  10. Videogame-Based Training Success: The Impact of Trainee Characteristics - Year 2

    National Research Council Canada - National Science Library

    Orvis, Karin A; Horn, Daniel B; Belanich, James

    2006-01-01

    .... Specifically, this follow-up research examines prior videogame experience, videogame self-efficacy, and goal orientation as antecedents that maximize trainee motivation, as well as other learner...

  11. A Pediatric Cardiology Fellowship Boot Camp improves trainee confidence.

    Science.gov (United States)

    Allan, Catherine K; Tannous, Paul; DeWitt, Elizabeth; Farias, Michael; Mansfield, Laura; Ronai, Christina; Schidlow, David; Sanders, Stephen P; Lock, James E; Newburger, Jane W; Brown, David W

    2016-12-01

    Introduction New paediatric cardiology trainees are required to rapidly assimilate knowledge and gain clinical skills to which they have limited or no exposure during residency. The Pediatric Cardiology Fellowship Boot Camp (PCBC) at Boston Children's Hospital was designed to provide incoming fellows with an intensive exposure to congenital cardiac pathology and a broad overview of major areas of paediatric cardiology practice. The PCBC curriculum was designed by core faculty in cardiac pathology, echocardiography, electrophysiology, interventional cardiology, exercise physiology, and cardiac intensive care. Individual faculty contributed learning objectives, which were refined by fellowship directors and used to build a programme of didactics, hands-on/simulation-based activities, and self-guided learning opportunities. A total of 16 incoming fellows participated in the 4-week boot camp, with no concurrent clinical responsibilities, over 2 years. On the basis of pre- and post-PCBC surveys, 80% of trainees strongly agreed that they felt more prepared for clinical responsibilities, and a similar percentage felt that PCBC should be offered to future incoming fellows. Fellows showed significant increase in their confidence in all specific knowledge and skills related to the learning objectives. Fellows rated hands-on learning experiences and simulation-based exercises most highly. We describe a novel 4-week-long boot camp designed to expose incoming paediatric cardiology fellows to the broad spectrum of knowledge and skills required for the practice of paediatric cardiology. The experience increased trainee confidence and sense of preparedness to begin fellowship-related responsibilities. Given that highly interactive activities were rated most highly, boot camps in paediatric cardiology should strongly emphasise these elements.

  12. Simulated parents: developing paediatric trainees' skills in giving bad news.

    Science.gov (United States)

    Gough, Jenny K; Frydenberg, Alexis R; Donath, Susan K; Marks, Michael M

    2009-03-01

    In curriculum documents for medicine in undergraduate, post-graduate and continuing professional development, there is now a focus on communication skills. The challenges are to place communication skills in the crowded curriculum and then to construct and sustain a programme that uses an evidence-based approach to the teaching and learning of communication skills. For 6 years, we have conducted a programme that involves simulated parents supporting junior medical staff to refine their skills in communication, particularly in giving parents bad news. The aim of our study was to obtain a better understanding of the trainees' experiences of the programme. Nine junior residents individually worked through two scenarios and received feedback from the simulated parent. They gave bad news to a simulated parent/actor who then gave feedback. A recording of the simulation was provided for discussion with a designated colleague at an arranged time. The tapes were then separately appraised by two independent raters - another actor and a paediatrician. Brief written reports and conducted semi-structured interviews provided more insights into the trainees' experience of the simulation. Other participating medical/medical education staff were interviewed about the simulation programme. Five themes emerged from the qualitative data: timeliness, emotional safety, the complexity of communication, practical usefulness and the challenge of effecting change. In addition, the ratings of the videos helped to clarify those 'parent-centred' communication skills that trainees may neglect in difficult conversations: 'ask about support', 'encourage the parent to ask questions' and 'repeat key messages'. The evaluation highlighted the value of an early-career experiential programme to highlight the importance of communication skills in post-graduate paediatrics practice.

  13. The educational value of ward rounds for junior trainees

    Directory of Open Access Journals (Sweden)

    Faidon-Marios Laskaratos

    2015-04-01

    Full Text Available The ward round (WR is a complex task and medical teachers are often faced with the challenge of finding a balance between service provision and clinical development of learners. The educational value of WRs is an under-researched area. This short communication aims to evaluate the educational role of WRs for junior trainees and provides insight into current practices. It also identifies obstacles to effective teaching/training in this setting and provides suggestions for improving the quality of WR teaching.

  14. Support for Development of Electronics and Materials Technologies by the Governments of the United States, Japan, West Germany, France, and the United Kingdom.

    Science.gov (United States)

    General Accounting Office, Washington, DC.

    The governments of the United States, Japan, West Germany, France, and the United Kingdom each have large research and development efforts involving government agencies, universities and industry. This document provides a comparative overview of policies and programs which contribute to the development of technologies in the general area of…

  15. The interaction with suspended and settled sedimentary materials of long-lived radionuclides discharged into United Kingdom coastal waters

    Science.gov (United States)

    Pentreath, R. J.

    1987-11-01

    Low-level liquid radioactive wastes are routinely discharged under authorization into United Kingdom coastal waters from nuclear reactor sites, from nuclear fuel reprocessing and fabrication plants, and from other facilities connected with the nuclear industries. The effluents contain a wide range of radionuclides, with greatly varying half-lives and in different chemical forms. The receiving environments are also markedly different. All of these factors need to be taken into account in order that the authorizations for discharge are based on a sound knowledge of the underlying environmental science as well as meeting the objectives of radiological protection. The largest research effort has been expended on the longer-lived nuclides discharged from the BNFL plant at Sellafield into the Irish Sea. These studies have focused on such aspects as the nature of the effluent, the dispersion of the soluble nuclides out of the Irish Sea, the retention of other nuclides within it, and the incorporation of radionuclides into settled sediments. Some comparisons have also been made between other sites by observing the concentrations of radionuclides in similar materials, at similar distances, per unit rate of discharge. Although these studies are useful in developing an understanding of the dynamics of radionuclides in coastal environments, it is essential to have a wider and more general knowledge if the long-term consequences of discharging radionuclides—or any other chemical waste—into coastal waters are to be fully evaluated. These consequences are assessed by the use of models which have, necessarily, to simplify many of the processes involved. It is therefore all the more important that the underlying science relating to the nature and behaviour of the wastes, and of the receiving environment, is fully explored, and that the assumptions used in the models can be satisfactorily validated.

  16. Views of parents and health-care providers regarding parental presence at bedside rounds in a neonatal intensive care unit.

    Science.gov (United States)

    Grzyb, M J; Coo, H; Rühland, L; Dow, K

    2014-02-01

    To examine the views of parents and health-care providers regarding parental presence during neonatal intensive care rounds. Cross-sectional survey of parents whose children were admitted to a tertiary-care neonatal intensive care unit (n=81). Medical trainees (n=67) and nurses (n=28) were also surveyed. The majority of parents reported that attending rounds reduced their anxiety and increased their confidence in the health-care team. Nurses were more likely than medical trainees to support parental presence at rounds (P=0.02). About three-quarters of medical trainees and nurses thought discussion is inhibited and 69% of trainees felt teaching is decreased when parents attend rounds. Most parents who attended rounds found the experience beneficial, but medical trainees' views were mixed. The positive impact on parents, and the learning opportunities created in family-centered care and communication when parents are present on rounds, should be highlighted for trainees and other neonatal intensive care personnel.

  17. Thermodynamic analysis of a thermal storage unit under the influence of nano-particles added to the phase change material and/or the working fluid

    Science.gov (United States)

    Abolghasemi, Mehran; Keshavarz, Ali; Mehrabian, Mozaffar Ali

    2012-11-01

    The thermal storage unit consists of two concentric cylinders where the working fluid flows through the internal cylinder and the annulus is filled with a phase change material. The system carries out a cyclic operation; each cycle consists of two processes. In the charging process the hot working fluid enters the internal cylinder and transfers heat to the phase change material. In the discharging process the cold working fluid enters the internal cylinder and absorbs heat from the phase change material. The differential equations governing the heat transfer between the two media are solved numerically. The numerical results are compared with the experimental results available in the literature. The performance of an energy storage unit is directly related to the thermal conductivity of nano-particles. The energy consumption of a residential unit whose energy is supplied by a thermal storage system can be reduced by 43 % when using nano-particles.

  18. Survey of UK radiology trainees in the aftermath of ‘Modernising Medical Careers’

    Directory of Open Access Journals (Sweden)

    Mair Grant

    2012-10-01

    Full Text Available Abstract Background Following implementation of Modernising Medical Careers (MMC in the UK, potential radiology trainees must decide on their career and apply sooner than ever before. We aimed to determine whether current trainees were sufficiently informed to make an earlier career decision by comparing the early radiology experiences of Traditional and Foundation Trainees. Methods 344 radiology trainees were appointed through MMC in 2007/08. This cohort was surveyed online. Results Response rate was 174/344 (51%. Traditional Trainees made their career decision 2.6 years after graduation compared with 1.2 years for Foundation Trainees (57/167, 34%. Nearly half of responders (79/169, 47% experienced no formal radiology teaching as undergraduates. Most trainees regularly attended radiology meetings, spent time in a radiology department and/or performed radiology research. Many trainees received no career advice specific to radiology (69/163, 42% at any point prior to entering the specialty; this includes both formal and informal advice. Junior doctor experiences were more frequently cited as influencing career choice (98/164, 60%. An earlier career decision was associated with; undergraduate radiology projects (-0.72 years, p = 0.018, career advice (-0.63 years, p = 0.009 and regular attendance at radiology meetings (-0.65 years, p = 0.014. Conclusion Early experience of radiology enables trainees to make an earlier career decision, however current radiology trainees were not always afforded relevant experiences prior to entering training. Radiologists need to be more proactive in encouraging the next generation of trainees.

  19. Survey of UK radiology trainees in the aftermath of ‘Modernising Medical Careers’

    Science.gov (United States)

    2012-01-01

    Background Following implementation of Modernising Medical Careers (MMC) in the UK, potential radiology trainees must decide on their career and apply sooner than ever before. We aimed to determine whether current trainees were sufficiently informed to make an earlier career decision by comparing the early radiology experiences of Traditional and Foundation Trainees. Methods 344 radiology trainees were appointed through MMC in 2007/08. This cohort was surveyed online. Results Response rate was 174/344 (51%). Traditional Trainees made their career decision 2.6 years after graduation compared with 1.2 years for Foundation Trainees (57/167, 34%). Nearly half of responders (79/169, 47%) experienced no formal radiology teaching as undergraduates. Most trainees regularly attended radiology meetings, spent time in a radiology department and/or performed radiology research. Many trainees received no career advice specific to radiology (69/163, 42%) at any point prior to entering the specialty; this includes both formal and informal advice. Junior doctor experiences were more frequently cited as influencing career choice (98/164, 60%). An earlier career decision was associated with; undergraduate radiology projects (-0.72 years, p = 0.018), career advice (-0.63 years, p = 0.009) and regular attendance at radiology meetings (-0.65 years, p = 0.014). Conclusion Early experience of radiology enables trainees to make an earlier career decision, however current radiology trainees were not always afforded relevant experiences prior to entering training. Radiologists need to be more proactive in encouraging the next generation of trainees. PMID:23031228

  20. Capillary pressure-saturation relationships for porous granular materials: Pore morphology method vs. pore unit assembly method

    Science.gov (United States)

    Sweijen, Thomas; Aslannejad, Hamed; Hassanizadeh, S. Majid

    2017-09-01

    In studies of two-phase flow in complex porous media it is often desirable to have an estimation of the capillary pressure-saturation curve prior to measurements. Therefore, we compare in this research the capability of three pore-scale approaches in reproducing experimentally measured capillary pressure-saturation curves. To do so, we have generated 12 packings of spheres that are representative of four different glass-bead packings and eight different sand packings, for which we have found experimental data on the capillary pressure-saturation curve in the literature. In generating the packings, we matched the particle size distributions and porosity values of the granular materials. We have used three different pore-scale approaches for generating the capillary pressure-saturation curves of each packing: i) the Pore Unit Assembly (PUA) method in combination with the Mayer and Stowe-Princen (MS-P) approximation for estimating the entry pressures of pore throats, ii) the PUA method in combination with the hemisphere approximation, and iii) the Pore Morphology Method (PMM) in combination with the hemisphere approximation. The three approaches were also used to produce capillary pressure-saturation curves for the coating layer of paper, used in inkjet printing. Curves for such layers are extremely difficult to determine experimentally, due to their very small thickness and the presence of extremely small pores (less than one micrometer in size). Results indicate that the PMM and PUA-hemisphere method give similar capillary pressure-saturation curves, because both methods rely on a hemisphere to represent the air-water interface. The ability of the hemisphere approximation and the MS-P approximation to reproduce correct capillary pressure seems to depend on the type of particle size distribution, with the hemisphere approximation working well for narrowly distributed granular materials.

  1. Simulation for Teaching and Assessment of Nodule Perception on Chest Radiography in Nonradiology Health Care Trainees.

    Science.gov (United States)

    Auffermann, William F; Henry, Travis S; Little, Brent P; Tigges, Stefan; Tridandapani, Srini

    2015-11-01

    Simulation has been used as an educational and assessment tool in several fields, generally involving training of physical skills. To date, simulation has found limited application in teaching and assessment of skills related to image perception and interpretation. The goal of this pilot study was to evaluate the feasibility of simulation as a tool for teaching and assessment of skills related to perception of nodules on chest radiography. This study received an exemption from the institutional review board. Subjects consisted of nonradiology health care trainees. Subjects underwent training and assessment of pulmonary nodule identification skills on chest radiographs at simulated radiology workstations. Subject performance was quantified by changes in area under the localization receiver operating characteristic curve. At the conclusion of the study, all subjects were given a questionnaire with five questions comparing learning at a simulated workstation with training using conventional materials. Statistical significance for questionnaire responses was tested using the Wilcoxon signed rank test. Subjects demonstrated statistically significant improvement in nodule identification after training at a simulated radiology workstation (change in area under the curve, 0.1079; P = .015). Subjects indicated that training on simulated radiology workstations was preferable to conventional training methods for all questions; P values for all questions were less than .01. Simulation may be a useful tool for teaching and assessment of skills related to medical image perception and interpretation. Further study is needed to determine which skills and trainee populations may be most amenable to training and assessment using simulation. Copyright © 2015 American College of Radiology. Published by Elsevier Inc. All rights reserved.

  2. Thermal behavior of latent thermal energy storage unit using two phase change materials: Effects of HTF inlet temperature

    Directory of Open Access Journals (Sweden)

    Fouzi Benmoussa

    2017-09-01

    Full Text Available This work presents a numerical study of the thermal behavior of shell-and-tube latent thermal energy storage (LTES unit using two phase change materials (PCMs. The heat transfer fluid (HTF flow through the inner tube and transfer the heat to PCMs. First, a mathematical model is developed based on the enthalpy formulation and solved through the governing equations. Second, the effects of HTF inlet temperature on the unsteady temperature evolution of PCMs, the total energy stored evolution as well as the total melting time is studied. Numerical results show that for all HTF inlet temperature, melting rate of PCM1 is the fastest and that of PCM2 is the slowest; increasing the HTF inlet temperature considerably increases the temperature evolution of PCMs. The maximum energy stored is observed in PCM2 with high melting temperature and high specific heat; heat storage capacity is large for high HTF inlet temperature. When the HTF inlet temperature increases from 338 K to 353 K, decreasing degree of melting time of PCM2 is the biggest from 1870 s to 490 s, which reduces about 73.8%; decreasing degree of melting time of PCM1 is the smallest from 530 s to 270 s, which reduces about 49.1%.

  3. Current disparities in the prices of medical materials between Japan and the United States: further investigation of cardiovascular medical devices.

    Science.gov (United States)

    Yasunaga, Hideo; Ide, Hiroo; Imamura, Tomoaki

    2007-02-01

    Prices of medical devices in Japan were previously reported to be 2 to 4 times higher than those in the United States in 1996 and 1997. However, such data are out of date. We previously compared the market prices in early 2005 between Japan and the US for 16 items in 10 categories of medical materials, and showed that price differences still existed for all these items. However, the number of items investigated was small for each category, and generalization of the results might have been limited. The present study conducted a further investigation into price information for multiple items for each category, focusing on 5 cardiovascular devices. The US market price information was obtained from interviews of a healthcare provider network and 2 different group-purchasing organizations. We could obtain price information on 19 items in 5 categories. We substituted the Japanese reimbursement prices for the Japanese market prices. The price ratio (Japanese reimbursement price / US market price)was 2.0-3.5 for coronary stents, 5.9-6.8 for percutaneous transluminal coronary angioplasty catheters, 2.2-3.5 for pacemakers, 1.6-2.5 for mechanical valves, and 3.4-4.7 for oxygenators. The price disparities for cardiovascular devices between Japan and the US were reconfirmed. Japan's healthcare system should establish group-purchasing organizations, promote centers of clinical excellence, and abolish regulation of parallel imports and protectionism under the Japanese Pharmaceutical Affairs Law.

  4. Empathy and Emotional Intelligence among Eastern and Western Counsellor Trainees: A Preliminary Study

    Science.gov (United States)

    Young Kaelber, Kara A.; Schwartz, Robert C.

    2014-01-01

    This study explored degree of empathy and emotional intelligence among Thai (n?=?48) and American (n?=?53) counsellor trainees to determine if differences in Eastern and Western cultural orientations (e.g., interdependent versus independent self-construals) affect foundational counselling skills. Results indicated that Western trainees showed…

  5. Information Activities and Appropriation in Teacher Trainees' Digital, Group-Based Learning

    Science.gov (United States)

    Hanell, Fredrik

    2016-01-01

    Introduction: This paper reports results from an ethnographic study of teacher trainees' information activities in digital, group-based learning and their relation to the interplay between use and appropriation of digital tools and the learning environment. Method: The participants in the present study are 249 pre-school teacher trainees in…

  6. Choosing a career in paediatrics: do trainees' views change over the first year of specialty training?

    Science.gov (United States)

    Goodyear, Helen M; Lakshminarayana, Indumathy; Wall, David; Bindal, Taruna

    2014-09-01

    To look at why a regional cohort of UK doctors chose a paediatric career and to ascertain views on their career near the end of training year one. A 20-item questionnaire was sent to all new regional paediatric specialty trainees. Three focus groups were held with trainees near the end of year one to elicit key themes. West Midlands Deanery, UK. Twenty-nine new regional paediatric specialty trainees in year one completed the questionnaire. A total of 15 trainees participated in the focus groups near the end of year one training. Reasons for choosing a paediatric career and factors which further influence career choice for trainees during their first specialty training year. Key influencing factors for choosing paediatrics were enjoying working with children and positive undergraduate experience of the specialty. All trainees had paediatrics as their first choice specialty and undertook a paediatric Foundation post. Near the end of year one, doubts were cast on career aspirations due to seeing middle grade colleagues struggling with work-life balance and a growing feeling that family came first. Senior trainees need to be aware that they act as powerful role models for their more junior colleagues and therefore have an influential role on how juniors perceive a paediatric career. Family friendly flexible working patterns in paediatrics are vital to retain junior trainees. All paediatric staff are role models and need to be enthusiastic, keen to teach and to promote a positive working environment.

  7. Supervising Family Therapy Trainees in Primary Care Medical Settings: Context Matters

    Science.gov (United States)

    Edwards, Todd M.; Patterson, Jo Ellen

    2006-01-01

    The purpose of this article is to identify and describe four essential skills for effective supervision of family therapy trainees in primary care medical settings. The supervision skills described include: (1) Understand medical culture; (2) Locate the trainee in the treatment system; (3) Investigate the biological/health issues; and (4) Be…

  8. Burnout among Slovenian family medicine trainees: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Polona Selič

    2012-03-01

    Conclusions: The prevalence of burnout syndrome among family medicine trainees is high and consistent with data from other studies among the physicians worldwide using the same instrument. Family medicine trainees are at risk of burnout regardless of their demographic characteristics. Increased workload affects EE and D.

  9. Non-Music Specialist Trainee Primary School Teachers' Confidence in Teaching Music in the Classroom

    Science.gov (United States)

    Seddon, Frederick; Biasutti, Michele

    2008-01-01

    Prior research has revealed that non-music specialist trainee primary school teachers lack confidence in teaching music in spite of changes to teacher training and the introduction of music in the National Curriculum in England. The current study investigated the effects on non-music specialist trainee primary teachers' confidence to teach music…

  10. Does interpersonal behavior of psychotherapy trainees differ in private and professional relationships?

    Science.gov (United States)

    Fincke, Janna I; Möller, Heidi; Taubner, Svenja

    2015-01-01

    The present study aimed to evaluate the effect of trainees' interpersonal behavior on work involvement (WI) and compared their social behavior within professional and private relationships as well as between different psychotherapeutic orientations. The interpersonal scales of the Intrex short-form questionnaire and the Work Involvement Scale (WIS) were used to evaluate two samples of German psychotherapy trainees in psychoanalytic, psychodynamic, and cognitive behavioral therapy training. Trainees from Sample 1 (N = 184) were asked to describe their interpersonal behavior in relation to their patients when filling out the Intrex, whereas trainees from Sample 2 (N = 135) were asked to describe the private relationship with a significant other. Interpersonal affiliation in professional relationships significantly predicted the level of healing involvement, while stress involvement was predicted by interpersonal affiliation and interdependence in trainees' relationships with their patients. Social behavior within professional relationships provided higher correlations with WI than private interpersonal behavior. Significant differences were found between private and professional relation settings in trainees' interpersonal behavior with higher levels of affiliation and interdependence with significant others. Differences between therapeutic orientation and social behavior could only be found when comparing trainees' level of interdependence with the particular relationship setting. Trainees' interpersonal level of affiliation in professional relationships is a predictor for a successful psychotherapeutic development. Vice versa, controlling behavior in professional settings can be understood as a risk factor against psychotherapeutic growth. Both results strengthen an evidence-based approach for competence development during psychotherapy training.

  11. Vocational trainees' views and experiences regarding the learning and teaching of communication skills in general practice.

    Science.gov (United States)

    Van Nuland, Marc; Thijs, Gabie; Van Royen, Paul; Van den Noortgate, Wim; Goedhuys, Jo

    2010-01-01

    To explore the views and experiences of general practice (GP) vocational trainees regarding communication skills (CS) and the teaching and learning of these skills. A purposive sample of second and third (final) year GP trainees took part in six focus group (FG) discussions. Transcripts were coded and analysed in accordance with a grounded theory approach by two investigators using Alas-ti software. Finally results were triangulated by means of semi-structured telephone interviews. The analysis led to three thematic clusters: (1) trainees acknowledge the essential importance of communication skills and identified contextual factors influencing the learning and application of these skills; (2) trainees identified preferences for learning and receiving feedback on their communication skills; and (3) trainees perceived that the assessment of communication skills is subjective. These themes are organised into a framework for a better understanding of trainees' communication skills as part of their vocational training. The framework helps in leading to a better understanding of the way in which trainees learn and apply communication skills. The unique context of vocational training should be taken into account when trainees' communication skills are assessed. The teaching and learning should be guided by a learner-centred approach. The framework is valuable for informing curricular reform and future research.

  12. The British Neurosurgical Trainee Research Collaborative: Five years on.

    Science.gov (United States)

    Chari, Aswin; Jamjoom, Aimun A; Edlmann, Ellie; Ahmed, Aminul I; Coulter, Ian C; Ma, Ruichong; May, Paul; Brennan, Paul M; Hutchinson, Peter J A; Kolias, Angelos G

    2018-01-01

    Since its inception in 2012, the British Neurosurgical Trainee Research Collaborative (BNTRC) has established itself as a robust example of a trainee-led research collaborative. This article summarises the work of the collaborative over its first 5 years of existence, outlining the structure, its research projects, impact and future directions.

  13. Improving Workplace Learning of Lifelong Learning Sector Trainee Teachers in the UK

    Science.gov (United States)

    Maxwell, Bronwen

    2014-01-01

    Learning in the teaching workplace is crucial for the development of all trainee teachers. Workplace learning is particularly important for trainee teachers in the lifelong learning sector (LLS) in the UK, the majority of whom are already working as teachers, tutors, trainers or lecturers while undertaking initial teacher education. However,…

  14. Exploring Malaysian Trainee Teachers' Adoption of the Internet as Information Tool

    Science.gov (United States)

    Teck-Chai, Lau; Kim-Hong, Yeoh; Ching-Ching, Choong

    2010-01-01

    This study reports the usage of three commercial Internet search engines in information seeking among trainee teachers at a teacher training institute in Malaysia. It attempts to investigate the information seeking behavior of the trainees via three Internet search engines (Google, Yahoo and MSN) as gateways to information for research in academic…

  15. Teacher Trainees' Strategies for Managing the Behaviours of Students with Special Needs

    Science.gov (United States)

    Ali, Manisah Mohd.; Abdullah, Rozila; Majid, Rosadah Abdul

    2014-01-01

    This study aimed to determine how a group of teacher trainees handled challenging behaviour by students during teaching practice. A total of 35 teacher trainees from the special education programme of a local university were chosen as respondents. A questionnaire based on a 5-point Likert-type scale was administered in this study. The data were…

  16. Unsupervised laparoscopic appendicectomy by surgical trainees is safe and time-effective.

    Science.gov (United States)

    Wong, Kenneth; Duncan, Tristram; Pearson, Andrew

    2007-07-01

    Open appendicectomy is the traditional standard treatment for appendicitis. Laparoscopic appendicectomy is perceived as a procedure with greater potential for complications and longer operative times. This paper examines the hypothesis that unsupervised laparoscopic appendicectomy by surgical trainees is a safe and time-effective valid alternative. Medical records, operating theatre records and histopathology reports of all patients undergoing laparoscopic and open appendicectomy over a 15-month period in two hospitals within an area health service were retrospectively reviewed. Data were analysed to compare patient features, pathology findings, operative times, complications, readmissions and mortality between laparoscopic and open groups and between unsupervised surgical trainee operators versus consultant surgeon operators. A total of 143 laparoscopic and 222 open appendicectomies were reviewed. Unsupervised trainees performed 64% of the laparoscopic appendicectomies and 55% of the open appendicectomies. There were no significant differences in complication rates, readmissions, mortality and length of stay between laparoscopic and open appendicectomy groups or between trainee and consultant surgeon operators. Conversion rates (laparoscopic to open approach) were similar for trainees and consultants. Unsupervised senior surgical trainees did not take significantly longer to perform laparoscopic appendicectomy when compared to unsupervised trainee-performed open appendicectomy. Unsupervised laparoscopic appendicectomy by surgical trainees is safe and time-effective.

  17. Reliability and validity of a tool to assess airway management skills in anesthesia trainees

    Directory of Open Access Journals (Sweden)

    Aliya Ahmed

    2016-01-01

    Conclusion: The tool designed to assess bag-mask ventilation and tracheal intubation skills in anesthesia trainees demonstrated excellent inter-rater reliability, fair test-retest reliability, and good construct validity. The authors recommend its use for formative and summative assessment of junior anesthesia trainees.

