A usability evaluation of medical software at an expert conference setting

Introduction

A usability test was employed to evaluate two medical software applications at an expert conference setting. One software application is a medical diagnostic tool (electrocardiogram [ECG] viewer) and the other is a medical research tool (electrode misplacement simulator [EMS]). These novel applications have yet to be adopted by the healthcare domain, thus, (1) we wanted to determine the potential user acceptance of these applications and (2) we wanted to determine the feasibility of evaluating medical diagnostic and medical research software at a conference setting as opposed to the conventional laboratory setting.

Methods

The medical diagnostic tool (ECG viewer) was evaluated using seven delegates and the medical research tool (EMS) was evaluated using 17 delegates that were recruited at the 2010 International Conference on Computing in Cardiology. Each delegate/participant was required to use the software and undertake a set of predefined tasks during the session breaks at the conference. User interactions with the software were recorded using screen-recording software. The ‘think-aloud’ protocol was also used to elicit verbal feedback from the participants whilst they attempted the pre-defined tasks. Before and after each session, participants completed a pre-test and a post-test questionnaire respectively.

Results

The average duration of a usability session at the conference was 34.69 min (SD = 10.28). However, taking into account that 10 min was dedicated to the pre-test and post-test questionnaires, the average time dedication to user interaction of the medical software was 24.69 min (SD = 10.28). Given we have shown that usability data can be collected at conferences, this paper details the advantages of conference-based usability studies over the laboratory-based approach. For example, given delegates gather at one geographical location, a conference-based usability evaluation facilitates recruitment of a convenient sample of international subject experts. This would otherwise be very expensive to arrange. A conference-based approach also allows for data to be collected over a few days as opposed to months by avoiding administration duties normally involved in laboratory based approach, e.g. mailing invitation letters as part of a recruitment campaign.Following analysis of the user video recordings, 41 (previously unknown) use errors were identified in the advanced ECG viewer and 29 were identified in the EMS application. All use errors were given a consensus severity rating from two independent usability experts. Out of a rating scale of 4 (where 1 = cosmetic and 4 = critical), the average severity rating for the ECG viewer was 2.24 (SD = 1.09) and the average severity rating for the EMS application was 2.34 (SD = 0.97). We were also able to extract task completion rates and times from the video recordings to determine the effectiveness of the software applications. For example, six out of seven tasks were completed by all participants when using both applications. This statistic alone suggests both applications already have a high degree of usability. As well as extracting data from the video recordings, we were also able to extract data from the questionnaires. Using a semantic differential scale (where 1 = poor and 5 = excellent), delegates highly rated the ‘responsiveness’, ‘usefulness’, ‘learnability’ and the ‘look and feel’ of both applications.

Conclusion

This study has shown the potential user acceptance and user-friendliness of the novel EMS and the ECG viewer applications within the healthcare domain. It has also shown that both medical diagnostic software and medical research software can be evaluated for their usability at an expert conference setting. The primary advantage of a conference-based usability evaluation over a laboratory-based evaluation is the high concentration of experts at one location, which is convenient, less time consuming and less expensive.     

High-Thermal-Conductivity Aluminum Nitride Ceramics: The Effect of Thermodynamic, Kinetic, and Microstructural Factors

Improvement in the thermal conductivity of aluminum nitride (AlN) can be realized by additives that have a high thermodynamic affinity toward alumina (Al₂O₃), as is clearly demonstrated in the aluminum nitride-yttria (AlN-Y₂O₃) system. A wide variety of lanthanide dopants are compared at equimolar lanthanide oxide:alumina (Ln₂O₃: Al₂O₃, where Ln is a lanthanide element) ratios, with samaria (Sm₂O₃) and lutetia (Lu₂O₃) being the dopants that give the highest- and lowest-thermal-conductivity AlN composites, respectively. The choice of the sintering aid and the dopant level is much more important than the microstructure that evolves during sintering. A contiguous AlN phase provides rapid heat conduction paths, even at short sintering times. AlN contiguity decreases slightly as the annealing times increase in the range of 1–1000 min at 1850°C. However, a substantial increase in thermal conductivity results, because of purification of AlN grains by dissolution-reprecipitation and bulk diffusion. Removal of grain-boundary phases, with a concurrent increase in AlN contiguity, occurs at high annealing temperatures or at long times and is a natural consequence of high dihedral angles (poor wetting) in liquidphase-sintered AlN ceramics.     

