WorldWideScience

Sample records for distributed object medical

  1. DOLIB: Distributed Object Library

    Energy Technology Data Exchange (ETDEWEB)

    D' Azevedo, E.F.

    1994-01-01

    This report describes the use and implementation of DOLIB (Distributed Object Library), a library of routines that emulates global or virtual shared memory on Intel multiprocessor systems. Access to a distributed global array is through explicit calls to gather and scatter. Advantages of using DOLIB include: dynamic allocation and freeing of huge (gigabyte) distributed arrays, both C and FORTRAN callable interfaces, and the ability to mix shared-memory and message-passing programming models for ease of use and optimal performance. DOLIB is independent of language and compiler extensions and requires no special operating system support. DOLIB also supports automatic caching of read-only data for high performance. The virtual shared memory support provided in DOLIB is well suited for implementing Lagrangian particle tracking techniques. We have also used DOLIB to create DONIO (Distributed Object Network I/O Library), which obtains over a 10-fold improvement in disk I/O performance on the Intel Paragon.

  2. DOLIB: Distributed Object Library

    Energy Technology Data Exchange (ETDEWEB)

    D`Azevedo, E.F.; Romine, C.H.

    1994-10-01

    This report describes the use and implementation of DOLIB (Distributed Object Library), a library of routines that emulates global or virtual shared memory on Intel multiprocessor systems. Access to a distributed global array is through explicit calls to gather and scatter. Advantages of using DOLIB include: dynamic allocation and freeing of huge (gigabyte) distributed arrays, both C and FORTRAN callable interfaces, and the ability to mix shared-memory and message-passing programming models for ease of use and optimal performance. DOLIB is independent of language and compiler extensions and requires no special operating system support. DOLIB also supports automatic caching of read-only data for high performance. The virtual shared memory support provided in DOLIB is well suited for implementing Lagrangian particle tracking techniques. We have also used DOLIB to create DONIO (Distributed Object Network I/O Library), which obtains over a 10-fold improvement in disk I/O performance on the Intel Paragon.

  3. How Medical Students Use Objectives.

    Science.gov (United States)

    Mast, Terrill A.; And Others

    Two related studies were undertaken at Southern Illinois University on how students in the School of Medicine use the instructional objectives faculty prepare for them. Students in the classes of 1978 and 1979 were surveyed in their final month of training. The second survey was modified, based on responses from the first. The five research…

  4. DIAMONDS: Engineering Distributed Object Systems

    National Research Council Canada - National Science Library

    Cheng, Evan

    1997-01-01

    This report describes DIAMONDS, a research project at Syracuse University, that is dedicated to producing both a methodology and corresponding tools to assist in the development of heterogeneous distributed software...

  5. Reported Use of Objectives by Medical Students.

    Science.gov (United States)

    Mast, Terrill A.; And Others

    The way that medical students used objectives throughout the curriculum and factors that influenced their level of use was studied at Southern Illinois University School of Medicine, a three-year medical school with an entirely objectives-based curriculum. A questionnaire mailed to 75 students yielded a 75 percent return. The predominant modes for…

  6. Monitoring distributed object and component communication

    NARCIS (Netherlands)

    Diakov, N.K.

    2004-01-01

    This thesis presents our work in the area of monitoring distributed software applications (DSAs). We produce three main results: (1) a design approach for building monitoring systems, (2) a design of a system for MOnitoring Distributed Object and Component Communication (MODOCC) behavior in

  7. A distributed garbage collector for active objects

    OpenAIRE

    Puaut , Isabelle

    1993-01-01

    This paper introduces an algorithm that performs garbage collection in distributed systems of active objects (i.e., objects having their own threads of control). The proposed garbage collector is made of a set of local garbage collectors, one per node, loosely coupled to a global garbage collector. The novelties of the proposed garbage collector come from the fact that local garbage collectors need not be synchronized with each other for detecting garbage objects and that faulty communication...

