Herramienta de autoría de contenidos didácticos multimedia para entorno de formación colaborativo en cirugía de mínima invasión

Dada la gran importancia de los contenidos para el éxito del proceso de formación es necesario desarrollar herramientas que permitan la creación de los mismos de una manera simple, eficaz y motivadora. Actualmente, su proceso de creación es largo y costoso, teniendo que llevarlo a cabo expertos cirujanos docentes en estrecha colaboración con técnicos especialistas en herramientas de edición y creación de contenidos multimedia. El presente trabajo de investigación presenta una nueva herramienta de autoría que permite la creación y edición de contenidos didácticos multimedia que son utilizados en el proceso de formación de los cirujanos. La herramienta incorpora un editor multimedia de vídeos laparoscópicos, capaz de realizar un procesamiento y agregar valor didáctico a los vídeos originales. La herramienta de autoría se incorpora en un entorno de formación web que permite crear, compartir y reutilizar contenidos didácticos basados en la edición de vídeo laparoscópico

E-MIS validity applied to TELMA enhanced learning environment

Enhanced learning environments are arising with great success within the field of cognitive skills training in minimally invasive surgery (MIS) because they provides multiple benefits since they avoid time, spatial and cost constraints. TELMA [1,2] is a new technology enhanced learning platform that promotes collaborative and ubiquitous training of surgeons. This platform is based on four main modules: an authoring tool, a learning content and knowledge management system, an evaluation module and a professional network. TELMA has been designed and developed focused on the user; therefore it is necessary to carry out a user validation as final stage of the development. For this purpose, e-MIS validity [3] has been defined. This validation includes usability, contents and functionality validities both for the development and production stages of any e-Learning web platform. Using e-MIS validity, the e-Learning is fully validated since it includes subjective and objective metrics. The purpose of this study is to specify and apply a set of objective and subjective metrics using e-MIS validity to test usability, contents and functionality of TELMA environment within the development stage

Adaptación de la usabilidad del entorno de formación TELMA a las necesidades de los cirujanos expertos

Uno de los principales inconvenientes manifestados por los cirujanos a la hora de llevar a cabo su formación continuada es la elevada carga asistencial que les limita la posibilidad de asistir a cursos y estancias presenciales. Por tanto, los cirujanos necesitan otros métodos formativos distintos a la formación in situ y para ello son de gran utilidad las tecnologías web, como es el caso de la plataforma de e-Learning TELMA, que ofrezcan contenidos didácticos adaptados a cada usuario para que puedan complementar su formación con contenidos multimedia online. Estudios previos de validación de TELMA detectaron diferentes problemas respecto a su diseño y usabilidad, propiciando mayores dificultades de accesibilidad para los cirujanos expertos en relación a los cirujanos noveles. Para corregirlos, en este trabajo se han analizado las deficiencias encontradas y se han propuesto una serie de medidas fundamentadas en un conjunto de directivas de diseño web que se deberían adoptar en futuras versiones de la plataforma TELMA para tratar de solventar estas desigualdades, ofreciendo a todos los usuarios tanto expertos como noveles, las mismas facilidades de accesibilidad

Furthering the understanding of silicate-substitution in α-tricalcium phosphate : an X-ray diffraction, X-ray fluorescence and solid-state nuclear magnetic resonance study

High-purity (SupT) and reagent-grade (ST), stoichiometric and silicate-containing α-tricalcium phosphate (α-TCP: ST0/SupT0 and Si-TCP x = 0.10: ST10/SupT10) were prepared by solid-state reaction based on the substitution mechanism Ca3(PO4)(2-x)(SiO4)x. Samples were determined to be phase pure by X-ray diffraction (XRD), and Rietveld analysis performed on the XRD data confirmed inclusion of Si in the α-TCP structure as determined by increases in unit cell parameters; particularly marked increases in the b-axis and β-angle were observed. X-ray fluorescence (XRF) confirmed the presence of expected levels of Si in Si-TCP compositions as well as significant levels of impurities (Mg, Al and Fe) present in all ST samples; SupT samples showed both expected levels of Si and a high degree of purity. Phosphorus (31P) magic-angle-spinning solid-state nuclear magnetic resonance (MAS NMR) measurements revealed that the high-purity reagents used in the synthesis of SupT0 can resolve the 12 expected peaks in the 31P spectrum of α-TCP compared to the low-purity ST0 that showed significant spectral line broadening; line broadening was also observed with the inclusion of Si which is indicative of induced structural disorder. Silicon (29Si) MAS NMR was also performed on both Si-TCP samples which revealed Q0 species of Si with additional Si Q1/Q2 species that may indicate a potential charge-balancing mechanism involving the inclusion of disilicate groups; additional Q4 Si species were also observed, but only for ST10. Heating and cooling rates were briefly investigated by 31P MAS NMR which showed no significant line broadening other than that associated with the emergence of β-TCP which was only realised with the reagent-grade sample ST0. This study provides an insight into the structural effects of Si-substitution in α-TCP and could provide a basis for understanding how substitution affects the physicochemical properties of the material

