Devising a consensus definition and framework for non-technical skills in healthcare to support educational design: A modified Delphi study

Background Non-technical skills are a subset of human factors that focus on the individual and promote safety through teamwork and awareness. There is no widely adopted competency or outcome based framework for non-technical skills training in healthcare outside the surgical environment. The authors set out to devise such a framework and reach a consensus on a definition using a modified Delphi approach. Methods An exhaustive list of published and team suggested items was presented to the expert panel for ranking and to propose a definition. In the second round, a focused list was presented, as well as the proposed definition elements. The finalised framework was sent to the panel for review. Summary of results 16 experts participated (58% response rate). A total of 36 items of 105 ranked highly enough to present in round two. The final framework consists of 16 competencies for all and 8 specific competencies for team leaders. The consensus definition describes non-technical skills as ‘a set of social (communication and team work) and cognitive (analytical and personal behaviour) skills that support high quality, safe, effective and efficient inter-professional care within the complex healthcare system’. Conclusions The authors have produced a new competency framework, through the works of an international expert panel, which is not discipline specific. This consensus competency framework can be used by curriculum developers, educational innovators and clinical teachers to support developments in the field

Lithium in the Symbiotic Mira V407 Cyg

We report an identification of the lithium resonance doublet LiI 6708A in the spectrum of V407 Cyg, a symbiotic Mira with a pulsation period of about 745 days. The resolution of the spectra used was R~18500 and the measured equivalent width of the line is ~0.34A. It is suggested that the lithium enrichment is due to hot bottom burning in the intermediate mass AGB variable, although other possible origins cannot be totally ruled out. In contrast to lithium-rich AGB stars in the Magellanic clouds, ZrO 5551A, 6474A absorption bands were not found in the spectrum of V407Cyg. These are the bands used to classify the S-type stars at low-resolution. Although we identified weak ZrO 5718A, 6412A these are not visible in the low-resolution spectra, and we therefore classify the Mira in V407 Cyg as an M type. This, together with other published work, suggests lithium enrichment can precede the third dredge up of s-process enriched material in galactic AGB stars.Comment: 4 pages, 2 figures, to be published in MNRA

Feline hypersomatotropism and acromegaly tumorigenesis: a potential role for the AIP gene

Acromegaly in humans is usually sporadic, however up to 20% of familial isolated pituitary adenomas are caused by germline sequence variants of the aryl-hydrocarbon-receptor interacting protein (AIP) gene. Feline acromegaly has similarities to human acromegalic families with AIP mutations. The aim of this study was to sequence the feline AIP gene, identify sequence variants and compare the AIP gene sequence between feline acromegalic and control cats, and in acromegalic siblings. The feline AIP gene was amplified through PCR using whole blood genomic DNA from 10 acromegalic and 10 control cats, and 3 sibling pairs affected by acromegaly. PCR products were sequenced and compared with the published predicted feline AIP gene. A single nonsynonymous SNP was identified in exon 1 (AIP:c.9T > G) of two acromegalic cats and none of the control cats, as well as both members of one sibling pair. The region of this SNP is considered essential for the interaction of the AIP protein with its receptor. This sequence variant has not previously been reported in humans. Two additional synonymous sequence variants were identified (AIP:c.481C > T and AIP:c.826C > T). This is the first molecular study to investigate a potential genetic cause of feline acromegaly and identified a nonsynonymous AIP single nucleotide polymorphism in 20% of the acromegalic cat population evaluated, as well as in one of the sibling pairs evaluated

A conceptual model of light coupling by pillar diffraction gratings

Diffractivestructures such as pillar gratings are a promising way of coupling light into or out of thin semiconductor devices, for applications in thin film solar cells and light-emitting diodes. In this paper we show that the diffuse transmittance behavior of pillar gratings can be understood using the concept of grating mode interference and that the optimum heights of the grating and an estimate of the optimum period can be predicted with the effective index method. Furthermore, the method also gives good results for structures outside the range for which it was derived, including circular pillars and quasiperiodic structures. We also show that pillar gratings offer substantially improved performance over groove gratings for thin film silicon solar cells.One of the authors K.R.C. acknowledges the support of an Australian Research Council fellowship. The Centre of Excellence for Advanced Silicon Photovoltaics and Photonics is supported by the Australian Research Council

Plasmon-enhanced internal photoemission for photovoltaics: Theoretical efficiency limits

Plasmon-enhanced internal photoemission in metal-semiconductor Schottky junctions has recently been proposed as an alternative photocurrent mechanism for solar cells. Here, we identify and discuss the requirements for efficient operation of such cells and analyze their performance limits under standard solar illumination. We show that the maximum efficiency limit is 20%.We acknowledge the Australian Research Council and the Australian Solar Institute for financial support