  8. Object oriented distributed programming: studies and proposals

    International Nuclear Information System (INIS)

    Guerraoui, Rachid

    1992-01-01

    This thesis contributes to the investigation of the object concept in distributed programming. Henceforth, this programming style has become a reality in the computer science world, since it allows to increase of the availability of applications and to decrease their execution time. Nevertheless, designing a distributed application is a hard task: the various abstraction levels that must be considered hinder the software reusability and maintenance, while errors and concurrent accesses are often sources of executions incoherence. The object concept improves the software modularity, and raises the computing abstraction level. Integrating distribution related aspects into the object model brings up the issues of expressing the concurrency and maintaining the coherency. The investigation of these problems in this thesis has been guided by a major concern for the preservation of the intrinsic properties of object-orientation, and the orthogonality of the solutions given. The main contributions of the thesis are: (i) the classification, regarding modularity, of the different design alternatives for object-oriented concurrent languages; (ii) the evaluation of various transactional mechanisms in object-based concurrent languages, and the design of an atomic asynchronous communication protocol named ACS; (iii) the definition of a transaction-based object-oriented concurrent language called KAROS; (iv) the implementation of a modular framework which allows to combine in a same application, various concurrency control and error recovery mechanisms; (v) the identification of a formal property, named general atomicity, which constitutes a correctness criteria for atomic objects specifications. (author) [fr

  9. Intelligent distributed medical image management

    Science.gov (United States)

    Garcia, Hong-Mei C.; Yun, David Y.

    1995-05-01

    The rapid advancements in high performance global communication have accelerated cooperative image-based medical services to a new frontier. Traditional image-based medical services such as radiology and diagnostic consultation can now fully utilize multimedia technologies in order to provide novel services, including remote cooperative medical triage, distributed virtual simulation of operations, as well as cross-country collaborative medical research and training. Fast (efficient) and easy (flexible) retrieval of relevant images remains a critical requirement for the provision of remote medical services. This paper describes the database system requirements, identifies technological building blocks for meeting the requirements, and presents a system architecture for our target image database system, MISSION-DBS, which has been designed to fulfill the goals of Project MISSION (medical imaging support via satellite integrated optical network) -- an experimental high performance gigabit satellite communication network with access to remote supercomputing power, medical image databases, and 3D visualization capabilities in addition to medical expertise anywhere and anytime around the country. The MISSION-DBS design employs a synergistic fusion of techniques in distributed databases (DDB) and artificial intelligence (AI) for storing, migrating, accessing, and exploring images. The efficient storage and retrieval of voluminous image information is achieved by integrating DDB modeling and AI techniques for image processing while the flexible retrieval mechanisms are accomplished by combining attribute- based and content-based retrievals.

  10. Surface Area Distribution Descriptor for object matching

    Directory of Open Access Journals (Sweden)

    Mohamed F. Gafar

    2010-07-01

    Full Text Available Matching 3D objects by their similarity is a fundamental problem in computer vision, computer graphics and many other fields. The main challenge in object matching is to find a suitable shape representation that can be used to accurately and quickly discriminate between similar and dissimilar shapes. In this paper we present a new volumetric descriptor to represent 3D objects. The proposed descriptor is used to match objects under rigid transformations including uniform scaling. The descriptor represents the object by dividing it into shells, acquiring the area distribution of the object through those shells. The computed areas are normalised to make the descriptor scale-invariant in addition to rotation and translation invariant. The effectiveness and stability of the proposed descriptor to noise and variant sampling density as well as the effectiveness of the similarity measures are analysed and demonstrated through experimental results.

  11. Joining Distributed Complex Objects: Definition and Performance

    NARCIS (Netherlands)

    Teeuw, W.B.; Teeuw, Wouter B.; Blanken, Henk

    1992-01-01

    The performance of a non-standard distributed database system is strongly ifluenced by complex objects. The effective exploitation of parallelism in querying them and a suitable structure to store them are required in order to obtain acceptable response times in these database environments where

  12. Periodically distributed objects with quasicrystalline diffraction pattern

    Energy Technology Data Exchange (ETDEWEB)

    Wolny, Janusz, E-mail: wolny@fis.agh.edu.pl; Strzalka, Radoslaw [Faculty of Physics and Applied Computer Science, AGH University of Science and Technology, al. Mickiewicza 30, 30-059 Krakow (Poland); Kuczera, Pawel [Faculty of Physics and Applied Computer Science, AGH University of Science and Technology, al. Mickiewicza 30, 30-059 Krakow (Poland); Laboratory of Crystallography, ETH Zurich, Wolfgang-Pauli-Strasse 10, CH-8093 Zurich (Switzerland)

