Self-Organising Maps: A new way to screen the level of satisfaction of dialysis patients

Evaluation of patient satisfaction has become an important indicator for assessing health care quality. Fresenius Medical Care (FME) as a global provider of dialysis services through its NephroCare network has a strong interest in monitoring patient satisfaction.The aim of the paper is to test and validate a methodology for detecting a residual area of low satisfaction in dialysis patients.The FME Patient Satisfaction Programme questionnaire was distributed to haemodialysis (HD) patients treated in 335 centers of its network. It contained 79 questions covering various satisfaction aspects regarding Dialysis Unit, Dialysis Arrangement, Nurses, Doctors, etc.To analyse the data provided by the questionnaire, the Self-Organising Map (SOM) method was used. SOM is a neural network model for clustering and projecting high-dimensional data into a low-dimensional space, preserving topological relationships of original high-dimensional data spaces.10,632 HD patients completed the questionnaire. Mean age was 63.05 ± 14.93 years with 56.69% males. Response rate was 66%. Overall level of satisfaction was 1.99 (range from ?3 to +3). On average patients were very satisfied with all issues. Nevertheless, a group of patients, around 60 years old, balanced gender ratio, whose level of satisfaction was lower than 1, were highlighted.In the NephroCare clinics patient satisfaction with service is rather high. While traditional analysis usually stops here, the SOM method allows identification of areas of potential improvement for specific patient groups.     

A Mixed Closure-CSP Method for Solving Scheduling Problems

Scheduling problems can be viewed as a set of temporal metric and disjunctive constraints and so they can be formulated in terms of CSP techniques. In the literature, there are CSP-based methods which sequentially interleave search efforts with the application of consistency enforcing mechanisms and variable/ordering heuristics. Therefore, the number of backtrackings needed to obtain a solution is reduced. In this paper, we propose a new method that effectively integrates the CSP process into a limited closure process: not by interleaving them but rather as a part of the same process. Such an integration allows us to define more informed heuristics. These heuristics are used to limit the complete closure process to a maximum number of disjunctions, thereby reducing its complexity while at the same time reducing the search space. Some open disjunctive solutions can be maintained in the CSP process, limiting the number of backtrackings necessary, and avoiding having to know all the problem constraints in advance. Our experiments with flow-shop and job-shop instances show that this approach obtains a feasible solution/optimal solution without having to use backtracking in most cases. We also analyze the behaviour of our algorithm when some constraints are known dynamically and we demonstrate that it can provide better results than a pure CSP process.     

Effects of ozonized water and heat treatment on the papaya fruit epidermis

This study examined the effects of O₃ and hot water treatments on the epidermis of Golden papaya fruit. Heat treatments were applied in a hot water brushing (HWB) system. Papayas were brushed under a pressurized hot water rinse stage at 45, 55 and 65 °C for 60 s. In the HWB treatment, 4 ppm ozone was applied to the papayas for 1 or 2 min. The results show that ozone applications did not affect the fruit's cuticular surface, while heat treatments allowed natural fissures on the fruit epidermis to recover. Several crystalloid forms were identified on the epidermis of the papayas after the heat treatments. The predominant crystalloid forms on papayas are tubular and there is a positive response to temperature; the higher the temperature, the larger and more frequent the tubular crystalloids.     

An energy efficient middleware for an ad-hoc AAL wireless sensor network

DIA (Dispositivo Inteligente de Alarma, in Spanish) is an AAL (Ambient Assisted Living) system that allows to infer a potential dangerous action of an elderly person living alone at home. This inference is obtained by a specific sensorisation with sensor nodes (portables and fixes) and a reasoning layer embedded in a PC that learns of the users behaviour patterns and advices when actual one differs significantly of the normal patterns. In AAL systems, energy is a limited resource therefore sensor devices need to be properly managed to conserve energy. In this paper, we introduce the design and implementation of innovative and specific mechanisms at the sensory layer middleware which is capable of, first to discriminate spurious motion detections assuming that these signals do not resemble the patterns of real motion detections and, second to reduce the dynamics of messages by a sensor signal processing in order to compress the whole information in one single event. The middleware achieves power saving by modifying the raw information from sensors and adapting it to the predefined semantic of the reasoning layer. It manages the important task of data processing from sensors (raw information), and transfers the pre-processed information into the top layer of reasoning in a more energy efficient way. We also address the trade-off between reducing power consumption and reducing delay for incoming data. We present results from experiments using our implementation of these mechanisms at the middleware that comprises from node firmware to the PC driver. The number of messages of the proposed method with respect to the raw data is reduced by approximately 98.5%. The resources used in the PIR signal processing is reduced by approximately 85%. The resulting delay introduced is small (10–19 s) but system dynamics is slow enough to avoid contextualisation errors or reduction of system performance. We consider these results as very satisfactory.     

