Background: Standardized training of endobronchial ultrasound-guided transbronchial needle aspiration (EBUS- TBNA) is available only in highly developed countries. Objective: To compare the skill differences in the performance of EBUS-TBNA by pulmonologists trained under different learning methods. Methods: We performed a retrospective study of 145 EBUS-TBNA cases. We set up 3 comparative training groups: a standardized training group, a teaching group, and a self-study group. The main clinical outcomes were sensitivity, specificity and accuracy of EBUS-TBNA. Cumulative sum analysis was used to track EBUS-TBNA proficiency of the 3 groups. Results: The sensitivities of EBUS-TBNA in the different groups were 90, 88, and 67%, respectively. The accuracies of the different groups were 91, 90, and 71%, respectively. With respect to the sensitivity and accuracy, there was no significant difference between the standardized training group and teaching group. However, the self-study group was inferior to the other 2 groups. By comparing the learning curve among the groups, we found that the minimum number of operations needed to reach a 90% accuracy for the standardized training group, the teaching group and the self-study group was 17, 32 and 40 cases, respectively. Conclusion: Compared with the teaching and self-study groups, the standardized training group resulted in practitioners achieving high skill levels following the performance of a lower number of cases. Pulmonologists trained in the teaching group achieved a similar level of skills, but required more experience to reach this level. Practitioners in the self-study group did not achieve a satisfactory level of skills, despite performing a high number of cases.
In this paper, TVOC emission of veneered wood-based panel and coating processing was systematically discussed. The results showed that resin content and hot-pressing temperature of veneered wood-based particle board had obvious impact on TVOC releasing. When velocity of flow was 0.02 m/s, after 10 hours experiment, TVOC concentration in the environment chamber was 263μg/m3. While velocity of flow 0.04m/s, TVOC concentration was 29 μg/m3. High-flow velocity was helpful for rapid dissemination of TVOC. The research also found after 10 hours experiment, concentration of TVOC in environment chamber is 31μg/m3, 220μg/m3 and 400μg/m3 corresponding amount of paint was 20g, 40g and 60g. The thicker the layer was, the longer the time of layer dehumidification and TVOC diffusion needed.
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