    2015-03-30

    It is possible to construct fully periodically distributed objects with a diffraction pattern identical to the one obtained for quasicrystals. These objects are probability distributions of distances obtained in the statistical approach to aperiodic structures distributed periodically. The diffraction patterns have been derived by using a two-mode Fourier transform—a very powerful method not used in classical crystallography. It is shown that if scaling is present in the structure, this two-mode Fourier transform can be reduced to a regular Fourier transform with appropriately rescaled scattering vectors and added phases. Detailed case studies for model sets 1D Fibonacci chain and 2D Penrose tiling are discussed. Finally, it is shown that crystalline, quasicrystalline, and approximant structures can be treated in the same way.

  13. Applying Distributed Object Technology to Distributed Embedded Control Systems

    DEFF Research Database (Denmark)

    Jørgensen, Bo Nørregaard; Dalgaard, Lars

    2012-01-01

    In this paper, we describe our Java RMI inspired Object Request Broker architecture MicroRMI for use with networked embedded devices. MicroRMI relieves the software developer from the tedious and error-prone job of writing communication protocols for interacting with such embedded devices. MicroR...... in developing control systems for distributed embedded platforms possessing severe resource restrictions.......RMI supports easy integration of high-level application specific control logic with low-level device specific control logic. Our experience from applying MicroRMI in the context of a distributed robotics control application, clearly demonstrates that it is feasible to use distributed object technology...

  14. Telemedicine and distributed medical intelligence.

    Science.gov (United States)

    Warner, D; Tichenor, J M; Balch, D C

    1996-01-01

    Recent trends in health care informatics and telemedicine indicate that systems are being developed with a primary focus on technology and business, not on the process of medicine itself. The authors present a new model of health care information, distributed medical intelligence, which promotes the development of an integrative medical communication system addressing the process of providing expert medical knowledge to the point of need. The model incorporates audio, video, high-resolution still images, and virtual reality applications into an integrated medical communications network. Three components of the model (care portals, Docking Station, and the bridge) are described. The implementation of this model at the East Carolina University School of Medicine is also outlined.

  15. Objective Bayesian Analysis of Skew- t Distributions

    KAUST Repository

    BRANCO, MARCIA D'ELIA

    2012-02-27

    We study the Jeffreys prior and its properties for the shape parameter of univariate skew-t distributions with linear and nonlinear Student\\'s t skewing functions. In both cases, we show that the resulting priors for the shape parameter are symmetric around zero and proper. Moreover, we propose a Student\\'s t approximation of the Jeffreys prior that makes an objective Bayesian analysis easy to perform. We carry out a Monte Carlo simulation study that demonstrates an overall better behaviour of the maximum a posteriori estimator compared with the maximum likelihood estimator. We also compare the frequentist coverage of the credible intervals based on the Jeffreys prior and its approximation and show that they are similar. We further discuss location-scale models under scale mixtures of skew-normal distributions and show some conditions for the existence of the posterior distribution and its moments. Finally, we present three numerical examples to illustrate the implications of our results on inference for skew-t distributions. © 2012 Board of the Foundation of the Scandinavian Journal of Statistics.

  16. Scalable and practical multi-objective distribution network expansion planning

    NARCIS (Netherlands)

    Luong, N.H.; Grond, M.O.W.; Poutré, La J.A.; Bosman, P.A.N.

    2015-01-01

    We formulate the distribution network expansion planning (DNEP) problem as a multi-objective optimization (MOO) problem with different objectives that distribution network operators (DNOs) would typically like to consider during decision making processes for expanding their networks. Objectives are

  17. Programming a Distributed System Using Shared Objects

    NARCIS (Netherlands)

    Tanenbaum, A.S.; Bal, H.E.; Kaashoek, M.F.

