Requirements engineering in health care: the example of chemotherapy planning in paediatric oncology

Health care is characterized by highly complex processes of patient care that require unusual amount of communication between different health care professionals of different institutions. Sub-optimal processes can significantly impact on the patient’s health, increase the consumption of services and resources and in severe cases can lead to the patient death. For these reasons, requirements engineering for the development of information technology in health care is a complex process as well: without constant and rigorous evaluation, the impact of new systems on the quality of care is unknown and it is possible that badly designed systems significantly harm patients. To overcome these limitations, we present and discuss an approach to requirements engineering that we applied for the development of applications for chemotherapy planning in paediatric oncology. Chemotherapy planning in paediatric oncology is complex and time-consuming and errors must be avoided by all means. In the multi-hospital/multi-trial-centre environment of paediatric oncology, it is especially difficult and time-consuming to analyse requirements. Our approach combines a grounded theory approach with evolutionary prototyping based on the constant development and refinement of a generic domain model, in this case a domain model for chemotherapy planning in paediatric oncology. The prototypes were introduced in medical centres and final results show that the developed generic domain model is adequate.     

Finite‐Element Implementation of a Self‐consistent Texture Model with a Hardening Law Based on Dislocation Densities

A self‐consistent texture model is implemented in the finite‐element code ABAQUS/Explicit®. Hardening of the slip systems is described by evolution laws for dislocation densities, and the Bauschinger effect is included. With these ingredients the cold rolling of an IF‐steel is simulated and the evolution of texture and anisotropy is examined. The use of the dislocation based hardening law is found to have a significant effect on the evolution of the anisotropic yield surface, but only very little influence on the texture. Furthermore, the hardening model is used to investigate the evolution of dislocation densities in differently oriented grains during plane strain compression. It is found that the dislocation density varies greatly depending on orientation, an observation which can help to explain the orientation dependence of recrystallization.     

Zu einem Phänomen der Lochkorrosionsbegrenzung bei hochlegierten Sonderedelstählen und NiCrMo-Legierungen in Chloridlösungen

On a phenomenon of the limitation of pitting corrosion at high alloyed special stainless steels and NiCrMo-alloys in chloride solutions Testing the pitting corrosion resistance of high alloyed special stainless steels and NiCrMo-alloys in chloride solutions there was observed a limitation of the pitting corrosion range toward more positive potentials. Above this limitation, the so-called pitting corrosion limitation potential, the pit initiation by all means is prevented, but the growth of pits which had been initiated before in the pitting corrosion range not necessarily comes to a stop. Therefore current density-potential curves which are obtained by downward polarization after an initial potential jump into the transpassive region and chronopotentiostatic tests are more suitable to investigate this phenomenon than cyclic polarization measurements and potentiostatic alteration tests. There is indicated a dependence of this phenomenon on temperature. The phenomenon of a limitation of the pitting corrosion range toward more positive potentials has been found until now at alloy 926, alloy 31, alloy 28, alloy 59 and alloy C-276.     

Crystallization of Polymer-Derived Silicon Carbonitride at 1873 K under Nitrogen Overpressure

The chemical stability of an amorphous silicon carbonitride ceramic, having the composition 0.57SiC·0.43Si₃N₄·0.49C is studied as a function of nitrogen overpressure at 1873 K. The ceramic suffers a weight loss at p _N2 < 3.5 bar (1 bar = 100 kPa), does not show a weight change from 3.5 to 11 bar, and gains weight above 11 bar. The structure of the ceramic changes with pressure: it is crystalline from 1 to 6 bar, amorphous at ∼10 bar, and is crystalline above ∼10 bar. The weight-loss transition, at 3.5 bar, is in excellent agreement with the prediction from thermodynamic analysis when the activities of carbon, SiC, and Si₃N₄ are set equal to those of the crystalline forms; this implies that the material crystallizes before decomposition. The amorphous to crystalline transition that occurs at ∼10 bar, and which is accompanied by weight gain, is likely to have taken place by a different mechanism. A nucleation and growth reaction with the atmospheric nitrogen is proposed as the likely mechanism. The supersaturation required to nucleate α-Si₃N₄ crystals is calculated to be 30 kJ/mol.     

An investigation of seated postural stability

Results of tests undertaken to identify which measures of seated posture control are most effective in two areas, distinguishing differences in the x and y direction control strategies for a given task and distinguishing differences in overall control strategies for pairs of different tasks, are presented. The test platform, calibration tests, test protocol, and data analysis method are described. The results of statistical analyses performed on the data are summarized     

Sparking at cathode tools during electrochemical machining in flow-through cells

The current density used in electrochemical machining can be increased only up to a certain value, above which the formation of electric sparks on the cathode (tool) is observed, whereby the latter is damaged and the anode surface becomes rough. The present work is devoted to the measurement of this critical density for small metal cathodes placed on the wall of a flow-through channel for Reynolds numbers from 1265 up to 5902 and static pressures ranging from 0.1 up to 1.0 MPa. The results are correlated by criterion equations which gave values of critical (sparking) cathodic current density,j _s, with an average error of 7.1 % for laminar flow and 4.1 % for turbulent flow. The equations can be used for the calculation of the sparking current density for industrial flow-through cells for electrochemical machining.     

Empirical efficiency and volume relationships for HPGe detectors

We have extended the empirical work of Vano et al.[1] relating the slope of the detector efficiency curve to the active volume for Ge detectors. The analysis was carried out using Monte Carlo techniques and covered a wide range of incident energies (200 keV-20 MeV) and active volumes (19.6 cm³–396 cm³). It is shown that the expression of Vano et al.[1] is only valid over the energy range 200 keV-3 MeV for active volumes <50 cm³. The upper bound decreases to 2 MeV for volumes of a few hundred cm³. The usable energy range can, however, be extended to 6 MeV by introducing higher order terms into the polynomial. Above this energy, the shape of the efficiency curve is better described by a non-linear function since linear forms fail simultaneously to fit large active volumes and high energies. We therefore propose a composite function which reduces to the form given in Vano et al. in the low energy/active volume limit. By comparison with the Monte Carlo results, it is estimated that relative efficiencies can be calculated to within 6% over the energy range 200 keV-20 MeV and active volumes 20 cm³–400 cm³. Since the largest errors occur for the smallest volumes, we recommend that for energies <3 MeV a two-fold approach be followed, i.e. using the expression of Vano et al.[1] for active volumes less than 50 cm³ and the proposed non-linear form for larger volumes. For high energy work (E > 3 MeV), we advocate the non-linear form. In this way, average errors can be kept 3%. Finally, we point out that the real power of the expression of Vano et al. lies not in predicting efficiencies, but active volumes.     

Mössbauer effect studies and X-ray diffraction analysis of cobalt ferrite prepared in powder form by thermal decomposition method

Cobalt ferrite (Co_xFe_3?xO₄) is prepared in powder form by thermal decomposition of iron and cobalt salts and is analysed by X-ray diffraction and Mössbauer spectroscopic techniques. The variation of Mössbauer parameters, lattice parameters and crystallite size of the products formed with variation in the composition of Fe and Co ratios are studied. The studies confirm the formation of nano-size cobalt ferrite particles with defect structure and it is found to be maximum for the Fe : Co = 60 : 40 ratio of the initial precursor oxides.