  18. Ethics Education Adherence by Teacher Trainees during Teaching Practice: A Botswana Perspective

    Science.gov (United States)

    Moswela, Bernard; Gobagoba, Marina

    2014-01-01

    This paper presents the results of a survey conducted to find out the extent to which teacher trainees understand and observe professional ethics. It also sought the contribution of the Faculty of Education and secondary schools make in promoting teacher ethics among trainees on teaching practice. Data were gathered from randomly chosen 90…

  19. Supervision in Language Teaching: A Supervisor's and Three Trainee Teachers' Perspectives

    Science.gov (United States)

    Kahyalar, Eda; Yazici, lkay Çelik

    2016-01-01

    This article reports on the findings from a study which investigated supervision in language teaching from a supervisor's and her three trainee teachers' perspectives. The data in the study were from three sources: 1) audio recordings of the supervisor's feedback sessions with each trainee teacher, 2) audio recording of an interview between the…

  20. Self-Entrustment: How Trainees' Self-Regulated Learning Supports Participation in the Workplace

    Science.gov (United States)

    Sagasser, Margaretha H.; Kramer, Anneke W. M.; Fluit, Cornelia R. M. G.; van Weel, Chris; van der Vleuten, Cees P. M.

    2017-01-01

    Clinical workplaces offer postgraduate trainees a wealth of opportunities to learn from experience. To promote deliberate and meaningful learning self-regulated learning skills are foundational. We explored trainees' learning activities related to patient encounters to better understand what aspects of self-regulated learning contribute to…

  1. The trainee leadership blueprint: opportunities, benefits, and a call to action.

    Science.gov (United States)

    Gooding, Amanda; Block, Cady K; Brown, Daniel S; Sunderaraman, Preeti

    2018-02-01

    Leadership experiences are vital not only to individual long-term career success but also the development, direction, and operation of higher spheres including professional organizations and the field of clinical neuropsychology itself. The present paper presents a blueprint guide for neuropsychology trainees on available opportunities and resources for increasing their involvement in professional governance and developing leadership skills. First, we present a discussion of the benefits of leadership and professional service, including the acquisition of interpersonal skills and new professional competencies, the prospect of recognition and advancement, and the opportunity to participate in advocacy efforts. Then, we present an overview of existing opportunities for involvement, followed by the provision of specific, actionable items for trainees, mentors and leadership committees, and for neuropsychology organizations to ensure continued trainee engagement. These resources can serve as a guide for trainees and early career neuropsychologists seeking to acquire leadership proficiencies, and the recommendations aspire to promote advancement for trainees, professionals, and organizations alike.

  2. Corrective Action Investigation Plan for Corrective Action Unit 166: Storage Yards and Contaminated Materials, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    David Strand

    2006-01-01

    Corrective Action Unit 166 is located in Areas 2, 3, 5, and 18 of the Nevada Test Site, which is 65 miles northwest of Las Vegas, Nevada. Corrective Action Unit (CAU) 166 is comprised of the seven Corrective Action Sites (CASs) listed below: (1) 02-42-01, Cond. Release Storage Yd - North; (2) 02-42-02, Cond. Release Storage Yd - South; (3) 02-99-10, D-38 Storage Area; (4) 03-42-01, Conditional Release Storage Yard; (5) 05-19-02, Contaminated Soil and Drum; (6) 18-01-01, Aboveground Storage Tank; and (7) 18-99-03, Wax Piles/Oil Stain. These sites are being investigated because existing information on the nature and extent of potential contamination is insufficient to evaluate and recommend corrective action alternatives. Additional information will be obtained by conducting a corrective action investigation (CAI) before evaluating corrective action alternatives and selecting the appropriate corrective action for each CAS. The results of the field investigation will support a defensible evaluation of viable corrective action alternatives that will be presented in the Corrective Action Decision Document. The sites will be investigated based on the data quality objectives (DQOs) developed on February 28, 2006, by representatives of the Nevada Division of Environmental Protection; U.S. Department of Energy, National Nuclear Security Administration Nevada Site Office; Stoller-Navarro Joint Venture; and Bechtel Nevada. The DQO process was used to identify and define the type, amount, and quality of data needed to develop and evaluate appropriate corrective actions for CAU 166. Appendix A provides a detailed discussion of the DQO methodology and the DQOs specific to each CAS. The scope of the CAI for CAU 166 includes the following activities: (1) Move surface debris and/or materials, as needed, to facilitate sampling. (2) Conduct radiological surveys. (3) Perform field screening. (4) Collect and submit environmental samples for laboratory analysis to determine if

  3. A survey of UK optometry trainees' smoking cessation training.

    Science.gov (United States)

    Lorencatto, Fabiana; Harper, Alice M; Francis, Jill J; Lawrenson, John G

    2016-07-01

    Smoking is a risk factor for a number of eye conditions, including age-related macular degeneration, cataracts and thyroid eye disease. Smoking cessation interventions have been shown to be highly cost-effective when delivered by a range of healthcare professionals. Optometrists are well placed to deliver smoking cessation advice to a wide population of otherwise healthy smokers. Yet optometrists remain a relatively neglected healthcare professional group in smoking cessation research and policy. Surveys of UK medical/nursing schools and of optometrists' training internationally demonstrate significant deficits in current curricular coverage regarding smoking cessation. This study aimed to identify the extent of smoking cessation training in UK optometry trainees' undergraduate and pre-registration training. All undergraduate optometry schools in the UK (n = 9) were invited to participate in a web-based survey of their curricular coverage and assessment related to smoking cessation, and of perceived barriers to delivering smoking cessation training. A content analysis of the College of Optometrists Scheme for Registration Trainee Handbook 2014 was conducted to identify competence indicators related to smoking cessation. Nine undergraduate optometry schools (100%) responded to the survey. The majority reported dedicating limited hours (0-3) to teaching smoking cessation, and predominantly focused on teaching the harmful effects of smoking (89%). Only one school provides practical skills training for delivering evidence-based smoking cessation interventions, including very brief advice. The majority of schools (78%) reported that they did not formally examine students on their knowledge or skills for supporting smoking cessation, and rated confidence in their graduates' abilities to deliver smoking cessation interventions as 'poor' (78%). Lack of knowledge amongst staff was identified as the key barrier to teaching about smoking cessation support. The pre

  4. North American Pediatric Gastroenterology Fellowship Needs Assessment in Inflammatory Bowel Disease: Trainee and Program Director Perspectives.

    Science.gov (United States)

    Dotson, Jennifer L; Falaiye, Tolulope; Bricker, Josh B; Strople, Jennifer; Rosh, Joel

    2016-07-01

    Pediatric inflammatory bowel disease (IBD) care is complex and rapidly evolving. The Crohn's and Colitis Foundation of America and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition cosponsored a needs assessment survey of pediatric gastroenterology trainees and program directors (PDs) to inform on educational programming. A Web-based, self-completed survey was provided to North American trainees and PDs during the 2013-2014 academic year. Standard descriptive statistics summarized demographics and responses. One hundred sixty-six of 326 (51%) trainees (62% female) and 37 of 74 (50%) PDs responded. Median trainees per program = 5 and median total faculty = 10 (3 IBD experts); 15% of programs did not have a self-identified "IBD expert" faculty member. Sixty-nine percent of trainees were confident/somewhat confident in their IBD inpatient training, whereas 54% were confident/somewhat confident in their outpatient training. Trainees identified activities that would most improve their education, including didactics (55%), interaction with national experts (50%), trainee-centered IBD Web resources (42%), and increased patient exposure (42%). Trainees were most confident in managing inpatient active Crohn's disease/ulcerative colitis, phenotype classification, managing biological therapies, and using clinical disease activity indices. They were least confident in managing J-pouch complications, performing pouchoscopy, managing extraintestinal manifestations, and ostomy-related complications. Eighty-five percent would like an IBD-focused training elective. Most directors (86%) would allow trainees to do electives at other institutions. This IBD needs assessment survey of pediatric gastroenterology trainees and PDs demonstrated a strong resource commitment to IBD training and clinical care. Areas for educational enrichment emerged, including pouch and ostomy complications.

  5. Harnessing technology to provide the support that trainees require to write high quality reflective statements\\ud

    OpenAIRE

    Mawson, Kate

    2016-01-01

    Trainees work within schools spending 80% of their time away from University. The one day a week during which they are based at Warwick is full of content delivery, subject knowledge improvement and pedagogy training. The course uses ICT to support trainees, through Moodle as the VLE for online course delivery and Mahara as the e-portfolio for assessment, where trainees display their evidence against the eight teaching standards. Trainees produce an e-portfolio where they write reflective sta...

  6. Effect of technique and impression material on the vertical misfit of a screw-retained, three-unit implant bridge: An in vitro study

    Directory of Open Access Journals (Sweden)

    Hamidreza Rajati Haghi

    2017-01-01

    Conclusion: Within the limitations of this study, the following conclusions can be drawn: The impression method had no effect on marginal discrepancy of 3-unit screw retained fixed partial dentures. A higher marginal accuracy was obtained using polyether impression material compared to polyvinyl siloxane.

  7. The Text of Tile Master Agreement between the Agency and the United States of America Governing Sales of Source, By- Product and Special Nuclear Materials for research Purposes

    International Nuclear Information System (INIS)

    1974-01-01

    The text of the Master Agreement Governing Sales of Source, Bye Product and Special Nuclear Materials for Research Purposes, which has been concluded between the Agency and the Government of the United States of America, is reproduced herein for the information of all Members,

  8. Developing Skilled Doctor-Patient Communication in the Workplace: A Qualitative Study of the Experiences of Trainees and Clinical Supervisors

    Science.gov (United States)

    Giroldi, Esther; Veldhuijzen, Wemke; Geelen, Kristel; Muris, Jean; Bareman, Frits; Bueving, Herman; van der Weijden, Trudy; van der Vleuten, Cees

    2017-01-01

    To inform the development of recommendations to facilitate learning of skilled doctor-patient communication in the workplace, this qualitative study explores experiences of trainees and supervisors regarding how trainees learn communication and how supervisors support trainees' learning in the workplace. We conducted a qualitative study in a…

  9. Communication of 10 January 2008 received from the Permanent Mission of the United Kingdom regarding the Export of Nuclear Material and of Certain Categories of Equipment and Other Material

    International Nuclear Information System (INIS)

    2008-01-01

    The Director General has received a note ver bale from the Permanent Mission of the United Kingdom, dated 10 January 2008, in which it requests that the Agency circulate to all Member States a letter of 12 December 2006 from the Chairman of the Zangger Committee, Mr. Pavel Klucky, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belgium, Bulgaria, Canada, China, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Republic of Korea, Luxemburg, the Netherlands, Norway, Poland, Portugal, Romania, Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom of Great Britain and Northern Ireland and the United States of America, concerning the export of nuclear material and of certain categories of equipment and other material [es

  10. Communication of 2 June 2009 received from the Permanent Mission of the United Kingdom regarding the Export of Nuclear Material and of Certain Categories of Equipment and Other Material

    International Nuclear Information System (INIS)

    2009-01-01

    The Director General has received a note ver bale from the Permanent Mission of the United Kingdom, dated 2 June 2009, in which it requests that the Agency circulate to all Member States a letter of 28 May 2009 from the Chairman of the Zangger Committee, Mr. Pavel Klucky, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belgium, Bulgaria, Canada, China, Croatia, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Kazakhstan, the Republic of Korea, Luxemburg, the Netherlands, Norway, Poland, Portugal, Romania, the Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom and the United States of America, concerning a number of corrections to the communication regarding the export of nuclear material and of certain categories of equipment and other material published in INFCIRC/209/Rev.2 [fr

  11. Communication of 10 January 2008 received from the Permanent Mission of the United Kingdom regarding the Export of Nuclear Material and of Certain Categories of Equipment and Other Material

    International Nuclear Information System (INIS)

    2008-01-01

    The Director General has received a note ver bale from the Permanent Mission of the United Kingdom, dated 10 January 2008, in which it requests that the Agency circulate to all Member States a letter of 12 December 2006 from the Chairman of the Zangger Committee, Mr. Pavel Klucky, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belgium, Bulgaria, Canada, China, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Republic of Korea, Luxemburg, the Netherlands, Norway, Poland, Portugal, Romania, Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom of Great Britain and Northern Ireland and the United States of America, concerning the export of nuclear material and of certain categories of equipment and other material [fr

  12. Communication of 2 June 2009 received from the Permanent Mission of the United Kingdom regarding the Export of Nuclear Material and of Certain Categories of Equipment and Other Material

    International Nuclear Information System (INIS)

    2009-01-01

    The Director General has received a note ver bale from the Permanent Mission of the United Kingdom, dated 2 June 2009, in which it requests that the Agency circulate to all Member States a letter of 28 May 2009 from the Chairman of the Zangger Committee, Mr. Pavel Klucky, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belgium, Bulgaria, Canada, China, Croatia, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Kazakhstan, the Republic of Korea, Luxemburg, the Netherlands, Norway, Poland, Portugal, Romania, the Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom and the United States of America, concerning a number of corrections to the communication regarding the export of nuclear material and of certain categories of equipment and other material published in INFCIRC/209/Rev.2 [ru

  13. Communication of 10 January 2008 received from the Permanent Mission of the United Kingdom regarding the Export of Nuclear Material and of Certain Categories of Equipment and Other Material

    International Nuclear Information System (INIS)

    2008-01-01

    The Director General has received a note ver bale from the Permanent Mission of the United Kingdom, dated 10 January 2008, in which it requests that the Agency circulate to all Member States a letter of 12 December 2006 from the Chairman of the Zangger Committee, Mr. Pavel Klucky, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belgium, Bulgaria, Canada, China, Croatia, Czech Republic, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Republic of Korea, Luxemburg, the Netherlands, Norway, Poland, Portugal, Romania, Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom of Great Britain and Northern Ireland and the United States of America, concerning the export of nuclear material and of certain categories of equipment and other material [ru

  14. Communication of 2 June 2009 received from the Permanent Mission of the United Kingdom regarding the Export of Nuclear Material and of Certain Categories of Equipment and Other Material

    International Nuclear Information System (INIS)

    2009-01-01

    The Director General has received a note ver bale from the Permanent Mission of the United Kingdom, dated 2 June 2009, in which it requests that the Agency circulate to all Member States a letter of 28 May 2009 from the Chairman of the Zangger Committee, Mr. Pavel Klucky, to the Director General, on behalf of the Governments of Argentina, Australia, Austria, Belgium, Bulgaria, Canada, China, Croatia, Denmark, Finland, France, Germany, Greece, Hungary, Ireland, Italy, Japan, Kazakhstan, the Republic of Korea, Luxemburg, the Netherlands, Norway, Poland, Portugal, Romania, the Russian Federation, Slovakia, Slovenia, South Africa, Spain, Sweden, Switzerland, Turkey, Ukraine, the United Kingdom and the United States of America, concerning a number of corrections to the communication regarding the export of nuclear material and of certain categories of equipment and other material published in INFCIRC/209/Rev.2 [es

  15. BJPsych Bulletin author mentoring scheme - helping trainees become published authors.

    Science.gov (United States)

    Pimm, Jonathan; Galbraith, Niall

    2016-02-01

    The publishing world is changing rapidly. Innovations include the move to open access, the rise of social media and the transition to digitalisation. In the light of these developments and with ever-increasing pressures on early career psychiatrists and trainees to publish papers in journals with a recognised pedigree, the BJPsych Bulletin is piloting an author mentoring scheme. Mentors will help clinicians and aspiring academics develop articles from a pedestrian manuscript to one that will hopefully provoke important debate and aid changes in current practices. The scheme will run on a trial basis for approximately 12 months and will then be reviewed. Mentoring has been found to have an important effect of research output including publication and grant success; the hope is that this new initiative at the BJPsych Bulletin will result in such dividends to all involved.

  16. Emergencies in radiology: a survey of radiologist and radiology trainees

    International Nuclear Information System (INIS)

    Craig, Simon; Naidoo, Parmanand

    2014-01-01

    Emergencies in radiology are infrequent but potentially lethal. Australian and New Zealand radiologists are advised to undergo resuscitation training at least every three years; however, little is known about their experience and confidence in managing common emergencies relevant to their clinical practice. This paper describes the current experience and confidence of radiologists and radiology trainees in Australia and New Zealand in the management of common medical emergencies. A cross-sectional online survey of trainees and fellows of the Royal Australian and New Zealand College of Radiology collected data on training and learning preferences relating to resuscitation and life-support skills, access to emergency medical care, and knowledge, confidence and ability in managing a variety of medical emergencies. There were 602 responses to the survey (response rate 23.4%). The majority of respondents were interested in learning more about the management of contrast reactions, cardiac arrest, ischaemic chest pain and basic life support. Self-rated knowledge, confidence and ability were higher in respondents who had completed life-support training within the previous three years. In this group, however, more than 40% rated their ability at managing contrast reactions as poor or fair, while more than 60% rated their ability as poor or fair for management of cardiac arrest, basic life support, advanced life support and dosing of adrenaline. Preferred resuscitation training modalities included simulation, small-group tutorials and workshops. Self-reported level of skill and expertise in the management of potential emergencies in radiology is suboptimal among a large number of respondents. Consideration should be given to addressing this by improving access to specific training.

  17. Automatically rating trainee skill at a pediatric laparoscopic suturing task.

    Science.gov (United States)

    Oquendo, Yousi A; Riddle, Elijah W; Hiller, Dennis; Blinman, Thane A; Kuchenbecker, Katherine J

    2018-04-01

    Minimally invasive surgeons must acquire complex technical skills while minimizing patient risk, a challenge that is magnified in pediatric surgery. Trainees need realistic practice with frequent detailed feedback, but human grading is tedious and subjective. We aim to validate a novel motion-tracking system and algorithms that automatically evaluate trainee performance of a pediatric laparoscopic suturing task. Subjects (n = 32) ranging from medical students to fellows performed two trials of intracorporeal suturing in a custom pediatric laparoscopic box trainer after watching a video of ideal performance. The motions of the tools and endoscope were recorded over time using a magnetic sensing system, and both tool grip angles were recorded using handle-mounted flex sensors. An expert rated the 63 trial videos on five domains from the Objective Structured Assessment of Technical Skill (OSATS), yielding summed scores from 5 to 20. Motion data from each trial were processed to calculate 280 features. We used regularized least squares regression to identify the most predictive features from different subsets of the motion data and then built six regression tree models that predict summed OSATS score. Model accuracy was evaluated via leave-one-subject-out cross-validation. The model that used all sensor data streams performed best, achieving 71% accuracy at predicting summed scores within 2 points, 89% accuracy within 4, and a correlation of 0.85 with human ratings. 59% of the rounded average OSATS score predictions were perfect, and 100% were within 1 point. This model employed 87 features, including none based on completion time, 77 from tool tip motion, 3 from tool tip visibility, and 7 from grip angle. Our novel hardware and software automatically rated previously unseen trials with summed OSATS scores that closely match human expert ratings. Such a system facilitates more feedback-intensive surgical training and may yield insights into the fundamental

  18. Next Generation Solvent - Materials Compatibility With Polymer Components Within Modular Caustic-Side Solvent Extraction Unit (Final Report)

    International Nuclear Information System (INIS)

    Fondeur, F.; Peters, T.; Fink, S.

    2012-01-01

    The Office of Waste Processing, within the Office of Technology Innovation and Development, is funding the development of an enhanced solvent for deployment at the Savannah River Site for removal of cesium from High Level Waste. The technical effort is collaboration between Oak Ridge National Laboratory (ORNL), Savannah River National Laboratory (SRNL), and Argonne National Laboratory. The first deployment target for the technology is within the Modular Caustic-Side Solvent Extraction Unit (MCU). Deployment of a new chemical within an existing facility requires verification that the chemical components are compatible with the installed equipment. In the instance of a new organic solvent, the primary focus is on compatibility of the solvent with organic polymers used in the facility. This report provides the data from exposing these polymers to the Next Generation Solvent (NGS). The test was conducted over six months. An assessment of the dimensional stability of polymers present in MCU (i.e., PEEK, Grafoil, Tefzel and Isolast) in the modified NGS (where the concentration of LIX(reg s ign)79 and MaxCalix was varied systematically) showed that LIX(reg s ign)79 selectively affected Tefzel and its different grades (by an increase in size and lowering its density). The copolymer structure of Tefzel and possibly its porosity allows for the easier diffusion of LIX(reg s ign)79. Tefzel is used as the seat material in some of the valves at MCU. Long term exposure to LIX(reg s ign)79, may make the valves hard to operate over time due to the seat material (Tefzel) increasing in size. However, since the physical changes of Tefzel in the improved solvent are comparable to the changes in the CSSX baseline solvent, no design changes are needed with respect to the Tefzel seating material. PEEK, Grafoil and Isolast were not affected by LIX(reg s ign)79 and MaxCalix within six months of exposure. The initial rapid weight gain observed in every polymer is assigned to the finite and

  19. NEXT GENERATION SOLVENT-MATERIALS COMPATIBILITY WITH POLYMER COMPONENTS WITHIN MODULAR CAUSTIC-SIDE SOLVENT EXTRACTION UNIT (FINAL REPORT)

    Energy Technology Data Exchange (ETDEWEB)

    Fondeur, F.; Peters, T.; Fink, S.

    2012-01-17

    The Office of Waste Processing, within the Office of Technology Innovation and Development, is funding the development of an enhanced solvent for deployment at the Savannah River Site for removal of cesium from High Level Waste. The technical effort is collaboration between Oak Ridge National Laboratory (ORNL), Savannah River National Laboratory (SRNL), and Argonne National Laboratory. The first deployment target for the technology is within the Modular Caustic-Side Solvent Extraction Unit (MCU). Deployment of a new chemical within an existing facility requires verification that the chemical components are compatible with the installed equipment. In the instance of a new organic solvent, the primary focus is on compatibility of the solvent with organic polymers used in the facility. This report provides the data from exposing these polymers to the Next Generation Solvent (NGS). The test was conducted over six months. An assessment of the dimensional stability of polymers present in MCU (i.e., PEEK, Grafoil, Tefzel and Isolast) in the modified NGS (where the concentration of LIX{reg_sign}79 and MaxCalix was varied systematically) showed that LIX{reg_sign}79 selectively affected Tefzel and its different grades (by an increase in size and lowering its density). The copolymer structure of Tefzel and possibly its porosity allows for the easier diffusion of LIX{reg_sign}79. Tefzel is used as the seat material in some of the valves at MCU. Long term exposure to LIX{reg_sign}79, may make the valves hard to operate over time due to the seat material (Tefzel) increasing in size. However, since the physical changes of Tefzel in the improved solvent are comparable to the changes in the CSSX baseline solvent, no design changes are needed with respect to the Tefzel seating material. PEEK, Grafoil and Isolast were not affected by LIX{reg_sign}79 and MaxCalix within six months of exposure. The initial rapid weight gain observed in every polymer is assigned to the finite and

  20. Virtual reality training for surgical trainees in laparoscopic surgery.

    Science.gov (United States)

    Nagendran, Myura; Gurusamy, Kurinchi Selvan; Aggarwal, Rajesh; Loizidou, Marilena; Davidson, Brian R

    2013-08-27

    Standard surgical training has traditionally been one of apprenticeship, where the surgical trainee learns to perform surgery under the supervision of a trained surgeon. This is time-consuming, costly, and of variable effectiveness. Training using a virtual reality simulator is an option to supplement standard training. Virtual reality training improves the technical skills of surgical trainees such as decreased time for suturing and improved accuracy. The clinical impact of virtual reality training is not known. To assess the benefits (increased surgical proficiency and improved patient outcomes) and harms (potentially worse patient outcomes) of supplementary virtual reality training of surgical trainees with limited laparoscopic experience. We searched the Cochrane Central Register of Controlled Trials (CENTRAL) in The Cochrane Library, MEDLINE, EMBASE and Science Citation Index Expanded until July 2012. We included all randomised clinical trials comparing virtual reality training versus other forms of training including box-trainer training, no training, or standard laparoscopic training in surgical trainees with little laparoscopic experience. We also planned to include trials comparing different methods of virtual reality training. We included only trials that assessed the outcomes in people undergoing laparoscopic surgery. Two authors independently identified trials and collected data. We analysed the data with both the fixed-effect and the random-effects models using Review Manager 5 analysis. For each outcome we calculated the mean difference (MD) or standardised mean difference (SMD) with 95% confidence intervals based on intention-to-treat analysis. We included eight trials covering 109 surgical trainees with limited laparoscopic experience. Of the eight trials, six compared virtual reality versus no supplementary training. One trial compared virtual reality training versus box-trainer training and versus no supplementary training, and one trial compared

  1. Efforts of the occupant to change physical quality of residential unit through the change of building material at low cost flats in Jakarta

    Science.gov (United States)

    Nurdiani, N.

    2018-03-01

    Low cost flats in Jakarta – Indonesia is provided by the government for low-income people in urban areas, in line with the program to redevelop or renew slum areas. Low cost flat is built with the minimum standard of building materials. The purpose of this study is to know efforts of the occupants to change of building materials at residential unit of low cost flats. The research was conducted by descriptive method at four of low cost housing in Jakarta: Rusuna Bendungan Hilir 1, Rusuna Tambora IIIA, Rusuna Bidara Cina, and Rusuna Sukapura. The results showed that physical changes which happened in low cost flats are aesthetic (residence paint color change), or improvement of physical quality of residential unit (change of building material), become dominant aspects done by residents in four rusuna.

  2. How Supervisor Experience Influences Trust, Supervision, and Trainee Learning: A Qualitative Study.

    Science.gov (United States)

    Sheu, Leslie; Kogan, Jennifer R; Hauer, Karen E

    2017-09-01

    Appropriate trust and supervision facilitate trainees' growth toward unsupervised practice. The authors investigated how supervisor experience influences trust, supervision, and subsequently trainee learning. In a two-phase qualitative inductive content analysis, phase one entailed reviewing 44 internal medicine resident and attending supervisor interviews from two institutions (July 2013 to September 2014) for themes on how supervisor experience influences trust and supervision. Three supervisor exemplars (early, developing, experienced) were developed and shared in phase two focus groups at a single institution, wherein 23 trainees validated the exemplars and discussed how each impacted learning (November 2015). Phase one: Four domains of trust and supervision varying with experience emerged: data, approach, perspective, clinical. Early supervisors were detail oriented and determined trust depending on task completion (data), were rule based (approach), drew on their experiences as trainees to guide supervision (perspective), and felt less confident clinically compared with more experienced supervisors (clinical). Experienced supervisors determined trust holistically (data), checked key aspects of patient care selectively and covertly (approach), reflected on individual experiences supervising (perspective), and felt comfortable managing clinical problems and gauging trainee abilities (clinical). Phase two: Trainees felt the exemplars reflected their experiences, described their preferences and learning needs shifting over time, and emphasized the importance of supervisor flexibility to match their learning needs. With experience, supervisors differ in their approach to trust and supervision. Supervisors need to trust themselves before being able to trust others. Trainees perceive these differences and seek supervision approaches that align with their learning needs.

