Miracle-dz/UniFAR-FTUs huggingface dataset:
Do anesthesia emergence times reflect resident training progression, educational competency, and operating room efficiency?

Background: Anesthesia residents are often subjectively and objectively deemed competent by their impact of cost-efficacy and perioperative metrics. Assessing knowledge acquisition and procedural skill is difficult to measure equitably. Inspecting tangible metrics of perioperative efficiency may or may not provide a source for reliable evaluation. Methods: Retrospective case-log database review yielded 3072 surgical cases involving residents over five years. Primary variable investigated was the time from surgery completion to exit from operating room. Other variables recorded included day of week, attending anesthesiologist name, attending surgeon name, patient age, sex, American Society of Anesthesiologists physical status classification (ASA PS), and in-patient versus day surgery status. Results: After controlling for procedure duration time, in-patient status, ASA class, surgeon, and attending anesthesiologist, resident training time became highly significant (p < 0.001). In the fully adjusted model, one year of resident training was associated with a reduction in emergence time by 28 seconds (95% CL = (12, 44)). A one-hour increase in procedure time was associated with an increase in emergence time of 34 seconds (95% CL = (17, 50)). Conclusions: Although a statistically significant correlation was demonstrated, the clinical significance is likely low given the relatively small amount of actual time saved. We question the value of utilizing perceived or measured perioperative metrics for evaluating anesthesia resident competency.
Fiddler

The author is a junior high school music and drama teacher at I.S. 25, Queens, New York City. This article, prepared especially for MEJ, is based on his recently published book, Black Fiddler (New York: William Morrow and Co., 1971). I expected the outcome. I can't. I had a deadly feeling that, since I had won all the other battles over the years, I was due for a failure and it would be a big failure. I hadn't counted on you. You are the first group that I picked three years ago and literally handmade for this production. No other bunch of students could have done it. I have been investing all I've got in you for so long that it is painful for me to let you go. Letting go of Fiddler means letting go of you. That's what teaching is all about, but every year at this timeinstead of getting easier to bear-it destroys me. For hundreds and hundreds of people this show will never close. We will constantly refer to it because it opened our eyes to many things. If the word "mazeltov" has become a permanent word in your vocabulary, we have been a success. It is not my purpose here to list what has happened as a result of Fiddler, but one of the most exciting things to me and a few other teaciers is the fact that our community (school and home) now shares our views-no, not on Jews and blacks, but our deep belief that the students of our school are firstclass citizens of the world and are capable of delivering first-class contributions to society. Lots of people think they believe this vital fact, but when the ABC and CBS things hit the air, they will not only really believe it but will start acting on that belief. Remember, there are various kinds of poverty and only one of them deals with money. The others deal with poverty of the spirit, poveity of ambitions, and poverty of good feelings about yourself.
Understanding the Effect of Surface Topography on Stiction and Friction in MEMS

The field of micro-electromechanical systems (MEMS) undoubtedly has the potential of producing great technological innovations. However, a precise understanding of the tribological behaviour of MEMS surfaces is needed for the realization of the full potential of a variety of complex, sophisticated and extremely useful MEMS. While on one hand, the number of smaller, more complex and more useful new MEMS prototypes, which are commercially extremely attractive, is continuously increasing, on the other hand, despite years of research, the Micro-electromechanical Systems (MEMS) community is yet to find a solution that sufficiently addresses the reliability issues (stiction, friction and wear) that limit the commercial success of most MEMS prototypes. The main bottleneck, which limits the ability of MEMS community to devise an appropriate solution, is their poor understanding of the factors, especially surface topography, that govern the tribological behaviour of MEMS surfaces. Therefore, there is a serious and urgent need to conduct a systematic investigation for understanding the effects that the surface topography of a MEMS surface has on the stiction and friction experienced by it. Accordingly, the main objective of this study is to understand the effects that the surface topography of a MEMS surface has on the stiction and friction experienced by it. This study reports on the development of a test platform (TP), which not only overcomes the limitations of the previously reported test platforms but is also a versatile tool that can be used to systematically study the tribology of MEMS surfaces. The details of the design and fabrication of the Test Platform are discussed in the study. Further, in order to be able to fabricate the TP using a facile, inexpensive and less time consuming fabrication process, a single mask scheme is devised in this
On Weather Derivatives and Temperature Swapping in Japan

Until recently, the meteorological disturbances to the management of economic entities had to be simply accepted; however, several financial tools have been developed, with which we can cancel out the adverse influence of meteorological events. This paper will intend to examine 2 types of tools, weather derivatives and temperature swapping, which have been shown to work in Japan.
Smart Grid Demand Side Response Model to Mitigate Peak-Demands on Electrical Networks

