Laser operator training and competency assessment in the community hospital setting

At the 279 bed Marymount community hospital, Cleveland, Ohio, the importance of providing a safe laser environment for patients as well as staff was identified. The decision was made to cross-train all full-time RNs, LPNs, and SAs to allow flexibility in staffing all laser procedures with a qualified operator. A competency based training program was implemented, utilizing a combination of techniques to assist the adult learner. Selected video tapes were used to teach laser physics and applications. Comprehension was assessed through written and oral quizzing. Individual time was spent familiarizing trainees with the equipment and accessories. Practice setups were performed until that individual reached a comfort level satisfactory to him/her and the laser coordinator. Actual experience in the various surgical specialties was dependent upon our case load. Initially very close supervision was provided. Each trainee was gradually given more autonomy as his/her skills improved and permitted to operate the laser independently after passing our competency assessment. During the first year, each operator was given competency assessment reviews at regular intervals. This approach was found to have both strengths and weaknesses and the program was modified accordingly.     

Solid-state reactions from isothermal heat conduction microcalorimetry theoretical approach and evaluation via simulated data

Several recent publications from this laboratory have reported developments in the capacity to calculate thermodynamic and kinetic parameters, such as rate constant, enthalpy, order of reaction, from isothermal micro-calorimetric data. To date these developments have all been associated with the calculation of the desired parameters from solution phase reactions. This paper furthers these developments to a theoretical consideration of solid-state reactions and the calculation of the values for the rate coefficient, k, the fitting parameters m and n, the total number of joules released over the lifetime of reaction, Q, and hence either the specific enthalpy or the molar enthalpy of reaction, H. This revised version was published online in July 2006 with corrections to the Cover Date.     

Electronic spectra and electrochemistry of disubstituted 2,2′-bipyridinetetracarbonylmolybdenum complexes. Solvent and substituent effects

Electronic absorption spectra of cis-[Mo(CO)₄(n,n′-X₂-bipy)] (n = 4, X = NMe₂, NH₂, OMe, CMe₃, Me, H, Ph, CH:CHPh, CO₂H, Cl, CO₂Me, NO; n=5, X = Me, CO₂H) have been measured at ambient temperature in a variety of solvents of different polarity. Emission spectra from glasses containing the complexes at 77 K have also been measured. The influence of the substituent X on the spectroscopic properties is correlated with the Hammett parameters, σ_p (X) and σ_p⁺ (X). The effect of solvent is correlated with the Taft-Kamlet parameter, π^★, indicating charge redistribution along the permanent dipole axis of the complex. The oxidation and reduction potentials in solution are simply related to the electronic effect of the substituent group, X, and are relatively independent of the solvent. The influence of the metal on these properties is not significant.     

AB-initio studies of N-O-F compounds. Internal rotation in hydroxylamine and its fluorinated derivatives

Ab-initio molecular orbital theory at both the minimal and extended basis set levels have been applied to the study of internal rotation in hydroxylamine and its fluorinated derivatives. The computed energies are analyzed in terms of a Fourier-type expansion of the potential function. The total potential function V(φ)can be dissected into onefold (V₁), twofold (V₂) and threefold (V₃) components and plots of these components together with V(φ) are given for each of the molecules studied herein. Additionally geometry optimizations have been carried out as a function of the internal rotation angle φ (φ = : NOX dihedral angle) for H₂NOH and F₂NOF. For H₂NOH geometry optimizations are found to be less important than for F₂NOF. In general the fluorinated hydroxylamines prefer a $\text{trans}$-conformation (φ = 180°) while hydroxylamine itself adopts the $\text{cis}$-conformation (φ = 0°) largely as a result of a lower dipole interaction (V₁ term) in the $\text{cis}$-conformation.