Validity of a Novel Digitally Enhanced Skills Training Station for Freehand Distal Interlocking.

Background and Objectives: Freehand distal interlocking of intramedullary nails is technically demanding and prone to handling issues. It requires precise placement of a screw through the nail under fluoroscopy guidance and can result in a time consuming and radiation expensive procedure. Dedicated training could help overcome these problems. The aim of this study was to assess construct and face validity of new Digitally Enhanced Hands-On Surgical Training (DEHST) concept and device for training of distal interlocking of intramedullary nails. Materials and Methods: Twenty-nine novices and twenty-four expert surgeons performed interlocking on a DEHST device. Construct validity was evaluated by comparing captured performance metrics-number of X-rays, nail hole roundness, drill tip position and drill hole accuracy-between experts and novices. Face validity was evaluated with a questionnaire concerning training potential and quality of simulated reality using a 7-point Likert scale. Results: Face validity: mean realism of the training device was rated 6.3 (range 4-7). Training potential and need for distal interlocking training were both rated with a mean of 6.5 (range 5-7), with no significant differences between experts and novices, p ≥ 0.234. All participants (100%) stated that the device is useful for procedural training of distal nail interlocking, 96% wanted to have it at their institution and 98% would recommend it to colleagues. Construct validity: total number of X-rays was significantly higher for novices (20.9 ± 6.4 versus 15.5 ± 5.3, p = 0.003). Success rate (ratio of hit and miss attempts) was significantly higher for experts (novices hit: n = 15; 55.6%; experts hit: n = 19; 83%, p = 0.040). Conclusion: The evaluated training device for distal interlocking of intramedullary nails yielded high scores in terms of training capability and realism. Furthermore, construct validity was proven by reliably discriminating between experts and novices. Participants indicate high further training potential as the device may be easily adapted to other surgical tasks

Effective Space Confinement by Inverse Miniemulsion for the Controlled Synthesis of Undoped and Eu3+^{3+} -Doped Calcium Molybdate Nanophosphors: A Systematic Comparison with Batch Synthesis

The possibility to precisely control reaction outcomes for pursuing materials with well-defined features is a main endeavor in the development of inorganic materials. Confining reactions within a confined space, such as nanoreactors, is an extremely promising methodology which allows to ensure control over the final properties of the material. An effective room temperature inverse miniemulsion approach for the controlled synthesis of undoped and Eu3+-doped calcium molybdate crystalline nanophosphors was developed. The advantages and the efficiency of confined space in terms of controlling nanoparticle features like size, shape, and functional properties are highlighted by systematically comparing miniemulsion products with calcium molybdate particles obtained without confinement from a typical batch synthesis. A relevant beneficial impact of space confinement by miniemulsion nanodroplets is observed on the control of size and shape of the final nanoparticles, resulting in 12 nm spherical nanoparticles with a narrow size distribution, as compared to the 58 nm irregularly shaped and aggregated particles from the batch approach (assessed by TEM analysis). Further considerable effects of the confined space for the miniemulsion samples are found on the doping effectiveness, leading to a more homogeneous distribution of the Eu$^{3+}$ ions into the molybdate host matrix, without segregation (assessed by PXRD, XAS, and ICP-MS). These findings are finally related to the photoluminescence properties, which are evidenced to be closely dependent on the Eu$^{3+}$ content for the miniemulsion samples, as an increase of the relative intensity of the direct f–f excitation and a shortening of the lifetime (from 0.901 ms for 1 at. % to 0.625 ms for 7 at. % samples) with increasing Eu$^{3+}$ content are observed, whereas no relationship between these parameters and the Eu$^{3+}$ content is evidenced for the batch samples. All these results are ascribed to the uniform and controlled crystallization occurring inside each miniemulsion nanodroplet, as opposed to the less controlled nucleation and growth for a classic nonconfined approach

Self-Assembly of Polymer-Modified FePt Magnetic Nanoparticles and Block Copolymers

The fabrication of nanocomposites containing magnetic nanoparticles is gaining interest as a model for application in small electronic devices. The self-assembly of block copolymers (BCPs) makes these materials ideal for use as a soft matrix to support the structural ordering of the nanoparticles. In this work, a high-molecular-weight polystyrene-b-poly(methyl methacrylate) block copolymer (PSb-PMMA) was synthesized through anionic polymerization. The influence of the addition of different ratios of PMMA-coated FePt nanoparticles (NPs) on the self-assembled morphology was investigated using transmission electron microscopy (TEM) and small-angle X-ray scattering (SAXS). The selfassembly of the NPs inside the PMMA phase at low particle concentrations was analyzed statistically, and the negative effect of higher particle ratios on the lamellar BCP morphology became visible. The placement of the NPs inside the PMMA phase was also compared to theoretical descriptions. The magnetic addressability of the FePt nanoparticles inside the nanocomposite films was finally analyzed using bimodal magnetic force microscopy and proved the magnetic nature of the nanoparticles inside the microphase-separated BCP films

Morphology and photoluminescence study of titania nanoparticles

Titania nanoparticles are prepared by sol–gel chemistry with a poly(ethylene oxide) methyl ether methacrylate-block-poly(dimethylsiloxane)-block-poly(ethylene oxide) methyl ether methacrylate triblock copolymer acting as the templating agent. The sol–gel components—hydrochloric acid, titanium tetraisopropoxide, and triblock copolymer—are varied to investigate their effect on the resulting titania morphology. An increased titania precursor or polymer content yields smaller primary titania structures. Microbeam grazing incidence small-angle X-ray scattering measurements, which are analyzed with a unified fit model, reveal information about the titania structure sizes. These small structures could not be observed via the used microscopy techniques. The interplay among the sol–gel components via our triblock copolymer results in different sized titania nanoparticles with higher packing densities. Smaller sized titania particles, (∼13–20 nm in diameter) in the range of exciton diffusion length, are formed by 2% by weight polymer and show good crystallinity with less surface defects and high oxygen vacancies

Castaways can't be choosers - Homogenization of rafting assemblages on floating seaweeds

After detachment from benthic habitats, the epibiont assemblages on floating seaweeds undergo substantial changes, but little is known regarding whether succession varies among different seaweed species. Given that floating algae may represent a limiting habitat in many regions, rafting organisms may be unselective and colonize any available seaweed patch at the sea surface. This process may homogenize rafting assemblages on different seaweed species, which our study examined by comparing the assemblages on benthic and floating individuals of the fucoid seaweeds Fucus vesiculosus and Sargassum muticum in the northern Wadden Sea (North Sea). Species richness was about twice as high on S. muticum as on F. vesiculosus, both on benthic and floating individuals. In both seaweed species benthic samplesweremore diverse than floating samples. However, the species composition differed significantly only between benthic thalli, but not between floating thalli of the two seaweed species. Separate analyses of sessile and mobile epibionts showed that the homogenization of rafting assemblages was mainly caused by mobile species. Among these, grazing isopods from the genus Idotea reached extraordinarily high densities on the floating samples from the northernWadden Sea, suggesting that the availability of seaweed rafts was indeed limiting. Enhanced break-up of algal rafts associated with intense feeding by abundant herbivores might force rafters to recolonize benthic habitats. These colonization processes may enhance successful dispersal of rafting organisms and thereby contribute to population connectivity between sink populations in theWadden Sea and source populations from up-current regions