Micro- and macroergonomic changes in mental workload and medication safety following the implementation of new health IT

Health information technology (IT) is a promising way to achieve safer medication management in the delivery of healthcare. However, human factors/ergonomics dictates that in order to make the complex, cognitive work of healthcare delivery safer, health IT must properly support human cognition. This means, for example, that new health IT must reduce, not increase, workload during safety-critical tasks. The present study was the first to quantitatively assess the short- and long-term impact of bar coded medication administration (BCMA) IT on nurses' mental workload as well as on perceived medication safety. One-hundred seventy registered nurses across 3 dissimilar clinical units at an academic, freestanding pediatric hospital in the Midwest US participated in surveys administered before, 3 months after, and 12 months after the hospital implemented BCMA. Nurses rated their external mental workload (interruptions, divided attention, being rushed) and internal mental workload (concentration, mental effort) during medication administration tasks as well as the likelihood of each of three medication safety events: medication administration errors, medication errors on the clinical unit, and clinical unit-level adverse drug events. Clinical unit differences were assessed. Findings generally confirmed the hypothesis that external but not internal mental workload was associated with the perceived likelihood of a medication safety event. Comparisons of mental workload from pre- to post-BCMA revealed statistically significant changes in the critical care unit only. Medication safety appeared to improve over the long term in the hematology/oncology unit only. In the critical care and medical/surgical units, medication safety exhibited short-term improvements that were eliminated over time. Changes in mental workload and medication safety, two classically microergonomic constructs, were deeply embedded in macroergonomic phenomena. These included the fit between the BCMA system and the nature of nursing work, the process of BCMA implementation, and BCMA interactions with concurrent changes occurring in the hospital. Findings raise questions about achieving sustainable performance improvement with health IT as well as the balance between micro- and macroergonomic approaches to studying technology change.Relevance to industryDesigners must consider how technology changes cognitive work, including mental workload. Hospitals and other implementers of technology must ensure that new technology fits its users, their tasks, and the context of use, which may entail tailoring implementation, for example, to specific clinical units. Evaluators must look over time to assess both changes in cognitive work and implementation issues. Healthcare practitioners must also recognize that new technology means a complex transformation to an already complex sociotechnical system, which calls for a macroergonomic approach to design and analysis.     

基于射频技术的无刷同步电机励磁电流的检测

无刷同步电机的励磁系统对励磁电流的测量是制约该励磁方式发展的一大障碍。设计了一个射频系统可以用来解决同步电机的励磁电流的测量问题。该系统可以方便地检测到同步电机励磁机的整流二极管的工作状态并且可以动态地显示励磁电流，极大地方便了运行人员做出判断，而且结构简单、方便实用。     

An Acoustic Converter Used to Measure Ionizing Radiation Energy Loss

A monitor is proposed based on ultrasonic production when ionizing radiation passes through a medium. The recording element is a 0.2 mm aluminum plate mounted in a ceramic acoustic converter AC in the form of a wedge of thickness 2 mm. The low plate thickness minimizes the beam parameter distortion, while special technology used in the AC provides high sensitivity. The device has been calibrated in the proton beam from the ITEP accelerator at 200 MeV with 2·10⁹–6·10¹⁰ particles in a pulse and a pulse length of 70 nsec.     

基于小波变换的医学图象压缩编码

本文研究了医学图象小波变换系数的统计特征。根据医学图象的特点，提出了基于小波变换的医学图象编码方法。实验表明，这种方法具有较好的压缩编码性能，优于JPEG标准。同时，它支持逐次浮现式传输，从而能满足医学图象存储、通信、检索的需要。     

起重机吊钩拖动绕线电动机他励双高调速系统

本文提出励磁电流可自动控制的他励式双高调速系统设计方案。系统在提升特别是在下放重物时，具有较硬的机械性；在负载１０－１００％的变化范围内，可实现最大偏差Δｎｍａｘ／ｎｍｉｎ１００％≤１０％，调速范围Ｄ≥１０；在满载运行条件下，可节约电能８０％以上。     

Ultrasound‐activated Knoevenagel condensation of malononitrile with carbonylic compounds catalysed by alkaline‐doped saponites

α,β‐Unsaturated nitriles have been synthesized by Knoevenagel condensation of a carbonylic compound with malononitrile, assisted by sonochemical irradiation. Two alkaline‐promoted clays (Li⁺‐ and Cs⁺‐exchanged saponites) have been employed as catalysts. The influence of the carbonylic compound (benzaldehyde or cyclohexanone) and the use of a solvent on the catalytic activity have been studied. Remarkable increase in the conversion values has been found when the reaction is activated by ultrasound, as compared with the thermal activation. In this green, solvent‐free procedure, α,β‐unsaturated nitriles have been produced in very high yields (97%) when the Cs⁺‐saponite is used as catalyst. Copyright © 2004 Society of Chemical Industry     

Performance prediction of a hybrid‐excitation synchronous machine with axially arranged excitation poles and permanent‐magnet poles

This paper presents a method of predicting the steady‐state performance of a new hybrid‐excitation synchronous machine (HESM) theoretically. The field pole of this HESM is axially divided into two parts; one is an excitation part and the other a permanent‐magnet (PM) part. A nonlinear equivalent circuit, which can include the saliency of the rotor and the magnetic saturation due to the iron core, is derived. Based on this equivalent circuit, the steady‐state performance of the HESM is calculated, and the results are confirmed through experiments. © 2004 Wiley Periodicals, Inc. Electr Eng Jpn, 150(2): 43–49, 2005; Published online in Wiley InterScience ( www.interscience.wiley.com ). DOI 10.1002/eej.20033     

大型水轮发电机组励磁变压器参数及绝缘方式的选择--由三峡机组励磁系统投运引起的思考

结合三峡机组励磁系统的调试及投运经验,对大型水电机组静止自励系统选型中存在的一些关键性技术课题进行分析与论证,期望得出的结论有助于在大型水轮发电机组励磁系统参数选择和在提高机组运行安全、可靠性方面提供有益的借鉴。文中提出的励磁系统设计新理念仅代表个人的观点。     

Simulation by Slepian method of plastic displacements of Gaussian process excited multistory shear frame

The object of study is a stationary Gaussian white noise excited multi-degree-of-freedom (MDOF) linear elastic, ideal plastic, linearly damped, statically determinate oscillator with several potential elements of ideal plastic yielding. Specifically the study is exemplified for a plane multistory shear frame with rigid traverses where all the connecting columns except the columns in one or more of the bottom floors have finite symmetrical yield limits. The white noise excitation acts on the mass of the first floor making the movement of the elastic bottom floors simulate a ground motion that interacts with the structure above the bottom floors. The method of study is so-called Slepian model simulation and is in principle the same for other statically determinate MDOF elasto-plastic oscillators of the considered type. The method is fast as compared to direct simulation and provides results that give good insight in the behavior of the plastic displacement response process.     

Influence of the Temperature of a Body on Its Weight

The physical preconditions are considered for the temperature of a body to influence the force of gravity experienced by it. The results are given of experiments on weighing metal rods heated by ultrasound which confirm a dependence of the weight of the rods on their temperature.