Advanced methods for displays and remote control of robots

An in-depth evaluation of the usability and situation awareness performance of different displays and destination controls of robots are presented. In two experiments we evaluate the way information is presented to the operator and assess different means for controlling the robot. Our study compares three types of displays: a “blocks” display, a HUD (head-up display), and a radar display, and two types of controls: touch screen and hand gestures. The HUD demonstrated better performance when compared to the blocks display and was perceived to have greater usability compared to the radar display. The HUD was also found to be more useful when the operation of the robot was more difficult, i.e., when using the hand-gesture method. The experiments also pointed to the importance of using a wide viewing angle to minimize distortion and for easier coping with the difficulties of locating objects in the field of view margins. The touch screen was found to be superior in terms of both objective performance and its perceived usability. No differences were found between the displays and the controllers in terms of situation awareness. This research sheds light on the preferred display type and controlling method for operating robots from a distance, making it easier to cope with the challenges of operating such systems.     

Perceived density of road maps

Maps should be designed so that users can comprehend and use the information. Display decisions, such as choosing the scale at which an area is shown, depend on properties of the displayed information such as the perceived density (PD) of the information. Taking a psychophysical approach we suggest that the PD of information in a road map is related to the scale and properties of the mapped area. 54 participants rated the PD of 60 maps from different regions. We provide a simple model that predicts the PD of electronic road map displays, using the logarithm of the number of roads, the logarithm of the number of junctions and the length of the shown roads. The PD model was cross-validated using a different set of 60 maps (n = 44). The model can be used for automatically adjusting display scales and for evaluating map designs, considering the required PD to perform a map-related task.     

How do clinicians reconcile conditions and medications? The cognitive context of medication reconciliation

Medication omissions and dosing failures are frequent during transitions in patient care. Medication reconciliation (MR) requires bridging discrepancies in a patient’s medical history as a setting for care changes. MR has been identified as vulnerable to failure, and a clinician’s cognition during MR remains poorly described in the literature. We sought to explore cognition in MR tasks. Specifically, we sought to explore how clinicians make sense of conditions and medications. We observed 24 anesthesia providers performing a card-sorting task to sort conditions and medications for a fictional patient. We analyzed the spatial properties of the data using statistical methods. Most of the participants (58%) arranged the medications along a straight line (p < 0.001). They sorted medications by organ systems (Friedman’s χ ²(54) = 325.7, p < 0.001). These arrangements described the clinical correspondence between each two medications (Wilcoxon W = 192.0, p < 0.001). A cluster analysis showed that the subjects matched conditions and medications related to the same organ system together (Wilcoxon W = 1917.0, p < 0.001). We conclude that the clinicians commonly arranged the information into two groups (conditions and medications) and assigned an internal order within these groups, according to organ systems. They also matched between conditions and medications according to similar criteria. These findings were also supported by verbal protocol analysis. The findings strengthen the argument that organ-based information is pivotal to a clinician’s cognition during MR. Understanding the strategies and heuristics, clinicians employ through the MR process may help to develop practices to promote patient safety.     

Making sense of diseases in medication reconciliation

Patients are most at risk during transitions in care across settings and providers. The communication and reconciliation of an accurate medication list throughout the care continuum are essential in the reduction in transition-related adverse drug events. Most current research focuses on the outcomes of reconciliation interventions, yet not on the clinician’s perspective. We aimed to explore clinicians’ cognitive processes and heuristics of making sense of patients’ disease histories. We used the affinity diagram method to simulate real-life medication reconciliation with 24 clinicians. The participants were given paper cards with diseases and medications representing a real case from an anesthesiology department. The task was to sort the cards in a set that made sense to the clinician. The experiment was video-recorded, and the data were analyzed using a quantitative spatial analysis technique. Levene’s test for equality of variance showed that 79% of the 24 participants arranged the diseases along a straight line (p < 0.001). With only few exceptions, the diseases were arranged along the line in a fixed order, from cardiac conditions to depression (Friedman’s χ²(44) = 291.9, p < 0.001). We learn from this study that although clinicians employ a variety of coping strategies while reconciling patients’ medical histories, there are common reconciliation strategies. Understanding heuristics and the mental models clinicians have for the reconciliation process may help to develop and implement methods and tools to promote safety research and practice.     

The incidence of large venous emboli during total knee arthroplasty without pneumatic tourniquet use

The T4 phage capsid accessory protein genes soc and hoc have recently been developed for display of peptides and protein domains at high copy number (Ren et al., 1996. Protein Science 5, 1833-1843; Ren et al., 1997. Gene 195, 303-311). That biologically active and full-length foreign proteins can be displayed by fusion to SOC and HOC on the T4 capsid is demonstrated in this report. A 271-residue heavy and light chain fused IgG anti-EWL (egg white lysozyme) antibody was displayed in active form attached to the COOH-terminus of the SOC capsid protein, as demonstrated by lysozyme-agarose affinity chromatography (>100-fold increase in specific titer). HOC with NH2-terminal fused HIV-I CD4 receptor of 183 amino acids can be detected on the T4 outer capsid surface with human CD4 domain 1 and 2 monoclonal antibodies. The number of molecules of each protein (10-40) bound per phage and their activity suggest that proteins can fold to native conformation and be displayed by HOC and SOC to allow binding and protein-protein interactions on the capsid.     