  3. How can educators support general practice (GP) trainees to develop resilience to prevent burnout?

    Science.gov (United States)

    Sales, Bryony; Macdonald, Alexandra; Scallan, Samantha; Crane, Sue

    2016-11-01

    Burnout impacts adversely on professional and personal life, and holds implications for patient care. Current research on burnout mainly focuses on established general practitioners but it is unclear how early the signs of burnout really start. This work seeks to identify whether specific GP trainee groups are particularly at risk of burnout and the aspects of training they find stressful. A longitudinal cohort study, collecting qualitative and quantitative data through a single mode of data collection (questionnaire) took place with trainees from all GP training years (ST1-3), across a vocational training scheme (n = 48). Data gathered included the Oldenburg Burnout Inventory (OLBI). Higher than anticipated levels of burnout were displayed by all trainees. A sub-group self reporting higher levels of burnout comprised all-female, UK-trained-at-undergraduate GP trainees, with a partner but no children. Top reported stressors included knowledge/uncertainty, workload/time pressures and ePortfolio. Less than 50% of trainees perceived their burnout levels to be as high as their OLBI showing potential lack of insight. This research demonstrates that high levels of burnout are experienced in GP trainees as early as the first year of training. Early identification of burnout amongst trainees is essential by GP educators to help protect the future GP workforce.

  4. Does interpersonal behaviour of psychotherapy trainees differ in private and professional relationships?

    Directory of Open Access Journals (Sweden)

    Janna Ida Fincke

    2015-06-01

    Full Text Available Aim: The present study aimed to evaluate the effect of trainees' interpersonal behaviour on Work Involvement (WI and compared their social behaviour within professional and private relationships as well as between different psychotherapeutic orientations. Methods: The interpersonal scales of the Intrex short-form questionnaire and the Work Involvement Scale (WIS were used to evaluate two samples of German psychotherapy trainees in psychoanalytic (PA, psychodynamic (PD and cognitive behavioural therapy (CBT training. Trainees from sample 1 (N = 184 were asked to describe their interpersonal behaviour in relation to their patients when filling out the Intrex, whereas trainees from sample 2 (N = 135 were asked to describe the private relationship with a significant other. Results: Interpersonal affiliation in professional relationships significantly predicted the level of Healing Involvement (HI, while Stress Involvement (SI was predicted by interpersonal affiliation and interdependence in trainees' relationships with their patients. Social behaviour within professional relationships provided higher correlations with WI than private interpersonal behaviour. Significant differences were found between private and professional relation settings in trainees’ interpersonal behaviour with higher levels of affiliation and interdependence with significant others. Differences between therapeutic orientation and social behaviour could only be found when comparing trainees' level of interdependence with the particular relationship setting. Conclusion: Trainees' interpersonal level of affiliation in professional relationships is a predictor for a successful psychotherapeutic development. Vice versa, controlling behaviour in professional settings can be understood as a risk factor against psychotherapeutic growth. Both results strengthen an evidence-based approach for competence development during psychotherapy training.

  5. 2015 American Academy of Clinical Neuropsychology (AACN) student affairs committee survey of neuropsychology trainees.

    Science.gov (United States)

    Whiteside, Douglas M; Guidotti Breting, Leslie M; Butts, Alissa M; Hahn-Ketter, Amanda E; Osborn, Katie; Towns, Stephanie J; Barisa, Mark; Santos, Octavio A; Smith, Daniel

    2016-07-01

    Surveys of practicing neuropsychologists have been conducted for years; however, there have been no comprehensive surveys of neuropsychology trainees, which may result in important issues being overlooked by the profession. This survey assessed trainees' experiences in areas such as student debt, professional development, and training satisfaction. Survey items were written by a task force of the AACN Student Affairs Committee (SAC), and neuropsychology trainees were recruited via neuropsychology-focused listservs. In total, 344 trainees completed the survey (75% female) and included participants from every region of the US and Canada. Based on the survey questions, nearly half of all trainees (47%) indicated financial factors were the greatest limitation in their training. Student debt had a bimodal distribution; 32.7% had minimal debt, but 45% had debt >$100,000. In contrast, expected starting salaries were modest, but consistent with findings ($80-100,000). While almost all trainees intended to pursue board certification (97% through ABPP), many were 'not at all' or only 'somewhat' familiar with the process. Results indicated additional critical concerns beyond those related to debt and lack of familiarity with board certification procedures. The results will inform SAC conference programming and the profession on the current 'state of the trainees' in neuropsychology.

  6. The knowledge and attitudes of orthodontic trainees towards orthodontic therapists: a national survey.

    Science.gov (United States)

    Patel, Sameer; Mack, Gavin

    2017-09-01

    To assess the knowledge and attitudes of orthodontic trainees towards orthodontic therapists (OTs) in the UK. Cross-sectional survey. UK-based orthodontic trainees. An electronic survey was sent to all members of the Training Grades Group of the British Orthodontic Society assessing exposure to OTs and their knowledge regarding current supervision guidelines and scope of practice. Attitudes towards OTs were also explored. Seventy-six responses (response rate 57%) were returned. Nearly 90% of trainees had no formal training regarding OTs. A total of 15.5% were aware of the correct current supervision guidelines and there was large variation in the knowledge of OTs' scope of practice. The majority of trainees were happy to supervise OTs, but only 22.4% felt prepared for this during training. In total, 63% of trainees felt that OTs could impact their own future job prospects. Currently, there is minimal formal training provided to trainees regarding the role of OTs. This is reflected in the lack of knowledge regarding supervision guidelines and scope of practice. Overall, trainees felt OTs were positive for the workforce but were concerned regarding the impact of their own future employment.

  7. Twelve tips for a successful workplace-based masters programme in geriatric for specialist registrars and specialty trainees.

    Science.gov (United States)

    Bhat, Sarita; Baker, Paul; Eyres, Renata

    2008-01-01

    Postgraduate medical training is undergoing major change, shortening and disrupting traditional practices. Scholarship remains highly valued, but increasingly difficult to fit in. Workplace-based Masters study offers a solution. We want consultants who are driven by enquiry, good teachers and team workers. Academic qualifications demonstrate trainees' commitment and expertise in competitive employment markets. Most Deaneries allow two sessions weekly for research/personal development, so this resource demands effective use. The good will, talent and commitment of colleagues are vital. A credible structured curriculum combines real-life consultant-level generic practice, with technical medical skills. Academic writing and practical assignments are assessed. Linking with a far-sighted academic institution brings vast expertise in education administration and delivery of accredited learning. The course is more cost-effective than traditional study leave activities. Running part-time over 4 years fits with Higher Specialist Training. Structured programmes, over 9 month 'terms', fit with clinical rotations. Module leaders run yearly clinical modules alongside continuous generic modules. Clinical units are signed up to releasing trainees to attend. Evaluation is external to faculty, with highly favourable feedback. We believe training in academic disciplines underpins practice. With strong partnership working, planning and especially hard work, such a course is deliverable.

  8. Working hours and roster structures of surgical trainees in Australia and New Zealand.

    Science.gov (United States)

    O'Grady, Gregory; Loveday, Benjamin; Harper, Simon; Adams, Brandon; Civil, Ian D; Peters, Matthew

    2010-12-01

    The working hours of surgical trainees are a subject of international debate. Excessive working hours are fatiguing, and compromise performance, learning and work-life balance. However, reducing hours can impact on continuity of care, training experience and service provision. This study defines the current working hours of Australasian trainees, to inform the working hours debate in our regions. An online survey was conducted of all current Australasian trainees. Questions determined hours spent at work (AW) and off-site on-call (OC) per week, and roster structures were evaluated by training year, specialty and location. The response rate was 55.3%. Trainees averaged 61.4 ± 11.7 h/week AW, with 5% working ≥80 h. OC shifts were worked by 73.5%, for an average of 27.8 ± 14.3 h/week. Trainees of all levels worked similar hours (P= 0.10); however, neurosurgical trainees worked longer hours than most other specialties (P hours (P= 0.01) and rural rotations more OC (P Long days (>12 h) were worked by 86%; median frequency 1:4.4 days; median duration 15 h. OC shifts of 24-h duration were worked by 75%; median frequency 1:4.2 days; median sleep: 5-7 h/shift; median uninterrupted sleep: 3-5 h/shift. This study has quantified the working hours and roster structures of Australasian surgical trainees. By international standards, Australasian trainee working hours are around average. However, some rosters demand long hours and/or induce chronic sleep loss, placing some trainees at risk of fatigue. Ongoing efforts are needed to promote safe rostering practices. © 2010 The Authors. ANZ Journal of Surgery © 2010 Royal Australasian College of Surgeons.

  9. Allergen immunotherapy: clinical and practical education of Italian trainees in allergy and clinical immunology schools.

    Science.gov (United States)

    Ridolo, E; Incorvaia, C; Senna, G E; Montagni, M; Olivieri, E; Canonica, G W

    2013-10-01

    We performed a survey, based on a questionnaire including 20 items, submitted anonymously to Italian trainees in Allergology and Clinical Immunology, in order to obtain information about their specific allergen immunotherapy (AIT) practices. The questionnaire was sent to 40 trainees, who had attended the last two years of the training course. Thirty-four subjects (mean age: 27 years, 65% females) adequately completed the survey. The answers to the questionnaire showed that only 60% of the training programs included lectures on AIT. Among the trainees using AIT, only 40% declared being able to prescribe it independently, while 60% were guided by a tutor. Of the trainees who were able to prescribe AIT autonomously, 60% were familiar with both routes of administration, i.e. subcutaneous (SCIT) and sublingual immunotherapy (SLIT), while 25% of these used only SLIT. In 80% of the training institutions involved, the trainees could attend a dedicated AIT outpatient ward for SCIT administration; only 40% administered AIT personally, and in half of these cases, they were guided by a tutor. Only 70% of trainees had experience in the follow-up of patients still under treatment and of patients who had completed treatment. Analysis of the answers obtained for questions on venom immunotherapy (VIT) showed that, in 90% of cases, the trainees attended a dedicated outpatients ward where VIT is administered, but with a role limited to observation/cooperation. Only 30% were involved in the follow-up of patients who were under treatment or who had completed VIT. Only 20% of the trainees felt confident enough about VIT to prescribe this treatment independently, 80% knew there were several administration protocols, and the majority prescribed products from three different manufacturers. These findings suggest that there is significant room for improving the instructions provided regarding allergology and clinical immunology to trainees in Italy with respect to AIT.

  10. Support for Students, Postdoctoral Fellows and Trainees to Attend Radiochemistry-­Related Symposia at Pacifichem 2015

    Energy Technology Data Exchange (ETDEWEB)

    Wilbur, Daniel Scott [Univ. of Washington, Seattle, WA (United States). Dept. of Radiation Oncology

    2016-02-06

    This project was undertaken to meet the growing need for training personnel who will be involved in professional careers requiring knowledge of radiochemistry, such as those working in radionuclide production, and in biological, industrial, medical and environmental fields that use radionuclides in their work. The goal of the project was to provide financial assistance to students and trainees from academic and government institutions (US preferred) to attend selected radiochemistry-­related symposia at the Pacifichem 2015 meeting held in Honolulu, Hawaii in December 2015. The funding, meant to provide a portion of an awardee’s travel cost, was specifically directed at attendance to the following symposia: #363, Isotope production-­ Providing Important Materials for Research and Applications; #215, Chemistry of Molecular Imaging, and #11, Chemistry for Development of Theranostic Radiopharmaceuticals. Those symposia were held December 16th (am & pm: #11, #363), December 17th (am: #11, #363; pm: #275) and December 18th (am & pm: #275). Pacifichem meetings are held every 5 years in Honolulu, Hawaii. The meetings are joint sponsored by a number of Chemistry Societies from Pacific Rim countries. The meetings are composed of a large number of symposia (>300) on a wide variety of topics, which make them similar to small meetings within the larger overall meeting. Therefore, attendance at the three symposia within Pacifichem 2015 was similar to attending a meeting focused entirely on radiochemistry-­related topics. To obtain the financial assistance, the student/trainee: (a) had to be an undergraduate student, graduate student or Postdoctoral Fellow in a physical science department or National Laboratory; (b) had to submit a letter from their supervisor indicating that he/she will be enrolled as a student/trainee at the time of the meeting, and were committed to attending the meeting; and (c) had to submit a resume or curriculum vitae along with a brief statement of

  11. Pre-Enlistment Maltreatment Histories of U.S. Navy Basic Trainees: Prevalence of Abusive Behaviors.

    Science.gov (United States)

    1995-11-13

    screen groups similar in age to Navy trainees. Table 13 summarizes the MAST results for trainees and for the two studies of college students ( Favazza ... Favazza & Cannell: 245 20.0 32 Silber et al.: 200 22.0 17 Total: 445 21.0 25 Trainees 3,152 20.2 69 Note. * A score of 4 is categorized as "suggestive...Journal of Studies of Alcohol, 54(3), 334-344. Favazza , A. R., & Cannell, B. (1977). Screening for alcoholism among college students. American Journal of

  12. Perspectives of an Interdisciplinaryg Research Team to Engage Practice: Lessons from a Knowledge Exchange Trainee Experience

    Science.gov (United States)

    Urquhart, Robin L.; Johnston, Grace M.; McVorran, Shauna M.; Burge, Fred I.

    2010-01-01

    End-of-life (EOL) care is an area of health services that will ultimately affect us all. To share the knowledge emerging from EOL research and to address inequities in the quality of EOL care in Nova Scotia, a knowledge exchange (KE) trainee was hired to translate research and surveillance into a Surveillance Report. The purpose of this paper is to reflect upon this initiative and share the research team's perspectives on their KE experiences. We describe four key competencies of the KE trainee selected, and discuss lessons learned from this KE trainee experience, to expand our understanding of KE. PMID:21532769

  13. 'That blasted Facebook page': supporting trainee-teachers' professional learning through social media

    OpenAIRE

    Edwards, Martyn; Darwent, Dave; Irons, Charly

    2015-01-01

    The creation and use of a Facebook group amongst trainee-teachers in post-16 and further education on a PGCE course at a large university in the North of England was studied. The Facebook group was self-initiated and self-managed by the trainee-teachers as a means of socialisation and peer-support amongst themselves. Data was gathered through parallel interviews with a PGCE trainee and a course tutor. Interviews were semi-structured using Tuckman's stages of group development (forming, stormi...

  14. Where did the acute medical trainees go? A review of the career pathways of acute care common stem acute medical trainees in London.

    Science.gov (United States)

    Gowland, Emily; Ball, Karen Le; Bryant, Catherine; Birns, Jonathan

    2016-10-01

    Acute care common stem acute medicine (ACCS AM) training was designed to develop competent multi-skilled acute physicians to manage patients with multimorbidity from 'door to discharge' in an era of increasing acute hospital admissions. Recent surveys by the Royal College of Physicians have suggested that acute medical specialties are proving less attractive to trainees. However, data on the career pathways taken by trainees completing core acute medical training has been lacking. Using London as a region with a 100% fill rate for its ACCS AM training programme, this study showed only 14% of trainees go on to higher specialty training in acute internal medicine and a further 10% to pursue higher medical specialty training with dual accreditation with internal medicine. 16% of trainees switched from ACCS AM to emergency medicine or anaesthetics during core ACCS training, and intensive care medicine proved to be the most popular career choice for ACCS AM trainees (21%). The ACCS AM training programme therefore does not appear to be providing what it was set out to do and this paper discusses the potential causes and effects. © Royal College of Physicians 2016. All rights reserved.

  15. Opiniones de tutores y residentes tras aplicar un sistema de evaluación formativa tipo portafolio: la nueva propuesta de ‘Guía de práctica reflexiva' del Libro del especialista en Medicina de Familia en formación Trainers and trainees opinions after the pilot implementation of a formative evaluation: the new portfolio of the Spanish Family Medicine Resident

    Directory of Open Access Journals (Sweden)

    R. Ruiz-Moral

    2008-09-01

    Full Text Available Introducción. La Comisión Nacional de la Especialidad de Medicina Familiar ha propuesto un nuevo Libro del especialista en Medicina de Familia en formación (LEF tipo portafolio (‘Guía de práctica reflexiva'. No existen en nuestro país experiencias que nos orienten sobre como este tipo de evaluación formativa puede aplicarse, desarrollarse y tampoco sobre su utilidad en la formación de residentes. Materiales y métodos. Estudio piloto cualitativo con encuestas estructuradas realizadas en una unidad docente provincial de Medicina de Familia. Durante nueve meses, 28 tutores (T y 36 residentes (R participaron en una evaluación formativa de diferentes áreas competenciales, aportando tareas durante su trabajo. Los T y R respondieron a preguntas estructuradas y sus opiniones sobre contenidos, formato y posibles estrategias de aplicación fueron codificadas por dos evaluadores por temas recurrentes, explicaciones y conceptos. Resultados. Se recibieron encuestas de 33 R. Diecinueve T hicieron comentarios y 21 entregaron 67 informes de evaluación (media: 3 informes/tutor. Los T y R consideran que el nuevo método puede ser útil para reflexionar sobre la práctica, conocer las competencias y fortalecer la relación tutor-residente, especialmente si se tienen en cuenta algunas sugerencias que mejorarían su aplicación y podrían reducir el tiempo y el esfuerzo empleado. Conclusiones. El nuevo LEF en su versión actual o con algunas modificaciones puede ser una herramienta para la evaluación formativa de los R de utilidad y probablemente bien aceptada en nuestro medio.Introduction. The Spanish Family Medicine National Joint Commission is proposing a new trainee evaluation system type portfolio. In Spain, there is not previous experience that can guide about how this kind of formative assessment can be developed and we do not known about its usefulness in the trainees education. Materials and methods. Qualitative study with structured surveys

  16. Evaluation of accuracy of complete-arch multiple-unit abutment-level dental implant impressions using different impression and splinting materials.

    Science.gov (United States)

    Buzayan, Muaiyed; Baig, Mirza Rustum; Yunus, Norsiah

    2013-01-01

    This in vitro study evaluated the accuracy of multiple-unit dental implant casts obtained from splinted or nonsplinted direct impression techniques using various splinting materials by comparing the casts to the reference models. The effect of two different impression materials on the accuracy of the implant casts was also evaluated for abutment-level impressions. A reference model with six internal-connection implant replicas placed in the completely edentulous mandibular arch and connected to multi-base abutments was fabricated from heat-curing acrylic resin. Forty impressions of the reference model were made, 20 each with polyether (PE) and polyvinylsiloxane (PVS) impression materials using the open tray technique. The PE and PVS groups were further subdivided into four subgroups of five each on the bases of splinting type: no splinting, bite registration PE, bite registration addition silicone, or autopolymerizing acrylic resin. The positional accuracy of the implant replica heads was measured on the poured casts using a coordinate measuring machine to assess linear differences in interimplant distances in all three axes. The collected data (linear and three-dimensional [3D] displacement values) were compared with the measurements calculated on the reference resin model and analyzed with nonparametric tests (Kruskal-Wallis and Mann-Whitney). No significant differences were found between the various splinting groups for both PE and PVS impression materials in terms of linear and 3D distortions. However, small but significant differences were found between the two impression materials (PVS, 91 μm; PE, 103 μm) in terms of 3D discrepancies, irrespective of the splinting technique employed. Casts obtained from both impression materials exhibited differences from the reference model. The impression material influenced impression inaccuracy more than the splinting material for multiple-unit abutment-level impressions.

  17. What Are the Ethical Issues Facing Global-Health Trainees Working Overseas? A Multi-Professional Qualitative Study

    Directory of Open Access Journals (Sweden)

    James D. Harrison

    2016-07-01

    Full Text Available The aim of this study was to identify global health ethical issues that health professional trainees may encounter during electives or placements in resource-limited countries. We conducted a qualitative study involving focus groups and an interview at the University of California San Francisco. Participants were multi-professional from the Schools of Medicine, Nursing and Pharmacy and had experience working, or teaching, as providers in resource-limited countries. Eighteen participants provided examples of ethical dilemmas associated with global-health outreach work. Ethical dilemmas fell into four major themes relating to (1 cultural differences (informed consent, truth-telling, autonomy; (2 professional issues (power dynamics, training of local staff, corruption; (3 limited resources (scope of practice, material shortages; (4 personal moral development (dealing with moral distress, establishing a moral compass, humility and self awareness. Three themes (cultural differences, professional issues, limited resources were grouped under the core category of “external environmental and/or situational issues” that trainees are confronted when overseas. The fourth theme, moral development, refers to the development of a moral compass and the exercise of humility and self-awareness. The study has identified case vignettes that can be used for curriculum content for global-health ethics training.

  18. What Are the Ethical Issues Facing Global-Health Trainees Working Overseas? A Multi-Professional Qualitative Study

    Science.gov (United States)

    Harrison, James D.; Logar, Tea; Le, Phuoc; Glass, Marcia

    2016-01-01

    The aim of this study was to identify global health ethical issues that health professional trainees may encounter during electives or placements in resource-limited countries. We conducted a qualitative study involving focus groups and an interview at the University of California San Francisco. Participants were multi-professional from the Schools of Medicine, Nursing and Pharmacy and had experience working, or teaching, as providers in resource-limited countries. Eighteen participants provided examples of ethical dilemmas associated with global-health outreach work. Ethical dilemmas fell into four major themes relating to (1) cultural differences (informed consent, truth-telling, autonomy); (2) professional issues (power dynamics, training of local staff, corruption); (3) limited resources (scope of practice, material shortages); (4) personal moral development (dealing with moral distress, establishing a moral compass, humility and self awareness). Three themes (cultural differences, professional issues, limited resources) were grouped under the core category of “external environmental and/or situational issues” that trainees are confronted when overseas. The fourth theme, moral development, refers to the development of a moral compass and the exercise of humility and self-awareness. The study has identified case vignettes that can be used for curriculum content for global-health ethics training. PMID:27417631

  19. Motivation for career choice and job satisfaction of GP trainees and newly qualified GPs across Europe: a seven countries cross-sectional survey.

    Science.gov (United States)

    Roos, Marco; Watson, Jessica; Wensing, Michel; Peters-Klimm, Frank

    2014-07-01

    Recruitment to general practice is a major concern in many countries. Cross-national exploration of motivation for career choice and career satisfaction could help inform workforce planning. Our aim was to explore motivation for career choice and job satisfaction of GP trainees and newly qualified GPs (NQGP) across seven European countries. We surveyed GP trainees and recently qualified GPs in the Czech Republic, Denmark, Germany, Italy, Norway, Portugal and the United Kingdom using a web-based questionnaire. The number of individuals who responded was 3722 (2533 GP trainees; 1189 NQGP). The most frequently cited reasons for choosing GP were 'compatibility with family life' (59.5%), 'challenging medically broad discipline' (58.9%), 'individual approach to people' (40.1%), 'holistic approach' (37.8%) and 'autonomy and independence' (30.4%). Despite differences in workload, work-life balance and earnings, overall job satisfaction was high, with over 80% saying that they would choose to be a doctor again; of these 78.4% would choose to be a GP again. In our sample reasons for choosing general practice as a career were strongly positive, with compatibility with family life the most frequently cited reason overall. This has implications for workforce planning. Further qualitative studies are needed to explore issues raised in more detail.

  20. Wind energy in the United States and materials required for the land-based wind turbine industry from 2010 through 2030

    Science.gov (United States)

    Wilburn, David R.

    2011-01-01

    The generation of electricity in the United States from wind-powered turbines is increasing. An understanding of the sources and abundance of raw materials required by the wind turbine industry and the many uses for these materials is necessary to assess the effect of this industry's growth on future demand for selected raw materials relative to the historical demand for these materials. The U.S. Geological Survey developed estimates of future requirements for raw (and some recycled) materials based on the assumption that wind energy will supply 20 percent of the electricity consumed in the United States by 2030. Economic, environmental, political, and technological considerations and trends reported for 2009 were used as a baseline. Estimates for the quantity of materials in typical "current generation" and "next generation" wind turbines were developed. In addition, estimates for the annual and total material requirements were developed based on the growth necessary for wind energy when converted in a wind powerplant to generate 20 percent of the U.S. supply of electricity by 2030. The results of the study suggest that achieving the market goal of 20 percent by 2030 would require an average annual consumption of about 6.8 million metric tons of concrete, 1.5 million metric tons of steel, 310,000 metric tons of cast iron, 40,000 metric tons of copper, and 380 metric tons of the rare-earth element neodymium. With the exception of neodymium, these material requirements represent less than 3 percent of the U.S. apparent consumption for 2008. Recycled material could supply about 3 percent of the total steel required for wind turbine production from 2010 through 2030, 4 percent of the aluminum required, and 3 percent of the copper required. The data suggest that, with the possible exception of rare-earth elements, there should not be a shortage of the principal materials required for electricity generation from wind energy. There may, however, be selective

  1. Assessment of thermal damage to polymeric materials by hydrogen deflagration in the Three Mile Island Unit 2 Reactor Building

    International Nuclear Information System (INIS)

    Alvares, N.J.

    1985-05-01

    Thermal damage to susceptible material in accessible regions of the reactor building was distributed in non-uniform patterns. No clear explanation for non-uniformity was found in examined evidence, e.g., burned materials were adjacent to materials that appear similar but were not burned. Because these items were in proximity to vertical openings that extend the height of the reactor building, we assume the unburned materials preferentially absorbed water vapor during periods of high, local steam concentration. Simple hydrogen-fire-exposure tests and heat transfer calculations duplicate the degree of damage found on inspected materials from the containment building. These data support estimated 8% pre-fire hydrogen concentration predictions based on various hydrogen production mechanisms

  2. Psychotherapy trainees' multicultural case conceptualization content: thematic differences across three cases.

    Science.gov (United States)

    Lee, Debbiesiu L; Sheridan, Daniel J; Rosen, Adam D; Jones, Isaiah

    2013-06-01

    This study examined thematic differences in the multicultural case conceptualization content of 61 psychotherapy trainees across three different cases and trainee demographics (number of multicultural courses completed, years of supervised clinical practicum completed, and White trainee vs. trainee of color). Themes across cases included general counseling skills (attend to affect, build rapport, focus on specific client concerns, use of specific clinical interventions, and use of external resources not related to culture), as well as multicultural specific counseling skills (focus on culture, focus on discrimination, use of culturally competent interventions, and use of external resources related to culture). Thematic differences across case were found in three of the nine themes (affect, culture, discrimination). No systematic differences were found across multicultural training, clinical training, or race. Implications of these results are discussed.

  3. A Survey of Clinical Uncertainty from the Paediatric Basic Specialist Trainee Perspective

    LENUS (Irish Health Repository)

    O’Neill, MB

    2017-06-01

    This study was undertaken to evaluate uncertainty from the Basic Specialist Trainee perspective. The survey of trainees explored 1) factors in decision making, 2) the personal impact of uncertainty, 3) the responses to both clinical errors and challenges to their decision making and 4) the potential strategies to address uncertainty. Forty-one (93%) of trainees surveyed responded. Important factors in decision making were clinical knowledge and senior colleague’s opinion. Sixty percent experienced significant anxiety post call as a consequence of their uncertainty. When errors are made by colleagues, the trainee’s response is acceptance (52.5%), and sympathy (32%).Trainees are strongly influenced by the opinions of senior colleagues often changing their opinions having made confident decisions. Solutions to address uncertainty include enhanced knowledge translation, and to a lesser extent, enhanced personal awareness and resilience awareness. To enhance the training experience for BST and lessen the uncertainty experienced these strategies need to be enacted within the training milieu.