    1993-01-01

    Building the hardware for a high-performance distributed computer system is a lot easier than building its software. The authors describe a model for programming distributed systems based on abstract data types that can be replicated on all machines that need them. Read operations are done locally,

  18. The architecture of a distributed medical dictionary.

    Science.gov (United States)

    Fowler, J; Buffone, G; Moreau, D

    1995-01-01

    Exploiting high-speed computer networks to provide a national medical information infrastructure is a goal for medical informatics. The Distributed Medical Dictionary under development at Baylor College of Medicine is a model for an architecture that supports collaborative development of a distributed online medical terminology knowledge-base. A prototype is described that illustrates the concept. Issues that must be addressed by such a system include high availability, acceptable response time, support for local idiom, and control of vocabulary.

  19. Medical Diplomacy in Achieving U.S. Global Strategic Objectives

    Science.gov (United States)

    2014-01-01

    Upshur, “Global Health Ethics for Students,” Develop- ing World Bioethics 9, no. 1 (April 2009), 1–10. 6 Stephen Bezruchka, “ Medical Tourism as Medical ...124 Features / Medical Diplomacy JFQ 74, 3rd Quarter 2014 Medical Diplomacy in Achieving U.S. Global Strategic Objectives By Aizen J. Marrogi and...health care through thousands of hospitals and other facilities and provides research and development for manufacturing pharmaceuticals, medical

  20. Distributed Measurement Data Gathering about Moving Objects

    Directory of Open Access Journals (Sweden)

    Ivan Kholod

    2017-01-01

    Full Text Available This paper describes approaches to gathering measurement data about moving objects in networks with low bandwidth. The first approach uses Fog computing conception and suggests moving assessing the quality of the measurement data into measuring points. The second approach uses prediction of telemetry quality by mining models. In addition, the paper presents implementation of these approaches based on actor model. As a result, it became possible not only to load balancing among edge and cloud nodes, but also to significantly reduce the network traffic, which in turn brings the possibility of decreasing the requirements for communication channels bandwidth and of using wireless networks for gathering measurement data about moving objects.

  1. Objective Bayesian Analysis of Skew- t Distributions

    KAUST Repository

    BRANCO, MARCIA D'ELIA; GENTON, MARC G.; LISEO, BRUNERO

    2012-01-01

    We study the Jeffreys prior and its properties for the shape parameter of univariate skew-t distributions with linear and nonlinear Student's t skewing functions. In both cases, we show that the resulting priors for the shape parameter are symmetric

  2. Voludensitometry. Three dimensional display of medical objects

    International Nuclear Information System (INIS)

    Darier, P.; Garderet, P.; Grangeat, P.; Matte, P.; Tournier, E.; Villafana, R.

    1984-05-01

    In order to study the volumic cartography of material density (X-rays imaging), of proton density (RMN imaging) or of specific activity of a marker (γ or β + imaging) a set of calculation results (called voxels) is reconstructed from sensor data collection. Voxels are identified by a triplet of space coordinates and they represent a local estimation of the parameter to be studied. The concepts for representation there upon developed can be extended for any parameter for which additivity is meaningful. The operator has to govern a software in order to work out the documents leading himself to a mental representation of the object. On a display these documents will be either graphics, images or image sequences. The elementary process for elaboration of one image includes: - conditionning the volume: definition of absolute coordinates (geometrical transformations), interactive extraction (surgery) or automation extraction (segmentation) of sub-volumes, contextual organization (sub-volumes ordering, dissolution); - reduction to two dimensions of the information either by spatial integration (radiography), or by surface representation (morphoscopy). This contribution introduces these different concepts showing the way to the design of an interactive display console. Video recorded sequences that have been realised using an experimental software will illustrate the preliminary results [fr

  3. Conscientious objection in medical students: a questionnaire survey.

    Science.gov (United States)

    Strickland, Sophie Lm

    2012-01-01

    To explore attitudes towards conscientious objections among medical students in the UK. Medical students at St George's University of London, Cardiff University, King's College London and Leeds University were emailed a link to an anonymous online questionnaire, hosted by an online survey company. The questionnaire contained nine questions. A total of 733 medical students responded. Nearly half of the students in this survey stated that they believed in the right of doctors to conscientiously object to any procedure. Demand for the right to conscientiously object is greater in Muslim medical students when compared with other groups of religious medical students. Abortion continues to be a contentious issue among medical students and this may contribute to the looming crisis in abortion services over the coming years. This project sheds some light on how future doctors view some of their ethical rights and obligations. Using empirical evidence, it reveals that conscientious objection is an issue in the UK medical student body today. These data could help anticipate problems that may arise when these medical students qualify and practise medicine in the community. Clearer guidance is needed for medical students about the issue of conscientious objection at medical school.

