Performance in the Fundamentals of Laparoscopic Surgery: Does it reflect global rating scales in the Objective Structured Assessment of Technical Skills in porcine laparoscopic surgery?

Objective:To correlate the utility of the Fundamentals of Laparoscopic Surgery(FLS)manual skills program with the Objective Structured Assessment of Technical Skills(OSATS)global rating scale in evaluating operative performance.Methods:The Asian Urological Surgery Training and Educational Group(AUSTEG)Laparoscopic Upper Tract Surgery Course implemented and validated the FLS program for its usage in laparoscopic surgical training.Delegates’basic laparoscopic skills were assessed using three different training models(peg transfer,precision cutting,and intra-corporeal suturing).They also performed live porcine laparoscopic surgery at the same workshop.Live surgery skills were assessed by blinded faculty using the OSATS rating scale.Results:From March 2016 to March 2019,a total of 81 certified urologists participated in the course,with a median of 5 years of post-residency experience.Although differences in task time did not reach statistical significance,those with more surgical experience were visibly faster at completing the peg transfer and intra-corporeal suturing FLS tasks.However,they took longer to complete the precision cutting task than participants with less experience.Overall OSATS scores correlated weakly with all three FLS tasks(peg transfer time:r=0.331,r^(2)=0.110;precision cutting time:r=0.240,r^(2)=0.058;suturing with intracorporeal knot time:r=0.451,r^(2)=0.203).Conclusion:FLS task parameters did not correlate strongly with OSATS globing rating scale performance.Although FLS task models demonstrated strong validity,it is important to assimilate the inconsistencies when benchmarking technical proficiency against real-life operative competence,as evaluated by FLS and OSATS,respectively.

Effect of simulating training of the fundamentals of laparoscopic surgery on the attitude of operating room nurses students:an intervention study

Objective:Clinical education plays a key role in preparing students for patient care.Laparoscopy is one of the most important minimally invasive surgeries(MISs)wherein surgical technologists are responsible for camera navigation and assistant surgeons are responsible for peg transfer.Therefore,it is necessary to improve the attitude of the operating room students toward these skills during their study period.The present study was conducted to determine the effect of simulating training in the fundamentals of laparoscopic surgery(FLS)on the attitude of the operating room students.Methods:This interventional study was conducted on 28 operating room students of Iran University of Medical Sciences in 2019.The census sampling method was used.The data-collection tool included the“Intrinsic motivation inventory(IMI)questionnaire.”The educational intervention was carried out in theoretical(booklet design)and practical(simulation)sections.Data analysis was carried out using descriptive and inferential analyses including the paired t-test,Mann–Whitney U test,and independent t-test.The collected data were analyzed using R and SPSS software.P-value<0.05 was considered as the significant level.Results:The mean±SD of the participants'age was 22.93±2.14 years,and the majority of them were women(67.9%).There was a significant difference in the mean scores of students'attitudes toward the FLS before and after the educational intervention(P<0.001)in all dimensions(interest,perceived competence,perceived choice,and tension).There was also a significant correlation between gender and interest dimension(P=0.005).Conclusions:The results of the present study showed that simulating the training FLS curriculum positively affects students'attitudes.Therefore,the researchers suggest that for creating a positive attitude,increasing students'interest in laparoscopic surgery,and ensuring a more effective presence in the operating room,this training should be considered in the operating room curriculum.

Insight into mineral flotation fundamentals through the DFT method

Flotation is a complex process that occurs in solid-liquid-gas multiphase systems,and its main factors include the minerals,separation medium,as well as various flotation reagents.The study of mineral properties and interactions with other components such as reagents and water lays the basic theoretical foundation for flotation.Density functional theory(DFT) calculations can qualitatively evaluate the exchange of matter and energy between the mineral system and the surroundings and quantitatively characterize these behaviors,which greatly expands the breadth and depth of flotation studies.This review systematically summarizes the advances of flotation research based on DFT studies,including the study of mineral crystal chemistry represented by the theory of lattice defects,mineral surface hydration such as hydrophilicity and hydrophobicity,surface regulation mechanism,and collecting mechanism based on surface adsorption theory.More significantly,it systematically elaborates different types of collectors according to their characteristics and emphatically explains the mechanism of some typical collectors in detail.

