136 research outputs found
Noise Pollution in the Operating Room
Introduction:
Noise pollution in the operating room (OR) poses a threat to both patients and providers. Sound levels often exceed recommended standards set forth by the National Institute for Occupational Safety and Health (NIOSH) and the Occupational Safety and Health Administration (OSHA). The purpose of this project was to examine current evidence and implement education for student registered nurse anesthetists (SRNAs) regarding noise pollution in the OR. The education module emphasized the effect of increased noise levels on the delivery of an anesthetic, with a focus on resultant sequelae.
Methods:
A literature review produced 117 articles, of which thirty-five were included for analysis. Systematic reviews, randomized and non-randomized control trials, cohort studies, case studies, qualitative studies and expert opinion were all considered. A research based education module was delivered to SRNAs. A pre-test and post-test methodology was utilized to assess the efficacy of the education module for SRNAs.
Analysis of Results:
Results generated from the education module illustrate a knowledge deficient of student registered nurse anesthetists pertaining to noise reduction, cognitive demand, and attention allocation. Post-test scores (M=90%) for SRNAs who completed the education module were significantly greater than pre-test scores (M=60%). t(39)= 10.1, p = 1.88 x 10-12.
Recommendations for Practice:
Noise pollution is a complex, multifactorial problem. The physical, psychological and emotional effects of noise pollution are the inability to critically think, impaired team communication, chronic hearing loss, increased incidence of cardiovascular disease, and medical error. Emphasis placed on sustaining and integrating noise reduction education into curriculum schemas of nurse anesthesia programs is prudent. Educational content delivered to all anesthesia providers and the interdisciplinary care team in the operating room would be a comprehensive plan. Although several national initiatives are in place to reduce noise, it is imperative that knowledge is shared and interventions implemented to protect both provider and patient. Furthermore, there should be a collaboration amongst a variety of surgical specialties to continue research pertaining to the production of noise in the operating room.
Keywords: Anesthesia, Noise, Noise pollution, Operating room, Occupational safet
Sporting embodiment: sports studies and the (continuing) promise of phenomenology
Whilst in recent years sports studies have addressed the calls âto bring the body back inâ to theorisations of sport and physical activity, the âpromise of phenomenologyâ remains largely under-realised with regard to sporting embodiment. Relatively few accounts are grounded in the âfleshâ of the lived sporting body, and phenomenology offers a powerful framework for such analysis. A wide-ranging, multi-stranded, and interpretatively contested perspective, phenomenology in general has been taken up and utilised in very different ways within different disciplinary fields. The purpose of this article is to consider some selected phenomenological threads, key qualities of the phenomenological method, and the potential for existentialist phenomenology in particular to contribute fresh perspectives to the sociological study of embodiment in sport and exercise. It offers one way to convey the âessencesâ, corporeal immediacy and textured sensuosity of the lived sporting body. The use of Interpretative Phenomenological Analysis (IPA) is also critically addressed.
Key words: phenomenology; existentialist phenomenology; interpretative phenomenological analysis (IPA); sporting embodiment; the lived-body; Merleau-Pont
Detector Description and Performance for the First Coincidence Observations between LIGO and GEO
For 17 days in August and September 2002, the LIGO and GEO interferometer
gravitational wave detectors were operated in coincidence to produce their
first data for scientific analysis. Although the detectors were still far from
their design sensitivity levels, the data can be used to place better upper
limits on the flux of gravitational waves incident on the earth than previous
direct measurements. This paper describes the instruments and the data in some
detail, as a companion to analysis papers based on the first data.Comment: 41 pages, 9 figures 17 Sept 03: author list amended, minor editorial
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Geographic population structure analysis of worldwide human populations infers their biogeographical origins
The search for a method that utilizes biological information to predict humansâ place of origin has occupied scientists for millennia. Over the past four decades, scientists have employed genetic data in an effort to achieve this goal but with limited success. While biogeographical algorithms using next-generation sequencing data have achieved an accuracy of 700âkm in Europe, they were inaccurate elsewhere. Here we describe the Geographic Population Structure (GPS) algorithm and demonstrate its accuracy with three data sets using 40,000â130,000 SNPs. GPS placed 83% of worldwide individuals in their country of origin. Applied to over 200 Sardinians villagers, GPS placed a quarter of them in their villages and most of the rest within 50âkm of their villages. GPSâs accuracy and power to infer the biogeography of worldwide individuals down to their country or, in some cases, village, of origin, underscores the promise of admixture-based methods for biogeography and has ramifications for genetic ancestry testing
Weak Segregation Theory and Non-Conventional Morphologies in the Ternary ABC Triblock Copolymers
The Leibler weak segregation theory in molten diblock copolymers is
generalized with due regard for the 2nd shell harmonics contributions defined
in the paper and the phase diagrams are built for the linear and miktoarm
ternary ABC triblock copolymers. The symmetric linear copolymers with the
middle block non-selective with respect to the side ones are shown to undergo
the continuous ODT not only into the lamellar phase but also into various
non-conventional cubic phases (depending on the middle block composition it
could be the simple cubic, face-centered cubic or non-centrosymmetric phase
