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- Bullock, A, et al.
(författare)
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International standards for programmes of training in intensive care medicine in Europe
- 2011
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Ingår i: Intensive Care Medicine. - : Springer Science and Business Media LLC. - 0342-4642 .- 1432-1238. ; 37:3, s. 385-393
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE:To develop internationally harmonised standards for programmes of training in intensive care medicine (ICM).METHODS:Standards were developed by using consensus techniques. A nine-member nominal group of European intensive care experts developed a preliminary set of standards. These were revised and refined through a modified Delphi process involving 28 European national coordinators representing national training organisations using a combination of moderated discussion meetings, email, and a Web-based tool for determining the level of agreement with each proposed standard, and whether the standard could be achieved in the respondent's country.RESULTS:The nominal group developed an initial set of 52 possible standards which underwent four iterations to achieve maximal consensus. All national coordinators approved a final set of 29 standards in four domains: training centres, training programmes, selection of trainees, and trainers' profiles. Only three standards were considered immediately achievable by all countries, demonstrating a willingness to aspire to quality rather than merely setting a minimum level. Nine proposed standards which did not achieve full consensus were identified as potential candidates for future review.CONCLUSIONS:This preliminary set of clearly defined and agreed standards provides a transparent framework for assuring the quality of training programmes, and a foundation for international harmonisation and quality improvement of training in ICM.
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| 2. |
- Shippey, Geoffrey, 1930, et al.
(författare)
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Position Correction Using Echoes From a Navigation Fix for Synthetic Aperture Sonar Imaging
- 2009
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Ingår i: IEEE Journal of Oceanic Engineering. - 0364-9059. ; 34:3, s. 294-306
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Tidskriftsartikel (refereegranskat)abstract
- In synthetic aperture sonar (SAS), the platform position must be known sufficiently accurately for signals to be added coherently along the synthetic aperture. Often, the onboard navigation system is insufficiently accurate by itself, so corrections are needed. A well-known method is the displaced phase center antenna (DPCA) procedure for correcting platform position using seabed echoes. DPCA methods have the advantage of insensitivity to changing interference patterns, moving specular reflection, and changing occlusion, with aspect. However, when seabed echoes are unusable, either because they are too weak, or because they are corrupted by multipath, the seabed DCPA method may fail. Therefore, we present an alternative DPCA method using sonar echoes from a suitable navigation fix, based on an object detected after standard beamforming. In our proposed system, look angle is obtained by tracking the centroid of the rectified image of the fix object. When the standard DPCA correction equations are modified for a fixed reflector, it turns out that they provide incremental range and look-angle errors, precisely the values required when the target itself is used as the navigation fix. Moreover, the values obtained are then self-compensating for errors in estimating seabed depth or forward motion of the platform. The navigation fix is selected by bracketing in range, and beamforming overlapping subsets of the receiver array. In this paper, we present experimental results at transmitter frequencies of 25 and 100 kHz where our method enabled well-focused SAS images to be generated with little recourse to other navigation information. Hence, SAS can be carried out, even when a sophisticated inertial navigation system (INS) is not available.
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