  4. FDC Mentor-Mentee Mixer Breaks the Ice Between Investigators and Trainees | Poster

    Science.gov (United States)

    The Frederick Diversity Committee’s mentor-mentee mixer gave research trainees, senior investigators, scientists, and administrative staff a chance to meet and mingle over refreshments and games following the Spring Research Festival.

  5. Knowledge, Skills and Experience Managing Tracheostomy Emergencies: A Survey of Critical Care Medicine trainees

    LENUS (Irish Health Repository)

    Nizam, AA

    2016-10-01

    Since the development of percutaneous tracheostomy, the number of tracheostomy patients on hospital wards has increased. Problems associated with adequate tracheostomy care on the wards are well documented, particularly the management of tracheostomy-related emergencies. A survey was conducted among non-consultant hospital doctors (NCHDs) starting their Critical Care Medicine training rotation in a university affiliated teaching hospital to determine their basic knowledge and skills in dealing with tracheostomy emergencies. Trainees who had received specific tracheostomy training or who had previous experience of dealing with tracheostomy emergencies were more confident in dealing with such emergencies compared to trainees without such training or experience. Only a minority of trainees were aware of local hospital guidelines regarding tracheostomy care. Our results highlight the importance of increased awareness of tracheostomy emergencies and the importance of specific training for Anaesthesia and Critical Care Medicine trainees.

  6. How clinical supervisors develop trust in their trainees: a qualitative study.

    NARCIS (Netherlands)

    Hauer, K.E.; Oza, S.K.; Kogan, J.R.; Stankiewicz, C.A.; Stenfors-Hayes, T.; ten Cate, TJ; Batt, Joanne; O’Sullivan, P.S.

    2015-01-01

    Context Clinical supervisors oversee trainees’ performance while granting them increasing opportunities to work independently. Although the factors contributing to supervisors’ trust in their trainees to conduct clinical work have been identified, how the development of trust is shaped by these

  7. Test ordering by GP trainees: Effects of an educational intervention on attitudes and intended practice.

    Science.gov (United States)

    Morgan, Simon; Morgan, Andy; Kerr, Rohan; Tapley, Amanda; Magin, Parker

    2016-09-01

    To assess the effectiveness of an educational intervention on test-ordering attitudes and intended practice of GP trainees, and any associations between changes in test ordering and trainee characteristics. Preworkshop and postworkshop survey of attitudes to test ordering, intended test-ordering practices for 3 clinical scenarios (fatigue, screening, and shoulder pain), and tolerance for uncertainty. Three Australian regional general practice training providers. General practice trainees (N = 167). A 2-hour workshop session and an online module. Proportion of trainees who agreed with attitudinal statements before and after the workshop; proportion of trainees who would order tests, mean number of tests ordered, and number of appropriate and inappropriate tests ordered for each scenario before and after the workshop. Of 167 trainees, 132 (79.0%) completed both the preworkshop and postworkshop questionnaires. A total of 122 trainees attended the workshop. At baseline, 88.6% thought that tests can harm patients, 84.8% believed overtesting was a problem, 72.0% felt pressured by patients, 52.3% believed that tests would reassure patients, and 50.8% thought that they were less likely to be sued if they ordered tests. There were desirable changes in all attitudes after the workshop. Before the workshop, the mean number of tests that trainees would have ordered was 4.4, 4.8, and 1.5 for the fatigue, screening, and shoulder pain scenarios, respectively. After the workshop there were decreases in the mean number of both appropriate tests (decrease of 0.94) and inappropriate tests (decrease of 0.24) in the fatigue scenario; there was no change in the mean number of appropriate tests and a decrease in inappropriate tests (decrease of 0.76) in the screening scenario; and there was an increase in the proportion of trainees who would appropriately not order tests in the shoulder pain scenario. There were no significant associations between changes in test ordering and trainee

  8. Variation in chlorophyll content per unit leaf area in spring wheat and implications for selection in segregating material.

    Directory of Open Access Journals (Sweden)

    John Hamblin

    Full Text Available Reduced levels of leaf chlorophyll content per unit leaf area in crops may be of advantage in the search for higher yields. Possible reasons include better light distribution in the crop canopy and less photochemical damage to leaves absorbing more light energy than required for maximum photosynthesis. Reduced chlorophyll may also reduce the heat load at the top of canopy, reducing water requirements to cool leaves. Chloroplasts are nutrient rich and reducing their number may increase available nutrients for growth and development. To determine whether this hypothesis has any validity in spring wheat requires an understanding of genotypic differences in leaf chlorophyll content per unit area in diverse germplasm. This was measured with a SPAD 502 as SPAD units. The study was conducted in series of environments involving up to 28 genotypes, mainly spring wheat. In general, substantial and repeatable genotypic variation was observed. Consistent SPAD readings were recorded for different sampling positions on leaves, between different leaves on single plant, between different plants of the same genotype, and between different genotypes grown in the same or different environments. Plant nutrition affected SPAD units in nutrient poor environments. Wheat genotypes DBW 10 and Transfer were identified as having consistent and contrasting high and low average SPAD readings of 52 and 32 units, respectively, and a methodology to allow selection in segregating populations has been developed.

  9. A national UK survey of radiology trainees special interest choices: what and why?

    Science.gov (United States)

    Parvizi, Nassim; Bhuva, Shaheel

    2017-11-01

    A national survey was designed to better understand factors influencing special interest choices, future aspirations of UK radiology trainees and perceptions of breast radiology. A SurveyMonkey questionnaire was developed and distributed to all radiology trainees in the UK through the British Institute of Radiology, RCR Junior Radiologists Forum and by directly contacting UK training schemes as well as by social media between December 2015 and January 2016. From 21 training schemes across the UK, 232 responses were received. Over half entered radiology after foundation training and 62% were ST1-3; one-fifth of trainees intended to leave the NHS. The most popular special interests were musculoskeletal (18%), abdominal imaging (16%) and neuroradiology (13%). Gynaecological and oncological imaging proved to be the least popular. Strong personal interest, a successful rotation during training, a mix of imaging modalities, direct impact on patient care and job prospects were the most popular factors influencing career choice. Research and potential for private income were the least influential factors. Respondents detailed their perceptions of breast radiology, selecting an awareness of career prospects (41%) and a better trainee experience (36%) as factors that would increase their interest in pursuing it as a career. Understanding the factors that influence special interest choice is essential to addressing the alarming staffing shortfalls that will befall certain radiology special interests. Addressing trainee's preconceptions and improving the trainee experience are key to attracting trainees to breast radiology. Advances in knowledge: This is the first survey of its kind in the UK literature designed to evaluate special interest career choices and the factors that influence those among radiology trainees.

  10. Implementation of a novel population panel management curriculum among interprofessional health care trainees.

    Science.gov (United States)

    Kaminetzky, Catherine P; Beste, Lauren A; Poppe, Anne P; Doan, Daniel B; Mun, Howard K; Woods, Nancy Fugate; Wipf, Joyce E

    2017-12-22

    Gaps in chronic disease management have led to calls for novel methods of interprofessional, team-based care. Population panel management (PPM), the process of continuous quality improvement across groups of patients, is rarely included in health professions training for physicians, nurses, or pharmacists. The feasibility and acceptance of such training across different healthcare professions is unknown. We developed and implemented a novel, interprofessional PPM curriculum targeted to diverse health professions trainees. The curriculum was implemented annually among internal medicine residents, nurse practitioner students and residents, and pharmacy residents co-located in a large, academic primary care site. Small groups of interprofessional trainees participated in supervised quarterly seminars focusing on chronic disease management (e.g., diabetes mellitus, hypertension, or chronic obstructive pulmonary disease) or processes of care (e.g., emergency department utilization for nonacute conditions or chronic opioid management). Following brief didactic presentations, trainees self-assessed their clinic performance using patient-level chart review, presented individual cases to interprofessional staff and faculty, and implemented subsequent feedback with their clinic team. We report data from 2011 to 2015. Program evaluation included post-session participant surveys regarding attitudes, knowledge and confidence towards PPM, ability to identify patients for referral to interprofessional team members, and major learning points from the session. Directed content analysis was performed on an open-ended survey question. Trainees (n = 168) completed 122 evaluation assessments. Trainees overwhelmingly reported increased confidence in using PPM and increased knowledge about managing their patient panel. Trainees reported improved ability to identify patients who would benefit from multidisciplinary care or referral to another team member. Directed content analysis

  11. Does interpersonal behavior of psychotherapy trainees differ in private and professional relationships?

    OpenAIRE

    Fincke, Janna I.; Möller, Heidi; Taubner, Svenja

    2015-01-01

    Aim: The present study aimed to evaluate the effect of trainees' interpersonal behaviour on Work Involvement (WI) and compared their social behaviour within professional and private relationships as well as between different psychotherapeutic orientations. Methods: The interpersonal scales of the Intrex short-form questionnaire and the Work Involvement Scale (WIS) were used to evaluate two samples of German psychotherapy trainees in psychoanalytic (PA), psychodynamic (PD) and cognitive behavi...

  12. Career Preferences and Perceptions of Cardiology Among US Internal Medicine Trainees: Factors Influencing Cardiology Career Choice.

    Science.gov (United States)

    Douglas, Pamela S; Rzeszut, Anne K; Bairey Merz, C Noel; Duvernoy, Claire S; Lewis, Sandra J; Walsh, Mary Norine; Gillam, Linda

    2018-05-30

    Few data exist on internal medicine trainees' selection of cardiology training, although this is important for meeting future cardiology workforce needs. To discover trainees' professional development preferences and perceptions of cardiology, and their relationship to trainees' career choice. We surveyed trainees to discover their professional development preferences and perceptions of cardiology and the influence of those perceptions and preferences on the trainees' career choices. Participants rated 38 professional development needs and 19 perceptions of cardiology. Data collection took place from February 2009, through January 2010. Data analysis was conducted from May 2017 to December 2017. Multivariable models were used to determine the association of demographics and survey responses with prospective career choice. A total of 4850 trainees were contacted, and 1123 trainees (of whom 625 [55.7%] were men) in 198 residency programs completed surveys (23.1% response; mean [SD] age, 29.4 [3.5] years). Principal component analysis of survey responses resulted in 8-factor and 6-factor models. Professional development preferences in descending order of significance were stable hours, family friendliness, female friendliness, the availability of positive role models, financial benefits, professional challenges, patient focus, and the opportunity to have a stimulating career. The top perceptions of cardiology in descending order of significance were adverse job conditions, interference with family life, and a lack of diversity. Women and future noncardiologists valued work-life balance more highly and had more negative perceptions of cardiology than men or future cardiologists, who emphasized the professional advantages available in cardiology. Professional development factors and cardiology perceptions were strongly associated with a decision to pursue or avoid a career in cardiology in both men and women. Alignment of cardiology culture with trainees' preferences

  13. Leadership and followership in the healthcare workplace: exploring medical trainees' experiences through narrative inquiry

    OpenAIRE

    Gordon, Lisi J.; Rees, Charlotte E.; Ker, Jean S.; Cleland, Jennifer

    2015-01-01

    This research was part of LJG’s PhD research which was generously funded by NHS Education for Scotland through SMERC. OBJECTIVES: To explore medical trainees' experiences of leadership and followership in the interprofessional healthcare workplace. DESIGN: A qualitative approach using narrative interviewing techniques in 11 group and 19 individual interviews with UK medical trainees. SETTING: Multisite study across four UK health boards. PARTICIPANTS: Through maximum variation sampling, 65...

  14. Classroom Simulation for Trainee Teachers Using 3D Virtual Environments and Simulated Smartbot Student Behaviours

    OpenAIRE

    Alotaibi, Fahad Mazaed

    2014-01-01

    his thesis consists of an analysis of a classroom simulation using a Second Life (SL) experiment that aims to investigate the teaching impact on smartbots (virtual students) from trainee teacher avatars with respect to interaction, simulated behaviour, and observed teaching roles. The classroom-based SL experiments’ motivation is to enable the trainee teacher to acquire the necessary skills and experience to manage a real classroom environment through simulations of a real classroom. This ty...

  15. To which countries do European psychiatric trainees want to move to and why?

    Science.gov (United States)

    Pinto da Costa, M; Giurgiuca, A; Holmes, K; Biskup, E; Mogren, T; Tomori, S; Kilic, O; Banjac, V; Molina-Ruiz, R; Palumbo, C; Frydecka, D; Kaaja, J; El-Higaya, E; Kanellopoulos, A; Amit, B H; Madissoon, D; Andreou, E; Uleviciute-Belena, I; Rakos, I; Dragasek, J; Feffer, K; Farrugia, M; Mitkovic-Voncina, M; Gargot, T; Baessler, F; Pantovic-Stefanovic, M; De Picker, L

    2017-09-01

    There is a shortage of psychiatrists worldwide. Within Europe, psychiatric trainees can move between countries, which increases the problem in some countries and alleviates it in others. However, little is known about the reasons psychiatric trainees move to another country. Survey of psychiatric trainees in 33 European countries, exploring how frequently psychiatric trainees have migrated or want to migrate, their reasons to stay and leave the country, and the countries where they come from and where they move to. A 61-item self-report questionnaire was developed, covering questions about their demographics, experiences of short-term mobility (from 3 months up to 1 year), experiences of long-term migration (of more than 1 year) and their attitudes towards migration. A total of 2281 psychiatric trainees in Europe participated in the survey, of which 72.0% have 'ever' considered to move to a different country in their future, 53.5% were considering it 'now', at the time of the survey, and 13.3% had already moved country. For these immigrant trainees, academic was the main reason they gave to move from their country of origin. For all trainees, the overall main reason for which they would leave was financial (34.4%), especially in those with lower (2500€) incomes, personal reasons were paramount (44.5%). A high number of psychiatric trainees considered moving to another country, and their motivation largely reflects the substantial salary differences. These findings suggest tackling financial conditions and academic opportunities. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  16. Prevalence of Hepatitis B and C in US Air Force Basic Military Trainees

    Science.gov (United States)

    2017-08-29

    REPORT TYPE 08/29/2017 Journal -4. TITLE AND SUBTITLE Prevalence ofliepatitis B and C in US Air Force Basic Military Trainees 6. AUTHOR(S) Capt...unlimited. 13. SUPPLEMENTARY NOTES 14. ABSTRACT 15. SUBJECT TERMS 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF 18. NUMBER a. REPORT b.ABSTRACT c ...Prescnbed by ANSI Sld, Z3B.16 Adobe Prnfeodohal 7.0 Prevalence of Hepatitis Band C in US Air Force Basic Military Trainees from Blood Donations 2 3

  17. Caveats of smartphone applications for the cardiothoracic trainee.

    Science.gov (United States)

    Edlin, Joy C E; Deshpande, Ranjit P

    2013-12-01

    The clinical environment is becoming increasingly dominated by information technology, most recently the smartphone with its applications (apps) of a multitude of uses. There are already tens of thousands of medical apps available for download, to educate both patients and trainees, and many more are being designed to facilitate delivery of care. The rapid development of this technology has outgrown its quality evaluation and regulation, both urgently required to maintain patient safety, protect sensitive data, and ensure dissemination of accurate information. We review medical apps themed towards cardiothoracic surgery in terms of medical professional involvement in their content and design. iTunes and Play Store were searched for cardiothoracic surgery-themed medical apps, using the terms cardiothoracic, thoracic, cardiac, heart, lung, surgery, and variations thereof and including the term medical. A focused search yielded 379 apps, of which 6% were associated with a named medical professional, 15% with a publisher or professional society, and 63% with a user rating. The findings suggest inadequate input from the medical profession. The article discusses the pressing issues regarding quality evaluation, regulation, and information security, required for smartphones and handheld devices to become an integral and safe part of delivery of care. Copyright © 2013 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.

  18. Development of innovative teaching materials: clinical pharmacology problem-solving (CPPS) units: comparison with patient-oriented problem-solving units and problem-based learning--a 10-year review.

    Science.gov (United States)

    Lathers, Claire M; Smith, Cedric M

    2002-05-01

    academic centers. Evaluations by faculty and students have been overwhelmingly positive. Requests to use the CPPS units in various clinical pharmacology teaching programs were received from numerous schools within the United States and from abroad. The third teaching clinic in September 1995 included a follow-up focused on the uses of drug information databases in case problem exercises. These examples are presented to demonstrate the variety of educational activities the American College of Clinical Pharmacology is sponsoring to fulfill its strategic initiative dedicated to offer innovative teaching programs and to develop new teaching materials in clinical pharmacology. Collectively, all of the teaching clinics, symposia, and workshop efforts, sponsored by the various academic professional societies alone or together over the past decade, are necessary if new and innovative teaching materials in the field of basic science and in the fields of pharmacology and clinical pharmacology are to be continuously developed to keep pace with the new, rapidly changing developments in medicine to provide the best treatment for patients in the 21st century.

  19. EXPLORING MALAYSIAN TRAINEE TEACHERS’ ADOPTION OF THE INTERNET AS INFORMATION TOOL

    Directory of Open Access Journals (Sweden)

    Lau Teck-Chai

    2010-07-01

    Full Text Available This study reports the usage of three commercial Internet search engines in information seeking among trainee teachers at a teacher training institute in Malaysia. It attempts to investigate the information seeking behavior of the trainees via three Internet search engines (Google, Yahoo and MSN as gateways to information for research in academic learning using two cohorts of trainee teachers. The study surveyed 166 trainee teachers undergoing a 5-year Bachelor’s Degree program and compares the statistical differences on gender, programs and years of computer technology experiences. The results revealed that there were significant differences between gender for all the three search engines. Furthermore it also indicated that there was a significant difference between TESL and PISMP group for Yahoo and MSN but not for Google. A significant difference was also observed between years of computer technology experiences and the frequency of usage in the case of MSN. Post hoc test revealed a significant difference in the Internet search between those with more than 7 years of experience with those with less than 2 years experience and those between 2-4 years computing experience. The results provide insight into TESL and PPISMP trainee teachers’ use of the Internet search engines as a tool in information seeking when approaching research for their academic learning activities. Implications on the impact of the Internet to the trainee teachers’ academic learning in approaching research needs were discussed.

  20. BEST-TEST2: assessment of hematology trainee knowledge of transfusion medicine.

    Science.gov (United States)

    Lin, Yulia; Tinmouth, Alan; Mallick, Ranjeeta; Haspel, Richard L

    2016-02-01

    As transfusion is a common therapy and key component in every hematologist's practice, hematology training programs should dedicate significant time and effort to delivering high-quality transfusion medicine education to their trainees. The current state of hematology trainee knowledge of transfusion medicine is not known. A validated assessment tool developed by the Biomedical Excellence for Safer Transfusion (BEST) Collaborative was used to assess prior transfusion medicine education, attitudes, perceived ability, and transfusion medicine knowledge of hematology trainees. A total of 149 hematology trainees at 17 international sites were assessed. The overall mean exam score was 61.6% (standard deviation, 13.4%; range, 30%-100%) with no correlation in exam scores with postgraduate year or previous transfusion medicine education in medical school or internal medicine residency. However, better scores correlated with 3 or more hours of transfusion medicine education (p = 0.0003) and perceived higher-quality education during hematology training (p = 0.03). Hematology trainees at US sites, where hematology is often combined with oncology training, had statistically lower scores than trainees at non-US sites (56.2% vs. 67.4%; p hematology training programs to reevaluate the quality and quantity of transfusion medicine training and can assist in the development of targeted curricula. © 2015 AABB.

  1. Night shift fatigue among anaesthesia trainees at a major metropolitan teaching hospital.

    Science.gov (United States)

    Lancman, B M

    2016-05-01

    Night shifts expose anaesthesia trainees to the risk of fatigue and, potentially, fatigue-related performance impairment. This study examined the workload, fatigue and coping strategies of anaesthesia trainees during night shifts. A blinded survey-based study was undertaken at a major single centre metropolitan teaching hospital in Australia. All ten anaesthesia trainees who worked night shifts participated. The survey collected data on duration of night shifts, workload, and sleep patterns. Fatigue was assessed using the Karolinska Sleepiness Scale (KSS). There were 93 night shifts generating data out of a potential 165. Trainees tended to sleep an increasing amount before their shift as the nights progressed from 1 to 5. Night 1 was identified as an 'at risk' night due to the amount of time spent awake before arriving at work (32% awake for U+003E8 hours); on all other nights trainees were most likely to have slept 6-8 hours. The KSS demonstrated an increase in sleepiness of 3 to 4 points on the scale from commencement to conclusion of a night shift. The Night 1 conclusion sleepiness was markedly worse than any other night with 42% falling into an 'at-risk' category. The findings demonstrate fatigue and inadequate sleep in anaesthesia trainees during night shifts in a major metropolitan teaching hospital. The data obtained may help administrators prepare safer rosters, and junior staff develop improved strategies to reduce the likelihood of fatigue.

  2. Minimal Access Surgery Educational Needs of Trainees from Africa: Perspectives from an Asian Training Institution.

    Science.gov (United States)

    Ahmad, J I; Mishra, R K

    2015-01-01

    The establishment of minimal access surgery (MAS) in the last three decades brought new dimensions to surgical training. The sole role of traditional apprenticeship training model was challenged and adjunctive surgical simulation models were introduced. Knowledge of the trainees' educational needs is important in designing MAS training curriculum. To study the MAS educational needs of trainees from Africa, review MAS training models and offer recommendations for MAS training. Data was obtained from questionnaires filled by trainees from Africa who attended the monthly MAS training at the World Laparoscopy Hospital, India from October 2013 to May 2014 about their MAS educational needs. There were 38 trainees from different parts of Africa (Central, East, North, South and West Africa) with average age of 41.92 ± 8.67 years (minimum-28 years and maximum 63 years) and majority were males (92%). General surgeons constituted 57% while Gynaecologists were 41%. Only a quarter have MAS training integrated in their training curriculum. Box trainers, Animal models, live human surgeries and virtual reality simulation were the commonest models used in previous trainings and favoured in the educational needs for MAS training. Using cadaveric models and self sponsorship were deemphasised. Widespread application of MAS, globalisation and trainees educational needs call for establishing training programmes. Box trainers, animal models, live human surgeries and virtual reality simulators should be adopted and a synergy between Postgraduate surgical programmes, biomedical industry, universities and trainees will facilitate the setting of MAS skills laboratories and programmes.

  3. Irish (Republic) versus British (North West) orthopaedic trainees: what are the differences?

    LENUS (Irish Health Repository)

    Banks, L N

    2012-02-01

    British Trainees have gradually had their working week curtained over the last 8 years. The Republic of Ireland Trainees have not been subjected to the European Working Time Directive prior to 2009 and have therefore worked on average, more hours than their British counterparts. We wanted to see if the differing schemes had an impact on recruiting and training orthopaedic surgeons. We surveyed Republic of Ireland orthopaedic specialist registrars (SpRs) and North West (NW) British SpRs\\/specialist trainees (ST3 and above) to see if there were any discernable differences in working patterns and subsequent training exposure. A standard proforma was given to Irish Trainees and to NW SpRs\\/STs at their National or regional teaching (January\\/February 2009). 62% of Irish and 47% of British NW Trainees responded. Irish trainees were more likely to have obtained a post-graduate degree (p = 0.03). The Irish worked more hours per week (p < 0.001) doing more trauma operative lists (p = 0.003) and more total cases per 6 months than the NW British (p = 0.003). This study suggests that more hours worked, equals more operative exposure, without detriment to the academic side of training. Obviously it is not possible to say whether fewer operations make for a poorer surgeon, but the evidence suggests that it may be true.

  4. Peer teaching as a means of enhancing communication skills in anaesthesia training: trainee perspectives.

    Science.gov (United States)

    O'Shaughnessy, S M

    2018-02-01

    The purpose of this study is to introduce peer teaching of communication skills to first-year anaesthesia trainees in Ireland and to evaluate their perception of this teaching modality. Seventy-nine first-year anaesthesia trainees participated in a novel peer-led communication skills programme over a 2-year period (Y1, Y2). A Likert scaling questionnaire was developed to explore trainee perception of the peer teaching programme. Of the 79 respondents (36 in Y1 and 43 in Y2), 99% either agreed or strongly agreed that the peer teachers were successful in their role. Ninety-two percent requested formal peer teaching in other areas of training. The trainees regarded a peer teacher as an appropriate information provider (92%), role model (88%), planner (88%) and facilitator (94%), but less so as an assessor (70%). The most consistently stated strength of peer teaching was the relatability of peer teachers with their lack of experience cited as the main weakness. Eighty percent of participants preferred peer teaching to regular expert teaching. This study highlights the positive attitudes of first-year anaesthesia trainees towards a novel peer teaching programme in communication skills. This author recommends that peer teaching is further developed within postgraduate medical programmes to maximise learning for trainees in the student and teacher roles and to redistribute the teaching burden within clinical departments.

  5. The determination of trainee teachers' conceptual frameworks about nuclear energy and environment

    Energy Technology Data Exchange (ETDEWEB)

    Aladag, C [Department of Geography, Faculty of Educational, University of Necmettin Erbakan, Kenya (Turkey)

    2013-07-01

    The aim of this study is to reveal the cognitive construction about the relationship between nuclear energy and environment of the undergraduates who have studied science of environment by using word association test and to determine the conception mistakes. The research was made on 81 trainee teachers who study at Ahmet Kelerlu Faculty of Education Department of Geography and Biology, University of Necmettin Erbakan on 2012-2013 academic year fall semester. In the study, it was seen that the topics which the undergraduates mostly refer in their written statements were the nuclear energy's indication of improvement of countries, its necessity, nuclear accidents, nuclear weapons and the ecocide. The other opinions which gained importance were nuclear reaction, nuclear raw material and countries producing nuclear energy. It's seen that nuclear accidents and nuclear weapons are very effective on the graduates' point of view. The opinions about nuclear energy's harm to the environment show that environmental awareness became of secondary importance. The written concepts about these two opinions are very close to each other by percentage. Mainly, the radiation effects caused by the nuclear accidents constitute the fundamental point of undergraduates' perception of environment. (author)

  6. Analysis of Cement as Raw Material Inventory on Ready Mix Production Unit at PT. Perdana Beton in Samarinda

    OpenAIRE

    Wahyuni, Novita Eka

    2014-01-01

    This study aims to identify and analyze the optimal amount of cement supplies in PT. Perdana Beton In Samarinda. Formulation of the problem in this study is whether the supply of cement as raw material for Ready Mix at PT. Perdana Beton In Samarinda already minimizing the cost of inventory cement. The hypothesis in this study is: '' Allegedly cement as raw material supplies ready mix at PT. Perdana Beton In Samarinda not provide minimum inventory costs'. Basic...

