EON: a component-based approach to automation of protocol-directed therapy

Provision of automated support for planning protocol-directed therapy requires a computer program to take as input clinical data stored in an electronic patient-record system and to generate as output recommendations for therapeutic interventions and laboratory testing that are defined by applicable protocols. This paper presents a synthesis of research carried out at Stanford University to model the therapy-planning task and to demonstrate a component-based architecture for building protocol-based decision-support systems. We have constructed general-purpose software components that (1) interpret abstract protocol specifications to construct appropriate patient-specific treatment plans; (2) infer from time-stamped patient data higher-level, interval-based, abstract concepts; (3) perform time-oriented queries on a time-oriented patient database; and (4) allow acquisition and maintenance of protocol knowledge in a manner that facilitates efficient processing both by humans and by computers. We have implemented these components in a computer system known as EON. Each of the components has been developed, evaluated, and reported independently. We have evaluated the integration of the components as a composite architecture by implementing T-HELPER, a computer-based patient-record system that uses EON to offer advice regarding the management of patients who are following clinical trial protocols for AIDS or HIV infection. A test of the reuse of the software components in a different clinical domain demonstrated rapid development of a prototype application to support protocol-based care of patients who have breast cancer.     

Placebo-controlled immunotherapy with Cocos nucifera pollen extract

The effectiveness of Cocos nucifera pollen extract immunotherapy (CPE-IT) was studied in 96 patients allergic to C. nucifera pollen. A placebo-controlled study was performed at random for a period of 6-12 months. The clinical status of the patients measured by the symptom-medication scores demonstrated that C. nucifera pollen-allergic patients had significant (p < 0.005) clinical improvement after CPE-IT in comparison to placebo treatment. Serological study resulted a significant reduction (p < 0.001) of specific IgE and significant elevation (p < 0.01) of specific IgG in post-therapeutic patients' sera which were correlated significantly (r = 0.45, p < 0.001); the changes of the above immunoglobulin levels in the placebo-treated patients were nonsignificant. However, there was no correlation between symptom-medication scores and changes in specific serum IgE or IgG levels.     

A magnetometer system to estimate location and size of long,horizontal ferrous rods

An experimental instrument is described which explicitly estimates location of ferrous rods parallel to a plane of measurement by analyzing simultaneous magnetic field and position data. The instrument consists of a unit containing a fluxgate magnetometer, position sensor and signal-conditioning circuits, connected to a unit containing a microprocessor, displays and associated electronics. An operator scans the sensor unit over the measurement surface, and the microprocessor estimates location, rod length and diameter. Experiments to estimate the parameters of horizontal typical reinforcing rods under a horizontal plane showed that the axis position could be estimated with an error of less than 0.5 cm, the length with a precision of <5 cm (<3.5%) and the depth with a precision of <0.4 cm at depths of 8 to 18 cm. Estimation of rod diameter was unreliable due to the presence of substantial remanent magnetization     

Workstation redesign for a repetitive drill press operation: A combined work design and ergonomics approach

A typical or conventional workstation for a repetitive drill press operation was evaluated and subsequently redesigned by incorporating the concepts and principles of work design and ergonomics. The production task comprised of drilling four holes on a prepared steel plate. A methods–time measurement (MTM) analysis was conducted to eliminate unnecessary motions and improve the necessary (work) motions involved in task performance. The specific features of the redesigned workstation were specially designed equipment (jig, fixture, etc.), a suitable adjustable chair, proper work height, a placement of tools/equipment within reach envelope, and a comprehensive operator training method. An experimental investigation was conducted to evaluate and test the redesigned workstation in terms of operator productivity (production quantity and quality output) and satisfaction. The increases in quantity (number of holes drilled) and quality (number of good holes drilled) output were 22 and 50%, respectively, for the redesigned workstation compared to the typical or conventional workstation. The high improvement in quality output (50%) could be attributed to the improved design of the jig and fixture and the comprehensive operator training method, which emphasizes the quality aspect of production output. The improvement in operator satisfaction (scores) were highly significant. This investigation has demonstrated the beneficial effect of a combined work design and ergonomics approach, especially for the redesign of a workstation for a repetitive drill press operation. © 2007 Wiley Periodicals, Inc. Hum Factors Man 17: 395–410, 2007.     

High extinction, broadband polarisers using long-period fibre gratings in few-mode fibres

Long-period fibre gratings in specially designed birefringent few-mode fibres are used to demonstrate spectrally flat polarisers with bandwidths of 10 nm and polarisation extinction levels of 20 dB. This is enabled by the special dispersive properties of few-mode fibres, yielding fibre polarisers with performance approaching that of bulk-optic devices.     

The effects of ArginMax, a natural dietary supplement for enhancement of male sexual function

This study examines the role of ArginMax, a natural daily dietary supplement, on male sexual function. 25 subjects diagnosed with mild to moderate erectile dysfunction were evaluated over a 4-week period while on ArginMax. Of the 21 subjects that completed the study, 88.9% improved in ability to maintain erection during sexual intercourse and 75.0% improved in satisfaction with their overall sex life. No significant side effects were noted.