No abstract

The effect of ambient oxygen pressure on the synthesis of epitaxial YBa2Cu3O7−x films on (100) SrTiO3 substrates by post-deposition annealing of amorphous precursor films was studied for oxygen partial pressures pO2 between 1.0 and 8.0×10−5 atm and annealing temperatures between 890 and 650 °C. A pO2−1/T diagram containing recent literature data regarding YBa2Cu3O7−x oxygen stoichiometry, phase stability, and liquid-phase formation was compiled to provide guidance for the selection and interpretation of annealing conditions. The results evidence a strong dependency of growth properties on the oxygen pressure with enhanced c-oriented epitaxy at lower pO2 values. A particularly interesting result is the formation of predominantly c-oriented films at 740 °C and pO2=2.6×10−4 atm (0.2 Torr). Similar to YBa2Cu3O7−x films produced by in situ laser ablation at the same temperature and oxygen pressure, the films exhibited low ion channeling yields (χmin<0.1) and a dense (smooth) surface morphology, while critical currents at 77 K were well in excess of 1 MA/cm2. From the observed systematic variation of structural film properties with synthesis conditions, annealing lines were derived indicating (T-pO2) combinations for either c- or a-oriented epitaxial growth. A comparison is made between these lines and synthesis conditions for in situ film growth as compiled recently by Hammond and Bormann [Physica C 162–169, 703 (1989)].

Discussion and application of ECS has increased in clinical practice. However, lack of comfort with counseling and varying beliefs surrounding ECS continue to hinder its utilization. Further education and training programs, and subsequent evaluation are warranted.

Objective Objective structured assessments of technical skills (OSATS) have been developed to measure the skill of surgical trainees. Our aim was to develop an OSATS specifically for trainees learning robotic surgery. Study Design This is a multi-institutional study in eight academic training programs. We created an assessment form to evaluate robotic surgical skill through five inanimate exercises. Obstetrics/gynecology, general surgery, and urology residents, fellows, and faculty completed five robotic exercises on a standard training model. Study sessions were recorded and randomly assigned to three blinded judges who scored performance using the assessment form. Construct validity was evaluated by comparing scores between participants with different levels of surgical experience; inter- and intra-rater reliability were also assessed. Results We evaluated 83 residents, 9 fellows, and 13 faculty, totaling 105 participants; 88 (84%) were from obstetrics/gynecology. Our assessment form demonstrated construct validity, with faculty and fellows performing significantly better than residents (mean scores: 89 ± 8 faculty; 74 ± 17 fellows; 59 ± 22 residents, p<0.01). In addition, participants with more robotic console experience scored significantly higher than those with fewer prior console surgeries (p<0.01). R-OSATS demonstrated good inter-rater reliability across all five drills (mean Cronbach's α: 0.79 ± 0.02). Intra-rater reliability was also high (mean Spearman's correlation: 0.91 ± 0.11). Conclusions We developed an assessment form for robotic surgical skill that demonstrates construct validity, inter- and intra-rater reliability. When paired with standardized robotic skill drills this form may be useful to distinguish between levels of trainee performance.