The work presents a demand side response(DSR) model,which assists electricity consumers to proactively mitigate peak demand on electrical networks in Eastern and Southern Australia. A low-cost technical arrangement,which is made of Internet relay,a router,solid state switches,and the suitable software,is used to control electricity demand at user’s premises. The model allows shifting loads from peak to off-peak periods in order to reduce peaks,which helps to moderate the national electrical demand. The model can be concurrently used to accommodate the utilization of renewable energy sources and the introduction of electric vehicles. The results present possible savings on the electrical energy consumption in the designated regions.
Development of Company/Battery Management Assessment Approaches

Abstract : Garrison/administrative requirements consume a large portion of the work day of Army units thus limiting the time available for training. This report describes one part of a research project which had as its goal to increase the amount of time available for training by minimizing the time it takes units and key leaders to fulfill garrison/administrative responsibilities. The purpose of the research reported here was to develop an evaluation methodology for analyzing the usefulness of garrison management procedures designed to minimize the time spent on garrison/administrative activities. The report describes the evaluation methodology development. Two samples of Army officers (N=113; grades 0-1 through 0-6) were interviewed to establish a list of unit performance indicators. The resulting list of 18 indicators covers the areas of training, management, personnel, and job performance. In addition, a systems model of organizational functioning was constructed which provides a basis for developing management process indicators and for delineating the relationship between input, process, and performance. The organizational model was created to facilitate the development of both the evaluation model and the experimental management systems.
Army Overseas Water Sustainability Study

Abstract : A key concern for the US Army is the vulnerability of military installations to critical resource issues. Water issues of concern (adequate supply, cost of production, quality, habitat degradation, and salinity) already impact military installations and military operations around the globe. There is a need to assess vulnerability of regions and installations to water supply and to develop strategies to ameliorate any adverse effects on military sustainment. This work assessed regional water scarcity as it affects Army installations in three overseas locations (US Army Garrison Grafenwoehr, Germany; US Army Garrison Vicenza, Italy; and US Army Garrison Humphreys, Korea) to ensure continued viability and sustainability of Army operations.
The influence of Twitter on lecture engagement and discussion

The research presented in this paper is driven by a desire to increase student interaction and engagement in lecture discussion. The issues relating to the use of Twitter to achieve this goal are outlined. At the outset, the importance of interaction and engagement in learning is established, drawing on a number of educational theories and previous research in the area. Following this, the necessity for action is recognised by critiquing lectures as a forum for this standard of learning. The researcher presents technology as a means to increase student interaction, beginning with Audience Response Systems (ARS). A summary of research carried out on ARS is examined to provide a basis for integrating technology. Following this a review of experiments conducted using Twitter is carried out. Although there is a dearth of research in this area, these provide some insights into the use of this technology and its integration into education. The paper then examines student adoption of Twitter as a means of engagement, outlining the strengths, weaknesses and opportunities for the future. Finally emerging uses of the Twitter platform are examined, allowing the reader glimpse student hopes for future integration.
VMware ESX Server in the Enterprise: Planning and Securing Virtualization Servers

VMware ESX Server in the Enterprise Planning and Securing Virtualization Servers The Most Complete, Practical, Solutions-Focused Guide to Running ESX Server 3 VMware ESX Server in the Enterprise is the definitive, real-world guide to planning, deploying, and managing todays leading virtual infrastructure platform in mission-critical environments. Drawing on his extensive experience consulting on large-scale ESX Server implementations, Edward L. Haletky brings together an unprecedented collection of tips, best practices, and field-tested solutions. More than any other author, he illuminates the real issues, tradeoffs, and pitfalls associated with ESX Serverand shows how to make the most of it in your unique environment. Haletky covers the entire lifecycle: planning, installation, system monitoring, tuning, clustering, security, disaster recovery, and much more. Throughout, he supports his recommendations with examples from real-world deployments. He also provides detailed checklists for handling crucial issues such as caching, networking, storage, and hardware selection. Many of his techniques and practices apply to all current virtualization platforms, not just ESX Server. This book will be an indispensable resource for every network architect, administrator, and IT professional who works with virtual servers. ESX Server newcomers will find the soup-to-nuts introduction they desperately need; experienced users will find an unparalleled source of field-tested answers and solutions. In this book, youll learn how to: Identify key differences between ESX v3.x. y and ESX v2.5. x and their implications Perform a complete installationwith automated scripting techniques and samples Efficiently audit, monitor, and secure ESX Server Discover SAN storage pitfalls and solutionswith detailed guidance for specific SANs, switches, and fibre-channel adapters Understand ESX Server networking: NIC teaming, vSwitches, network lag, and troubleshooting Configure ESX Server via the Management User Interface, Virtual Center client, and command line interface Install Windows, Linux, and NetWare VMs: prepare media images, place configuration files, handle sizing and swap files, and more Use Dynamic Resource Load Balancing to consistently achieve utilization goals Implement effective backup and disaster recovery procedures Edward L. Haletky owns AstroArch Consulting, Inc., a consultancy specializing in virtualization, security, and networking. He has been rated by his peers on the VMware Discussion Forums as a virtuoso for his work in answering VMware security and configuration questions. Prior to establishing AstroArch, Haletky was a member of Hewlett-Packards Virtualization, Linux, and High-Performance Technical Computing teams. He holds a degree in Aeronautical and Astronautical Engineering from Purdue University.
Ship Design: Methodologies of Preliminary Design