Economics,fundamentals,technology,finance,speculation and geopolitics of crude oil prices:an econometric analysis and forecast based on data from 1990 to 2017

It is of real and direct significance for China to cope with oil price fluctuations and ensure oil security. This paper aims to quantitatively analyze the specific contribution ratios of the complex factors influencing international crude oil prices and to establish crude oil price models to forecast long-term international crude oil prices. Six explanatory influential variables, namely Dow Jones Indexes, the Organization for Economic Cooperation and Development oil stocks, US rotary rig count, US dollar index, total open interest, which is the total number of outstanding contracts that are held by market participants at the end of each day, and geopolitical instability are specified, and the samples, from January 1990 to August 2017, are divided into six sub-periods. Moreover, the co-integration relationship among variables shows that the contribution ratios of all the variables influencing Brent crude oil prices are in accordance with the corresponding qualitative analysis. Furthermore, from September 2017 to December 2022 outside of the sample, the Vector Autoregressive forecasts show that annually averaged Brent crude oil prices for 2017-2022 would be $53.0, $61.3, $74.4, $90.0, $105.5, and $120.7 per barrel, respectively. The Vector Error Correction forecasts show that annual average Brent crude oil prices for 2017-2022 would be $53.0, $56.5, $58.5, $60.7, $63.0 and $65.4 per barrel, respectively.

On Fundamentals Predicting Floods-Landslides

Based on the floods landslides commensurability system, the paper presents and discusses the disasters/hazards with comprehensive interaction and erosional processes. However, people are not enough to get their possibility for the sustainability. They have had so many disasters to meet and to control continuously. Finally, the fundamentals should be built up with nonlinear solutions of landsliding problems; the events of geomagnetism anomaly should be considered.

Reform of Programming Fundamentals under the New Engineering Disciplines’ Background for Ethnic University

According to the requirement of New Engineering Disciplines initiated by the Ministry of Education of China,the course of Programming Fundamentals has been reformed in ethnic university to satisfy the standard of New Engineering Certification.The reform is implemented in teaching content,implementation in both theoretical and experimental classes,teaching assessment and teacher training.

Three Decades of External Imbalances and Macroeconomic Fundamentals： The Case of Turkey

The paper aims to investigate the current account imbalances in the context of an overview of macroeconomic fundamentals after the liberalization process in Turkey. Two main questions discussed here are： （1） What is the link between liberalization and current account imbalances; （2） What kind of mechanisms ensured this link to become a vicious circle. The period after 1989, Turkey was characterized by significant fluctuations in macroeconomic activity by the implementation of liberalization policies. Once financial liberalization is adopted, Turkey faced with a new challenge： large current account deficits. On the other hand, foreign capital inflows aggravated a lending boom. Because of excessive risk taken by banks, interest rates began to rise. As mentioned above, the paper studies Turkey＇s liberalization process with a number of indicators that point to a fragility of the external balance： unhealthy structure of financial sector, particularly banking sector, large fiscal imbalances, low savings and investment rates, unstable GDP growth. Domestic structural features combining with macroeconomic policy stance and political factors are examined as well

Teaching Reform of Fundamentals of Combustion for Energy and Power Engineering Majors in Agricultural Colleges and Universities in the Context of New Engineering Course

The Fundamentals of Combustion course is an important compulsory course for Energy and Power Engineering Majors under the background of carbon peaking.According to the characteristics of teaching and scientific research at present,combined with the characteristics of complexity,interdisciplinary and rapid technology update of this course,this paper discusses the teaching content and teaching design of this course to meet the needs of talents of production,teaching and research under the background of new engineering course.It proposes more applicable teaching methods and practical means to broaden students horizons,stimulate students autonomous learning momentum,master the professional knowledge application ability,and cultivate innovative and competitive engineering professionals to adapt to the new energy strategy.