revealing the symmetry of space group No.214 first predicted to appear in
molten block copolymers). For asymmetric linear ABC copolymers a region of
compositions is found where the weakly segregated gyroid (double gyroid) phase
exists between the planar hexagonal and lamellar or one of the non-conventional
cubic phases up to the very critical point. In contrast, the miktoarm ABC block
copolymers with one of its arm non-selective with respect to the two others are
shown to reveal a pronounced tendency towards strong segregation, which is
preceded by increase of stability of the conventional BCC phase and a peculiar
weakly segregated BCC phase (BCC3), where the dominant harmonics belong to the
3rd co-ordination sphere of the reciprocal lattice. The validity region of the
developed theory is discussed and outlined in the composition triangles both
for linear and miktoarm copolymers.Comment: 61 pages, 12 figure
ReïŹning and regaining skills in ïŹxation/diversiïŹcation stage performers: The Five-A Model
Technical change is one of many factors underpinning success in elite, fixation/diversification stage performers. Surprisingly, however, there is a dearth of research pertaining to this process or the most efficacious methods used to bring about such a change. In this paper we highlight the emergent processes, yet also the lack in mechanistic comprehension surrounding technical change, addressing issues within the motor control, sport psychology, coaching and choking literature. More importantly, we seek an understanding of how these changes can be made more secure to competitive pressure, and how this can be embedded within the process of technical change. Following this review, we propose The Five-A Model based on successful coaching techniques, psychosocial concomitants, the avoidance of choking and principles of effective behaviour change. Specific mechanisms for each stage are discussed, with a focus on the use of holistic rhythm-based cues as a possible way of internalising changes. Finally, we suggest the need for further research to examine these five stages, to aid a more comprehensive construction of the content and delivery of such a programme within the applied setting
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In the social factory? Immaterial labour, precariousness and cultural work
This article introduces a special section concerned with precariousness and cultural work. Its aim is to bring into dialogue three bodies of ideas -- the work of the autonomous Marxist 'Italian laboratory'; activist writings about precariousness and precarity; and the emerging empirical scholarship concerned with the distinctive features of cultural work, at a moment when artists, designers and (new) media workers have taken centre stage as a supposed 'creative class' of model entrepreneurs.
The paper is divided into three sections. It starts by introducing the ideas of the autonomous Marxist tradition, highlighting arguments about the autonomy of labour, informational capitalism and the 'factory without walls', as well as key concepts such as multitude and immaterial labour. The impact of these ideas and of Operaismo politics more generally on the precarity movement is then considered in the second section, discussing some of the issues that have animated debate both within and outside this movement, which has often treated cultural workers as exemplifying the experiences of a new 'precariat'. In the third and final section of the paper we turn to the empirical literature about cultural work, pointing to its main features before bringing it into debate with the ideas already discussed. Several points of overlap and critique are elaborated -- focusing in particular on issues of affect, temporality, subjectivity and solidarity
Does congenital deafness affect the structural and functional architecture of primary visual cortex?
Deafness results in greater reliance on the remaining senses. It is unknown whether the cortical architecture of the intact senses is optimized to compensate for lost input. Here we performed widefield population receptive field (pRF) mapping of primary visual cortex (V1) with functional magnetic resonance imaging (fMRI) in hearing and congenitally deaf participants, all of whom had learnt sign language after the age of 10 years. We found larger pRFs encoding the peripheral visual field of deaf compared to hearing participants. This was likely driven by larger facilitatory center zones of the pRF profile concentrated in the near and far periphery in the deaf group. pRF density was comparable between groups, indicating pRFs overlapped more in the deaf group. This could suggest that a coarse coding strategy underlies enhanced peripheral visual skills in deaf people. Cortical thickness was also decreased in V1 in the deaf group. These findings suggest deafness causes structural and functional plasticity at the earliest stages of visual cortex
Upper limits from five years of blazar observations with the VERITAS Cherenkov telescopes
Between the beginning of its full-scale scientific operations in 2007 and 2012, the VERITAS Cherenkov telescope array observed more than 130 blazars; of these, 26 were detected as very-high-energy (VHE; E > 100 GeV) Îł-ray sources. In this work, we present the analysis results of a sample of 114 undetected objects. The observations constitute a total live-time of ~570 hr. The sample includes several unidentified Fermi-Large Area Telescope (LAT) sources (located at high Galactic latitude) as well as all the sources from the second Fermi-LAT catalog that are contained within the field of view of the VERITAS observations. We have also performed optical spectroscopy measurements in order to estimate the redshift of some of these blazars that do not have spectroscopic distance estimates. We present new optical spectra from the Kast instrument on the Shane telescope at the Lick observatory for 18 blazars included in this work, which allowed for the successful measurement or constraint on the redshift of four of them. For each of the blazars included in our sample, we provide the flux upper limit in the VERITAS energy band. We also study the properties of the significance distributions and we present the result of a stacked analysis of the data set, which shows a 4Ï excess
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