RESUMEN
BACKGROUND: Communication skills (CS) represent a core competency in radiology residency training. However, no structured curriculum exists to train radiology residents in CS in China. The aim of this study was to evaluate the status and prevalence of doctor-patient communication training among radiology residents in nine Chinese accredited radiology residency training programs and to determine whether there is a perceived need for a formalized curriculum in this field. METHODS: We administered a cross-sectional online survey to radiology residents involved in CS training at nine standard residency training programs in China. The questionnaire developed for this study included CS training status, residents' demographics, attitudes toward CS training, communication needs, and barriers. Residents' attitudes toward CS training were measured with the Communication Skills Attitude Scale (CSAS) and its subscales, a positive attitude scale (PAS) and negative attitude scale (NAS). RESULTS: A total of 133 (48.36%) residents participated in the survey. The mean total scores on the two dimensions of the CSAS were 47.61 ± 9.35 in the PAS and 36.34 ± 7.75 in the NAS. Factors found to be significantly associated with the PAS included receiving previous training in CS, medical ethics, or humanities and the doctor's attire. We found that first-year residents and poor personal CS were the most influential factors on the NAS. Only 58.65% of participants reported having previously received CS training during medical school, and 72.93% of respondents reported failure in at least one difficult communication during their residency rotation. Most of those surveyed agreed that CS can be learned through courses and were interested in CS training. Some of the most common barriers to implementing formal CS training were a lack of time, no standardized curriculum, and a lack of materials and faculty expertise. CONCLUSIONS: Most residents had a very positive attitude toward CS training and would value further training, despite the limited formal CS training for radiology residents in China. Future efforts should be made to establish and promote a standard and targeted CS curriculum for Chinese radiology residents.
Asunto(s)
Comunicación , Internado y Residencia , Evaluación de Necesidades , Radiología , Humanos , Estudios Transversales , China , Masculino , Femenino , Adulto , Radiología/educación , Encuestas y Cuestionarios , Actitud del Personal de Salud , Relaciones Médico-Paciente , Curriculum , Competencia Clínica/estadística & datos numéricosRESUMEN
BACKGROUND: Accumulating evidence has demonstrated that long non-coding RNAs (lncRNAs) are closely associated with human diseases, and it is useful for the diagnosis and treatment of diseases to get the relationships between lncRNAs and diseases. Due to the high costs and time complexity of traditional bio-experiments, in recent years, more and more computational methods have been proposed by researchers to infer potential lncRNA-disease associations. However, there exist all kinds of limitations in these state-of-the-art prediction methods as well. RESULTS: In this manuscript, a novel computational model named FVTLDA is proposed to infer potential lncRNA-disease associations. In FVTLDA, its major novelty lies in the integration of direct and indirect features related to lncRNA-disease associations such as the feature vectors of lncRNA-disease pairs and their corresponding association probability fractions, which guarantees that FVTLDA can be utilized to predict diseases without known related-lncRNAs and lncRNAs without known related-diseases. Moreover, FVTLDA neither relies solely on known lncRNA-disease nor requires any negative samples, which guarantee that it can infer potential lncRNA-disease associations more equitably and effectively than traditional state-of-the-art prediction methods. Additionally, to avoid the limitations of single model prediction techniques, we combine FVTLDA with the Multiple Linear Regression (MLR) and the Artificial Neural Network (ANN) for data analysis respectively. Simulation experiment results show that FVTLDA with MLR can achieve reliable AUCs of 0.8909, 0.8936 and 0.8970 in 5-Fold Cross Validation (fivefold CV), 10-Fold Cross Validation (tenfold CV) and Leave-One-Out Cross Validation (LOOCV), separately, while FVTLDA with ANN can achieve reliable AUCs of 0.8766, 0.8830 and 0.8807 in fivefold CV, tenfold CV, and LOOCV respectively. Furthermore, in case studies of gastric cancer, leukemia and lung cancer, experiment results show that there are 8, 8 and 8 out of top 10 candidate lncRNAs predicted by FVTLDA with MLR, and 8, 7 and 8 out of top 10 candidate lncRNAs predicted by FVTLDA with ANN, having been verified by recent literature. Comparing with the representative prediction model of KATZLDA, comparison results illustrate that FVTLDA with MLR and FVTLDA with ANN can achieve the average case study contrast scores of 0.8429 and 0.8515 respectively, which are both notably higher than the average case study contrast score of 0.6375 achieved by KATZLDA. CONCLUSION: The simulation results show that FVTLDA has good prediction performance, which is a good supplement to future bioinformatics research.
