Implementation of a Standardized Handoff System for a General Surgery Residency Program

Introduction: The I-PASS Handoff Bundle is an evidence based standardized set of educational materials designed to decrease handoff failures in patient care. Two of every three sentinel events , the most serious events reported to the Joint Commission, are due to failures of communication, including miscommunication during patient care handoffs. Implementation of the I-PASS method results in decreased medical errors and preventable adverse events There are few studies that evaluate this validated method in the context of a General Surgery resident program We aim to implement the I-PASS system into the transition of care process for General Surgery residents at our institution, and to analyze of the quality of the handoff process before and after the implementation.https://jdc.jefferson.edu/patientsafetyposters/1047/thumbnail.jp

First Meeting of the joint IOC-ICES Study Group on Nutrient Standards (SGONS)

A meeting of the joint IOC-ICES Study Group on Nutrient Standards (SGONS) was held in Paris, France on 23-24 March 2010. It focused on the ongoing activities of the SGONS and plans for extended international collaborations to establish global comparability of the nutrient data from the world’s ocean. Thirty two scientists and experts from 11 countries and 2 delegates from IOC attended the meeting. The discussions followed the Terms of References of SGONS established in July 2009. Development of the reference materials for nutrients in seawater (RMNS) were also discussed in collaboration with the producers. The background and history of SGONS and an international nutrients scale system INSS and the progress with the production of RMNS materials and their current availability were reported. The production of RMNS and the latest status of the RMNS production facility, current status on the certification of RMNS for nitrate, nitrite, phosphate and silicate at the National Metrology Institute of Japan were also reported. The revised nutrients analysis manual which is being undertaken by the SGONS hopefully would be completed by 1 August 2010, and it will be published on line at the Go-Ship website. Results obtained with RMNS solutions used on the P6 reoccupation cruise in 2009-2010 by SIO (Scripps Institute of Oceanography, USA) showed that considerable improvement could be made in the internal comparability of the data by referencing it to the RMNS results and related good comparability with the previous P6 cruise in 2003 by JAMSTEC when RMNS were also used. The meeting strongly endorsed the idea of a ship board workshop in 2013/14 during which major groups would carry out a full inter-comparison of all procedures including analytical methods on board a research ship. The global stability test of RMNS by ten core laboratories of SGONS which started in 2009 will continue for more two years. It also was agreed to set up an international steering committee to plan the next inter-laboratory comparison study which will extend the study to about 70 laboratories working globally on deep sea hydrography. This will happen in early 2011. Future arrangements were considered for the collection of more batches of seawater for the preparation of RMNS waters suitable for use in all major water masses, and a list of candidate cruises in 2010/2011 was prepared. The related point of the extension of the use of RMNS for work in shelf sea water was also discussed, this followed on from discussions at the ICES Marine Chemistry Working Group (MCWG) meeting in 2010. The ICES MCWG considered that the use of suitable RMNS solutions would be valuable for improving the inter comparability of shelf sea data and be a valuable complement to work with the existing QUASIMEME proficiency testing scheme

Sensitivity of shelf sea marine ecosystems to temporal resolution of meteorological forcing

Phytoplankton phenology and the length of the growing season have implications that cascade through trophic levels and ultimately impact the global carbon flux to the seafloor. Coupled hydrodynamic‐ecosystem models must accurately predict timing and duration of phytoplankton blooms in order to predict the impact of environmental change on ecosystem dynamics. Meteorological conditions, such as solar irradiance, air temperature and wind‐speed are known to strongly impact the timing of phytoplankton blooms. Here, we investigate the impact of degrading the temporal resolution of meteorological forcing (wind, surface pressure, air and dew point temperatures) from 1‐24 hours using a 1D coupled hydrodynamic‐ecosystem model at two contrasting shelf‐sea sites: one coastal intermediately stratified site (L4) and one offshore site with constant summer stratification (CCS). Higher temporal resolutions of meteorological forcing resulted in greater wind stress acting on the sea surface increasing water column turbulent kinetic energy. Consequently, the water column was stratified for a smaller proportion of the year producing a delayed onset of the spring phytoplankton bloom by up to 6 days, often earlier cessation of the autumn bloom, and shortened growing season of up to 23 days. Despite opposing trends in gross primary production between sites, a weakened microbial loop occurred with higher meteorological resolution due to reduced dissolved organic carbon production by phytoplankton caused by differences in resource limitation: light at CCS and nitrate at L4. Caution should be taken when comparing model runs with differing meteorological forcing resolutions. Recalibration of hydrodynamic‐ecosystem models may be required if meteorological resolution is upgraded

The Detection of a 3.5-h Period in the Classical Nova Velorum 1999 (V382 Vel) and the Long Term Behavior of the Nova Light Curve

We present CCD photometry, light curve and time series analysis of the classical nova V382 Vel (N Vel 1999). The source was observed for 2 nights in 2000, 21 nights in 2001 and 7 nights in 2002 using clear filters. We report the detection of a distinct period in the light curve of the nova P=0.146126(18) d (3.5 h). The period is evident in all data sets, and we interpret it as the binary period of the system. We also measured an increase in the amplitude modulation of the optical light (in magnitude) by more than 55% from 2000 to 2001 and about 64% from 2001 to 2002. The pulse profiles in 2001 show deviations from a pure sinusoidal shape which progressively become more sinusoidal by 2002. The main cause of the variations in 2001 and 2002 can be explained with the occultation of the accretion disk by the secondary star. We interpret the observed deviations from a pure sinusoidal shape as additional flux resulting from the aspect variations of the irradiated face of the secondary star.Comment: 16 pages and 4 figures, accepted as it stands to be published in the Astronomical Journal (AJ

The Highly Miniaturised Radiation Monitor

We present the design and preliminary calibration results of a novel highly miniaturised particle radiation monitor (HMRM) for spacecraft use. The HMRM device comprises a telescopic configuration of active pixel sensors enclosed in a titanium shield, with an estimated total mass of 52 g and volume of 15 cm$^3$. The monitor is intended to provide real-time dosimetry and identification of energetic charged particles in fluxes of up to 10$^8$ cm$^{-2}$ s$^{-1}$ (omnidirectional). Achieving this capability with such a small instrument could open new prospects for radiation detection in space.Comment: 17 pages, 15 figure