ASTRIS: A real world treatment study of osimertinib in patients (pts) with EGFR T790M-positive non-small cell lung cancer (NSCLC) - European subset

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Both free indole-3-acetic acid and photosynthetic performance are important players in the response of medicago truncatula to urea and ammonium nutrition under axenic conditions

We aimed to identify the early stress response and plant performance of Medicago truncatula growing in axenic medium with ammonium or urea as the sole source of nitrogen, with respect to nitrate-based nutrition. Biomass measurements, auxin content analyses, root system architecture (RSA) response analyses, and physiological parameters were determined. Both ammonium and ureic nutrition severely affected the RSA, resulting in changes in the main elongation rate, lateral root development, and insert position from the root base. The auxin content decreased in both urea- and ammonium-treated roots; however, only the ammonium-treated plants were affected at the shoot level. The analysis of chlorophyll a fluorescence transients showed that ammonium affected photosystem II, but urea did not impair photosynthetic activity. Superoxide dismutase isoenzymes in the plastids were moderately affected by urea and ammonium in the roots. Overall, our results showed that low N doses from different sources had no remarkable effects on M. truncatula, with the exception of the differential phenotypic root response. High doses of both ammonium and urea caused great changes in plant length, auxin contents and physiological measurements. Interesting correlations were found between the shoot auxin pool and both plant length and the "performance index" parameter, which is obtained from measurements of the kinetics of chlorophyll a fluorescence

Emotional intelligence and British expatriates’ cross-cultural adjustment in international construction projects

© 2016 Informa UK Limited, trading as Taylor & Francis Group. Today’s internationalized business demands global mindset, intercultural sensitivity and the ability to skilfully negotiate through cross-cultural interactions. Therefore, the overall aim was to investigate the influence of emotional intelligence (EI) on cross-cultural adjustment (CCA) of British expatriates working on International Architectural, Engineering and Construction assignments in Sub-Saharan Africa, China, Middle East and Indian Sub-Continent. Specifically, the causal relationship between EI and three facets of CCA i.e. work, general and interaction adjustment was explored. A sequential exploratory mixed methods design was adopted. These include extensive review of existing literature, eighteen unstructured interviews, and questionnaire survey of 191 British expatriates operating in 29 different countries from the four regions under investigation. Structural equation modelling was used to assess the causal relationship between EI and CCA. Results show that EI accounted for 91, 64 and 24% of the variance in work, interaction and general adjustment respectively. Overall, the model was able to explain 60% variance in CCA, suggesting that EI competencies play a huge role in facilitating an expatriate understand and adapt to host country culture. The findings would help decision-makers (HR managers) during expatriate selection process, in understanding that along with technical skills, it is the emotional competencies that are crucial in assisting expatriates adjust to foreign way of life

A critical reassessment of particle Dark Matter limits from dwarf satellites

Dwarf satellite galaxies are ideal laboratories for identifying particle Dark Matter signals. When setting limits on particle Dark Matter properties from null searches, it becomes however crucial the level at which the Dark Matter density profile within these systems is constrained by observations. In the limit in which the spherical Jeans equation is assumed to be valid for a given tracer stellar population, we study the solution of this equation having the Dark Matter mass profile as an output rather than as a trial parametric input. Within our new formulation, we address to what level dwarf spheroidal galaxies feature a reliable mass estimator. We assess then possible extrapolation of the density profiles in the inner regions and -- keeping explicit the dependence on the orbital anisotropy profile of the tracer population -- we derive general trends on the line-of-sight integral of the density profile squared, a quantity commonly dubbed J-factor and crucial to estimate fluxes from prompt Dark Matter pair annihilations. Taking Ursa Minor as a study case among Milky Way satellites, we perform Bayesian inference using the available kinematical data for this galaxy. Contrary to all previous studies, we avoid marginalization over quantities poorly constrained by observations or by theoretical arguments. We find minimal J-factors to be about 2 to 4 times smaller than commonly quoted estimates, approximately relaxing by the same amount the limit on Dark Matter pair annihilation cross section from gamma-ray surveys of Ursa Minor. At the same time, if one goes back to a fixed trial parametric form for the density, e.g. using a NFW or Burkert profile, we show that the minimal J can hardly be reduced by more than a factor of 1.5. \ua9 2016 IOP Publishing Ltd and Sissa Medialab srl