  7. In search of work/life balance: trainee perspectives on part-time obstetrics and gynaecology specialist training

    Directory of Open Access Journals (Sweden)

    Henry Amanda

    2012-01-01

    Full Text Available Abstract Background Part-time training (PTT is accessed by approximately 10% of Australian obstetrics and gynaecology trainees, a small but increasing minority which reflects the growing demand for improved work/life balance amongst the Australian medical workforce. This survey reports the attitudes and experiences of both full-time and part-time trainees to PTT. Methods An email-based anonymous survey was sent to all Australian obstetrics and gynaecology trainees in April 2009, collecting demographic and training status data, data on personal experiences of PTT and/or trainees, and attitudes towards PTT. Results 105 responses were received (20% response rate. These indicated strong support (90% from both full-time (FT and part-time (PT trainees for the availability of PTT. PT trainees were significantly more likely than FT trainees to be female with children. Improved morale was seen as a particular advantage of PTT; decreased continuity of care as a disadvantage. Conclusions Although limited by poor response rate, both PT and FT Australian obstetric trainees were supportive of part-time training. Both groups recognised important advantages and disadvantages of this mode of training. Currently, part-time training is accessed primarily by female trainees with family responsibilities, with many more trainees considering part-time training than the number that access it.

  8. In search of work/life balance: trainee perspectives on part-time obstetrics and gynaecology specialist training.

    Science.gov (United States)

    Henry, Amanda; Clements, Sarah; Kingston, Ashley; Abbott, Jason

    2012-01-10

    Part-time training (PTT) is accessed by approximately 10% of Australian obstetrics and gynaecology trainees, a small but increasing minority which reflects the growing demand for improved work/life balance amongst the Australian medical workforce. This survey reports the attitudes and experiences of both full-time and part-time trainees to PTT. An email-based anonymous survey was sent to all Australian obstetrics and gynaecology trainees in April 2009, collecting demographic and training status data, data on personal experiences of PTT and/or trainees, and attitudes towards PTT. 105 responses were received (20% response rate). These indicated strong support (90%) from both full-time (FT) and part-time (PT) trainees for the availability of PTT. PT trainees were significantly more likely than FT trainees to be female with children. Improved morale was seen as a particular advantage of PTT; decreased continuity of care as a disadvantage. Although limited by poor response rate, both PT and FT Australian obstetric trainees were supportive of part-time training. Both groups recognised important advantages and disadvantages of this mode of training. Currently, part-time training is accessed primarily by female trainees with family responsibilities, with many more trainees considering part-time training than the number that access it.

  9. The development of scientific communication skills: a qualitative study of the perceptions of trainees and their mentors.

    Science.gov (United States)

    Cameron, Carrie; Collie, Candice L; Baldwin, Constance D; Bartholomew, L Kay; Palmer, J Lynn; Greer, Marilyn; Chang, Shine

    2013-10-01

    Scientific communication, both written and oral, is the cornerstone of success in biomedical research, yet formal instruction is rarely provided. Trainees with little exposure to standard academic English may find developing scientific communication skills challenging. In this exploratory, hypothesis-generating qualitative study, the authors examined the process by which mentored junior researchers learn scientific communication skills, their feelings about the challenges, and their mentor's role in the process. In 2010, the authors conducted semistructured focus groups and interviews to explore research trainees' and faculty mentors' perceptions and practices regarding scientific communication skills development, as part of the development phase of a larger quantitative study. The facilitator took detailed notes and verified their accuracy with participants during the sessions; a second member of the research team observed and verified the recorded notes. Three coders performed a thematic analysis, and the other authors reviewed it. Forty-three trainees and 50 mentors participated. Trainees and mentors had diverging views on the role of mentoring in fostering communication skills development. Trainees expressed varying levels of self-confidence but considerable angst. Mentors felt that most trainees have low self-confidence. Trainees expressed interest in learning scientific communication skills, but mentors reported that some trainees were insufficiently motivated and seemed resistant to guidance. Both groups agreed that trainees found mentors' feedback difficult to accept. The degree of distress, dissatisfaction, and lack of mutual understanding between mentors and trainees was striking. These themes have important implications for best practices and resource development.

  10. Assessment of Extent and Degree of Thermal Damage to Polymeric Materials in the Three Mile Island Unit 2 Reactor Building

    International Nuclear Information System (INIS)

    Alvares, N. J.

    1984-02-01

    Thermal damage to susceptible materials in accessible regions of the TMI-2 reactor building shows damage-distribution patterns that indicate non-uniform intensity of exposure. No clear explanation for non-uniformity is found in existing evidence; e.g., in some regions a lack of thermally susceptible materials frustrates analysis. Elsewhere, burned materials are present next to materials that seem similar but appear unscathed-leading to conjecture that the latter materials preferentially absorb water vapor during periods of high local steam concentration. Most of the polar crane pendant shows heavy burns on one half of its circumferential surface. This evidence suggests that the polar crane pendant side that experienced heaviest burn damage was exposed to intense radiant energy from a transient fire plume in the reactor containment volume. Tests and simple heat-transfer calculations based on pressure and temperature records from the accident show that the atmosphere inside the reactor building was probably 8% hydrogen in air, a value not inconsistent with the extent of burn damage. Burn-pattern geography indicates uniform thermal exposure in the dome volume to the 406-ft level (about 6 ft below the polar crane girder), partial thermal exposure in the volume between the 406- and 347-ft levels as indicated by the polar crane cable, and lack of damage to most thermally susceptible materials in the west quadrant of the reactor building; some evidence of thermal exposure Is seen in the free volume between the 305- and 347-ft levels. (author)

  11. Effect of primary and secondary parameters on analytical estimation of effective thermal conductivity of two phase materials using unit cell approach

    Science.gov (United States)

    S, Chidambara Raja; P, Karthikeyan; Kumaraswamidhas, L. A.; M, Ramu

    2018-05-01

    Most of the thermal design systems involve two phase materials and analysis of such systems requires detailed understanding of the thermal characteristics of the two phase material. This article aimed to develop geometry dependent unit cell approach model by considering the effects of all primary parameters (conductivity ratio and concentration) and secondary parameters (geometry, contact resistance, natural convection, Knudsen and radiation) for the estimation of effective thermal conductivity of two-phase materials. The analytical equations have been formulated based on isotherm approach for 2-D and 3-D spatially periodic medium. The developed models are validated with standard models and suited for all kind of operating conditions. The results have shown substantial improvement compared to the existing models and are in good agreement with the experimental data.

  12. Structural Materials for Innovative Nuclear Systems (SMINS-3) - Workshop Proceedings, Idaho National Laboratory, Idaho Falls, United States, 7-10 October 2013

    International Nuclear Information System (INIS)

    2015-01-01

    The development of innovative nuclear systems such as Gen IV reactors or critical and subcritical transmutation systems requires a good knowledge of the properties of the materials used for designing these reactors. A common feature in developing nuclear systems is the widely recognised need for experimental programmes to select and characterise structural materials. Structural materials research, both at national and international level, can significantly contribute to the future deployment of new systems. Since 2007, the OECD Nuclear Energy Agency Nuclear Science Committee organises a series of workshop on Structural Materials for Innovative Nuclear Systems (SMINS) to stimulate an exchange of information on current materials research programmes for innovative nuclear systems with a view to identifying and developing potential synergies. The third workshop was held on 7-10 October 2013 in Idaho Falls (United States) and organised through the collaboration of the Working Party on Scientific Issues of the Fuel Cycle (WPFC) and the Working Party on Multi-Scale Modelling of Fuels and Structural Materials for Nuclear Systems (WPMM) in co-operation with the European Community (EC) and the International Atomic Energy Agency (IAEA). A total of 74 abstracts were received for either an oral and poster presentation. These proceedings include the papers presented at the workshop

  13. Technological pedagogical content knowledge and teaching practice of mathematics trainee teachers

    Science.gov (United States)

    Tajudin, Nor'ain Mohd.; Kadir, Noor Zarinawaty Abd.

    2014-07-01

    This study aims to identify the level of technological pedagogical content knowledge (TPCK) of mathematics trainee teachers at Universiti Pendidikan Sultan Idris (UPSI) and explore their teaching practices during practical training at school. The study was conducted in two phases using a mix-method research. In the first phase, a survey method using a questionnaire was carried out on 156 trainee teachers of Bachelor of Mathematics Education (AT14) and Bachelor of Science (Mathematics) with Education (AT48). The instrument used was a questionnaire that measures the level of content knowledge, pedagogy, technology and TPCK of mathematics. Data were analyzed using descriptive statistics, namely the mean. While in the second phase, the interview method involved four trainee teachers were performed. The instrument used was the semi-structured interview protocol to assess the trainee teacher's TPCK integration in their teaching practice. Data were analyzed using the content analysis. The findings showed that the level of knowledge of TPCK among trainee teachers was moderate with overall mean score of 3.60. This level did not show significant differences between the two programs with mean scores of 3.601 for the AT14 group and 3.603 for the AT48 group. However, there was a difference for gender classification such that the female trainees had mean score of 3.58 and male trainees with mean score of 3.72. Although students' TPCK level was moderate, the level of content knowledge (CK), technological knowledge (TK) and pedagogical knowledge (PK), showed a higher level with overall mean scores of 3.75, 3.87 and 3.84 respectively. The findings also showed that in terms of content knowledge, trainee teacher's learning mathematics background was good, but the knowledge of mathematics was limited in the curriculum, philosophy and application aspect. In terms of pedagogical content knowledge, all respondents tend to use lecture and discussion methods in teaching Trigonometry topic

  14. Working conditions survey and trainees situation: new approach to auditing the situation of European trainees in obstetrics and gynaecology ten years later.

    Science.gov (United States)

    Rodríguez, David; Christopoulos, Panagiotis; Martins, Nuno; Pärgmäe, Pille; Werner, Henrica M J

    2009-12-01

    (1) To review the training and working conditions for trainees in obstetrics and gynaecology (Ob/Gyn) in Europe. (2) To suggest further improvements in working conditions for trainees in Ob/Gyn. It is an observational, descriptive, and cross-sectional study. The sample is constituted of the answers from the representatives of 25 European Network of Trainees in Ob/Gyn (ENTOG) member countries to a survey designed by ENTOG's executive. The current survey is based on the former ENTOG working conditions survey published in 1997, but has been extended to include questions that have become important recently, and to include new countries that have entered the European Union (EU) since that time. The total number of trainees represented in this study is 6056. The male/female ratio is 35/65. The average number of official working hours is 51.6 h weekly, but varies widely. The average number of duties/month is five, but varies widely from two to nine. Fewer than 50% of countries have a hospital visitation system implemented. Training abroad is possible in most training systems. Compared with the 1997 survey further harmonisation is taking place. Steps towards harmonisation are being made. Hospital visitation systems should be further introduced. Not all countries have remunerated training posts. Assessment should become more homogeneous. Compliance with the European Working Time Directive (EWTD) is a big challenge.

  15. Report of the consultants' meeting on traceability of IAEA-AQCS reference materials to SI-units

    International Nuclear Information System (INIS)

    2002-01-01

    The purpose of the meeting was to discuss the present Agency's Analytical Quality Control Services (AQCS) procedure for the characterization of reference materials and to identify necessary improvements or changes needed to fulfill the requirements on traceability and uncertainty related to the property value of IAEA reference materials. This publication contains a summary of the discussions held at the meeting as well as specific recommendations made by the consultants. It also contains draft reports of two previous meetings and individual papers presented by the consultants at the meeting. These reports and papers have been provided with abstracts and indexed separately

  16. Testing anti-smoking messages for Air Force trainees

    Science.gov (United States)

    Popova, Lucy; Linde, Brittany D.; Bursac, Zoran; Talcott, G. Wayne; Modayil, Mary V.; Little, Melissa A.; Ling, Pamela M.; Glantz, Stanton A.; Klesges, Robert C.

    2015-01-01

    Introduction Young adults in the military are aggressively targeted by tobacco companies and are at high risk of tobacco use. Existing anti-smoking advertisements developed for the general population might be effective in educating young adults in the military. This study evaluated the effects of different themes of existing anti-smoking advertisements on perceived harm and intentions to use cigarettes and other tobacco products among Air Force trainees. Methods In a pretest-posttest experiment, 782 Airmen were randomized to view anti-smoking advertisements in one of six conditions: anti-industry, health effects+anti-industry, sexual health, secondhand smoke, environment+anti-industry, or control. We assessed the effect of different conditions on changes in perceived harm and intentions to use cigarettes, electronic cigarettes (e-cigarettes), smokeless tobacco, hookah and cigarillos from pretest to posttest with multivariable linear regression models (perceived harm) and zero-inflated Poisson regression model (intentions). Results Anti-smoking advertisements increased perceived harm of various tobacco products and reduced intentions to use. Advertisements featuring negative effects of tobacco on health and sexual performance coupled with revealing tobacco industry manipulations had the most consistent pattern of effects on perceived harm and intentions. Conclusion Anti-smoking advertisements produced for the general public might also be effective with a young adult military population and could have spillover effects on perceptions of harm and intentions to use other tobacco products besides cigarettes. Existing anti-smoking advertising may be a cost-effective tool to educate young adults in the military. PMID:26482786

  17. Assessing Technical Competence in Surgical Trainees: A Systematic Review.

    Science.gov (United States)

    Szasz, Peter; Louridas, Marisa; Harris, Kenneth A; Aggarwal, Rajesh; Grantcharov, Teodor P

    2015-06-01

    To systematically examine the literature describing the methods by which technical competence is assessed in surgical trainees. The last decade has witnessed an evolution away from time-based surgical education. In response, governing bodies worldwide have implemented competency-based education paradigms. The definition of competence, however, remains elusive, and the impact of these education initiatives in terms of assessment methods remains unclear. A systematic review examining the methods by which technical competence is assessed was conducted by searching MEDLINE, EMBASE, PsychINFO, and the Cochrane database of systematic reviews. Abstracts of retrieved studies were reviewed and those meeting inclusion criteria were selected for full review. Data were retrieved in a systematic manner, the validity and reliability of the assessment methods was evaluated, and quality was assessed using the Grading of Recommendations Assessment, Development and Evaluation classification. Of the 6814 studies identified, 85 studies involving 2369 surgical residents were included in this review. The methods used to assess technical competence were categorized into 5 groups; Likert scales (37), benchmarks (31), binary outcomes (11), novel tools (4), and surrogate outcomes (2). Their validity and reliability were mostly previously established. The overall Grading of Recommendations Assessment, Development and Evaluation for randomized controlled trials was high and low for the observational studies. The definition of technical competence continues to be debated within the medical literature. The methods used to evaluate technical competence predominantly include instruments that were originally created to assess technical skill. Very few studies identify standard setting approaches that differentiate competent versus noncompetent performers; subsequently, this has been identified as an area with great research potential.

  18. Application of United States Department of Transportation regulations to hazardous material and waste shipments on the Hanford site

    International Nuclear Information System (INIS)

    Burnside, M.E.

    1992-01-01

    All hazardous material and waste transported over roadways open to the public must be in compliance with the U.S. Department of Transportation (DOT) regulations. The DOT states that the hazardous material regulations (HMR) also apply to government-owned, contractor-operated (GOCO) transportation operations over any U.S. Department of Energy (DOE) site roadway where the public has free and unrestricted access. Hazardous material and waste in packages that do not meet DOT regulations must be transported on DOE site roadways in a manner that excludes the public and nonessential workers. At the DOE Richland Field Office (the Hanford Site), hazardous material and waste movements that do not meet DOT requirements are transported over public access roadways during off-peak hours with the roadways barricaded. These movements are accomplished using a transportation plan that involves the DOE, DOE contractors, and private utilities who operate on or near the Hanford Site. This method, which is used at the Hanford Site to comply with DOT regulations onsite, can be communicated to other DOE sites to provide a basis for achieving consistency in similar transportation operations. (author)

  19. Acidic and catalytic properties of hierarchical zeolites and hybrid ordered mesoporous materials assembled from MFI protozeolitic units

    Czech Academy of Sciences Publication Activity Database

    Serrano, D. P.; García, R. A.; Vicente, G.; Linares, M.; Vitvarová, Dana; Čejka, Jiří

    2011-01-01

    Roč. 279, č. 2 (2011), s. 366-380 ISSN 0021-9517 Institutional research plan: CEZ:AV0Z40400503 Keywords : hierarchical zeolites * hybrid zeolitic-mesostructured materials * Bronsted and Lewis acid centres Subject RIV: CF - Physical ; Theoretical Chemistry Impact factor: 6.002, year: 2011

  20. National inventories of down and dead woody material forest carbon stocks in the United States: Challenges and opportunities

    Science.gov (United States)

    C.W. Woodall; L.S. Heath; J.E. Smith

    2008-01-01

    Concerns over the effect of greenhouse gases and consequent international agreements and regional/national programs have spurred the need for comprehensive assessments of forest ecosystem carbon stocks. Down and dead woody (DDW) materials are a substantial component of forest carbon stocks; however, few surveys of DDW carbon stocks have been conducted at national-...

  1. Dimensions, discourses and differences: trainees conceptualising health care leadership and followership.

    Science.gov (United States)

    Gordon, Lisi J; Rees, Charlotte E; Ker, Jean S; Cleland, Jennifer

    2015-12-01

    As doctors in all specialties are expected to undertake leadership within health care organisations, leadership development has become an inherent part of medical education. Whereas the leadership literature within medical education remains mostly focused on individual, hierarchical leadership, contemporary theory posits leadership as a group process, which should be distributed across all levels of health care organisation. This gap between theory and practice indicates that there is a need to understand what leadership and followership mean to medical trainees working in today's interprofessional health care workplace. Epistemologically grounded in social constructionism, this research involved 19 individual and 11 group interviews with 65 UK medical trainees across all stages of training and a range of specialties. Semi-structured interviewing techniques were employed to capture medical trainees' conceptualisations of leadership and followership. Interviews were audiotaped, transcribed verbatim and analysed using thematic framework analysis to identify leadership and followership dimensions which were subsequently mapped onto leadership discourses found in the literature. Although diversity existed in terms of medical trainees' understandings of leadership and followership, unsophisticated conceptualisations focusing on individual behaviours, hierarchy and personality were commonplace in trainees' understandings. This indicated the dominance of an individualist discourse. Patterns in understandings across all stages of training and specialties, and whether definitions were solicited or unsolicited, illustrated that context heavily influenced trainees' conceptualisations of leadership and followership. Our findings suggest that UK trainees typically hold traditional understandings of leadership and followership, which are clearly influenced by the organisational structures in which they work. Although education may change these understandings to some extent

  2. Travel Medicine Encounters of Australian General Practice Trainees-A Cross-Sectional Study.

    Science.gov (United States)

    Morgan, Simon; Henderson, Kim M; Tapley, Amanda; Scott, John; van Driel, Mieke L; Spike, Neil A; McArthur, Lawrie A; Davey, Andrew R; Catzikiris, Nigel F; Magin, Parker J

    2015-01-01

    Travel medicine is a common and challenging area of clinical practice and practitioners need up-to-date knowledge and experience in a range of areas. Australian general practitioners (GPs) play a significant role in the delivery of travel medicine advice. We aimed to describe the rate and nature of travel medicine consultations, including both the clinical and educational aspects of the consultations. A cross-sectional analysis from an ongoing cohort study of GP trainees' clinical consultations was performed. Trainees contemporaneously recorded demographic, clinical, and educational details of consecutive patient consultations. Proportions of all problems/diagnoses managed in these consultations that were coded "travel-related" and "travel advice" were both calculated with 95% confidence intervals (CIs). Associations of a problem/diagnosis being "travel-related" or "travel advice" were tested using simple logistic regression within the generalized estimating equations (GEE) framework. A total of 856 trainees contributed data on 169,307 problems from 108,759 consultations (2010-2014). Travel-related and travel advice problems were managed at a rate of 1.1 and 0.5 problems per 100 encounters, respectively. Significant positive associations of travel-related problems were younger trainee and patient age; new patient to the trainee and practice; privately billing, larger, urban, and higher socioeconomic status practices; and involvement of the practice nurse. Trainees sought in-consultation information and generated learning goals in 34.7 and 20.8% of travel advice problems, respectively, significantly more than in non-travel advice problems. Significant positive associations of travel advice problems were seeking in-consultation information, generation of learning goals, longer consultation duration, and more problems managed. Our findings reinforce the importance of focused training in travel medicine for GP trainees and adequate exposure to patients in the practice

  3. Essential competencies in global health research for medical trainees: A narrative review.

    Science.gov (United States)

    White, Mary T; Satterfield, Caley A; Blackard, Jason T

    2017-09-01

    Participation in short-term educational experiences in global health (STEGHs) among medical trainees is increasingly accompanied by interest in conducting research while abroad. Because formal training in both global health and research methods is currently under-represented in most medical curricula, trainees are often unfamiliar with the knowledge, attitudes, and skills necessary to design and conduct research successfully. This narrative review identifies essential global health research competencies for medical trainees engaged in STEGHs. The authors searched the literature using the terms global health, competency, research, research methods/process/training, scholarly project, medical student, and medical education/education. Because articles directly addressing global health research competencies for medical trainees were limited, the authors additionally drew on the broader literature addressing general research competencies and global health competencies. Articles yielded by the literature search, combined with established guidelines in research ethics and global health ethics, were used to identify six core domains and twenty discrete competencies fundamental to global health research at a level appropriate for medical trainees enrolled in STEGHs. Consideration was given to diverse research modalities, varying levels of training, and the availability of mentoring and on-site support. Research may provide important benefits to medical trainees and host partners. These competencies provide a starting point; however, circumstances at any host site may necessitate additional competencies specific to that setting. These competencies are also limited by the methodology employed in their development and the need for additional perspectives from host partners. The competencies identified outline basic knowledge, attitudes, and skills necessary for medical trainees to conduct limited global health research while participating in STEGHS. They may also be used as a

  4. Workplace-based assessments in Foundation Programme training: do trainees in difficulty use them differently?

    Science.gov (United States)

    Mitchell, Colin; Bhat, Sarita; Herbert, Anne; Baker, Paul

    2013-03-01

    Trainee-led workplace-based assessment (WPBA) is increasingly used in postgraduate medical training. Trainees in difficulty are known to behave differently from their peers; these differences may be reflected in their use of WPBAs and may give new insights into the behaviour and assessment of struggling trainees. Data were extracted for 76 115 assessments, completed by 1900 UK Foundation Programme (FP) trainees. Of these 1900 trainees, 95 (5%) were FP trainees in difficulty (FTiDs). We analysed aspects of the use of WPBAs, using multiple logistic regressions, to compare the behaviours of FTiDs with those of their peers. Of 48 possible comparisons, only two (i.e. the rate expected to occur by chance) showed statistically significant differences: relative to their peers, FTiDs were more likely to choose nurse assessors in direct observations of procedural skills (odds ratio [OR] 7.05, 95% confidence interval [CI] 1.23-40.43) and more likely to choose non-clinical assessors for assessments using the mini-peer assessment tool (OR 30.44, 95% CI 1.34-689.29). Key features of assessor choice for FTiDs are familiarity and likelihood of receiving a positive assessment. This analysis has not demonstrated that FTiDs use WPBAs any differently from their peers who are not in difficulty, although it does suggest associations and trends that require further exploration. These null results are interesting and raise hypotheses for prospective confirmation or disproof, and for further qualitative work investigating how struggling trainees use WPBAs in order to guide the future implementation of WPBAs in postgraduate training. © Blackwell Publishing Ltd 2013.

  5. Responses to clinical uncertainty in Australian general practice trainees: a cross-sectional analysis.

    Science.gov (United States)

    Cooke, Georga; Tapley, Amanda; Holliday, Elizabeth; Morgan, Simon; Henderson, Kim; Ball, Jean; van Driel, Mieke; Spike, Neil; Kerr, Rohan; Magin, Parker

    2017-12-01

    Tolerance for ambiguity is essential for optimal learning and professional competence. General practice trainees must be, or must learn to be, adept at managing clinical uncertainty. However, few studies have examined associations of intolerance of uncertainty in this group. The aim of this study was to establish levels of tolerance of uncertainty in Australian general practice trainees and associations of uncertainty with demographic, educational and training practice factors. A cross-sectional analysis was performed on the Registrar Clinical Encounters in Training (ReCEnT) project, an ongoing multi-site cohort study. Scores on three of the four independent subscales of the Physicians' Reaction to Uncertainty (PRU) instrument were analysed as outcome variables in linear regression models with trainee and practice factors as independent variables. A total of 594 trainees contributed data on a total of 1209 occasions. Trainees in earlier training terms had higher scores for 'Anxiety due to uncertainty', 'Concern about bad outcomes' and 'Reluctance to disclose diagnosis/treatment uncertainty to patients'. Beyond this, findings suggest two distinct sets of associations regarding reaction to uncertainty. Firstly, affective aspects of uncertainty (the 'Anxiety' and 'Concern' subscales) were associated with female gender, less experience in hospital prior to commencing general practice training, and graduation overseas. Secondly, a maladaptive response to uncertainty (the 'Reluctance to disclose' subscale) was associated with urban practice, health qualifications prior to studying medicine, practice in an area of higher socio-economic status, and being Australian-trained. This study has established levels of three measures of trainees' responses to uncertainty and associations with these responses. The current findings suggest differing 'phenotypes' of trainees with high 'affective' responses to uncertainty and those reluctant to disclose uncertainty to patients. More

  6. Multiple and multidimensional transitions from trainee to trained doctor: a qualitative longitudinal study in the UK.

    Science.gov (United States)

    Gordon, Lisi; Jindal-Snape, Divya; Morrison, Jill; Muldoon, Janine; Needham, Gillian; Siebert, Sabina; Rees, Charlotte

    2017-12-01

    To explore trainee doctors' experiences of the transition to trained doctor, we answer three questions: (1) What multiple and multidimensional transitions (MMTs) are experienced as participants move from trainee to trained doctor? (2) What facilitates and hinders doctors' successful transition experiences? (3) What is the impact of MMTs on trained doctors? A qualitative longitudinal study underpinned by MMT theory. Four training areas (health boards) in the UK. 20 doctors, 19 higher-stage trainees within 6 months of completing their postgraduate training and 1 staff grade, associate specialist or specialty doctor, were recruited to the 9-month longitudinal audio-diary (LAD) study. All completed an entrance interview, 18 completed LADs and 18 completed exit interviews. Data were analysed cross-sectionally and longitudinally using thematic Framework Analysis. Participants experienced a multiplicity of expected and unexpected, positive and negative work-related transitions (eg, new roles) and home-related transitions (eg, moving home) during their trainee-trained doctor transition. Factors facilitating or inhibiting successful transitions were identified at various levels: individual (eg, living arrangements), interpersonal (eg, presence of supportive relationships), systemic (eg, mentoring opportunities) and macro (eg, the curriculum provided by Medical Royal Colleges). Various impacts of transitions were also identified at each of these four levels: individual (eg, stress), interpersonal (eg, trainees' children spending more time in childcare), systemic (eg, spending less time with patients) and macro (eg, delayed start in trainees' new roles). Priority should be given to developing supportive relationships (both formal and informal) to help trainees transition into their trained doctor roles, as well as providing more opportunities for learning. Further longitudinal qualitative research is now needed with a longer study duration to explore transition journeys for

  7. Working hours of obstetrics and gynaecology trainees in Australia and New Zealand.

    Science.gov (United States)

    Acton, Jade; Tucker, Paige E; Bulsara, Max K; Cohen, Paul A

    2017-10-01

    The importance of doctors' working hours has gained significant attention with evidence suggesting long hours and fatigue may compromise the safety and wellbeing of both patients and doctors. This study aims to quantify the working hours of The Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) specialist trainees in order to better inform discussions of working hours and safety within our region. An anonymous, online survey of RANZCOG trainees was conducted. Demographic data were collected. The primary outcomes were: hours per week at work and hours per week on-call. Secondary outcomes included the frequency of long days (>12 h) and 24-h shifts, time spent studying, staff shortages and opinions regarding current rostering. Response rate was 49.5% (n = 259). Full-time trainees worked an average of 53.1 ± 10.0 h/week, with 11.6% working on-call. Long-day shifts were reported by 85.8% of respondents, with an average length of 14.2 h. Fifteen percent reported working 24-h shifts, with a median duration of uninterrupted sleep during this shift being 1-2 h. Trainees in New Zealand worked 7.0 h/week more than Australian trainees (P ≤0.001), but reported less on-call (P = 0.021). Trainees in Western Australia were more likely to work on-call (P ≤0.001) and 24-h shifts (P ≤0.001). While 53.1 h/week at work is similar to the average Australian hospital doctor, high rates of long days and 24-h shifts with minimal sleep were reported by RANZCOG trainees in this survey. © 2017 The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.

