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Clinical practice guidelines for schizophrenia and major depressive disorder have been published. However, these have not had sufficient penetration in clinical settings. We developed the Effectiveness of Guidelines for Dissemination and Education in Psychiatric Treatment (EGUIDE) project as a dissemination and education programme for psychiatrists.
The aim of this study is to assess the effectiveness of the EGUIDE project on the subjective clinical behaviour of psychiatrists in accordance with clinical practice guidelines before and 1 and 2 years after participation in the programmes.
A total of 607 psychiatrists participated in this study during October 2016 and March 2019. They attended both 1-day educational programmes based on the clinical practice guidelines for schizophrenia and major depressive disorder, and answered web questionnaires about their clinical behaviours before and 1 and 2 years after attending the programmes. We evaluated the changes in clinical behaviours in accordance with the clinical practice guidelines between before and 2 years after the programme.
All of the scores for clinical behaviours in accordance with clinical practice guidelines were significantly improved after 1 and 2 years compared with before attending the programmes. There were no significant changes in any of the scores between 1 and 2 years after attending.
All clinical behaviours in accordance with clinical practice guidelines improved after attending the EGUIDE programme, and were maintained for at least 2 years. The EGUIDE project could contribute to improved guideline-based clinical behaviour among psychiatrists.
Recently, robotic surgery has been introduced in many hospitals. The structure of robotic instruments is so complex that updating their cleaning methods is a challenge for healthcare professionals. However, there is limited information on the effectiveness of cleaning for instruments for robotic surgery.
To determine the level of residual contamination of instruments for robotic surgery and to develop a method to evaluate the cleaning efficacy for complex surgical devices.
Surgical instruments were collected immediately after operations and/or after in-house cleaning, and the level of residual protein was measured. Three serial measurements were performed on instruments after cleaning to determine the changes in the level of contamination and the total amount of residual protein. The study took place from September 1, 2013, through June 30, 2015, in Japan.
The amount of protein released from robotic instruments declined exponentially. The amount after in-house cleaning was 650, 550, and 530 µg/instrument in the 3 serial measurements. The overall level of residual protein in each measurement was much higher for robotic instruments than for ordinary instruments (P<.0001).
Our data demonstrated that complete removal of residual protein from surgical instruments is virtually impossible. The pattern of decline differed depending on the instrument type, which reflected the complex structure of the instruments. It might be necessary to establish a new standard for cleaning using a novel classification according to the structural complexity of instruments, especially for those for robotic surgery.
Creation of mirror dots, localized areas of smooth surface with a shape of laser beam on a glass material, using a XeCl laser irradiation is reported. Laser irradiation of a 40BaO–40TiO2–20B2O3 sample heated to 300 °C induced a smooth and flat surface, where no scratches caused by a mechanical polishing were observed. The present finding indicates that the melting of the surface occurred by the combined effect of the heat-assistance and the increased absorption coefficient of TiO2. In the present system, the absorption coefficient in the ultraviolet region, which originates from TiO2, was found to increase with increasing temperature. The presented technique will open new possibilities in integrated optics; the surface of a small protruded or hollow area can be made smooth, which cannot be achieved by conventional mechanical polishing.
The superconducting transition under magnetic field for organic superconductors к-(BEDT-TTF)2 Cu(NCS)2 and к-(BEDT-TTFh)2 Cu[N(CN)2]Br has been analyzed by employing fluctuation renormal-ization theory. From magnetization measurements the interlayer and intralayer Ginzburg-Landau coherence lengths are determined. The effect of the isotope substitution to BEDT-TTF molecules has been studied. The result for resistive measurements is also described.
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