Assessment of Scrub Practitioners' List of Intraoperative Non-Technical Skills (SPLINTS) in an Asian Ambulatory Surgical Setting.

Communication and other nontechnical skills can affect the number of adverse events occurring in perioperative areas. Our study assessed the properties of the Scrub Practitioners' List of Intraoperative Non-Technical Skills (SPLINTS) used to assess nontechnical skills of scrub nurses in a diverse Asian ophthalmic ambulatory setting. We evaluated the content validation index, cultural equivalence index, concurrent validity, interrater reliability, test-retest reliability, internal consistency, and concurrent validity. The content validity and cultural equivalence indices were 0.93 and 0.91, respectively. We found that the tool showed acceptable interrater reliability, acceptable test-retest reliability, and an appropriate Cronbach alpha ranging from 0.80 to 0.88. We found satisfactory concurrent validity between the SPLINTS and the communication and teamwork scale assessment (rs = 0.73, P < .001) and clinical teamwork scale (rs = 0.64, P < .001). We concluded that SPLINTS is a sound psychometric tool for assessing the nontechnical skills of culturally-diverse scrub persons in ambulatory surgery settings.

Study on the PGNAA measurement of heavy metals in aqueous solution by the Monte Carlo-Library Least-Squares (MCLLS) approach.

In the present work, a prompt gamma neutron activation analysis (PGNAA) setup, which consists of a 300mCi 241Americium-Beryllium (Am-Be) neutron source and a 4 × 4-in. Bismuth germanium oxide (BGO) detector, was developed for heavy metal detection in aqueous solutions. A series of standard samples with analytical purity were prepared by dissolving heavy metals in deionized water. Quantitative spectrum analysis was performed by the Monte Carlo-Least-Squares (MCLLS) approach to measure the standard samples. The detector response functions of 4 × 4-in. BGO detector were generated by using the CEARDRF code. The element libraries were simulated in silico by the CEARCPG code, which was developed by Dr. Gardner. The simulation results presented were in very good agreement with the experimental results. The correlation coefficients were very close to 1 when the fitted spectrum was compared with the experimental spectrum. By applying the MCLLS approach, the relative deviation of the measurement accuracy was less than 2.27% for Ni, Mn, and Cu and up to 69.33% for Pb.

[Response of cotton seeding date to climate warming in Northern Slope Economic Zone of Tianshan Mountain, China].

Based on the meteorological date acquired from 11 meteorological stations in Northern Slope Economic Zone of Tianshan Mountain during 1971-2010 and by using the methods of linear regression, t-test technique and IDW interpolation, this paper analyzed the spatial distribution of each ten-day average temperature from late March to late April and beginning date of ≥ 12 °C to understand the effect of climate change on the cotton seeding date. Results showed that each ten-day average temperature from late March to late April increased by 0. 8, 0. 5, 0. 1 and 0. 5 °C . (10 a)-1, but the beginning date of ≥12 °C advanced by 0.5 d . (10 a)-1 during 1971-2010. All meteorological elements in this research ascended abruptly in the 1990s. The abrupt climate change made each ten-day average temperature increasing by 2.5, 1.9, 1.1 and 1.5 °C, to 7.2, 10.0, 13.2 and 15.6 °C, respectively from late March to late April. The high values of each ten-day average temperature from late March to late April expanded the scope of main cotton producing areas in Northern Slope Economic Zone of Tianshan Mountain, such as Wusu, Sawan and Manasi, and the low values were observed in Urmuqi. The spatial distribution of the beginning day of ≥12 °C was significant different in different regions. During this study period, the early beginning dates of ≥ 12 °C expanded the scope of Jinghe and Manasi as cotton producing areas, and the late beginning dates of ≥ 12 °C narrowed to areas around Urumqi. With the advance of the beginning day of ≥ 12 °C, the seeding date of cotton could start from 22nd to 28th April in most of the counties, and mulch cover could bring forward the suitable sowing date to 15th through 21st April.

A Cost-Effectiveness Analysis of Plasmodium falciparum Malaria Elimination in Hainan Province, 2002-2012.

In Hainan Province, China, great achievements in elimination of falciparum malaria have been made since 2010. There have been no locally acquired falciparum malaria cases since that time. The cost-effectiveness of elimination of falciparum malaria has been analyzed in Hainan Province. There were 4,422 falciparum malaria cases reported from 2002 to 2012, more cases occurred in males than in females. From 2002 to 2012, a total of 98.5 disability-adjusted life years (DALYs) were reported because of falciparum malaria. Populations in the age ranges of 15-25 and 30-44 years had higher incidences and DALYs than other age groups. From 2002 to 2012, malaria-related costs for salaries of staff, funds from the provincial government, national government, and the GFATM were US$3.02, US$2.24, US$1.44, and US$5.08 million, respectively. An estimated 9,504 falciparum malaria cases were averted during the period 2003-2012. The estimated cost per falciparum malaria case averted was US$116.5. The falciparum malaria elimination program in Hainan was highly effective and successful. However, funding for maintenance is still needed because of imported cases.

Monte Carlo simulation of moderator and reflector in coal analyzer based on a D-T neutron generator.

Coal is one of the most popular fuels in the world. The use of coal not only produces carbon dioxide, but also contributes to the environmental pollution by heavy metals. In prompt gamma-ray neutron activation analysis (PGNAA)-based coal analyzer, the characteristic gamma rays of C and O are mainly induced by fast neutrons, whereas thermal neutrons can be used to induce the characteristic gamma rays of H, Si, and heavy metals. Therefore, appropriate thermal and fast neutrons are beneficial in improving the measurement accuracy of heavy metals, and ensure that the measurement accuracy of main elements meets the requirements of the industry. Once the required yield of the deuterium-tritium (d-T) neutron generator is determined, appropriate thermal and fast neutrons can be obtained by optimizing the neutron source term. In this article, the Monte Carlo N-Particle (MCNP) Transport Code and Evaluated Nuclear Data File (ENDF) database are used to optimize the neutron source term in PGNAA-based coal analyzer, including the material and shape of the moderator and neutron reflector. The optimized targets include two points: (1) the ratio of the thermal to fast neutron is 1:1 and (2) the total neutron flux from the optimized neutron source in the sample increases at least 100% when compared with the initial one. The simulation results show that, the total neutron flux in the sample increases 102%, 102%, 85%, 72%, and 62% with Pb, Bi, Nb, W, and Be reflectors, respectively. Maximum optimization of the targets is achieved when the moderator is a 3-cm-thick lead layer coupled with a 3-cm-thick high-density polyethylene (HDPE) layer, and the neutron reflector is a 27-cm-thick hemispherical lead layer.

Prevention measures and socio-economic development result in a decrease in malaria in Hainan, China.

BACKGROUND: Historically, the incidence of malaria in the Hainan Province, China has been high. However, since 2001 the malaria incidence in Hainan has decreased due to large-scale, public educational, promotional campaigns and the adoption of preventative measures against malaria following the fast growth of socio-economic development. The present study analysed the correlation between prevention measures and social economic development on the incidence of malaria in Hainan from 2001 to 2013. METHODS: The data of malaria preventative measures and socio-economic development were collected from various cities and counties in Hainan Province from 2001 to 2013 and analysed by the grey correlation analysis system. RESULTS: Seasonal preventive medication and local fiscal revenue increases are significantly related to the reduction of malaria incidence from 2001 to 2013 (R1 = 0.751677; R5 = 0.764795). CONCLUSION: Malaria prevention and control measures and local economic development in Hainan decreased malaria incidence from 2001 to 2013.