  8. Efficient use of energy and materials: progress and policies. A report of the Secretary-General of the United Nations

    International Nuclear Information System (INIS)

    1996-01-01

    There is growing awareness of the serious problems associated with the provision of sufficient energy to meet human needs and to fuel economic growth world-wide. This has pointed to the need for energy and material efficiency, which would reduce air, water and thermal pollution, as well as waste production. Increasing energy and material efficiency also have the benefits of increased employment, improved balance of imports and exports, increased security of energy supply and adopting environmentally advantageous energy supply. A large potential exists for energy savings through energy and material efficiency improvements. Technologies are not now, nor will they be, in the foreseeable future, the limiting factors with regard to continuing energy efficiency improvements. There are serious barriers to energy efficiency improvements, including unwillingness to invest, lack of available and accessible information, economic disincentives and organizational barriers. A wide range of policy instruments, as well as innovative approaches have been tried in some countries in order to achieve the desired energy efficiency improvements. These include: regulation and guidelines; economic instruments and incentives; voluntary agreements and actions; information, education and training; and research, development and demonstration. An area that requires particular attention is that of improved international co-operation to develop policy instruments and technologies to meet the needs of developing countries. Material efficiency has not received the attention that it deserves. Consequently, there is a dearth of data on the qualities and quantities of final consumption, thus, making it difficult to formulate policies. Available data, however, suggest that there is a large potential for improved use of many materials in industrialized countries. (author). 1 fig

  9. Modeling of the fatigue damage accumulation processes in the material of NPP design units under thermomechanical unstationary effects. Estimation of spent life and forecast of residual life

    International Nuclear Information System (INIS)

    Kiriushin, A.I.; Korotkikh, Yu.G.; Gorodov, G.F.

    2002-01-01

    Full text: The estimation problems of spent life and forecast of residual life of NPP equipment design units, operated at unstationary thermal force loads are considered. These loads are, as a rule, unregular and cause rotation of main stress tensor platforms of the most loaded zones of structural elements and viscoelastic plastic deformation of material in the places of stresses concentrations. The existing engineering approaches to the damages accumulation processes calculation in the material of structural units, their advantages and disadvantages are analyzed. For the processes of fatigue damages accumulation a model is proposed, which allows to take into account the unregular pattern of deformation multiaxiality of stressed state, rotation of main platforms, non-linear summation of damages at the loading mode change. The model in based on the equations of damaged medium mechanics, including the equations of viscoplastic deformation of the material and evolutionary equations of damages accumulation. The algorithms of spent life estimation and residual life forecast of the controlled equipment and systems zones are made on the bases of the given model by the known real history of loading, which is determined by real model of NPP operation. The results of numerical experiments on the basis of given model for various processes of thermal force loads and their comparison with experimental results are presented. (author)

  10. In search of work/life balance: trainee perspectives on part-time obstetrics and gynaecology specialist training

    OpenAIRE

    Henry Amanda; Clements Sarah; Kingston Ashley; Abbott Jason

    2012-01-01

    Abstract Background Part-time training (PTT) is accessed by approximately 10% of Australian obstetrics and gynaecology trainees, a small but increasing minority which reflects the growing demand for improved work/life balance amongst the Australian medical workforce. This survey reports the attitudes and experiences of both full-time and part-time trainees to PTT. Methods An email-based anonymous survey was sent to all Australian obstetrics and gynaecology trainees in April 2009, collecting d...

  11. Material Use in the United States - Selected Case Studies for Cadmium, Cobalt, Lithium, and Nickel in Rechargeable Batteries

    Science.gov (United States)

    Wilburn, David R.

    2008-01-01

    This report examines the changes that have taken place in the consumer electronic product sector as they relate to (1) the use of cadmium, cobalt, lithium, and nickel contained in batteries that power camcorders, cameras, cell phones, and portable (laptop) computers and (2) the use of nickel in vehicle batteries for the period 1996 through 2005 and discusses forecasted changes in their use patterns through 2010. Market penetration, material substitution, and technological improvements among nickel-cadmium (NiCd), nickel-metal-hydride (NiMH), and lithium-ion (Li-ion) rechargeable batteries are assessed. Consequences of these changes in light of material consumption factors related to disposal, environmental effects, retail price, and serviceability are analyzed in a series of short case studies.

  12. MANAGEMENT PROCEDURE OF SUPPLIES OF UNITS, MATERIALS AND CONSTITUENT PARTS FOR REPAIR AND MAINTENANCE SUPPORT OF TRANSPORT AND PRODUCTION MACHINES

    Directory of Open Access Journals (Sweden)

    Victor Yurievich Stroganov

    2017-05-01

    Full Text Available This article considers a question of creation of schemes and sequence of passing of the main stages of process of execution of repair and maintenance works order taking into account formation of stocks of necessary spare parts, materials and constituent parts. Models of an input stream are offered for inventory control system, which are rather adequately described by autoregressive models of order two.

  13. Understanding Faculty and Trainee Needs Related to Scholarly Activity in a Large, Nonuniversity Graduate Medical Education Program.

    Science.gov (United States)

    Becker, Davida; Garth, Hanna; Hollander, Rachel; Klein, Felice; Klau, Marc

    2017-01-01

    Graduate medical education (GME) programs must develop curriculum to ensure scholarly activity among trainees and faculty to meet accreditation requirements and to support evidence-based medicine. Test whether research-related needs and interests varied across four groups: primary care trainees, specialty trainees, primary care faculty, and specialty faculty. We surveyed a random sample of trainees and faculty in Kaiser Permanente Southern California's GME programs. We investigated group differences in outcomes using Fisher exact and Kruskal-Wallis tests. Research experiences, skills, barriers, motivators, and interests in specific research skills development. Participants included 47 trainees and 26 faculty (response rate = 30%). Among primary care faculty, 12 (71%) reported little or no research experience vs 1 (11%) for specialty faculty, 14 (41%) for primary care trainees, and 1 (8%) for specialty trainees (p work roles taking priority; desire for work-life balance; and lack of managerial support, research equipment, administrative support, and funding. Faculty and trainees in primary care and specialties have differing research-related needs that GME programs should consider when designing curricula to support scholarly activity. Developing research skills of primary care faculty is a priority to support trainees' scholarly activity.

  14. WIMS-IST/DRAGON-IST side-step calculation of reactivity device and structural material incremental cross sections for Wolsong NPP Unit 1

    International Nuclear Information System (INIS)

    Dahmani, M.; McArthur, R.; Kim, B.G.; Kim, S.M.; Seo, H.-B.

    2008-01-01

    This paper describes the calculation of two-group incremental cross sections for all of the reactivity devices and incore structural materials for an RFSP-IST full-core model of Wolsong NPP Unit 1, in support of the conversion of the reference plant model to two energy groups. This is of particular interest since the calculation used the new standard 'side-step' approach, which is a three-dimensional supercell method that employs the Industry Standard Toolset (IST) codes DRAGON-IST and WIMS-IST with the ENDF/B-VI nuclear data library. In this technique, the macroscopic cross sections for the fuel regions and the device material specifications are first generated using the lattice code WIMS-IST with 89 energy groups. DRAGON-IST then uses this data with a standard supercell modelling approach for the three-dimensional calculations. Incremental cross sections are calculated for the stainless-steel adjuster rods (SS-ADJ), the liquid zone control units (LZCU), the shutoff rods (SOR), the mechanical control absorbers (MCA) and various structural materials, such as guide tubes, springs, locators, brackets, adjuster cables and support bars and the moderator inlet nozzle deflectors. Isotopic compositions of the Zircaloy-2, stainless steel and Inconel X-750 alloys in these items are derived from Wolsong NPP Unit 1 history dockets. Their geometrical layouts are based on applicable design drawings. Mid-burnup fuel with no moderator poison was assumed. The incremental cross sections and key aspects of the modelling are summarized in this paper. (author)

  15. Synthesis, Properties, Calculations and Applications of Small Molecular Host Materials Containing Oxadiazole Units with Different Nitrogen and Oxygen Atom Orientations for Solution-Processable Blue Phosphorescent OLEDs

    Science.gov (United States)

    Ye, Hua; Wu, Hongyu; Chen, Liangyuan; Ma, Songhua; Zhou, Kaifeng; Yan, Guobing; Shen, Jiazhong; Chen, Dongcheng; Su, Shi-Jian

    2018-03-01

    A series of new small molecules based on symmetric electron-acceptor of 1,3,4-oxadiazole moiety or its asymmetric isomer of 1,2,4-oxadiazole unit were successfully synthesized and applied to solution-processable blue phosphorescent organic light-emitting diodes for the first time, and their thermal, photophysical, electrochemical properties and density functional theory calculations were studied thoroughly. Due to the high triplet energy levels ( E T, 2.82-2.85 eV), the energy from phosphorescent emitter of iridium(III) bis[(4,6-difluorophenyl)-pyridinate- N,C2']picolinate (FIrpic) transfer to the host molecules could be effectively suppressed and thus assuring the emission of devices was all from FIrpic. In comparison with the para-mode conjugation in substitution of five-membered 1,3,4-oxadiazole in 134OXD, the meta-linkages of 1,2,4-isomer appending with two phenyl rings cause the worse conjugation degree and the electron delocalization as well as the lower electron-withdrawing ability for the other 1,2,4-oxadiazole-based materials. Noting that the solution-processed device based on 134OXD containing 1,3,4-oxadiazole units without extra vacuum thermal-deposited hole/exciton-blocking layer and electron-transporting layer showed the highest maximum current efficiency (CEmax) of 8.75 cd/A due to the excellent charge transporting ability of 134OXD, which far surpassed the similar devices based on other host materials containing 1,2,4-oxadiazole units. Moreover, the device based on 134OXD presented small efficiency roll-off with current efficiency (CE) of 6.26 cd/A at high brightness up to 100 cd/m2. This work demonstrates different nitrogen and oxygen atom orientations of the oxadiazole-based host materials produce major impact on the optoelectronic characteristics of the solution-processable devices.

  16. Corrosion Behavior of Candidate Materials Used for Urea Hydrolysis Equipment in Coal-Fired Selective Catalytic Reduction Units

    Science.gov (United States)

    Lu, Jintao; Yang, Zhen; Zhang, Bo; Huang, Jinyang; Xu, Hongjie

    2018-05-01

    Corrosion tests were performed in the laboratory in order to assess the corrosion resistance of candidate materials used in urea hydrolysis equipment. The materials to be evaluated were exposed at 145 °C for 1000 h. Alloys 316L, 316L Mod., HR3C, Inconel 718, and TC4 were evaluated. Additionally, aluminide and chromate coatings applied to a 316L substrate were examined. After exposure, the mass changes in the test samples were measured by a discontinuous weighing method, and the morphologies, compositions, and phases of the corrosion products were analyzed using scanning electron microscopy, energy-dispersive spectroscopy, and x-ray diffraction. Results indicated that continuous pitting and dissolution corrosion were the main failure modes for 316L stainless steel. 316L Mod. and HR3C alloy showed better corrosion resistance than 316L due to their relatively high Cr contents, but HR3C exhibited a strong tendency toward intergranular corrosion. Inconel 718, TC4, and aluminide and chromate coating samples showed similar corrosion processes: only depositions formed by hydrothermal reactions were observed. Based on these results, a possible corrosion process in the urea hydrolysis environment was discussed for these candidate materials and questions to be clarified were proposed.

  17. The effect of medical trainees on pediatric emergency department flow: a discrete event simulation modeling study.

    Science.gov (United States)

    Genuis, Emerson D; Doan, Quynh

    2013-11-01

    Providing patient care and medical education are both important missions of teaching hospital emergency departments (EDs). With medical school enrollment rising, and ED crowding becoming an increasing prevalent issue, it is important for both pediatric EDs (PEDs) and general EDs to find a balance between these two potentially competing goals. The objective was to determine how the number of trainees in a PED affects patient wait time, total ED length of stay (LOS), and rates of patients leaving without being seen (LWBS) for PED patients overall and stratified by acuity level as defined by the Pediatric Canadian Triage and Acuity Scale (CTAS) using discrete event simulation (DES) modeling. A DES model of an urban tertiary care PED, which receives approximately 40,000 visits annually, was created and validated. Thirteen different trainee schedules, which ranged from averaging zero to six trainees per shift, were input into the DES model and the outcome measures were determined using the combined output of five model iterations. An increase in LOS of approximately 7 minutes was noted to be associated with each additional trainee per attending emergency physician working in the PED. The relationship between the number of trainees and wait time varied with patients' level of acuity and with the degree of PED utilization. Patient wait time decreased as the number of trainees increased for low-acuity visits and when the PED was not operating at full capacity. With rising numbers of trainees, the PED LWBS rate decreased in the whole department and in the CTAS 4 and 5 patient groups, but it rose in patients triaged CTAS 3 or higher. A rising numbers of trainees was not associated with any change to flow outcomes for CTAS 1 patients. The results of this study demonstrate that trainees in PEDs have an impact mainly on patient LOS and that the effect on wait time differs between patients presenting with varying degrees of acuity. These findings will assist PEDs in finding a

  18. A casemix study of patients seen by a dermatology trainee in rural and urban outpatient settings.

    Science.gov (United States)

    Tilakaratne, Dev; Warren, Lachlan; Menz, Jennifer

    2016-02-01

    For 8 years South Australian dermatologists have provided an outreach service to the Northern Territory (NT), including rural and remote areas. In 2012 and 2013, a trainee accompanied a dermatologist on these outreach visits. This is the first prospective study that documents the spectrum of dermatological diseases requiring outpatient specialist input in various settings in the NT, and also the first study to compare the clinical experience of one Australian dermatology trainee in urban and rural settings. Characteristics of patients managed primarily by the outreach dermatology registrar were recorded prospectively from February 2013 to July 2013. The data from the trainee's urban encounters were compared to that of the rural centres. The spectrum of conditions seen in these two settings was placed in the disease categories specified in the Australasian College of Dermatologists (ACD) curriculum. The Royal Adelaide Hospital outpatient experience provided greater exposure to skin neoplasms, lymphoproliferative and myeloproliferative disorders and non-infectious neutrophilic/eosinophilic disorders. The outreach sites provided greater exposure to infections, adnexal diseases and genodermatoses. Both urban and rural experiences provided a broad exposure to the disease categories outlined in the ACD curriculum. The spectrum of disease requiring specialist dermatology input varies between urban South Australia and rural NT. The inclusion of dermatology trainees in outreach visits broadens their clinical exposure. It is recommended that other dermatology service providers in Australia consider documenting clinical casemix comparisons to assess dermatology demand, outcomes and trainee exposure. © 2014 The Australasian College of Dermatologists.

  19. The "new normal": Adapting doctoral trainee career preparation for broad career paths in science.

    Directory of Open Access Journals (Sweden)

    Rebekah St Clair

    Full Text Available Doctoral recipients in the biomedical sciences and STEM fields are showing increased interest in career opportunities beyond academic positions. While recent research has addressed the interests and preferences of doctoral trainees for non-academic careers, the strategies and resources that trainees use to prepare for a broad job market (non-academic are poorly understood. The recent adaptation of the Social Cognitive Career Theory to explicitly highlight the interplay of contextual support mechanisms, individual career search efficacy, and self-adaptation of job search processes underscores the value of attention to this explicit career phase. Our research addresses the factors that affect the career search confidence and job search strategies of doctoral trainees with non-academic career interests and is based on nearly 900 respondents from an NIH-funded survey of doctoral students and postdoctoral fellows in the biomedical sciences at two U.S. universities. Using structural equation modeling, we find that trainees pursuing non-academic careers, and/or with low perceived program support for career goals, have lower career development and search process efficacy (CDSE, and receive different levels of support from their advisors/supervisors. We also find evidence of trainee adaptation driven by their career search efficacy, and not by career interests.

  20. What causes trainees to leave oral and maxillofacial surgery? A questionnaire survey.

    Science.gov (United States)

    Herbert, C; Kent, S; Magennis, P; Cleland, J

    2017-01-01

    Understanding what causes trainees to leave OMFS is essential if we are to retain them within the specialty. Although these factors have been defined for medicine, we know of no previous study for OMFS. An online survey was distributed to roughly 1500 people who had registered an interest in OMFS during the past seven years. Personal information and details of education and employment were gathered along with personal factors that attracted them to OMFS. Of 251 trainees who responded, 50 (30%) were no longer interested. Factors that significantly correlated with an interest in OMFS included male sex (p=0.020), dual qualification (p=0.024), and (only for women) being single (p=0.024) and having no dependants (p=0.005). We used qualitative analysis to identify work-life balance, duration of training, and financial implications, as significant factors. Identification of key factors that affect OMFS trainees allows us to develop ways to keep them in the specialty. The predominant factor is work-life balance, and for women this included having children and being married. Financial issues related to the junior doctors' contract and competition ratios to second degrees, are also factors for both sexes. Also important are the "sunk costs" fallacy that causes some trainees to stay in training. This information can be used to help develop higher training, in negotiations of contracts, and to attract and retain future OMFS trainees. Copyright © 2016 The British Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  1. Preserving professional credibility: grounded theory study of medical trainees' requests for clinical support.

    Science.gov (United States)

    Kennedy, Tara J T; Regehr, Glenn; Baker, G Ross; Lingard, Lorelei

    2009-02-09

    To develop a conceptual framework of the influences on medical trainees' decisions regarding requests for clinical support from a supervisor. Phase 1: members of teaching teams in internal and emergency medicine were observed during regular clinical activities (216 hours) and subsequently completed brief interviews. Phase 2: 36 in depth interviews were conducted using videotaped vignettes to probe tacit influences on decisions to request support. Data collection and analysis used grounded theory methods. Three teaching hospitals in an urban setting in Canada. 124 members of teaching teams on general internal medicine wards and in the emergency department, comprising 31 attending physicians, 57 junior and senior residents, 28 medical students, and eight nurses. Purposeful sampling to saturation was conducted. Trainees' decisions about whether or not to seek clinical support were influenced by three issues: the clinical question (clinical importance, scope of practice), supervisor factors (availability, approachability), and trainee factors (skill, desire for independence, evaluation). Trainees perceived that requesting frequent/inappropriate support threatened their credibility and used rhetorical strategies to preserve credibility. These strategies included building a case for the importance of requests, saving requests for opportune moments, making a plan before requesting support, and targeting requests to specific team members. Trainees consider not only clinical implications but also professional credibility when requesting support from clinical supervisors. Exposing the complexity of this process provides the opportunity to make changes to training programmes to promote timely supervision and provides a framework for further exploration of the impact of clinical training on quality of care of patients.

  2. How we treat our own: the experiences and characteristics of psychology trainees with disabilities.

    Science.gov (United States)

    Lund, Emily M; Andrews, Erin E; Holt, Judith M

    2014-11-01

    To better understand the characteristics and experiences of psychologists and trainees with disabilities. An invitation to participate in a survey of psychologists and psychology trainees with disabilities was sent to professional listservs related to psychology and/or disability. Fifty-six trainees and psychologists with doctoral training in clinical, counseling, school, or rehabilitation psychology completed the survey. Over half (57.1%) were practicing psychologists and 42.9% were current trainees. The most commonly reported disabilities were physical, sensory, and chronic health. The majority of the participants reported experiencing disability-related discrimination during their training, and less than one third had received mentorship from psychologists with disabilities. Less than half of respondents disclosed their disability to a university disability services office, and many relied on informal accommodations alone. Most participants did not disclose their disability during the graduate school, internship, or postdoctoral application processes. Professional psychology programs and training sites should work to remove barriers and provide support for trainees with disabilities, especially during preinternship doctoral training. Programs should not expect disability services offices to provide all support for students with disabilities, especially support related to clinical training. (PsycINFO Database Record (c) 2014 APA, all rights reserved).

  3. Assessing Primary Care Trainee Comfort in the Diagnosis and Management of Thermal Injuries.

    Science.gov (United States)

    Vrouwe, Sebastian Q; Shahrokhi, Shahriar

    Thermal injuries are common and the majority will initially present to primary care physicians. Despite being a part of the objectives of training in family medicine (FM) and emergency medicine (EM), previous study has shown that in practice, gaps exist in the delivery of care. An electronic survey was sent to all FM/EM trainees at our university for the 2014 to 2015 academic year. Plastic Surgery trainees were included as a control group. Demographics and educational/clinical experience were assessed. Trainee comfort was measured on a five-point Likert scale across 15 domains related to thermal injuries. Preferences for educational interventions were also ranked. Descriptive statistics and the Kruskal-Wallis test were used (P comfort levels across all 15 domains when compared with plastic surgery trainees. Preferences for educational interventions were ranked, with clinical rotations and traditional lecture scoring the highest. Primary care trainees are not comfortable in the diagnosis and management of thermal injuries. This may be attributed to limited clinical exposure and teaching during their postgraduate training. There exists an opportunity for specialists in burn care to collaborate with primary care training programs and deliver an educational intervention with the aim of long-lasting quality improvement.

  4. Integrating Family as a Discipline by Providing Parent Led Curricula: Impact on LEND Trainees' Leadership Competency.

    Science.gov (United States)

    Keisling, Bruce L; Bishop, Elizabeth A; Roth, Jenness M

    2017-05-01

    Background While the MCH Leadership Competencies and family as a discipline have been required elements of Leadership Education in Neurodevelopmental and related Disabilities (LEND) programs for over a decade, little research has been published on the efficacy of either programmatic component in the development of the next generation of leaders who can advocate and care for Maternal and Child Health (MCH) populations. Objective To test the effectiveness of integrating the family discipline through implementation of parent led curricula on trainees' content knowledge, skills, and leadership development in family-centered care, according to the MCH Leadership Competencies. Methods One hundred and two long-term (≥ 300 h) LEND trainees completed a clinical and leadership training program which featured intensive parent led curricula supported by a full-time family faculty member. Trainees rated themselves on the five Basic and Advanced skill items that comprise MCH Leadership Competency 8: Family-centered Care at the beginning and conclusion of their LEND traineeship. Results When compared to their initial scores, trainees rated themselves significantly higher across all family-centered leadership competency items at the completion of their LEND traineeship. Conclusions The intentional engagement of a full-time family faculty member and parent led curricula that include didactic and experiential components are associated with greater identification and adoption by trainees of family-centered attitudes, skills, and practices. However, the use of the MCH Leadership Competencies as a quantifiable measure of program evaluation, particularly leadership development, is limited.

  5. Using patients' charts to assess medical trainees in the workplace: a systematic review.

    Science.gov (United States)

    Al-Wassia, Heidi; Al-Wassia, Rolina; Shihata, Shadi; Park, Yoon Soo; Tekian, Ara

    2015-04-01

    The objective of this review is to summarize and critically appraise existing evidence on the use of chart stimulated recall (CSR) and case-based discussion (CBD) as an assessment tool for medical trainees. Medline, Embase, CINAHL, PsycINFO, Educational Resources Information Centre (ERIC), Web of Science, and the Cochrane Central Register of Controlled Trials were searched for original articles on the use of CSR or CBD as an assessment method for trainees in all medical specialties. Four qualitative and three observational non-comparative studies were eligible for this review. The number of patient-chart encounters needed to achieve sufficient reliability varied across studies. None of the included studies evaluated the content validity of the tool. Both trainees and assessors expressed high level of satisfaction with the tool; however, inadequate training, different interpretation of the scoring scales and skills needed to give feedback were addressed as limitations for conducting the assessment. There is still no compelling evidence for the use of patient's chart to evaluate medical trainees in the workplace. A body of evidence that is valid, reliable, and documents the educational effect in support of the use of patients' charts to assess medical trainees is needed.

  6. Effect of Engaging Trainees by Assessing Peer Performance: A Randomised Controlled Trial Using Simulated Patient Scenarios

    Directory of Open Access Journals (Sweden)

    Charlotte Loumann Krogh

    2014-01-01

    Full Text Available Introduction. The aim of this study was to explore the learning effect of engaging trainees by assessing peer performance during simulation-based training. Methods. Eighty-four final year medical students participated in the study. The intervention involved trainees assessing peer performance during training. Outcome measures were in-training performance and performance, both of which were measured two weeks after the course. Trainees’ performances were videotaped and assessed by two expert raters using a checklist that included a global rating. Trainees’ satisfaction with the training was also evaluated. Results. The intervention group obtained a significantly higher overall in-training performance score than the control group: mean checklist score 20.87 (SD 2.51 versus 19.14 (SD 2.65 P=0.003 and mean global rating 3.25 SD (0.99 versus 2.95 (SD 1.09 P=0.014. Postcourse performance did not show any significant difference between the two groups. Trainees who assessed peer performance were more satisfied with the training than those who did not: mean 6.36 (SD 1.00 versus 5.74 (SD 1.33 P=0.025. Conclusion. Engaging trainees in the assessment of peer performance had an immediate effect on in-training performance, but not on the learning outcome measured two weeks later. Trainees had a positive attitude towards the training format.

  7. Approach to Acute Headache: A Flipped Classroom Module for Emergency Medicine Trainees

    Directory of Open Access Journals (Sweden)

    Jeff Riddell

    2016-07-01

    Full Text Available Audience: This module is designed for emergency medicine trainees. Though it focuses on those early in their career (medical students and junior residents, it is applicable to all emergency medicine learners. Introduction: In the United States, headache is the fifth most-common primary complaint of patients presenting to the emergency department and can be the primary symptomatic manifestation of many life-threatening illnesses. The emergency physician plays a unique role in diagnosing and managing these patients. The emergency physician’s two major responsibilities are to relieve headache pain and to ensure that life-threatening causes are diagnosed and treated. Objectives: At the end of this module, the learner will be able to: 1 list the diagnoses critical to the emergency physician that may present with headache; 2 identify key historical and examination findings that help differentiate primary (benign from secondary (serious causes of headache; 3 discuss the indications for diagnostic imaging, lumbar puncture and laboratory testing in patients with headache; 4 recognize life-threatening diagnoses on CT imaging and CSF examination; 5 describe treatment strategies to relieve headache symptoms. Methods: This module includes a complete flipped classroom module. Learners are responsible for viewing a 20-minute video prior to the 30-minute small-group, case-based didactic discussion portion. The learners are assessed with multiple-choice question assessments, for low stakes retrieval practice or spaced practice. This could alternatively be run as a team-based learning session, with the pre- and post-tests used as an individual or group readiness assessment test, and the small group exercises converted to a group application exercise.

