Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Research and Design of a Routing Protocol in Large-Scale Wireless Sensor Networks

无线传感器网络，作为全球未来十大技术之一，集成了传感器技术、嵌入式计算技术、分布式信息处理和自组织网技术，可实时感知、采集、处理、传输网络分布区域内的各种信息数据，在军事国防、生物医疗、环境监测、抢险救灾、防恐反恐、危险区域远程控制等领域具有十分广阔的应用前景。 本文研究分析了无线传感器网络的已有路由协议，并针对大规模的无线传感器网络设计了一种树状路由协议，它根据节点地址信息来形成路由，从而简化了复杂繁冗的路由表查找和维护，节省了不必要的开销，提高了路由效率，实现了快速有效的数据传输。 为支持此路由协议本文提出了一种自适应动态地址分配算——ADAR（AdaptiveDynamicAddre...As one of the ten high technologies in the future, wireless sensor network, which is the integration of micro-sensors, embedded computing, modern network and Ad Hoc technologies, can apperceive, collect, process and transmit various information data within the region. It can be used in military defense, biomedical, environmental monitoring, disaster relief, counter-terrorism, remote control of haz...学位：工学硕士院系专业：信息科学与技术学院通信工程系_通信与信息系统学号：2332007115216

Formation and physicochemical properties of composite PbO2 materials

International audienceThere is a great interest in the improvement of lead dioxide based materials for use in different applications. Some metal ions present in the Pb(II) deposition solution are well incorporated into the PbO2 matrix during electrodeposition (for example Bi3+, Fe3+, F-) to produce a doped oxide with improved reactivity and stability in comparison with pure PbO2 [1-3]. In comparison, there is much less information on effects of polyelectrolytes and surfactants additives on the process of oxide electrodeposition and the physicochemical properties of the resulting materials [4-6]. In the present work we used some polyelectrolytes (Nafion, Drimax 1235, Magnafloc, gelatin, polyamino guanidinehydrochloride) and surfactants (potassium salt of nonafluoro-1-butanesulfonic acid, sodium dodecylsulphate, sodium lauretsulphate) as electrolyte additives for electrosynthesis of composite materials oxide-polyelectrolyte and oxide-surfactant

Electrochemical Corrosion Behavior of Ni–TiO2 Composite Coatings Electrodeposited from a Deep Eutectic Solvent-Based Electrolyte

The need to develop new electrochemical energy storage and conversion devices requires the creation of new, available, low-cost and high-performance electrocatalytic materials, which can be produced as coatings by electrodeposition technique. The electrodeposited composite coatings based on nickel seem to be very promising in this context. We studied the corrosion resistance of electrocatalytic Ni–TiO2 composite coatings fabricated by electrodeposition method using a plating solution based on deep eutectic solvents, a new environmentally friendly and affordable type of room-temperature ionic liquids. We investigated the corrosion behavior of Ni and Ni–TiO2 coatings (5 and 10 wt.% of TiO2) in a 3% NaCl aqueous solution as a corrosive medium. The corrosion parameters were determined by linear voltammetry and electrochemical impedance spectroscopy. It was established that the inclusion of titania particles in the Ni matrix and an increase in their content in the coating leads to a shift in corrosion potential towards positive values, a decrease in corrosion current density and an increase in polarization resistance. The observed effects of improving the corrosion resistance of coatings are associated with the barrier action of particles of the dispersed phase and the formation of corrosion microcells contributing to the inhibition of local corrosion

Excited-State Properties of Heteroleptic Iridium(III) Complexes Bearing Aromatic Hydrocarbons with Extended Cores

International audienceThe synthesis, complete structural characterization, electrochemistry, and excited-state dynamics of a series of four bis-heteroleptic iridium(III) charge-transfer complexes composed of a single acac-functionalized and two ortho-metalated 2-phenylpyridine ligands. The formed iodophenyl complex (2) was used as a metallosynthon to introduce extended-core ethynyltolyl (3), ethynylpyrene (4), and ethynylperylene (5) residues into these structures projecting from the acac ancillary ligand. Static and dynamic photoluminescence along with ultrafast and conventional transient absorption measurements in conjunction with cyclic voltammetry were employed to elucidate the nature of the intramolecular energy-transfer processes occurring in the excited states of polychromophores 4 and 5 and are directly compared with those of model complexes 2 and 3. Upon charge-transfer excitation of these molecules, the long-lived triplet-state metal-to-ligand charge-transfer ((3)MLCT)-based photoluminescence readily observed in 2 and 3 (τ = 1 μs) is nearly quantitatively quenched, resulting from production of the associated triplet intraligand ((3)IL) excited states in 4 and 5 through intramolecular triplet-triplet energy transfer. The respective formation of the extended-core (3)*pyrenyl and (3)*perylenyl-localized excited states in 4 and 5 is confirmed by their ultrafast excited-state evolution, which ultimately generates features associated with these (3)IL excited states and their greatly extended excited-state lifetimes with respect to the parent complexes 2 and 3

HERA-g, a new experiment for glueball, hybrid and odderon studies at DESY. Proposal for a new experimental program using the existing HERA-B detector

textabstractObjectives: To assesses whether automated brain image analysis with quantification of structural brain changes improves diagnostic accuracy in a memory clinic setting. Methods: In 42 memory clinic patients, we evaluated whether automated quantification of brain tissue volumes, hippocampal volume and white matter lesion volume improves diagnostic accuracy for Alzheimer's disease (AD) and frontotemporal dementia (FTD), compared to visual interpretation. Reference data were derived from a dementia-free aging population (n = 4915, aged >45 years), and were expressed as age- and sex-specific percentiles. Experienced radiologists determined the most likely imaging-based diagnosis based on structural brain MRI using three strategies (visual assessment of MRI only, quantitative normative information only, or a combination of both). Diagnostic accuracy of each strategy was calculated with the clinical diagnosis as the reference standard. Results: Providing radiologists with only quantitative data decreased diagnostic accuracy both for AD and FTD compared to conventional visual rating. The combination of quantitative with visual information, however, led to better diagnostic accuracy compared to only visual ratings for AD. This was not the case for FTD. Conclusion: Quantitative assessment of structural brain MRI combined with a reference standard in addition to standard visual assessment may improve diagnostic accuracy in a memory clinic setting