Simulation based alternatives for overall process improvement at the cardiac catheterization lab

Cardiac catheterization is one of the critical procedures in patient care. It is pertinent for all process related issues in this department to be handled with due priority. This research is a cross-functional effort with a leading hospital that was in its planning stage to implement an overall process improvement at its cardiac catheterization lab department. It has been determined that significant process delays exist in this department. One of the identified key factors to process improvement was to reduce patient turnaround time. Process mapping was used to study the system and identify potential sources of delays in the system. A set of qualitative recommendations were put forward. These recommendations, include the reduction of wait time of outpatients and inpatients and the reduction of non-value-added times such as transfer time of patients, were evaluated using a discrete event simulation approach. The simulation study shows that the daily operating hours at the catheterization lab could be reduced, aiding to reallocate staff for discharging other duties, as the hospital may require.     

‘There was a lot of learning going on’ Using a digital medium to support learning in a professional course for new HE lecturers

This small scale action research study investigated the experiences of learners over two iterations as they completed a patchwork text assignment within the digital medium of a personal learning system (PLS). The aim was to investigate the extent to which using a PLS can facilitate formative and collaborative feedback to assist student learning. A secondary question, linked to the course being a post graduate Certificate for new HE teachers within a geographically dispersed university, was to examine if using a PLS in the programme would influence their interest in using it with their own students in the future. This question is of particular importance for the tutors of this programme, as the university attracts mainly part-time students who are studying at a distance from the university campus. The study was carried out as part of the JISC funded Flourish Project, whose overall aim was to examine the use of a PLS to support the development of academic staff.     

Daily impaired detachment and short-term effects of impaired sleep quality on next-day commuting near-accidents – an ambulatory diary study

This study investigated the short-term effects of daily recovery, that is, impaired psychological detachment from work and various actigraphical indicators of sleep quality, on near-accidents when commuting to work the next morning. Furthermore, the mediating effect of actigraphically assessed sleep quality on the relationship between impaired psychological detachment from work and near-accidents when commuting to work was analysed. Fifty-six full-time employees of a Swiss assurance company participated in the one-week study. Multilevel analyses revealed that impaired detachment was highly related to a decrease in sleep duration. Furthermore, impaired daily recovery processes, such as impaired psychological detachment from work and disturbed sleep quality, were related to commuting near-accidents. Impaired sleep quality mediated the effect of impaired psychological detachment from work on these near-accidents. Our results show that occupational safety interventions should address both impaired psychological detachment from work and sleep quality in order to prevent near accidents when commuting to work.

Practitioner Summary: Commuting accidents occur frequently and have detrimental effects on employees, organisations and society. This study shows that daily lack of recovery, that is, impaired psychological detachment and impaired sleep quality, is related to near-accidents when commuting to work the next morning. Primary prevention of commuting accidents should therefore address daily lack of recovery.     

A generalized function projective synchronization scheme for uncertain chaotic systems subject to input nonlinearities

In this paper, a modified generalized function projective synchronization scheme for a class of master–slave chaotic systems subject to dynamic disturbances and input nonlinearities (dead-zone and sector nonlinearities) is investigated. This synchronization system can be seen as a generalization of many existing projective synchronization schemes (namely the function projective synchronization, the modified projective synchronization and so on), in the sense that the master system has a scaling function matrix and the slave system has a scaling factor matrix. To practically achieve this generalized function synchronization, an adaptive fuzzy variable-structure control system is designed. The fuzzy systems are used to appropriately approximate the uncertain nonlinear functions. A Lyapunov approach is employed to prove the boundedness of all signals of the closed-loop control system as well as the exponential convergence of the synchronization errors to an adjustable region. Simulations results are presented to illustrate the effectiveness of the proposed generalized function PS scheme.     

NOAA Radios and Neighbourhood Networks: Demographic Factors for Channel Preference for Hurricane Evacuation Information

This paper reviews literature on information channel type and disasters, and presents results on hurricane evacuation information gathering. Results show that respondents reported they would use television and radio most frequently for gathering information about hurricane evacuation. Minority respondents reported more preference of the use of community or local government as information sources than white respondents, females gathered information from multiple channels more than males, and younger residents gathered information from multiple channels more than older respondents. Implications include areas for future research in how channel utilization occurs during slow onset hazards in predominantly black communities, how age and gender relate to channel preference, and how channel preferences affect length of time to make decisions and engage in protective actions.     