  8. Inventory and characteristics of current and projected low-level radioactive materials and waste in the United States

    International Nuclear Information System (INIS)

    Bisaria, A.; Bugos, R.G.; Pope, R.B.; Salmon, R.; Storch, S.N.; Lester, P.B.

    1994-01-01

    The Integrated Data Base (IDB), under US Department of Energy (DOE) funding and guidance, provides an annual update of compiled data on current and projected inventories and characteristics of DOE and commercially owned radioactive wastes. The data base addresses also the inventories of DOE and commercial spent fuel. These data are derived from reliable information from government sources, open literature, technical reports, and direct contacts. The radioactive materials considered are spent nuclear fuel, high-level waste (HLW), transuranic (TRU) waste, low-level waste (LLW), commercial uranium mill tailings, environmental restoration wastes, and mixed-LLW. This paper primarily focuses on LLW inventory and characterization

  9. Does reporting of plain chest radiographs affect the immediate management of patients admitted to a medical assessment unit?

    International Nuclear Information System (INIS)

    Grosvenor, L.J.; Verma, R.; O'Brien, R.; Entwisle, J.J.; Finlay, D.

    2003-01-01

    AIM: The purpose of our study was to investigate whether reporting of plain chest radiographs affects immediate management of patients admitted to a medical assessment unit. MATERIALS AND METHODS: During a 3 month period we prospectively evaluated 200 patients who had a plain chest radiograph on admission. After the post on-call ward round, an independent medical specialist registrar reviewed the notes, retrieving relevant clinical details. The plain chest films were reported independently by a trainee radiologist and consultant, reaching a consensus report. RESULTS: There was 93% agreement between trainee and consultant radiologists (95% CI=89-96%). Seventy percent had documented reports by the on-call medical team. There was disagreement between radiology and medical reports in 49% of reported films (95% CI=40-57%). The radiologist's report led to a direct change in the immediate management of 22 patients (11%). CONCLUSION: Only 70% of films had documented reports in the clinical notes despite this being a legal requirement. Radiology reporting does cause a direct change in patient management. Chest radiographs of patients admitted to a medical admissions unit should be reported by a radiologist with the minimum of delay

  10. Experience in usage of T-108 titrimetric laboratory unit for precision analysis of uranium-containing materials

    International Nuclear Information System (INIS)

    Ryzhinskij, M.V.; Bronzov, P.A.

    1989-01-01

    Possibilities of the T-108 device of potentiometric titration for precise determination of uranium in various uranium-containing materials are studied, the results being presented. Principle flowsheet of the device and the sequence of analytic procedure of uranium potentiometric titration are considered. U 3 O 8 , UO 2 and UF 4 were used as materials to be analyzed, state standard samples of K 2 Cr 2 O 7 -SSS 2215-81 and U 3 O 8 SSS 2396-83P- as standard samples. It is shown that relative standard deviation during titration using the T-108 device is mainly determined by the error of determination of the final titration point potention and it must not exceed 0.002 for uranium titration considered. The conclusion is made that the variant of potentiometric titration of uranium with the use of the T-108 device is not inferior in its accuracy to gravimetry and surpasses it in productivity and possibility of automation. 4 refs.; 2 figs.; 2 tabs

  11. The 2nd Annual Clinical Scientist Trainee Symposium, August 22, 2017, London, Canada.

    Science.gov (United States)

    Yin, Charles; Blom, Jessica N; Lewis, James F

    2018-03-27

    Clinician scientists play a critical role in bridging research and clinical practice. Unfortunately, the neglect of research training in medical schools has created clinicians who are unable to translate evidence from literature to practice. Furthermore, the erosion of research training in medical education has resulted in clinicians who lack the skills required for successful scientific investigation. To counteract this, the Schulich School of Medicine & Dentistry has made an effort to engage trainees, at all levels, in the research process. The 2nd Annual Clinician Scientist Trainee Symposium was held in London, Ontario, Canada on August 22, 2017. Organized each year since 2016 by the Schulich Research Office, the symposium features research being conducted by trainees in Schulich's Clinical Research Training Program. The focus this year was on the current state of clinician-scientist training in Canada and visions for the path ahead.

  12. A modern approach to teaching pancreatic surgery: stepwise pancreatoduodenectomy for trainees.

    LENUS (Irish Health Repository)

    Marangoni, Gabriele

    2012-08-01

    Pancreatoduodenectomy (PD) has always been regarded as one of the most technically demanding abdominal procedures, even when carried out in high-volume centers by experienced surgeons. The reduction in higher surgical trainees working hours has led to reduced exposure, and consequently less experience in operative procedures. Furthermore, trainees have also become victims as health care systems striving for operating room efficiency, have attempted to reduce procedure duration by encouraging consultant led procedures at the expense of training. A strategy therefore needs to be developed to match the ability of the trainee with the complexity of the surgical procedure. As a PD can be deconstructed into a number of different steps, it may indeed be an ideal training operation for varying levels of ability.

  13. The need for more workshops in laparoscopic surgery and surgical anatomy for European gynaecological oncology trainees

    DEFF Research Database (Denmark)

    Manchanda, Ranjit; Halaska, Michael J; Piek, Jurgen M

    2013-01-01

    OBJECTIVE: The objective of this study was to highlight the relative preference of European gynecologic oncology trainees for workshops that could support and supplement their training needs. METHODS: A Web-based survey was sent to 900 trainees on the European Network of Young Gynaecological...... to the survey, giving a 21% response rate. The 3 most important topics reported were laparoscopic surgery; surgical anatomy, and imaging techniques in gynecologic oncology. The Dendron plot indicated 4 different clusters of workshops (research related skills, supportive ancillary skills, related nonsurgical...... questionnaire was 0.78, which suggests good internal consistency/reliability. CONCLUSIONS: This report for the first time highlights the relative importance and significance European trainees attach to some of their training needs in gynecologic oncology. Laparoscopic surgery, surgical anatomy, and imaging...

  14. In-service materials testing of selected components of unit 1 and 2 of V-1 nuclear power plant

    International Nuclear Information System (INIS)

    Cintula, J.

    1982-01-01

    The task of in-service nondestructive testing of nuclear installations is to confirm that the state of base material and welded joints has not changed owing to mechanical, thermal or radiation stress. Under the regulations of safe operation the first in-service inspection of all components of a WWER 440 reactor must be carried out after 15,000 to 2O,00O operating hours at the latest. Further in-service inspections are repeated after 30,000 hours (pressure vessels) and 40,000 hours (the main steam piping and the feedwater piping). Proceeding from experience gained so far, intervals are suggested for in-service checks of the other components of the V-1 nuclear power plant. Also briefly described are the main nondestructive methods used for such checks at this power plant. (Z.M.)

  15. Alternative risk-based criteria for transportation of radioactive materials on the United States Department of Energy Hanford Site

    International Nuclear Information System (INIS)

    Mercado, J.E.; Field, J.G.; Smith, R.J.; Wang, O.S.

    1993-01-01

    This paper presents the development of an alternative method to evaluate packaging safety for radioactive material transported solely within the boundaries of a restricted site; the method uses risk-based criteria to assess and document packaging safety. These criteria offer a standard against which the results of a risk assessment are compared to evaluate the safety of a transportation operation. Numerous payloads are transported entirely within the U.S. Department of Energy's Hanford Site boundaries. The U.S. Department of Energy requires that the safety of onsite transportation be equivalent to the safety provided for transporting radioactive materials in commerce as regulated by the U.S. Department of Transportation and the U.S. Nuclear Regulatory Commission. Some onsite packaging configurations do not meet the performance criteria that form the basis of these regulations, necessitating the establishment of alternative criteria to evaluate safety. Quantitatively defined criteria have been derived from the U.S. Department of Transportation limits for package radiation levels, curie content, activity release, and external contamination levels. Recommendations of the International Committee on Radiation Protection may further restrict the criteria. The proposed method documents packaging safety in a transportation risk assessment. The assessment estimates accident frequencies, conservatively evaluates the dose consequences of these accidents, and compares the results to the established risk acceptance criteria. Specific Hanford Site onsite packaging and transportation issues illustrate the alternative method. The paper compares the solutions resulting from the application of risk-based criteria to those resulting from strict compliance with commercial transportation regulations. (author)

  16. The "Flipped Classroom" Model for Teaching in the Intensive Care Unit.

    Science.gov (United States)

    Tainter, Christopher R; Wong, Nelson L; Cudemus-Deseda, Gaston A; Bittner, Edward A

    2017-03-01

    The intensive care unit (ICU) is a dynamic and complex learning environment. The wide range in trainee's experience, specialty training, fluctuations in patient acuity and volume, limitations in trainee duty hours, and additional responsibilities of the faculty contribute to the challenge in providing a consistent experience with traditional educational strategies. The "flipped classroom" is an educational model with the potential to improve the learning environment. In this paradigm, students gain exposure to new material outside class and then use class time to assimilate the knowledge through problem-solving exercises or discussion. The rationale and pedagogical foundations for the flipped classroom are reviewed, practical considerations are discussed, and an example of successful implementation is provided. An education curriculum was devised and evaluated prospectively for teaching point-of-care echocardiography to residents rotating in the surgical ICU. Preintervention and postintervention scores of knowledge, confidence, perceived usefulness, and likelihood of use the skills improved for each module. The quality of the experience was rated highly for each of the sessions. The flipped classroom education curriculum has many advantages. This pilot study was well received, and learners showed improvement in all areas evaluated, across several demographic subgroups and self-identified learning styles.

  17. Is laparoscopic appendicectomy a safe procedure for trainees in the peripheral hospital setting?

    LENUS (Irish Health Repository)

    Emmanuel, A

    2011-10-01

    Laparoscopic appendicectomy has become standard in the treatment of acute appendicitis in most hospitals in Ireland. Studies have shown that it is a safe procedure for trainees to perform. However, these studies were conducted in university teaching hospitals whereas a significant proportion of training in Ireland takes place in peripheral hospitals which provide a different training environment. The aim of this study was to determine whether laparoscopic appendicectomy is a safe procedure for surgical trainees to perform in a peripheral hospital setting. A retrospective analysis was performed of appendicectomies carried out at a peripheral hospital over a 12 month period. Comparisons were made between consultant surgeons and trainees for a variety of outcomes. Of 155 appendicectomies, 129 (83.2%) were performed laparoscopically, of which 10 (7.75%) were converted to open. Consultants performed 99 (77%) laparoscopic appendicectomies. There were no statistically significant differences between consultants and trainees in complication rates (19 (19.2%) vs. 4 (13.3%), p = 0.46), mean length of hospital stay (4.7 +\\/- 4.0 vs. 3.4 +\\/- 3.3 days, p = 0.13), or rate of conversion to open operation (9 (9.1%) vs. 1 (3.3%), p = 0.45). For cases of complicated appendicitis there were no significant differences between consultants and trainees in complication rates (12 vs. 2, p = 0.40) or length of hospital stay (6.4 +\\/- 3.9 vs. 4.7 +\\/- 5.6 days, p = 0.27). We conclude that laparoscopic appendicectomy is a safe procedure for trainees to perform in the peripheral hospital setting and should be incorporated into surgical training programs at an early stage of training.

  18. Survey of the incidence and effect of major life events on graduate medical education trainees

    Directory of Open Access Journals (Sweden)

    Lars J. Grimm

    2015-06-01

    Full Text Available Purpose: This study aims to assess the incidence of major life events during graduate medical education (GME training and to establish any associations with modifiable activities and career planning. Methods: The authors surveyed graduating GME trainees from their parent institution in June 2013. Demographic information (clinical department, gender, training duration and major life events (marriage, children, death/illness, home purchase, legal troubles, property loss were surveyed. Respondents were queried about the relationship between life events and career planning. A multivariable logistic regression model tested for associations. Results: A total of 53.2% (166/312 of graduates responded to the survey. 50% (83/166 of respondents were female. Major life events occurred in 96.4% (160/166 of respondents. Male trainees were more likely (56.1% [46/82] vs. 30.1% [25/83] to have a child during training (p=0.01. A total of 41.6% (69/166 of responders consciously engaged or avoided activities during GME training, while 31.9% (53/166 of responders reported that life events influenced their career plans. Trainees in lifestyle residencies (p=0.02, those who experienced the death or illness of a close associate (p=0.01, and those with legal troubles (p=0.04 were significantly more likely to consciously control life events. Conclusion: Major life events are very common and changed career plans in nearly a third of GME trainees. Furthermore, many trainees consciously avoided activities due to their responsibilities during training. GME training programs should closely assess the institutional support systems available to trainees during this difficult time.

  19. LGBT Trainee and Health Professional Perspectives on Academic Careers--Facilitators and Challenges.

    Science.gov (United States)

    Sánchez, Nelson F; Rankin, Susan; Callahan, Edward; Ng, Henry; Holaday, Louisa; McIntosh, Kadian; Poll-Hunter, Norma; Sánchez, John Paul

    2015-12-01

    Diversity efforts in the academic medicine workforce have often neglected the identification and inclusion of lesbian, gay, bisexual, and transgender (LGBT) health professionals. Many of these professionals have served as educators, researchers, administrators, and leaders at their academic institutions, but their perspectives on the barriers to and facilitators of pursuing academic careers, as well as the perspectives of trainees, have not been explored. We applied a purposeful convenience sampling strategy to collect quantitative and qualitative data among LGBT health care professionals (HCP) and trainees. The authors identified trends in data using bivariate analyses and consensual qualitative research methods. We analyzed data from 252 surveys completed by HCPs and trainees and a subset of 41 individuals participated in 8 focus groups. Among survey participants, 100% identified as lesbian, gay, and bisexual (LGB) or queer; 4.5% identified along the trans-spectrum; 31.2% identified as a racial or ethnic minority; 34.1% identified as faculty; and 27.4% as trainees. Eighty-one percent of trainees were interested in academia and 47% of HCPs held faculty appointments. Overall, 79.4% were involved in LGBT-related educational, research, service, or clinical activities. Facilitators of academic careers included engagement in scholarly activities, mentorship, LGBT-specific networking opportunities, personal desire to be visible, campus opportunities for involvement in LGBT activities, and campus climate inclusive of LGBT people. Barriers included poor recognition of LGBT scholarship, a paucity of concordant mentors or LGBT networking opportunities, and hostile or non-inclusive institutional climates. LGBT trainees and HCPs contribute significantly to services, programs, and scholarship focused on LGBT communities. LGBT individuals report a desire for a workplace environment that encourages and supports diversity across sexual orientation and gender identities

  20. Cytopathology whole slide images and adaptive tutorials for postgraduate pathology trainees: a randomized crossover trial.

    Science.gov (United States)

    Van Es, Simone L; Kumar, Rakesh K; Pryor, Wendy M; Salisbury, Elizabeth L; Velan, Gary M

    2015-09-01

    To determine whether cytopathology whole slide images and virtual microscopy adaptive tutorials aid learning by postgraduate trainees, we designed a randomized crossover trial to evaluate the quantitative and qualitative impact of whole slide images and virtual microscopy adaptive tutorials compared with traditional glass slide and textbook methods of learning cytopathology. Forty-three anatomical pathology registrars were recruited from Australia, New Zealand, and Malaysia. Online assessments were used to determine efficacy, whereas user experience and perceptions of efficiency were evaluated using online Likert scales and open-ended questions. Outcomes of online assessments indicated that, with respect to performance, learning with whole slide images and virtual microscopy adaptive tutorials was equivalent to using traditional methods. High-impact learning, efficiency, and equity of learning from virtual microscopy adaptive tutorials were strong themes identified in open-ended responses. Participants raised concern about the lack of z-axis capability in the cytopathology whole slide images, suggesting that delivery of z-stacked whole slide images online may be important for future educational development. In this trial, learning cytopathology with whole slide images and virtual microscopy adaptive tutorials was found to be as effective as and perceived as more efficient than learning from glass slides and textbooks. The use of whole slide images and virtual microscopy adaptive tutorials has the potential to provide equitable access to effective learning from teaching material of consistently high quality. It also has broader implications for continuing professional development and maintenance of competence and quality assurance in specialist practice. Copyright © 2015 Elsevier Inc. All rights reserved.

  1. Do community medicine residency trainees learn through journal club? An experience from a developing country

    Directory of Open Access Journals (Sweden)

    Kadir Muhammad

    2006-08-01

    Full Text Available Abstract Background Journal clubs are an internationally recognized teaching tool in many postgraduate medical education fields. In developing countries lack of funds for current print materials may have limited journal club use. But with advancing information technology trainees in developing countries increasingly have more access to high quality journals online. However, we are aware of no studies describing journal club existence and effectiveness in postgraduate medical training in Pakistan. Also we have found no published effectiveness studies of this teaching modality in Community Medicine (Public Health in any country. This study evaluated the effectiveness of Community Medicine (Public Health Resident Journal Club (CMR-JC in Aga Khan University, Pakistan using international criteria for successful journal clubs (2 years continuous existence and more than 50% attendance and examining resident and alumni satisfaction. Methods Journal club effectiveness criteria were searched using electronic search databases. Departmental records were reviewed from September1999–September 2005. Ninety percent of residents and alumni of Community Medicine Residency Programme participated voluntarily in a confidential survey. Results The CMR-JC was regularly conducted. More than 95% of residents attended. (Total residents in the CMR-Programme: 32. Twenty-seven out of 29 current residents/alumni responded to the anonymous questionnaire. Acquisition of critical appraisal skills (23 respondents and keeping up with current literature (18 respondents were the two most important objectives achieved. Respondents recommended improved faculty participation and incorporating a structured checklist for article review. Conclusion CMR-JC fulfils criteria for effective journal clubs. Residents and alumni agree CMR-JC meets its objectives. Incorporating suggested recommendations will further improve standards. The journal club learning modality should be included in

  2. Solution-processable red-emission organic materials containing triphenylamine and benzothiodiazole units: synthesis and applications in organic light-emitting diodes.

    Science.gov (United States)

    Yang, Yi; Zhou, Yi; He, Qingguo; He, Chang; Yang, Chunhe; Bai, Fenglian; Li, Yongfang

    2009-06-04

    Three solution-processable red-emissive organic materials with a hole-transporting unit triphenylamine (TPA) as the core part and a D-pi-A bipolar structure as the branch part, TPA-BT (single-branched molecule), b-TPA-BT (bibranched molecule), and t-TPA-BT (tribranched molecule), were synthesized by the Heck coupling reaction. Herein, for the D-pi-A push-pull structure, we use TPA as the electron donor, benzothiodiazole (BT) as the electron acceptor, and the vinylene bond as the pi-bridge connecting the TPA and BT units. The compounds exhibit good solubility in common organic solvents, benefited from the three-dimensional spatial configuration of TPA units and the branch structure of the molecules. TPA-BT, b-TPA-BT, and t-TPA-BT show excellent photoluminescent properties with maximum emission peaks at ca. 630 nm. High-performance red-emission organic light-emitting diodes (OLEDs) were fabricated with the active layer spin coated from a solution of these compounds. The OLED based on TPA-BT displayed a low turn-on voltage of 2.0 V, a maximum luminance of 12192 cd/m2, and a maximum current efficiency of 1.66 cd/A, which is among the highest values for the solution-processed red-emission OLEDs. In addition, high-performance white-light-emitting diodes (WLEDs) with maximum luminance around 4400 cd/m2 and maximum current efficiencies above 4.5 cd/A were realized by separately doping the three TPA-BT-containing molecules as red emitter and poly(6,6'-bi-(9,9'-dihexylfluorene)- co-(9,9'-dihexylfluorene-3-thiophene-5'-yl)) as green emitter into blue poly(9,9-dioctylfluorene-2,7-diyl) host material with suitable weight ratios.

  3. The text of the Agreement of 22 September 1982 between Chile and the Agency for the application of safeguards in connection with the supply of nuclear material from the United Kingdom of Great Britain and Northern Ireland

    International Nuclear Information System (INIS)

    1983-07-01

    The full text of the agreement of 22 September 1982 between Chile and the Agency for the application of safeguards to nuclear material supplied from the United Kingdom of Great Britain and Northern Ireland is presented

  4. [Effective communication strategies to frame the trainer-trainee dialogue in the clinical setting].

    Science.gov (United States)

    Gachoud, D; Félix, S; Monti, M

    2015-11-04

    Communication between trainer and trainee plays a central role in teaching and learning in the clinical environment. There are various strategies to frame the dialogue between trainee and trainer. These strategies allow trainers to be more effective in their supervision, which is important in our busy clinical environment. Communication strategies are well adapted to both in- and out-patient settings, to both under- and postgraduate contexts. This article presents three strategies that we think are particularly useful. They are meant to give feedback, to ask questions and to present a case.

  5. Family medicine training in Africa: Views of clinical trainers and trainees

    Directory of Open Access Journals (Sweden)

    Louis S. Jenkins

    2018-04-01

    Conclusion: The training of family physicians across Africa shares many common themes. However, there are also big differences among the various countries and even programmes within countries. The way forward would include exploring the local contextual enablers that influence the learning conversations between trainees and their supervisors. Family medicine training institutions and organisations (such as WONCA Africa and the South African Academy of Family Physicians have a critical role to play in supporting trainees and trainers towards developing local competencies which facilitate learning in the clinical workplace dominated by service delivery pressures.

  6. Experiences of clinical teaching for dental core trainees working in hospital.

    Science.gov (United States)

    Mannion, C J; Brotherton, P

    2014-07-11

    There is recognition that the provision of excellence in education and training results in a skilled and competent workforce. However, the educational experiences of dental core trainees (DCT's) working in the hospital oral and maxillofacial surgery (OMFS) setting have not been previously investigated. In this paper, we examine DCT's learning experiences both 'formal' and 'non-formal' within the hospital setting of ward and clinic-based teaching. Are hospital dental core trainees receiving a meaningful educational experience? To conclude this paper, the authors recommend methods, based upon sound educational principles, to maximise the value of clinical sessions for teaching.

  7. Credentialing and retention of visa trainees in post-graduate medical education programs in Canada.

    Science.gov (United States)

    Mathews, Maria; Kandar, Rima; Slade, Steve; Yi, Yanqing; Beardall, Sue; Bourgeault, Ivy; Buske, Lynda

    2017-06-12

    Visa trainees are international medical graduates (IMG) who come to Canada to train in a post-graduate medical education (PGME) program under a student or employment visa and are expected to return to their country of origin after training. We examined the credentialing and retention of visa trainees who entered PGME programs between 2005 and 2011. Using the Canadian Post-MD Education Registry's National IMG Database linked to Scott's Medical Database, we examined four outcomes: (1) passing the Medical Council of Canada Qualifying Examination Part 2 (MCCQE2), (2) obtaining a specialty designation (CCFP, FRCPC/SC), and (3) working in Canada after training and (4) in 2015. The National IMG Database is the most comprehensive source of information on IMG in Canada; data were provided by physician training and credentialing organizations. Scott's Medical Database provides data on physician locations in Canada. There were 233 visa trainees in the study; 39.5% passed the MCCQE2, 45.9% obtained a specialty designation, 24.0% worked in Canada after their training, and 53.6% worked in Canada in 2015. Family medicine trainees (OR = 8.33; 95% CI = 1.69-33.33) and residents (OR = 3.45; 95% CI = 1.96-6.25) were more likely than other specialist and fellow trainees, respectively, to pass the MCCQE2. Residents (OR = 7.69; 95% CI = 4.35-14.29) were more likely to obtain a specialty credential than fellows. Visa trainees eligible for a full license were more likely than those not eligible for a full license to work in Canada following training (OR = 3.41; 95% CI = 1.80-6.43) and in 2015 (OR = 3.34; 95% CI = 1.78-6.27). Visa training programs represent another route for IMG to qualify for and enter the physician workforce in Canada. The growth in the number of visa trainees and the high retention of these physicians warrant further consideration of the oversight and coordination of visa trainee programs in provincial and in pan

  8. Solution Processed Organic Photovoltaic Cells Using D-A-D-A-D Type Small Molecular Donor Materials with Benzodithiophene and Diketopyrrolopyrrole Units.

    Science.gov (United States)

    Park, Sangman; Nam, So Yeon; Suh, Dong Hack; Lee, Jaemin; Lee, Changjin; Yoon, Sung Cheol

    2016-03-01

    Organic photovoltaic Cells (OPVs) have been considered to be a next-generation energy source to overcome exhaustion of resources. Currently, OPVs are developed based on two types of donor material with polymer and small molecule. Polymeric donor materials have shown better power conversion efficiency (PCE) than small molecular donor materials, since it's easy to control the morphology of photoactive film. However, the difficulty in synthetic reproducibility and purification of polymeric donor were main drawback to overcome. And then, recently small molecule donor materials have been overcome bad morphology of OPVs film by using appropriate alkyl substituents and relatively long conjugation system. In this study, we designed and synthesized D-A-D-A-D type small molecular donor materials containing alternatively linked benzodithiophene (BDT) and diketopyrrolopyrrole (DPP) units. Also, we studied on the effect of photovoltaic performance of prepared small molecular D-A-D-A-D type donor with variation of thiophene links and with/without hexyl substituent. Our small molecular donors showed HOMO energy levels from -5.26 to -5.34 eV and optical bandgaps from 1.70 to 1.87 eV by CV (cyclic voltammetry) and UV/Vis spectroscopy, respectively. Finally, 3.4% of PCE can be obtained using a mixture of BDT(DPP)2-T2 and PCBM as an active layer with a Voc of 0.78 V, a Jsc of 9.72 mA/cm2, and a fill factor of 0.44 under 100 mW/cm2 AM 1.5G simulated light. We will discuss the performance of D-A-D-A-D type small molecular donor based OPVs with variation of both terminal substituents.

  9. Public exposure from environmental release of radioactive material under normal operation of unit-1 Bushehr nuclear power plant

    International Nuclear Information System (INIS)

    Sohrabi, M.; Parsouzi, Z.; Amrollahi, R.; Khamooshy, C.; Ghasemi, M.