Usage and perceived effectiveness of fatigue countermeasures for professional and nonprofessional drivers

BackgroundDrivers adopt various strategies in order to cope with fatigue and falling asleep at the wheel. These strategies include a wide range of activities that may invigorate the body and/or the mind.ObjectivesTo compare usage patterns and to evaluate the perceived effectiveness of different coping behaviors adopted by professional and nonprofessional drivers in order to maintain alertness.MethodThe study was conducted using a large-scale survey, filled by 100 professional and 90 nonprofessional drivers.ResultsListening to the radio and opening the window were the most frequently used and also perceived as highly effective coping behaviors by both groups of drivers. Talking on a cellular phone or with a passenger were more frequently used by nonprofessional drivers whereas, planning rest stops ahead, stopping for a short nap and drinking coffee were more frequently used by professional drivers. These methods were also perceived as more effective by professional than by the nonprofessional drivers and their usage frequency highly correlated with their perceived effectiveness.ConclusionsNonprofessional drivers counteract fatigue only at the tactical/maneuvering level of the drive. Hence, they tend to adopt methods that help them pass the time and reduce their feeling of boredom but do not require advance preparations or adjustments in the driving. In contrast, professional drivers counteract fatigue also at the strategic/planning level of driving, and use a much larger repertoire of coping-behaviors.ImplicationsFatigue countermeasures should include all levels of the driving task hierarchy, and experience-based countermeasures used by professional drivers should be considered for experimental validation.     

Computer art from the Mandelbrot set

In this short note, I include an example of computer art based on a variation on the traditional method of coloring the region outside the Mandelbrot set, leading to a wide new variety of shapes.     

The effect of routine hoof trimming on locomotion score,ruminating time,activity, and milk yield of dairy cows

The objective of this study was to quantify the effect of hoof trimming on cow behavior (ruminating time, activity, and locomotion score) and performance (milk yield) over time. Data were gathered from a commercial dairy farm in Israel where routine hoof trimming is done by a trained hoof trimmer twice per year on the entire herd. In total, 288 cows spread over 6 groups with varying production levels were used for the analysis. Cow behavior was measured continuously with a commercial neck activity logger and a ruminating time logger (HR-Tag, SCR Engineers Ltd., Netanya, Israel). Milk yield was recorded during each milking session with a commercial milk flow sensor (Free Flow, SCR Engineers Ltd.). A trained observer assigned on the spot 5-point locomotion scores during 19 nighttime milking occasions between 22 October 2012 and 4 February 2013. Behavioral and performance data were gathered from 1 wk before hoof trimming until 1 wk after hoof trimming. A generalized linear mixed model was used to statistically test all main and interactive effects of hoof trimming, parity, lactation stage, and hoof lesion presence on ruminating time, neck activity, milk yield, and locomotion score. The results on locomotion scores show that the proportional distribution of cows in the different locomotion score classes changes significantly after trimming. The proportion of cows with a locomotion score ≥3 increases from 14% before to 34% directly after the hoof trimming. Two months after the trimming, the number of cows with a locomotion score ≥3 reduced to 20%, which was still higher than the baseline values 2 wk before the trimming. The neck activity level was significantly reduced 1 d after trimming (380 ± 6 bits/d) compared with before trimming (389 ± 6 bits/d). Each one-unit increase in locomotion score reduced cow activity level by 4.488 bits/d. The effect of hoof trimming on ruminating time was affected by an interaction effect with parity. The effect of hoof trimming on locomotion scores was affected by an interaction effect with lactation stage and tended to be affected by interaction effects with hoof lesion presence, indicating that cows with a lesion reacted different to the trimming than cows without a lesion did. The results show that the routine hoof trimming affected dairy cow behavior and performance in this farm.     

Large-Scale Screening of Intact Castor Seeds by Viscosity Using Time-Domain NMR and Chemometrics

Castor is one of the most promising non-edible oil crops, due to its high oil content and since it can be grown on marginal lands and in a semi-arid climate. However, the high content of ricinoleic acid results in an extremely high viscosity of castor-based biodiesel. In this study, we report on the development of a rapid and non-destructive method for large-scale screening of intact castor seeds according to their viscosity by time domain NMR and chemometrics. A qualitative principal component analysis model was constructed, where each observation was assigned to a different viscosity group. This model straightforwardly detects desirable outliers, and can also be applied for detection of other transgenic oilseeds, especially those containing small levels of hydroxylated fatty acid.