  4. Datamining on distributed medical databases

    DEFF Research Database (Denmark)

    Have, Anna Szynkowiak

    2004-01-01

    This Ph.D. thesis focuses on clustering techniques for Knowledge Discovery in Databases. Various data mining tasks relevant for medical applications are described and discussed. A general framework which combines data projection and data mining and interpretation is presented. An overview...... is available. If data is unlabeled, then it is possible to generate keywords (in case of textual data) or key-patterns, as an informative representation of the obtained clusters. The methods are applied on simple artificial data sets, as well as collections of textual and medical data. In Danish: Denne ph...

  5. Object Distribution Networks for World-wide Document Circulation

    NARCIS (Netherlands)

    Lijding, M.E.M.; Righetti, Claudio E.; Moldes, Leandro Navarro

    1997-01-01

    This paper presents an Object Distribution System (ODS), a distributed system inspired by the ultra-large scale distribution models used in everyday life (e.g. food or newspapers distribution chains). Beyond traditional mechanisms of approaching information to readers (e.g. caching and mirroring),

  6. Preceptor engagement in distributed medical school campuses

    Directory of Open Access Journals (Sweden)

    Thomas Piggott

    2015-12-01

    Conclusions: Barriers to engagement in teaching primarily focused on differences in job structure in the community, administrative barriers both at the hospital and through the medical school, and lack of knowledge on how to teach.  As medical schools look to expand the capacity of distributed campuses, misperceptions should be addressed and opportunities to improve engagement should be further explored.

  7. Development of national competency-based learning objectives "Medical Informatics" for undergraduate medical education.

    Science.gov (United States)

    Röhrig, R; Stausberg, J; Dugas, M

    2013-01-01

    The aim of this project is to develop a catalogue of competency-based learning objectives "Medical Informatics" for undergraduate medical education (abbreviated NKLM-MI in German). The development followed a multi-level annotation and consensus process. For each learning objective a reason why a physician needs this competence was required. In addition, each objective was categorized according to the competence context (A = covered by medical informatics, B = core subject of medical informatics, C = optional subject of medical informatics), the competence level (1 = referenced knowledge, 2 = applied knowledge, 3 = routine knowledge) and a CanMEDS competence role (medical expert, communicator, collaborator, manager, health advocate, professional, scholar). Overall 42 objectives in seven areas (medical documentation and information processing, medical classifications and terminologies, information systems in healthcare, health telematics and telemedicine, data protection and security, access to medical knowledge and medical signal-/image processing) were identified, defined and consented. With the NKLM-MI the competences in the field of medical informatics vital to a first year resident physician are identified, defined and operationalized. These competencies are consistent with the recommendations of the International Medical Informatics Association (IMIA). The NKLM-MI will be submitted to the National Competence-Based Learning Objectives for Undergraduate Medical Education. The next step is implementation of these objectives by the faculties.

  8. Application of object modeling technique to medical image retrieval system

    International Nuclear Information System (INIS)

    Teshima, Fumiaki; Abe, Takeshi

    1993-01-01

    This report describes the results of discussions on the object-oriented analysis methodology, which is one of the object-oriented paradigms. In particular, we considered application of the object modeling technique (OMT) to the analysis of a medical image retrieval system. The object-oriented methodology places emphasis on the construction of an abstract model from real-world entities. The effectiveness of and future improvements to OMT are discussed from the standpoint of the system's expandability. These discussions have elucidated that the methodology is sufficiently well-organized and practical to be applied to commercial products, provided that it is applied to the appropriate problem domain. (author)

  9. Multi-objective optimization of distributed generation with voltage ...

    African Journals Online (AJOL)

    DR OKE

    1*Department of Electrical Engineering, Kamla Nehru Institute of Technology Sultanpurr, ... of DG in distribution systems for different voltage dependent load models and .... The evaluation of the objective function depends only on location, size ...