Computer Vision Techniques Applied for Diagnostic Analysis of Retinal OCT Images: A Review

The retina is a tiny layer at the posterior pole of an eye and is made up of tissues sensitive to light, these tissues generate nerve signals that pass through the optic nerve to the brain. A retinal disorder occurs when the retina malfunctions; glaucoma, diabetic retinopathy and pathologic myopia are retinal disorders and principal causes of blindness worldwide. These retinal disorders are often diagnosed and treated by an ophthalmologist. However, to accurately assess a retinal disease, ophthalmologist would need qualitative and quantitative analysis of the disease, it’s early and current statistics, but acquisition of these measurements are not possible through manual techniques, there should be automated computer aided diagnosis (CAD) systems to assist ophthalmologists. In this comprehensive review, an analysis and evaluation has been performed of different computer vision and image processing approaches applied to OCT images for automatic diagnosis of retinal disorders. We also reported disease causes, symptoms and pathologies manifestations within OCT images, which can serve as baseline knowledge for development of an automated CAD system. Hence, this disease specific review offers a good understanding to analyze visual impairments from retinal OCT images which will help researcher to design enhanced therapeutic systems for retinal disorders.     

Seeing the woods for the trees: the problem of information inefficiency and information overload on operator performance

One of the recurring questions in designing dynamic control environments is whether providing more information leads to better operational decisions. The idea of having every piece of information is increasingly tempting (and in safety critical domains often mandatory) but has become a potential obstacle for designers and operators. The present research study examined this challenge of appropriate information design and usability within a railway control setting. A laboratory study was conducted to investigate the presentation of different levels of information (taken from data processing framework, Dadashi et al. in Ergonomics 57(3):387–402, 2014) and the association with, and potential prediction of, the performance of a human operator when completing a cognitively demanding problem-solving scenario within railways. Results indicated that presenting users only with information corresponding to their cognitive task, and in the absence of other, non task-relevant information, improves the performance of their problem-solving/alarm handling. Knowing the key features of interest to various agents (machine or human) and using the data processing framework to guide the optimal level of information required by each of these agents could potentially lead to safer and more usable designs.     

Emulation of complex open quantum systems using superconducting qubits

With quantum computers being out of reach for now, quantum simulators are alternative devices for efficient and accurate simulation of problems that are challenging to tackle using conventional computers. Quantum simulators are classified into analog and digital, with the possibility of constructing “hybrid” simulators by combining both techniques. Here we focus on analog quantum simulators of open quantum systems and address the limit that they can beat classical computers. In particular, as an example, we discuss simulation of the chlorosome light-harvesting antenna from green sulfur bacteria with over 250 phonon modes coupled to each electronic state. Furthermore, we propose physical setups that can be used to reproduce the quantum dynamics of a standard and multiple-mode Holstein model. The proposed scheme is based on currently available technology of superconducting circuits consist of flux qubits and quantum oscillators.     

The impact of map orientation and generalisation on congestion decisions: a comparison of schematic-egocentric and topographic-allocentric maps

Map information for drivers is usually presented in an allocentric-topographic form (as with printed maps) or in an egocentric-schematic form (as with road signs). The advent of new variable message boards on UK motorways raises the possibility of presenting road maps to reflect congestion ahead. Should these maps be allocentric-topographic or egocentric-schematic? This was assessed in an eye tracking study, with participants viewing maps of a motorway network in order to identify whether any congestion was relevant to their intended route. The schematic-egocentric maps were responded to most accurately with shorter fixation durations suggesting easier processing. In particular, the driver's entrance and intended exit from the map were attended to more in the allocentric maps. Individual differences in mental rotation ability also seem to contribute to poor performance on allocentric maps. The results favour schematic-egocentric maps for roadside congestion information, but also provide theoretical insights into map-rotation and individual differences. Statement of Relevance: This study informs designers and policy makers about optimum representations of traffic congestion on roadside variable message signs and, furthermore, demonstrates that individual differences contribute to problems with processing certain sign types. Schematic-egocentric representations of a motorway network produced the best results, as noted in behavioural and eye movement measures.     

Test-retest reliability of Purdue Pegboard performance in thermoneutral and cold ambient conditions

In the cold, Purdue Pegboard (PP) performance declines. The purpose of this study was to determine if this cold-induced impairment is consistent across days (i.e. test-retest reliability) in 5°C. In thermoneutral air (25°C), 14 men were familiarised to the dominant hand (PPa) and bimanual (PPb) PP tasks. They then experienced two 90-min cold exposures (Day 1, Day 2) while wearing ～1 clo. Bare hands were maintained throughout. Performance on both tasks showed high reliability from day to day (intraclass correlations >0.700) in both thermoneutral and cold conditions. However for both tasks, room temperature performance did not predict performance in the cold (intraclass correlations <0.450). When screening applicants for manual labour in the cold, one must consider that room temperature dexterity does not correlate with dexterity in the cold. It is recommended that a 60-min period of cold exposure be employed to assess manual dexterity in these workers. STATEMENT OF RELEVANCE: This study shows that PP performance in room temperature does not predict performance in the cold but performance in the cold is consistent from day to day. When screening applicants for manual labour in the cold, it is recommended that dexterity tests be conducted in the same ambient conditions.