Cotton Market Fundamentals ＆ Price Outlook

Recent price movement Several benchmark prices increased over the past month.NY futures,the A Index,and Pakistani spot prices all rose a few cents/lb,while the CC Index and Indian spot prices were stable.·The March NY futures contract was the most actively traded contract over the past month.Prices for March futures trended higher from late November through early December,

Fundamentals of National Standardization Work in 2007

The overall requirements for standardization work in 2007 are to continuouslypush forward the implementation of the national standardization strategy, to comprehensivelyimprove the effectiveness of standardization in upgrading product quality, to promote industrialdevelopment, to save resources and build a harmonious society, and to further enhance the strategicposition of China in international trade.The latter is guided by Deng Xiaoping Theory and theimportant concept of 'Three Represents,' as well as having, 'Technological Innovation' as thedriving force, and the intensification of China's national competitive power as the core intent. Tothis end, the following tasks must be undertaken as top priorities.

Perception of fundamental science to boost lithium metal anodes toward practical application

As a key material for lithium metal batteries(LMBs),lithium metal is one of the most promising anode materials to break the bottleneck of battery energy density and a commonly used active material for reference electrodes.Although lithium anodes are regarded as the holy grail of lithium batteries,decades of exploration have not led to the successful commercialization of LMBs,due mainly to the challenges related to the inherent properties of lithium metal.To pave the way for further investigation,herein,a comprehensive review focusing on the fundamental science of lithium are provided.Firstly,the natures of lithium atoms and their isotopes,lithium clusters and lithium crystals are revisited,especially their structural and energetic properties.Subsequently,the electrochemical properties of lithium metal are reviewed.Numerous important concepts and scientific questions,including the electronic structure of lithium,influence of high pressure and low temperature on the properties of lithium,factors influencing lithium deposition,generation of lithium dendrites,and electrode potential of lithium in different electrolytes,are explained and analyzed in detail.Approaches to improve the performance of lithium anodes and thoughtfulness about the electrode potential in lithium battery research are proposed.

The Course Reform of Mechanical Design Fundamentals to Cultivate Engineering Literacy and Innovation Ability

In view of the shortcomings of traditional teaching in the Mechanical Design Fundamentals course,the teaching resources are integrated,the teaching content,teaching methods,and assessment methods are reformed,scientific research results are introduced into course teaching,and the task-driven teaching practice is applied.These measures have improved classroom activity,stimulated independent learning,and laid the foundation for the cultivation of students’engineering literacy and innovative ability.

Cotton Market Fundamentals & Price Outlook

2016,08 Released by Cotton Incorporated Recent price movement After rising throughout July,benchmark prices have been either flat or lower in the first half of August.·Values for the December NY futures contract climbed to levels over 75cents/lb in early August,but have since retreated to values below 71 cents/lb.·The A Index followed a nearly identical pattern as NY futures,with values climbing above 85 cents/lb in early August and then decreasing to levels be-

Cotton Market Fundamentals & Price Outlook

2017.11Recent price movement·Most benchmark prices were unchanged over the past month.Only Pakistani prices had any notable movement,increasing slightly.·Values for the NY December contract were range-bound over the past month,holding to levels between 66 and70 cents/lb.Nonetheless,prices migrated towards the lower end of that range in mid-October and then shifted

New Approach to Synchronize General Relativity and Quantum Mechanics with Constant “K”-Resulting Dark Matter as a New Fundamental Force Particle