Synthesis of SBS thermoplastic block copolymers in cyclohexane in the presence of diethylether used as a structure modifier

Diethylether (DEE) was used as a structure modifier during the synthesis of linear styrene-butadiene block copolymers of poly A-block-polyB-block-polyA type (SBS). The microstructures of synthesized polymers were analyzed, and the effect of DEE on polymerization kinetics was studied. Addition of DEE at 2 wt% concentration results in the highest styrene polymerization rate, while addition at 6 wt% concentration gives the highest butadiene polymerization rate. The vinyl content of the polybutadiene portion increases from 14 to 47% with an increase in the DEE concentration from 500 ppm to 10 wt% while thetrans- l,4 andcis-1,4 isomers decrease. For SBS polymer synthesized via a sequential method, the addition of DEE as a structure modifier minimizes the crossover deficiency which would otherwise result in a skewed molecular weight distribution with a higher polydispersity. For SBS polymers made via a coupling method, the coupling efficiency appears to be constant in a range of DEE concentration from 500 ppm to 1 wt% before declining with a further increase in DEE.     

Optimizing BRDF orientations for the manipulation of anisotropic highlights

This paper introduces a system for the direct editing of highlights produced by anisotropic BRDFs, which we call anisotropic highlights. We first provide a comprehensive analysis of the link between the direction of anisotropy and the shape of highlight curves for arbitrary object surfaces. The gained insights provide the required ingredients to infer BRDF orientations from a prescribed highlight tangent field. This amounts to a non‐linear optimization problem, which is solved at interactive framerates during manipulation. Taking inspiration from sculpting software, we provide tools that give the impression of manipulating highlight curves while actually modifying their tangents. Our solver produces desired highlight shapes for a host of lighting environments and anisotropic BRDFs.     

The effect of trans-isomers on the physical properties of hydrogenated oils

Data have been presented which indicate a positive relationship between thetrans-isomer content of a hydrogenated oil and the congeal point, Wiley melting-point, and solids index. It has also been shown that cottonseed oil and soybean oil undergo substantially the same type of reaction under identical hydrogenating conditions. This conclusion is based on the relationship oftrans-isomer formation to total reduction in unsaturation up to the point that equilibrium is reached and saturation of thetrans-isomers occurs. This equilibrium was noted at between 60–70 iodine value. The relationship oftrans-isomer formation to the total reduction in double bonds can be expressed as the hydrogenation index. This is a reliable indication of the type of reaction taking place up to the point where appreciable hydrogenation of thetrans-isomers occur.     

The effect of solution variables on the solution of cellulose in dimethyl sulfoxide

Through the study of the effects of concentration, temperature, and molar ration (of paraformaldehyde to cellulose) on solution viscosity and per cent transmittance (at 530 nm), it has been demonstrated that cellulose solutions in dimethyl sulfoxide (DMSO) are readily produced. By heating 1, 2, and 50 to 100 parts by weight of cellulose, paraformaldehyde, and DMSO, respectively, extremely viscose cellulose solutions and gels were prepared. Solutions with concentrations as high as 10% were prepared. However, the optimum conditions to effect complete cellulose solution in DMSO at 75°C were found to be 0.5% cellulose and 0.8 and 1.0% paraformaldehyde. This corresponds to a paraformaldehyde-to-cellulose molar ratio of about 10:1.     

