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Related Concept Videos

Barriers to Effective Communication II01:21

Barriers to Effective Communication II

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The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
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Circuit Breaker and Fuse Selection01:23

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A circuit breaker is a device engineered to interrupt fault currents and sometimes reclose automatically. When a fault current is detected, the breaker separates the electrical contacts, which generates an arc. This arc is extinguished by methods such as elongation, cooling, or splitting, depending on the breaker's design. Breakers are categorized based on the voltage they operate at and the medium used for arc extinction, such as air, oil, SF6 gas, or vacuum.
In high-voltage systems,...
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Reclosers and Fuses01:26

Reclosers and Fuses

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Automatic circuit reclosers enhance the protection of distribution circuits by interrupting and auto-reclosing an AC circuit according to a preset sequence. They effectively manage temporary faults on overhead distribution lines, often caused by tree limbs or wildlife, by briefly disrupting service to improve overall reliability. However, contact with reclosers or energized broken conductors on the ground can pose serious hazards.
A comprehensive protection scheme for radial distribution...
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Electrical Power01:07

Electrical Power

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Electric power is the product of current and voltage, represented in units of joules per second, or watts. For example, cars often have one or more auxiliary power outlets with which you can charge a cell phone or other electronic devices. These outlets may be rated at 20 amps and 12 volts, so that the circuit can deliver a maximum power of 240 watts. Consider a 25 Watt bulb and a 60 Watt bulb. The conversion of electrical energy produces heat and light, while the kinetic energy lost by the...
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Barriers to Effective Communication I01:30

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A communication barrier is any distortion or interruption during a conversation, resulting in miscommunication of the message. A good communicator should know these barriers and continuously check for the listener's understanding by obtaining feedback.
Communication barriers include the following:
Physiological barriers: They are limitations caused by a person's health condition or disability, such as hearing loss, poor eyesight, illness, or unconsciousness. An example to overcome this...
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Nuclear Fusion02:45

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The process of converting very light nuclei into heavier nuclei is also accompanied by the conversion of mass into large amounts of energy, a process called fusion. The principal source of energy in the sun is a net fusion reaction in which four hydrogen nuclei fuse and ultimately produce one helium nucleus and two positrons.
A helium nucleus has a mass that is 0.7% less than that of four hydrogen nuclei; this lost mass is converted into energy during the fusion. This reaction produces about...
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Updated: Feb 25, 2026

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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Barriers to implementation of the FUSE program.

Brian M Nguyen1, Emilie Fitzpatrick2, Daniel B Jones2

  • 1Department of General Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, 330 Brookline Avenue, Boston, MA, 02215, USA. bnguyen7@bidmc.harvard.edu.

Surgical Endoscopy
|August 6, 2017
PubMed
Summary
This summary is machine-generated.

Time constraints are the main barrier preventing surgeons from completing the Fundamental Use of Surgical Energy (FUSE) certification. Most surgeons recognize a knowledge gap in safe surgical energy use, highlighting the need for better integration of FUSE training.

Keywords:
FUSESafetySurgical educationSurgical energy

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Area of Science:

  • Surgical Education
  • Patient Safety
  • Minimally Invasive Surgery

Background:

  • The Fundamental Use of Surgical Energy (FUSE) program by SAGES aims to enhance safe energy device use in surgical settings.
  • Program utilization has been lower than anticipated, necessitating an investigation into implementation barriers.

Purpose of the Study:

  • To identify the primary barriers hindering the implementation and completion of the FUSE program among surgical professionals.

Main Methods:

  • An anonymous survey was administered to 256 surgical department members at an academic teaching hospital.
  • Participants' training levels were recorded, and responses were analyzed using a 5-point Likert scale.

Main Results:

  • Out of 79 analyzed responses, 78.5% had heard of FUSE, but only 32.3% completed the certification.
  • Lack of time for studying (60.5%) and exam completion (62.1%) were the most cited barriers, not cost (27.9%).
  • A significant majority (69.7%) reported a personal knowledge gap in safe surgical energy use.

Conclusions:

  • Surgeons acknowledge knowledge gaps in safe surgical energy use, with time constraints being the primary obstacle to FUSE certification.
  • Integrating FUSE into existing educational forums like conferences and grand rounds could improve participation and adoption.