Characterization and properties of blended cement matrices containing activated bamboo leaf wastes

The worldwide production of bamboo generates large volumes of leaf wastes, which are deposited in landfills or burned in an uncontrolled manner, with negative effects in the environment. The ash obtained by calcining of the bamboo leaf waste, shows good qualities as supplementary cementing material for the production of blended cements.The current paper shows a detailed scientific study of a Brazilian bamboo leaf ash (BLA) calcined at 600 °C in small scale condition, by using different techniques (XRF, XRD, SEM/EDX, FT–IR, TG/DTG) and technical study in order to analyse the behaviour of this ash in blended cements elaborated with 10% and 20% by mass of BLA. The results stated that this ash shows a very high pozzolanic activity, with a reaction rate constant K of the order of 10^?1/h and type I CSH gel was the main hydrated phase obtained from pozzolanic reaction. The BLA blended cements (10% and 20%) complied with the physical and mechanical requirements of the existing European standards.     

Adaptive controller placement for wireless sensor–actuator networks with erasure channels

Wireless sensor–actuator networks offer flexibility for control design. One novel element which may arise in networks with multiple nodes is that the role of some nodes does not need to be fixed. In particular, there is no need to pre-allocate which nodes assume controller functions and which ones merely relay data. We present a flexible architecture for networked control using multiple nodes connected in series over analog erasure channels without acknowledgments. The control architecture proposed adapts to changes in network conditions, by allowing the role played by individual nodes to depend upon transmission outcomes. We adopt stochastic models for transmission outcomes and characterize the distribution of controller location and the covariance of system states. Simulation results illustrate that the proposed architecture has the potential to give better performance than limiting control calculations to be carried out at a fixed node.     

Investigation of the Equivalence of National Dew-Point Temperature Realizations in the ?50?°C to +?20?°C Range

In the field of humidity quantities, the first CIPM key comparison, CCT-K6 is at its end. The corresponding European regional key comparison, EUROMET.T-K6, was completed in early 2008, about 4?years after the starting initial measurements in the project. In total, 24 NMIs from different countries took part in the comparison. This number includes 22 EURAMET countries, and Russia and South Africa. The comparison covered the dew-point temperature range from ?50?°C to +20?°C. It was carried out in three parallel loops, each with two chilled mirror hygrometers as transfer standards in each loop. The comparison scheme was designed to ensure high quality results with evenly spread workload for the participants. It is shown that the standard uncertainty due to the long-term instability was smaller than 0.008?°C in all loops. The standard uncertainties due to links between the loops were found to be smaller than 0.025?°C at ?50?°C and 0.010?°C elsewhere. Conclusions on the equivalence of the dew-point temperature standards are drawn on the basis of calculated bilateral degrees of equivalence and deviations from the EURAMET comparison reference values (ERV). Taking into account 16 different primary dew-point realizations and 8 secondary realizations, the results demonstrate the equivalence of a large number of laboratories at an uncertainty level that is better than achieved in other multilateral comparisons so far in the humidity field.     

Public Service Broadcasting's Participation in the Reconfiguration of Online News Content1

This article analyses public service broadcasting in Europe, looking at public broadcasters' role as promoters of participative processes. Computer‐mediated communication and studies rooted in mediated human interactivity are used to explore participative elements provided by digital technology, and how these can be incorporated into the news websites, through an empirical study of 5 case studies in the European market. The analysis is based on the methodology of content analysis with the goal of outlining the particularities of the participative elements implemented by each broadcaster and revealing the most common participative strategies. The findings suggest that although public service broadcasters offer a wide variety of possibilities, encouraging audiences to take on more active roles, their role is still peripheral and complementary.