Microemulsions with excellent water solubilizing capacity at high hydrocarbon levels with quaternary ammonium salts as surfactants

In W/O microemulsions prepared by adding dry surfactant to a mixture of 85% heptane or toluene and 15% pentanol, then titrating with water, systems using quaternary ammonium salts have been shown to be capable of solubilizing much larger amounts of water than systems using the anionic sodium dodecyl sulfate. In homologous series in the range C₁₂ to C₁₆ it would appear that, with one exception, longer chain length quaternary salts are more effective at solubilizing water than are shorter chain length compounds. With quaternary salts of equal chain length, pyridinium salts are more effective at solubilizing water at high surfactant concentrations than are corresponding trimethyl salts.     

Changes in the size and docosahexaenoic acid content of adipocytes during chick embryo development

The development of adipose tissue in the chick embryo was investigated using two groups of fertile eggs which differed by 1.7-fold in their initial yolk lipid levels. The triacylglycerol content of the subcutaneous adipose depot in both groups increased dramatically from day 12 of the 21-day embryonic period, attaining a maximal value just prior to hatching. During this period, the amount of triacylglycerol deposited in the adipose tissue was very highly correlated with the amount of lipid transferred from the yolk. The triacylglycerol content of the depot was also dependent on the initial yolk lipid content. During the hatching period, the amount of adipose triacylglycerol remained approximately constant in the group with the higher initial yolk lipid content but, in the case of the group with the lower initial yolk lipid levels, decreased by approximately 25%. The size distribution of adipocytes isolated from the tissue was determined by computerized image analysis microscopy. The mean adipocyte diameter increased from approximately 6 to 35 μm between days 12 and 19, irrespective of the initial yolk content, although development within the eggs with the lower initial yolk content resulted in a decrease in cell size over the hatching period. Both the triacylglycerol and phospholipid fractions of the isolated adipocytes contained substantial proportions (approximately 6%, w/w) of docosahexaenoic acid (DHA) at days 12 and 14, and lower levels of this fatty acid at the later stages. The amount (mg/depot) of DHA in adipose triacylglycerol decreased dramatically over the hatching period. The amount (mg/brain) of DHA in brain phospholipid increased by more than 5-fold between day 12 of development and hatching. A possible explanation for the data may be that DHA is preferentially mobilized from adipose tissue in order to deliver the fatty acid to the developing neural tissues in a form suitable for uptake.     

Dynamic mechanical analysis of polymers in the liquid state: Use of a perforated shim stock support

This report summarizes some initial results on the use of a perforated brass shim stock support to extend the useful range of dynamic mechanical testing well over 100 degrees above the traditional limiting polymer softening points of T_g or T_m. Weak secondary relaxations were observed above T_g in both polyisobutylene (PIB) and polystyrene (PS) homopolymer, copolymer, and blend systems and above T_m in gutta percha (trans-polyisoprene). The DuPont 981 Dynamic Mechanical Analyzer (DMA)–990 Thermal Analyzer system was used to characterize these weak liquid state processes. The DMA instrument deforms the specimen in flexure, thus minimizing the shear component present in some other techniques. Specimen-coating weights are typically in the range 20–40 mg. The perforations are particularly useful for polymers having low inherent adhesion to metals or systems which are very brittle in the glassy state, e.g., low MW PS's and many methacrylates.     

ANALYTICAL SOLUTIONS FOR PEELING USING BEAM-ON-FOUNDATION MODEL AND COHESIVE ZONE

When fibrillation occurs during peeling, the normal stress in the adhesive may gradually reduce to zero at the peel front. The shear stress also reduces to zero. Classical beam-spring (or beam-on-elastic-foundation) models do not yield solutions that have these properties. With the use of a beam-on-foundation model combined with a cohesive zone in the neighborhood of the peel front, these properties can be satisfied. In order to obtain analytical solutions, peel tests are considered in which the backing has a small slope and is linearly elastic in the adhered region, and the traction law is assumed to be piecewise linear. Cases are considered with only normal stresses in the adhesive (mode I), only shear stresses (mode II), and both stresses coupled (mixed-mode behavior). Analytical solutions are obtained for displacements of the backing, forces in the backing, and stresses between the adhesive and the backing.