Prescriptions,X-rays and Grocery Lists. Designing a Personal Health Record to Support (The Invisible Work Of) Health Information Management in the Household

For many years the introduction of Electronic Health Records (EHRs) in medical practice has been considered the best way to provide efficient document sharing among different organizational settings. The actual results of these technologies, though, do not seem to have matched expectations. The issue of document sharing has been lately readdressed by proposing the creation of patient-controlled information and communication technologies, Personal Health Records (PHRs), providing laypeople the tools to access, manage and share their health information electronically by connecting to the existing EHRs and other institutional information systems. In this scenario, patients are called to play a major role in coordinating healthcare professionals by providing them the information they need. From a CSCW perspective the PHR offers an interesting case to reflect on cooperative work that requires new infrastructures that intersect organizational settings and extend into domestic environments. So far though, there has not been enough research to shed light on the self-care activities carried out in the households and how these integrate with the organizational practices of doctors and institutions. Our analyses show that health record keeping is an articulation work necessary for meetings with doctors to proceed smoothly. To do so, people integrate the information contained in medical documents by working on them with annotations, underlinings and integrations. Moreover, we show that health record keeping is a spatialized activity that is inextricably interwoven with the everyday routine and objects. Finally, we provide a tentative classification of three different strategies laypeople use to sort out health records: minimum effort, adaptive, networking.     

Sensitivity analysis for fixed-priority real-time systems

At early stages in the design of real-time embedded applications, the timing attributes of the computational activities are often incompletely specified or subject to changes. Later in the development cycle, schedulability analysis can be used to check the feasibility of the task set. However, the knowledge of the worst-case response times of tasks is often not sufficient to precisely determine the actions that would correct a non-schedulable design. In these situations, sensitivity analysis provides useful information for changing the implementation, by giving a measure of those computation times that must be reduced to achieve feasibility, or those that can be increased in case of a product extension, or providing the range of feasible periods for selecting the proper task activation rates. In this work, we exploit the concept of feasibility region to propose a faster and more concise solution to the sensitivity analysis problem with respect to existing techniques based on binary search. Furthermore, we show how the formalization of other problems in the feasibility domain, such as managing overloads through elastic scheduling, can be extended to the exact analysis.     

The complexity and approximation of fixing numerical attributes in databases under integrity constraints

Consistent query answering is the problem of characterizing and computing the semantically correct answers to queries from a database that may not satisfy certain integrity constraints. Consistent answers are characterized as those answers that are invariant under all minimally repaired versions of the original database. We study the problem of repairing databases with respect to denial constraints by fixing integer numerical values taken by attributes. We introduce a quantitative definition of database repair, and investigate the complexity of several decision and optimization problems. Among them, Database Repair Problem (DRP): deciding the existence of repairs within a given distance to the original instance, and CQA: deciding consistency of answers to simple and aggregate conjunctive queries under different semantics. We provide sharp complexity bounds, identifying relevant tractable and intractable cases. We also develop approximation algorithms for the latter. Among other results, we establish: (a) The -hardness of CQA. (b) That DRP is MAXSNP-hard, but has a good approximation. (c) The intractability of CQA for aggregate queries for one database atom denials (plus built-ins), and also that it has a good approximation.     

Mechanistic cutting force model parameters evaluation in milling taking cutter radial runout into account

The simulation of the cutting process becomes a key aspect on production optimization. The search for optimal cutting parameters by simulation can be a very effective way of reducing the tuning time of the process and can demonstrate potential cost reduction. As the simulation of the microscopic behavior of the cut is still difficult to perform, most of the prediction techniques are based on mechanistic models of the cutting forces, whose parameters are deduced from experimental tests. The runout of the tool can be a parasite effect that lowers the precision of the identification of the cutting forces parameters. This paper shows the improvement of an identification algorithm given by the modeling of radial runout effect on the undeformed chip thickness. Two different models of cutter runout have been used and tested on experimental measurement performed on a static dynamometer. The adequacy between simulation and experiment is good and allows reliable prediction of cutting forces for different cutting conditions.     