1 General on Ship Design 2 Selection of Main Dimensions and Calculation of Basic Ship Design Values 3 Ship's Hull Form 4 Naval Architectural Drawings and Plans 5 Machinery Installation, Propulsion and Steering Devices 6 Estimation of Building Cost Appendix A: Diagrams of Regression Analysis of Basic Design Values for Merchant Ships Appendix B: Systematic Hull Form - Model Series Appendix C: Determination of Ship's Displacement with the Relational Method of Normand Appendix D: Historical Evolution of Shipbuilding Appendix E: Subdivision and Damage Stability of Ships - Historical Developments and the Way Ahead
How is the International Financial Reporting Standards Adjudged? Assessing the Macroeconomic and Financial Market Development Factors Effects for African Evidence

Global continents, especially Europe, have marked the relevancy of International Financial Reporting Standard (IFRS) adoption since its development by the International Accounting Standard Board (IASB). However, a large number of African countries have not adopted it. This study specifically examines the IFRS adopters and non-adopters of African countries which are explained by both macroeconomic and financial market development factors. The study used binary panel logistic regression for estimation of 38 countries using data from the Global Competitiveness Report for 2015/16-2017/18 of African countries to estimate the extent to which macroeconomic and financial market development factors explain the effective adoption of IFRS in Africa. Findings confirm that the tax rate, quality of national accounting body, and rate of inflation do not influence IFRS adoption in African countries. On average, financial market development indicators significantly increase the likelihood of IFRS adoption in African countries. These studies extend support for prior literature about IFRS adoption determinants. The findings highlight the importance and the need for standardsetters to facilitate IFRS adoption of African countries. This study augments the existing strand of empirical literature by looking at macroeconomic and financial market development perspectives.
A STRUCTURE CONDUCT PERFORMANCE ANALYSIS OF THE EXPEDITED SMALL PACKAGE INDUSTRY

Dynamic changes in the expedited small package industry include intense competition, market expansion pressures, and increasing demand on structure and strategy. These changes are examined by tracking the new industrial developments and performance innovations shaping the market along with the conduct and structural modifications of the key market particpants. The most successful, fully integrated firms with advanced technological capabilities will lead the air express industry in the future.
A Captain's Duty: Somali Pirates, Navy SEALs, and Dangerous Days at Sea

8th April 2009 was just an ordinary day for 53 -year-old Richard Phillips, captain of the United States-registered cargo vessel, the Maersk Alabama, as it headed towards the port of Mombasa. Ordinary that is until, two hundred or so miles off the east coast of Africa, armed Somali pirates attacked and boarded the freighter. It was the first time an American cargo ship had been hijacked in over 200 years. What the pirates didn't expect was that the crew would fight back, nor did they expect Captain Phillips to offer himself as a hostage in exchange for the safety of his crew - a courageous gesture that resulted in his being held captive on a tiny life-boat off the anarchic, gun-plagued coast of Somalia. And so began a tense five-day stand-off, which ended in a daring high-seas rescue by U.S. Navy SEALs. In A Captain's Duty, Richard Phillips tells his own extraordinary story - that of an ordinary man who did what he saw as his duty and in so doing became a hero. It is a thrilling true tale of adventure and courage in the face of deprivation, death threats and mock executions and also a compulsively readable first-hand account of the terrors of high-seas hostage-taking.
Epicardial adipose tissue thickness as a predictor of gestational diabetes mellitus: a prospective cohort study