Planck scale plays a vital role in describing fundamental forces. Space time describes strength of fundamental force. In this paper, Einstein’s general relativity equation has been described in terms of contraction and expansion forces of space time. According to this, the space time with Planck diameter is a flat space time. This is the only diameter of space time that can be used as signal transformation in special relativity. This space time diameter defines the fundamental force which belongs to that space time. In quantum mechanics, this space time diameter is only the quantum of space which belongs to that particular fundamental force. Einstein’s general relativity equation and Planck parameters of quantum mechanics have been written in terms of equations containing a constant “K”, thus found a new equation for transformation of general relativity space time in to quantum space time. In this process of synchronization, there is a possibility of a new fundamental force between electromagnetic and gravitational forces with Planck length as its space time diameter. It is proposed that dark matter is that fundamental force carrying particle. By grand unification equation with space-time diameter, we found a coupling constant as per standard model “αs” for that fundamental force is 1.08 × 10-23. Its energy calculated as 113 MeV. A group of experimental scientists reported the energy of dark matter particle as 17 MeV. Thorough review may advance science further.

Cotton Market Fundamentals ＆ Price Outlook

Recent price movement All benchmark prices except the CC Index increased over the past month.Prices for the March NY futures contract surged in late December,rising from75 cents/lb to just below 80 cents/lb.Following that round of increases,

Fundamental Principles behind Climate Change

The attribution of climate change is complex,and the current mainstream view is more inclined towards human activities and carbon dioxide emissions from fossil fuels.Any complex problem is composed of basic principles.This article elaborates on the basic logic behind climate change(a global hot topic)through basic principles such as reaction types,carbon thermal properties of biomass energy,greenhouse gas attribution,ecological basic theory,and energy cycle.

The Intervention Path of Fundamental Rights under the Scope of International Private Law

In recent years, international private law scholars have argued for the radiating effect of fundamental rights on international private law by introducing constitutional theory. However,there remains a lack of systematic research on how fundamental rights should be integrated into judicial practices concerning foreign-related civil and commercial cases. Throughout the development of international private law, public policy has served as a historical carrier of substantive values for judicial entities and has consistently played a crucial role in value review. In cases of international private law where conflicts arise with the values of fundamental rights, public policy indirectly excludes the legal choice outcomes to safeguard the human rights values inherent in fundamental rights from infringement.However, due to limitations imposed by the degree of connection and relative conditions, traditional paths of public policy have certain constraints and cannot provide comprehensive protection for fundamental rights. Therefore, there is a need for judges to shift their logical paradigms, transcend bilateral choice-of-law models, and introduce a direct intervention path for fundamental rights. This direct intervention path utilizes the logical analysis framework of the protection scope,intervention, and justification of fundamental rights. It can effectively balance conflicting legal interests and maximize the protection of the fundamental rights of the parties involved.

Frame Length Dependency for Fundamental Frequency Extraction in Noisy Speech

The fundamental frequency plays a significant part in understanding and perceiving the pitch of a sound. The pitch is a fundamental attribute employed in numerous speech-related works. For fundamental frequency extraction, several algorithms have been developed which one to use relies on the signal’s characteristics and the surrounding noise. Thus, the algorithm’s noise resistance becomes more critical than ever for precise fundamental frequency estimation. Nonetheless, numerous state-of-the-art algorithms face struggles in achieving satisfying outcomes when confronted with speech recordings that are noisy with low signal-to-noise ratio (SNR) values. Also, most of the recent techniques utilize different frame lengths for pitch extraction. From this point of view, This research considers different frame lengths on male and female speech signals for fundamental frequency extraction. Also, analyze the frame length dependency on the speech signal analytically to understand which frame length is more suitable and effective for male and female speech signals specifically. For the validation of our idea, we have utilized the conventional autocorrelation function (ACF), and state-of-the-art method BaNa. This study puts out a potent idea that will work better for speech processing applications in noisy speech. From experimental results, the proposed idea represents which frame length is more appropriate for male and female speech signals in noisy environments.