Spectral and chemical evidence for the direct formation of carboxylic groups in aerobically oxidised water-soluble fullerenes

The synthesis of oxidised water-soluble fullerenes, prepared by chemically-induced aerobic oxidation, yields functionalised carbon cluster structures, which are oxidised by the covalent insertion of different oxygen units. Their strictly pH-dependent behaviour in aqueous solutions appears to be properly ascribed to the existence of directly attached carboxylic moieties. The presence of these groups, which are usually neglected and underestimated, has been thoroughly investigated. Several concurrent spectral (UV-VIS, XPS, solid-state ¹³C CPMAS NMR, FT-IR, Raman, EDAX, TGA-MS, ESI-MS) and chemical (acid-base behaviour, salt precipitation by metal-complexation, carboxylic functionalisation) methods have provided a definitive set of consistent evidence, indicating for the first time the direct linkage of carboxylic groups on water-soluble fullerenes prepared in this manner.     

Analogies between progressive collapse of structures and fracture of materials

The analogy between structural progressive collapse and Fracture Mechanics is consistent either for phenomenological, technological and theoretical aspects. In this paper a general energy criterion suitable for fracture in heterogeneous materials is applied to study the progressive collapse of simple structures with cohesive post peak behavior: elementary frames and fiber bundles. The analyses put into evidence some interesting scale effects induced by ductility and dynamics. In particular, a power law describing the decrease of the reduced dynamic critical load with the structural scale and a second order ductile-brittle transition, have been found. These results can be usefully applied in robustness oriented structural design. Moreover, the study of the influence of the extent of the starting damage in structures with different sizes suggests that, the elementary cells of complex framed structures can play a role similar to the microstructure of materials. In conclusion, a new approach to the problem of collapse into complex structures by means of the tools of Fracture Mechanics is proposed.     

The impact of indoor thermal conditions,system controls and building types on the building energy demand

It is possible to evaluate the energy demand as well as the parameters related to indoor thermal comfort through building energy simulation tools. Since energy demand for heating and cooling is directly affected by the required level of thermal comfort, the investigation of the mutual relationship between thermal comfort and energy demand (and therefore operating costs) is of the foremost importance both to define the benchmarks for energy service contracts and to calibrate the energy labelling according to European Directive 2002/92/CE. The connection between indoor thermal comfort conditions and energy demand for both heating and cooling has been analyzed in this work with reference to a set of validation tests (office buildings) derived from a European draft standard. Once a range of required acceptable indoor operative temperatures had been fixed in accordance with Fanger's theory (e.g. −0.5 < PMV < −0.5), the effective hourly comfort conditions and the energy consumptions were estimated through dynamic simulations. The same approach was then used to quantify the energy demand when the range of acceptable indoor operative temperatures was fixed in accordance with de Dear's adaptive comfort theory.     

An optical study of alumina films thermal evolution upon ammonia annealing

The physical and structural evolution of alumina films deposited by ALCVD annealed at high temperatures in N₂ has been studied.Low temperature post deposition treatments in NH₃ (PDN) have been performed to evaluate the impact of nitrogen incorporation in the alumina film on its thermal stability. Thermal evolution has been studied by deep UV spectroscopic ellipsometry and grazing X-ray reflectance techniques. AFM measurements were also performed to confirm and complete the ellipsometric and GXR analysis.The change of the crystalline structure was detected by ellipsometry by the different UV refractive index, while the GXR provided a unique thickness evaluation.It was therefore possible to determine the layer densification after the thermal treatment and the impact of the PDN on the transition temperature.     

Simplified analysis of cantilever diaphragm walls in cohesive soils

In this paper, a method is presented for a simplified analysis of cantilever diaphragm walls in cohesive soils under undrained and drained conditions. A rectilinear distribution of the net contact stresses that are not completely predetermined by the limit state is assumed at the soil-wall interface, consistently with the mechanism usually experienced by these structures. Simple equations are derived to readily calculate the contact stress distribution on the wall and the associated internal forces in the ultimate and service conditions. Moreover, these equations require few parameters as input data. Comparisons are carried out with a limit equilibrium method commonly used in design to show the usefulness of the proposed method for practical purposes.