BackgroundGestational diabetes mellitus (GDM), the most common metabolic disorder of pregnancy, is a long term risk of comorbidities for maternal and neonatal. The study aimed to assess the association between the echocardiographic epicardial adipose tissue (EAT) and the risk for gestational diabetes mellitus (GDM) in the early second trimester.MethodsSingleton pregnancies were enrolled in this study between September 2017 and January 2019 during their 16–20 gestational week. Odds ratio (OR) and 95% confidence intervals (CIs) of individual maternal factors as potential predictors for GDM were calculated using generalized linear models. The receiver-operating-characteristic (ROC) analysis was conducted to assess the discriminative capacity of any individual maternal factor in predicting GDM.Results69 GDM and 420 normal women were included in the main analysis. Multivariate regression analysis revealed that EAT thickness (OR = 1.96, 95%CI: 1.50–2.55) and high-density lipoprotein cholesterol (OR = 0.21, 95%CI: 0.05–0.84) were associated with the presence of GDM (P < 0.05). Meanwhile, EAT thickness was associated with adverse outcomes (including large for gestational age, neonatal hypoglycemia, admission to neonatal intensive care unit, preterm delivery, and hyperbilirubinemia) in the GDM group (P < 0.05). ROC analysis revealed that the area under curve was 0.698 and the cutoff value is 6.77mm only using EAT thickness. After added high-density lipoprotein cholesterol into the analysis, the area under curve was increase into 0.713. ConclusionsEchocardiographic EAT thickness is positively and significantly associated with GDM risk and adverse outcomes related to GDM. Echocardiographic EAT is a simple method to predict the development of GDM prior to actual clinical diagnosis. This method provides a new early window of opportunity to implement primary prevention strategies to prevent GDM and reduce the related adverse maternal and perinatal outcomes.
Cycling Advocacy, DIY Urbanism and the Transformation of Automobility

Automobile dependency has had a broad impact on Canadian society, and has become one of the most important influences on how cities are planned. It is widely recognized that increasing the modal share of cyclists, as a part of a broader ‘complete streets’ approach can help alleviate many of the problems associated with automobility. However, the institutionalization of the private automobile in Canadian culture and planning is a significant barrier to more widespread adoption of cycling for transportation. Through comparative case studies in two Canadian cities, this research paper explores the practices of cycling advocates and activists, and their relationship with transportation planning in each city. The objective of this research is to better understand how planners and advocates can create urban transportation systems in which cycling plays a central role. It finds that ‘advocates within government’ such as planners can play an important part in this transformation, but they rely on several key factors, including: 1) a strong and active cycling community, 2) community ownership of cycling projects, 3) political will. Planners should look to “insurgent” communitybased planning and advocacy practices to build the necessary support for the transformative goals of planning.
Control of spring-mass running robots

We seek the control strategies that are applicable on legged robots and control them to run in real world as robust and efficient as animals. To achieve this goal, we need to understand the principles of legged locomotion and the control policies that animals use during running. In this study we tried to understand these principles by investigating birds' running experiments, and hypothesized their possible control policies that are important for real machines. We proposed two types of flight phase control techniques inspired from ground running birds for spring-mass running robots and derived mathematical formulas for the optimum design of the passive elements in these robots. For the control policies, we focused on flight phase because adjusting the leg parameters during the flight is very energy efficient and also the overall behavior of the system is very sensitive to the landing conditions that are determined during the flight phase of running. We first considered the change of the leg angle as the only control parameter during the flight phase. In the proposed control policies, three objective functions i) leg peak force, ii) axial impulse and iii) leg actuator work, all from passive stance phase, were considered to be regulated during running. It turned out that with a simple swing leg policy (constant leg angular acceleration), all the three objective functions can be nearly regulated at the same time, meaning that both goals of damage avoidance and energy efficiency can be fulfilled at once. After that, we investigated the effect of the leg length in addition to the leg angle on the dynamics of the spring-mass running robots. This control policy retains the steady state running by providing the equilibrium gait for each stride. The leg length and leg angle together make it possible for the robot to retain the steady state in the presence of a disturbance while limit the increase of the leg force which if increases may break the leg. In all of the control policies, the robot is purely passive during the stance phase and therefore the dynamics of the system comes from the passive dynamics of the system. Finally, we investigated the effect of the passive dynamics elements on the initiation of running. We derived mathematical formulas that determine the required stiffness and damping for the actuator to achieve the maximum possible performance given the physical limitations of the system. Thursday, May 2, 2013 10:00 AM, 117 Covell Hall Library School of Mechanical, Industrial, and Manufacturing Engineering