    2013-01-01

    Highlights: ► The unit-1 Bushehr nuclear power plant is a VVER type reactor with 1000 MWe power. ► Doses of public critical groups living around the plant were assessed under normal reactor operation conditions. ► PC-CREAM 98 computer code developed by the HPA was applied to assess the public doses. ► Doses are comparable with those in the FSAR, in the ER and doses monitored. ► The doses assessed are lower than the dose constraint of 0.1 mSv/y associated with the plant. - Abstract: The Unit-1 Bushehr Nuclear Power Plant (BNPP-1), constructed at the Hallileh site near Bushehr located at the coast of the Persian Gulf, Iran, is a VVER type reactor with 1000 MWe power. According to standard practices, under normal operation conditions of the plant, radiological assessment of atmospheric and aquatic releases to the environment and assessment of public exposures are considered essential. In order to assess the individual and collective doses of the critical groups of population who receive the highest dose from radioactive discharges into the environment (atmosphere and aquatic) under normal operation conditions, this study was conducted. To assess the doses, the PC-CREAM 98 computer code developed by the Radiation Protection Division of the Health Protection Agency (HPA; formerly called NRPB) was applied. It uses a standard Gaussian plume dispersion model and comprises a suite of models and data for estimation of the radiological impact assessments of routine and continuous discharges from an NPP. The input data include a stack height of 100 m annual radionuclides release of gaseous effluents from the stack and liquid effluents that are released from heat removal system, meteorological data from the Bushehr local meteorological station, and the data for agricultural products. To assess doses from marine discharges, consumption of sea fish, crustacean and mollusca were considered. According to calculation by PC-CREAM 98 computer code, the highest individual

  10. Use of spaced education to deliver a curriculum in quality, safety and value for postgraduate medical trainees: trainee satisfaction and knowledge.

    Science.gov (United States)

    Bruckel, Jeffrey; Carballo, Victoria; Kalibatas, Orinta; Soule, Michael; Wynne, Kathryn E; Ryan, Megan P; Shaw, Tim; Co, John Patrick T

    2016-03-01

    Quality, patient safety and value are important topics for graduate medical education (GME). Spaced education delivers case-based content in a structured longitudinal experience. Use of spaced education to deliver quality and safety education in GME at an institutional level has not been previously evaluated. To implement a spaced education course in quality, safety and value; to assess learner satisfaction; and to describe trainee knowledge in these areas. We developed a case-based spaced education course addressing learning objectives related to quality, safety and value. This course was offered to residents and fellows about two-thirds into the academic year (March 2014) and new trainees during orientation (June 2014). We assessed learner satisfaction by reviewing the course completion rate and a postcourse survey, and trainee knowledge by the per cent of correct responses. The course was offered to 1950 trainees. A total of 305 (15.6%) enrolled in the course; 265/305 (86.9%) answered at least one question, and 106/305 (34.8%) completed the course. Fewer participants completed the March programme compared with the orientation programme (42/177 (23.7%) vs 64/128 (50.0%), peducation can help deliver and assess learners' understanding of quality, safety and value principles. Offering a voluntary course may result in low completion. Learners were satisfied with their experience and were introduced to new concepts. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  11. New Investigator and Trainee Task Force Survey on the Recruitment and Retention of Headache Specialists.

    Science.gov (United States)

    Minen, Mia T; Monteith, Tesha; Strauss, Lauren D; Starling, Amaal

    2015-09-01

    We sought to survey the New Investigators and Trainees Section (NITS) members of the American Headache Society (AHS) to better understand their exposure to headache medicine during training and to determine their perceptions and attitudes about the field and the future of headache medicine. Despite the high prevalence of headache disorders in the general population, only about 2% of neurology residents pursue headache medicine fellowships. Furthermore, there is a paucity of United Council of Neurologic Subspecialties headache specialists in the country to meet the population demands. Thus, there needs to be a focus on how to recruit and retain more headache specialists. A survey was distributed via SurveyMonkey to the NITS listserv. It remained online for 60 days, during which reminder emails were sent to members of the listserv. In addition, the survey was available on laptops at NITS-related events at an annual AHS meeting. Descriptive analyses were then conducted using SurveyMonkey and Excel. Of the 93 members of NITS, 64 of the 96 (68.8%) clicked to initiate the survey and 52.7% successfully completed it. Attendings made up the majority of respondents (62.5%), followed by fellows (10.9%), and residents (7.8%). Key highlights of the survey included the following: just under 10% reported no exposure to a headache center during any time in their training (medical school, residency, or fellowship); less than 2% had exposure to a headache center during medical school; less than half of participants reported exposure to a headache center in residency (45.3%) and during fellowship (43.4%). Having a mentor in the field, liking the patient population, and working in a headache center, 64.7%, 52.9%, and 41.2%, respectively, were the top ways in which participants became interested in headache. The journal Headache (56.9%), attendings (56.3%), and the AHS/American Academy of Neurology guidelines for migraine management (52.0%) are the resources cited as being used all

  12. Transient thermal response of a packed bed for energy storage unit utilizing phase change material: experimental and numerical study

    International Nuclear Information System (INIS)

    Bemansour, A.

    2006-01-01

    The present work concerns the numerical and experimental study of the transient response of a packed bed latent heat thermal energy storage system. Experiments were carried out to measures the transient temperature distributions inside a cylindrical bed, which is randomly packed with spheres having uniform sizes and encapsulated the paraffin wax as a phase change material (PCM), with air as a working fluid. A two-dimensional separate phases formulation is used to develop a numerical analysis of the transient response of the bed, considering the influence of both axial and radial thermal dispersion. The fluid energy equation was transformed by finite difference approximation and solved by alternating direction implicit scheme, while the PCM energy equation was solved using fully explicit scheme. This analysis can be applied for both charging and recovery modes and a broad range of Reynolds numbers. Measurements of both fluid and PCM temperature were conducted at different axial and radial positions and at different operating parameters. Experimental measurements of temperature distribution compare favorably with the numerical results over a broad range of Reynolds numbers.(Author)

  13. Influence of different light-curing units on the surface roughness of restorative materials: in situ study

    Directory of Open Access Journals (Sweden)

    Juliane Cristina Ciccone-Nogueira

    2007-09-01

    Full Text Available The aim of this study was to evaluate the influence of different light sources (LED and Halogen lamp on the roughness (superficial of composite resin (Filtek Z250, Filtek P60, Charisma and Durafill varying post-irradiation times, in an in situ experiment. For this purpose, 80 specimens were made in polyurethane moulds. Ten volunteers without medicament use and good oral condition were selected and from them study moulds were obtained. A palatal intra-oral acrylic resin appliance was made for each of the subjects of the experiment. In each appliance, two specimens of each material were fixed (LED/Halogen lamp - control group. Roughness tests were performed immediately and 30 days after initial light-curing. Statistical analysis was performed using ANOVA. Statistically significant difference was observed only between post-irradiation times, where the 30th day showed the highest roughness values. It be concluded that roughness was influenced only by post-irradiation times, presenting the 30- days period inferior behavior.

  14. Trainees' Perceived Knowledge Gain Unrelated to the Training Domain: The Joint Action of Impression Management and Motives

    Science.gov (United States)

    Chiaburu, Dan S.; Huang, Jason L.; Hutchins, Holly M.; Gardner, Richard G.

    2014-01-01

    Trainees' knowledge gains represent an important outcome in human resource development. In this research, we tested a model examining the joint influence of social desirability (impression management, self-deception) and motives (need for power, need for approval) on trainees' self-reported knowledge gain. We conducted a study with…

  15. 41 CFR 302-3.508 - What relocation expenses are not authorized for new appointees or student trainees?

    Science.gov (United States)

    2010-07-01

    ... are not authorized for new appointees or student trainees? 302-3.508 Section 302-3.508 Public Contracts and Property Management Federal Travel Regulation System RELOCATION ALLOWANCES RELOCATION... relocation expenses are not authorized for new appointees or student trainees? You must not pay any expenses...

  16. 41 CFR 302-3.507 - Once we authorize relocation expenses for new appointees or student trainees what expenses must...

    Science.gov (United States)

    2010-07-01

    ... relocation expenses for new appointees or student trainees what expenses must we pay? 302-3.507 Section 302-3.507 Public Contracts and Property Management Federal Travel Regulation System RELOCATION ALLOWANCES....507 Once we authorize relocation expenses for new appointees or student trainees what expenses must we...

  17. The role of individual differences on the effect of synchronous coaching of trainee teachers in plenary situations

    NARCIS (Netherlands)

    Hooreman, Ralph W.; Kommers, Petrus A.M.; Jochems, Wim M.G.

    2008-01-01

    Historically, synchronous (direct) coaching is an addition to the traditional asynchronous (indirect) supervision of trainee teachers. The new trainee receives concrete hints on “how to proceed further” via an earpiece. In this study the role of personality traits and the orientation of learning to

  18. Free Open Access Medical Education resource knowledge and utilisation amongst Emergency Medicine trainees: A survey in four countries

    Directory of Open Access Journals (Sweden)

    Natalie Thurtle

    2016-03-01

    The Emergency Medicine trainees in both developed and low resource settings studied were aware that Free Open Access Medical Education resources exist, but trainees in lower income settings were generally less aware of specific resources. Lack of internet and device access was not a barrier to use in this group.

  19. The Daily Events and Emotions of Master's-Level Family Therapy Trainees in Off-Campus Practicum Settings

    Science.gov (United States)

    Edwards, Todd M.; Patterson, Jo Ellen

    2012-01-01

    The Day Reconstruction Method (DRM) was used to assess the daily events and emotions of one program's master's-level family therapy trainees in off-campus practicum settings. This study examines the DRM reports of 35 family therapy trainees in the second year of their master's program in marriage and family therapy. Four themes emerged from the…

  20. Stigma and Mental Illness: Investigating Attitudes of Mental Health and Non-Mental-Health Professionals and Trainees

    Science.gov (United States)

    Smith, Allison L.; Cashwell, Craig S.

    2010-01-01

    The authors explored attitudes toward adults with mental illness. Results suggest that mental health trainees and professionals had less stigmatizing attitudes than did non-mental-health trainees and professionals. Professionals receiving supervision had higher mean scores on the Benevolence subscale than did professionals who were not receiving…

  1. Derivation of residual radioactive material guidelines for 13 radionuclides present in Operable Unit IV at Brookhaven National Laboratory, Upton, New York

    International Nuclear Information System (INIS)

    Faillace, E.; Nimmagadda, M.; Yu, C.

    1994-12-01

    Residual radioactive material guidelines for 13 radionuclides (americium-241; cobalt-60; cesium-137; europium-152, -154, and -155; plutonium-238, -239, and -240; strontium-90; and uranium-234, -235, and -238) were derived for Operable Unit (OU) IV at Brookhaven National Laboratory. This site has been identified for remedial action under the Comprehensive Environmental Response, Compensation, and Liability Act of 1980, as amended by the Superfund Amendments and Reauthorization Act of 1986. Single-nuclide guidelines were derived on the basis of the requirement that the 50-year committed effective dose equivalent to a hypothetical individual who lives or works in the immediate vicinity of OU IV should not exceed a dose constraint of 30 mrem/yr following remedial action for the current use and plausible future use scenarios or a dose limit of 100 mrem/yr for plausible but less likely future use scenarios. The US Department of Energy (DOE) residual radioactive material guideline computer code, RESRAD, was used in this evaluation; RESRAD implements the methodology described in the DOE manual for determining residual radioactive material guidelines. Four potential scenarios were considered; each assumed that, for a period of 1,000 years following remedial action, the site would be used without radiological restrictions. The four scenarios varied with regard to the type of site use, time spent at the site, and sources of food consumed

  2. The role of anaesthetists in paediatric intensive care units

    African Journals Online (AJOL)

    Adele

    to various surgical and critical care disciplines, the usefulness of a paediatric intensive care unit (PICU) rotation was investigated. A brief overview of the experiences of anaesthetic registrars at a. South African teaching hospital rotating through a PICU is pre- sented, as well as the potential advantages for both trainees and.

  3. Bion's Notes on memory and desire--its initial clinical reception in the United States: a note on archival material.

    Science.gov (United States)

    Aguayo, Joseph

    2014-10-01

    While Bion's 1967 memory and desire paper reflected a crucial episode in his clinical thinking during his epistemological period, it was also central to his evolution as a Kleinian psychoanalyst who worked with seriously disturbed adult patients. The author explicates and contextualizes these claims with a new archival document, the Los Angeles Seminars delivered by Bion in April 1967, and the full-length version of Notes on memory and desire. Bion here instigated a radical departure from years of theory-laden work when he made his clinical work and ideas accessible to a new audience of American Freudian analysts. While this new group was keenly interested to hear about Bion's clinical technique with both borderline and psychotic patients, there were varied reactions to Bion's ideas on the technical implications of the analyst's abandonment of memory and desire. Both the Los Angeles Seminars and Notes elicited responses ranging from bewilderment, admiration to skepticism amongst his audience of listeners and readers. These materials also however allow for a more complete and systematic presentation of important ideas about analytic technique - and while his ideas in this domain have been long valued and known by many psychoanalysts, this contribution stresses the crucial aspect of the reception of his ideas about technique in a particular American context. American analysts gained a much more explicit idea of how Bion worked analytically, how he listened, formulated interpretations and factored in the analyst's listening receptivity in the here-and-now. The author concludes with a consideration of the importance of Bion's American reception in 1967. Copyright © 2014 Institute of Psychoanalysis.

  4. A multisource feedback tool to assess ward round leadership skills of senior paediatric trainees: (2) Testing reliability and practicability.

    Science.gov (United States)

    Goodyear, Helen M; Lakshminarayana, Indumathy; Wall, David; Bindal, Taruna

    2015-05-01

    A five-domain multisource feedback (MSF) tool was previously developed in 2009-2010 by the authors to assess senior paediatric trainees' ward round leadership skills. To determine whether this MSF tool is practicable and reliable, whether individuals' feedback varies over time and trainees' views of the tool. The MSF tool was piloted (April-July 2011) and field tested (September 2011-February 2013) with senior paediatric trainees. A focus group held at the end of field testing obtained trainees' views of the tool. In field testing, 96/115 (84%) trainees returned 633 individual assessments from three different ward rounds over 18 months. The MSF tool had high reliability (Cronbach's α 0.84, G coefficient 0.8 for three raters). In all five domains, data were shifted to the right with scores of 3 (good) and 4 (excellent). Consultants gave significantly lower scores (p<0.001), as did trainees for self-assessment (p<0.001). There was no significant change in MSF scores over 18 months but comments showed that trainees' performance improved. Trainees valued these comments and the MSF tool but had concerns about time taken for feedback and confusion about tool use and the paediatric assessment strategy. A five-domain MSF tool was found to be reliable on pilot and field testing, practicable to use and liked by trainees. Comments on performance were more helpful than scores in giving trainees feedback. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  5. Surgical Trainee Feedback-Seeking Behavior in the Context of Workplace-Based Assessment in Clinical Settings.

    Science.gov (United States)

    Gaunt, Anne; Patel, Abhilasha; Fallis, Simon; Rusius, Victoria; Mylvaganam, Seni; Royle, T James; Almond, Max; Markham, Deborah H; Pawlikowska, Teresa R B

    2017-06-01

    To investigate surgical trainee feedback-seeking behaviors-directly asking for feedback (inquiry) and observing and responding to situational clues (monitoring)-in the context of workplace-based assessment (WBA). A hypothetical model of trainee feedback-seeking behavior was developed using existing literature. A questionnaire, incorporating previously validated instruments from organizational psychology, was distributed to general surgical trainees at 23 U.K. hospitals in 2012-2013. Statistical modeling techniques compared the data with 12 predetermined hypothetical relationships between feedback-seeking behaviors and predictive variables (goal orientation, supervisory style) through mediating variables (perceptions of personal benefits and costs of feedback) to develop a final model. Of 235 trainees invited, 178 (76%) responded. Trainees completed 48 WBAs/year on average, and 73% reported receiving feedback via WBA. The final model was of good fit (chi-square/degree of freedom ratio = 1.620, comparative fit index = 0.953, root mean square error of approximation = 0.059). Modeled data showed trainees who perceive personal benefits to feedback use both feedback inquiry and monitoring to engage in feedback interactions. Trainees who seek feedback engage in using WBA. Trainees' goal orientations and perceptions of trainers' supervisory styles as supportive and instrumental are associated with perceived benefits and costs to feedback. Trainees actively engage in seeking feedback and using WBA. Their perceptions of feedback benefits and costs and supervisory style play a role in their feedback-seeking behavior. Encouraging trainees to actively seek feedback by providing specific training and creating a supportive environment for feedback interactions could positively affect their ability to seek feedback.

  6. Trainee Teachers' e-Learning Experiences of Computer Play

    Science.gov (United States)

    Wright, Pam

    2009-01-01

    Pam Wright highlights the role of technology in providing situated learning opportunities for preservice teachers to explore the role commercial computer games may have in primary education. In a study designed to assess the effectiveness of an online unit on gaming incorporated into a course on learning technologies, Wright found that thoughtful…

  7. Management Trainees in the Hotel Industry: What Do Managers Expect?

    Science.gov (United States)

    Baum, Tom

    1991-01-01

    Comparison of a survey of 118 United Kingdom hotel managers (53 percent response) with a similar study of 75 U.S. managers found key differences reflecting the impact of cultures on management expectations. Significant similarities support development of an internationally transferable core curriculum for hotel management. (SK)

  8. Social Justice and Counseling Psychology: Listening to the Voices of Doctoral Trainees

    Science.gov (United States)

    Singh, Anneliese A.; Hofsess, Christy D.; Boyer, Elizabeth M.; Kwong, Agnes; Lau, Allison S. M.; McLain, Melissa; Haggins, Kristee L.

    2010-01-01

    The purpose of this qualitative study was to understand counseling psychology doctoral trainees' perceptions of social justice training in their academic programs. Participants (N = 66) completed an online social justice survey with open-ended questions. Researchers identified major themes of participants' responses (e.g., promotion of social…

  9. Education in medical billing benefits both neurology trainees and academic departments.

    Science.gov (United States)

    Waugh, Jeff L

    2014-11-11

    The objective of residency training is to produce physicians who can function independently within their chosen subspecialty and practice environment. Skills in the business of medicine, such as clinical billing, are widely applicable in academic and private practices but are not commonly addressed during formal medical education. Residency and fellowship training include limited exposure to medical billing, but our academic department's performance of these skills was inadequate: in 56% of trainee-generated outpatient notes, documentation was insufficient to sustain the chosen billing level. We developed a curriculum to improve the accuracy of documentation and coding and introduced practice changes to address our largest sources of error. In parallel, we developed tools that increased the speed and efficiency of documentation. Over 15 months, we progressively eliminated note devaluation, increased the mean level billed by trainees to nearly match that of attending physicians, and increased outpatient revenue by $34,313/trainee/year. Our experience suggests that inclusion of billing education topics into the formal medical curriculum benefits both academic medical centers and trainees. © 2014 American Academy of Neurology.

  10. Prevalence and factors of burnout among Australian orthopaedic trainees: a cross-sectional study.

    Science.gov (United States)

    Arora, Manit; Diwan, Ashish D; Harris, Ian A

    2014-12-01

    To assess the prevalence and factors of burnout among Australian orthopaedic trainees. 236 orthopaedic registrars of the Australian Orthopaedic Association were invited to participate in a 32-item survey by email. The questionnaire assessed potential factors associated with burnout, satisfaction with the choice of orthopaedics as a career and work-life balance, and subjective overall health, as well as 3 subscales of the Maslach Burnout Inventory - Human Services Survey for assessing burnout: emotional exhaustion, depersonalisation, and personal accomplishment. Participants with high levels of either emotional exhaustion or depersonalisation were defined as having burnout. Those with and without burnout were compared. 51 (22%) of the 236 trainees completed the questionnaire. Of whom, 88% were satisfied with their choice of orthopaedics as a career, whereas 27% were satisfied with their work-life balance. 27 (53%) respondents were considered burned out. Compared with those who did not burn out, those who burned out were less satisfied with their careers (p=0.004) and work-life balance (p=0.021). 53% of Australian orthopaedic trainees were burned out. Burnout trainees were more likely to be dissatisfied with their career choice and worklife balance. Active interventions to combat burnout and improve work-life balance are needed.

  11. In-hospital cardiopulmonary resuscitation: Trainees' worst and most memorable experiences.

    Science.gov (United States)

    Myint, P K; Rivas, C A; Bowker, L K

    2010-11-01

    To examine the personal experiences of higher specialist trainees in Geriatric Medicine (GM) with regard to cardiopulmonary resuscitation (CPR) and do not attempt resuscitation (DNAR) decision making. UK. Two hundred and thirty-five higher trainee members of the British Geriatrics Society (BGS) at the Specialist Registrar (SpR) level. Postal questionnaire survey. We distributed a questionnaire examining the various issues around DNAR decision making among the trainee members of the BGS in November 2003. In one of the questions, we asked the participants, 'Briefly describe your worst or most memorable experience of DNAR'. Responses to this question were analysed by thematic schema and are presented. Overall the response rate was 62% (251/408) after second mailing and 235 of these were at SpR grade. One hundred and ninety-eight participants provided an answer to the above question, providing diverse and often detailed accounts, most of which were negative experiences and which appeared to have had a powerful influence on their ongoing clinical practice. The emerging themes demonstrated areas of conflict between trainees and other doctors as well as patients and relatives. SpR grade geriatricians are exposed to extreme and varied experiences of DNAR decision making in the UK. Efforts to improve support and training in this area should embrace the complexity of the subject.

  12. Burnout and quality of life among orthopaedic trainees in a modern educational programme

    NARCIS (Netherlands)

    van Vendeloo, S. N.; Brand, P. L. P.; Verheyen, C. C. P. M.

    We aimed to determine quality of life and burnout among Dutch orthopaedic trainees following a modern orthopaedic curriculum, with strict compliance to a 48-hour working week. We also evaluated the effect of the clinical climate of learning on their emotional wellbeing. We assessed burnout, quality

  13. Trainees versus Staff: Exploring Counseling Outcomes in a College Counseling Center

    Science.gov (United States)

    Ilagan, Guy; Vinson, Mike; Sharp, Julia L.; Havice, Pamela; Ilagan, Jill

    2014-01-01

    Investigators compared counseling outcomes among nonpaid graduate-level trainees and professional staff at a college counseling center. Counseling outcomes for 331 college student participants were measured using the Outcome Questionnaire 45.2 (OQ45.2), employing a pretest--posttest design. The two groups of service providers did not differ…

  14. The delivery of general paediatric surgery in Ireland: a survey of higher surgical trainees.

    LENUS (Irish Health Repository)

    Boyle, E

    2012-12-01

    The delivery of general paediatric surgery is changing in Ireland. Fewer paediatric surgical procedures are being performed by newly appointed consultant general surgeons, resulting in increased referrals to the specialist paediatric surgeons of uncomplicated general paediatric surgical problems. We surveyed current higher surgical trainees about their views on provision of paediatric surgical services.

  15. A Phenomenological Exploration of the Experiences of Master's Level Counselor Trainees in Expressive Arts Group Supervision

    Science.gov (United States)

    Rossi, Martha Howe

    2010-01-01

    Expressive arts group supervision is the use of music, stories, movement, poetry or prose, role-play or psychodrama, art, guided imagery, or play to help trainees develop reflective skills (Wilkins, 1995), express thoughts and feelings (Knill, Levine & Levine, 2005; Lahad, 2000), develop new perspectives (Gladding, 2005), increase communication…

  16. Invisible Perceptions: Understanding the Perceptions of University Tutors towards Trainee Teachers with Parental Responsibilities

    Science.gov (United States)

    Murtagh, Lisa

    2017-01-01

    In recent decades, Higher Education has undoubtedly changed giving rise to an increasingly diverse student population. However, there has been only limited research on students with parental responsibilities. When they are considered, this is often in a somewhat pejorative way. The challenges faced by such trainees are often invisible. This paper…

  17. Gender and Specialty Influences on Personal and Professional Life Among Trainees.

    Science.gov (United States)

    Rogers, Ailín C; Wren, Sherry M; McNamara, Deborah A

    2017-11-02

    This study aimed to determine the impact of surgical training on lifestyle and parenthood, and to assess for gender-based workplace issues. The effects of a surgical career on lifestyle are difficult to quantify and may vary between male and female doctors. A gender gap is present in the highest tiers of the profession, and reasons why women do not attain senior positions are complex but likely relate to factors beyond merit alone. An anonymous Web-based survey was distributed to Irish surgical and nonsurgical trainees. They were asked questions regarding family planning, pregnancy outcomes, parenthood, and gender issues in the workplace, with results analyzed by sex and specialty. Four hundred sixty trainees responded with a response rate of 53.0%; almost two thirds were female. Female trainee surgeons were less likely to have children than their male counterparts (22.5% vs 40.0%, P = 0.0215). Pregnant surgical trainees were more likely to have adverse pregnancy events than the partners of their male contemporaries (65.0% vs 11.5%, P = 0.0002), or than their female nonsurgical colleagues (P = 0.0329). Women were more likely to feel that they had missed out on a job opportunity (P gender (P genders.

  18. The Politics of Care: Emotional Labour and Trainee Further Education Lecturers

    Science.gov (United States)

    Avis, James; Bathmaker, Ann-Marie

    2004-01-01

    Further education has become pivotal to English educational policy with the sector being central to strategies that seek to raise educational standards and widen participation. This article derives from a study of trainee further education (FE) teachers on a full-time, postgraduate certificate course in the Midlands. It seeks to examine trainee…

  19. Comparison of stress in anaesthetic trainees between Hong Kong and Victoria, Australia.

    Science.gov (United States)

    Chia, A C L; Irwin, M G; Lee, P W H; Lee, T H W; Man, S E

    2008-11-01

    A postal survey was sent to anaesthetic trainees in Hong Kong and Victoria, Australia to compare work-related stress levels. Demographic data were collected. Anaesthetist-specific stressors, Maslach Burnout Inventory and Global Job Satisfaction scores were used for psychological testing. The response rates from Hong Kong and Melbourne were 64 of 133 (48.1%) and 108 of 196 (55.1%), respectively. Victorian respondents were older with greater family commitments, but more advanced in fulfilling training requirements. Hong Kong respondents, being faced with both the challenge of dual College requirements, exhibited consistently higher indices of stress (P stress scores observed in Hong Kong trainees related to service provision and a perceived lack of resources. Despite the complex nature of stress, its antecedents and manifestations, an inverse relationship between emotional exhaustion and job satisfaction was evident in correlation analysis (P stress was present in some trainees in both areas. Hong Kong trainees may benefit from local development to address mental wellbeing as being important to fulfil this highly competitive training program.

  20. The conceptualization of terms: 'Mood' and 'affect' in academic trainees of mental health.

    Science.gov (United States)

    Manjunatha, Narayana; Khess, Christoday Raja Jayant; Ram, Dushad

    2009-01-01

    The management of psychiatric disorders should ideally be carried out by a multidisciplinary team that consists of mental health professionals from different disciplines. All mental health professionals are expected to learn similar basic clinical skills during their training, despite the difference in their graduation. To compare the conceptualization of the terms 'mood' and 'affect' in all academic trainees of mental health in the Central Institute of Psychiatry (CIP), Ranchi, India. The 'modified mood and affect questionnaire' administered to all mental health trainees of CIP, Ranchi, India, in this study. The participants were requested to mark one response (either 'true', 'false' or 'not sure') for each item. The completed questionnaire was collected on the spot. The statistical analysis was done for the data from psychiatric residents and trainees of clinical psychology. The statistical differences were observed between these two groups in response to the items-'Mood is the moment to moment emotional tone' and items of 'sign/symptom dimension'. The observed statistical difference in items could be the reflection of the differences in the description of 'mood' and 'affect' in textbooks of psychopathology, as well as, the difference in their graduation. The trainees of clinical psychology may be benefitted with more exposure in medical knowledge during their training.