Conscious monitoring and control (reinvestment) in surgical performance under pressure.

Research on intraoperative stressors has focused on external factors without considering individual differences in the ability to cope with stress. One individual difference that is implicated in adverse effects of stress on performance is "reinvestment," the propensity for conscious monitoring and control of movements. The aim of this study was to examine the impact of reinvestment on laparoscopic performance under time pressure

Determination of some dominant parameters of the global dynamic sea surface topography from GEOS-3 altimetry

The 1977 altimetry data bank is analyzed for the geometrical shape of the sea surface expressed as surface spherical harmonics after referral to the higher reference model defined by GEM 9. The resulting determination is expressed as quasi-stationary dynamic SST. Solutions are obtained from different sets of long arcs in the GEOS-3 altimeter data bank as well as from sub-sets related to the September 1975 and March 1976 equinoxes assembled with a view to minimizing seasonal effects. The results are compared with equivalent parameters obtained from the hydrostatic analysis of sporadic temperature, pressure and salinity measurements of the oceans and the known major steady state current systems with comparable wavelengths. The most clearly defined parameter (the zonal harmonic of degree 2) is obtained with an uncertainty of + or - 6 cm. The preferred numerical value is smaller than the oceanographic value due to the effect of the correction for the permanent earth tide. Similar precision is achieved for the zonal harmonic of degree 3. The precision obtained for the fourth degree zonal harmonic reflects more closely the accuracy expected from the level of noise in the orbital solutions

Visual Odometry for Quantitative Bronchoscopy Using Optical Flow

Optical Flow, the extraction of motion from a sequence of images or a video stream, has been extensively researched since the late 1970s, but has been applied to the solution of few practical problems. To date, the main applications have been within fields such as robotics, motion compensation in video, and 3D reconstruction. In this paper we present the initial stages of a project to extract valuable information on the size and structure of the lungs using only the visual information provided by a bronchoscope during a typical procedure. The initial implementation provides a realtime estimation of the motion of the bronchoscope through the patients airway, as well as a simple means for the estimation of the cross sectional area of the airway

Gefitinib

Gefitinib is a small molecule that specifically inhibits the tyrosine kinase (TK) activity of the epidermal growth factor receptor (EGFR) type 1 by interfering with the adenosine triphosphate (ATP) binding site. About 10% of patient with non-small cell lung cancer (NSCLC) in the US and about 35% in East Asia have EGFR mutations. [1] Hence gefitinib and the other EGFR inhibitor erlotinib are inevitably important in treatment of NSCLC, of the adenocarcinoma variant with the above mutation

Intense physical activity is associated with cognitive performance in the elderly

Numerous studies have reported positive impacts of physical activity on cognitive function. However, the majority of these studies have utilised physical activity questionnaires or surveys, thus results may have been influenced by reporting biases. Through the objective measurement of routine levels of physical activity via actigraphy, we report a significant association between intensity, but not volume, of physical activity and cognitive functioning. A cohort of 217 participants (aged 60–89 years) wore an actigraphy unit for 7 consecutive days and underwent comprehensive neuropsychological assessment. The cohort was stratified into tertiles based on physical activity intensity. Compared with individuals in the lowest tertile of physical activity intensity, those in the highest tertile scored 9%, 9%, 6% and 21% higher on the digit span, digit symbol, Rey Complex Figure Test (RCFT) copy and Rey Figure Test 30-min recall test, respectively. Statistically, participants in the highest tertile of physical activity intensity performed significantly better on the following cognitive tasks: digit symbol, RCFT copy and verbal fluency test (all P<0.05). The results indicate that intensity rather than quantity of physical activity may be more important in the association between physical activity and cognitive function