Asunto(s)
Biología Computacional/métodos , Simulación por Computador , Enfermedad/genética , ARN Largo no Codificante/genética , Humanos , Neoplasias/genética , Redes Neurales de la Computación , Factores de RiesgoRESUMEN
We developed a molecule/polymer composite hole transporting material (HTM) with a periodic microstructure for morphology replication of a corrugated Au electrode, which in combination plays a dual role in the optical and electronic enhancement of high performance perovskite solar cells (PSCs). The electro-optics revealed that perovskite couldn't readily extinct the red light even though the thickness increased to 370 nm, but we found that the quasi periodic microstructure composite (PMC) HTM in combination with the conformal Au electrode could promote the absorption through the enhanced cavity effects, leading to comparable absorption even using much thinner perovskite (240 nm). We identified that the cavity was the combination of Fabry-Pérot interferometer and surface plasmonic resonance, with light harvesting enhancement through surface plasmon polariton or waveguide modes that propagate in the plane of the perovskite layer. On the other hand, the PMC HTM increased hole conductivity by one order of magnitude with respect to standard spiro-OMeTAD HTM due to molecular packing and self-assembly, embodying traceable hole mobility and density elevation up to 3 times, and thus the hysteresis was greatly avoided. Owing to dual optical and electronic enhancement, the PMC PSC afforded high efficiency PSC using as thin as 240 nm perovskite layer, delivering a V(oc) of 1.05 V, J(sc) of 22.9 mA cm(-2), FF of 0.736, and efficiency amounting to 17.7% PCE, the highest efficiency with ultrathin perovskite layer.
RESUMEN
Organic solar cells based on bis(trifluoromethanesulfonyl)amide (TFSA, [CF3SO2]2NH) bulk doped poly[N-9''-hepta-decanyl-2,7-carbazole-alt-5,5-(4',7'-di-2-thienyl-2',1',3'-benzothiadiazole) (PCDTBT):C71-butyric acid methyl ester (PC71BM) were fabricated to study the effect of molecular doping. By adding TFSA (0.2-0.8 wt %, TFSA to PCDTBT) in the conventional PCDTBT:PC71BM blends, we found that the hole mobility was increased with the reduced series resistance in photovoltaic devices. The p-doping effect of TFSA was confirmed by photoemission spectroscopy that the Fermi level of doped PCDTBT shifts downward to the HOMO level and it results in a larger internal electrical field at the donor/acceptor interface for more efficient charge transfer. Moreover, the doping effect was also confirmed by charge modulated electroabsorption spectroscopy (CMEAS), showing that there are additional polaron signals in the sub-bandgap region in the doped thin films. With decreased series resistance, the open-circuit voltage (Voc) was increased from 0.85 to 0.91 V and the fill factor (FF) was improved from 60.7% to 67.3%, resulting in a largely enhanced power conversion efficiency (PCE) from 5.39% to 6.46%. Our finding suggests the molecular doping by TFSA can be a facile approach to improve the electrical properties of organic materials for future development of organic photovoltaic devices (OPVs).
RESUMEN
In this study, a solution-processed bilayer high-k dielectric (Al2O(y)/TiO(x), abbrev. as ATO) was used to realize the low-voltage operation of graphene field-effect transistors (GFETs), in which the graphene was grown by atmospheric pressure chemical vapor deposition (APCVD). Upon modifying the interface between graphene and the dielectric by octadecylphosphonic acid (ODPA), outstanding room-temperature hole mobility up to 5805 cm(2) V(-1) s(-1) and electron mobility of 3232 cm(2) V(-1) s(-1) were obtained in a small gate voltage range from -3.0 V to 3.0 V under a vacuum. Meanwhile, an excellent on/off current ratio of about 8 was achieved. Our studies demonstrate an effective route in which utilizing the low-temperature solution-processed dielectrics can achieve low-voltage and high performance GFETs.
RESUMEN
Deposition of CdS nanofilms was performed using the chemical bath deposition method, as a function of the concentration ratio of [S] to [Cd] (S/Cd) and of deposition temperature. As the S/Cd ratio and deposition temperature increased, the deposition rate of the films increased, and the transmittance was improved. With increasing S/Cd ratio, the crystallinity of the CdS nanofilms decreased due to the formation of small grains therein. Atomic force microscopy revealed that the surface morphology of the films became smooth with increasing S/Cd ratio and deposition temperature. The evolution of the grain formation showed that the slow deposition rate of the films leads to a small number of grains at the initial stage of the deposition, followed by fast grain growth, resulting in a rough surface. On the other hand, a fast deposition rate initially causes the formation of many grains on the entire surface as well as slow grain growth, making the films smooth. It is evident that the deposition rate affects the physical and optical properties of the films due to their different growth mechanisms.