  10. PSYCHE: An Object-Oriented Approach to Simulating Medical Education

    Science.gov (United States)

    Mullen, Jamie A.

    1990-01-01

    Traditional approaches to computer-assisted instruction (CAI) do not provide realistic simulations of medical education, in part because they do not utilize heterogeneous knowledge bases for their source of domain knowledge. PSYCHE, a CAI program designed to teach hypothetico-deductive psychiatric decision-making to medical students, uses an object-oriented implementation of an intelligent tutoring system (ITS) to model the student, domain expert, and tutor. It models the transactions between the participants in complex transaction chains, and uses heterogeneous knowledge bases to represent both domain and procedural knowledge in clinical medicine. This object-oriented approach is a flexible and dynamic approach to modeling, and represents a potentially valuable tool for the investigation of medical education and decision-making.

  11. A cyclic distributed garbage collector for network objects

    OpenAIRE

    Rodrigues, Helena; Jones, Richard

    1996-01-01

    This paper presents an algorithm for distributed garbage collection and outlines its implementation within the Network Objects system. The algorithm is based on a reference listing scheme, which is augmented by partial tracing in order to collect distributed garbage cycles. Processes may be dynamically organised into groups, according to appropriate heuristics, to reclaim distributed garbage cycles. The algorithm places no overhead on local collectors and suspends local mutators only briefly....

  12. Dynamic Scheduling of Object Invocations in Distributed Object Oriented Real-Time Systems

    DEFF Research Database (Denmark)

    Jørgensen, Bo Nørregaard; Joosen, Wouter

    1998-01-01

    This paper describes some of the issues that we investigate in order to develop distributed object computing middleware for application domains where timely cooperation and coordination between objects are crucial for guaranteeing correct system behavior. In particular, issues on admission contro...

  13. A theory of distributed objects asynchrony, mobility, groups, components

    CERN Document Server

    Caromel, Denis; Henrio, Ludovic

    2005-01-01

    Distributed and communicating objects are becoming ubiquitous. In global, Grid and Peer-to-Peer computing environments, extensive use is made of objects interacting through method calls. So far, no general formalism has been proposed for the foundation of such systems. Caromel and Henrio are the first to define a calculus for distributed objects interacting using asynchronous method calls with generalized futures, i.e., wait-by-necessity -- a must in large-scale systems, providing both high structuring and low coupling, and thus scalability. The authors provide very generic results on expressiveness and determinism, and the potential of their approach is further demonstrated by its capacity to cope with advanced issues such as mobility, groups, and components. Researchers and graduate students will find here an extensive review of concurrent languages and calculi, with comprehensive figures and summaries. Developers of distributed systems can adopt the many implementation strategies that are presented and ana...

  14. Objective confirmation of asthma diagnosis improves medication adherence

    DEFF Research Database (Denmark)

    Backer, V; Stensen, L; Sverrild, A

    2017-01-01

    OBJECTIVE: The impact of diagnostic work-up in asthma management on medication redemption and probably also drug adherence is largely unknown, but we hypothesized that a confirmed diagnosis of asthma in a hospital-based out-patient clinic increases the willingness to subsequent medication...... redemption in a real life setting. METHODS: In a retrospective register-based study, 300 medical records of patients referred with possible asthma during one year were examined, of whom 171 had asthma (57%). One-year data on dispensed medicine was collected using the Danish Registry of Medicinal Product...... more frequently prescribed new therapy compared to those with unverified asthma (88.9% vs. 65.0%, respectively, p time redemption of prescriptions (72% vs. 64%, respectively, p = 0.3), whereas the second (52% vs. 27%, p = 0.001) and third or more asthma...

  15. [Learning objectives achievement in ethics education for medical school students].

    Science.gov (United States)

    Chae, Sujin; Lim, Kiyoung

    2015-06-01

    This study aimed to examine the necessity for research ethics and learning objectives in ethics education at the undergraduate level. A total of 393 fourth-year students, selected from nine medical schools, participated in a survey about learning achievement and the necessity for it. It was found that the students had very few chances to receive systematic education in research ethics and that they assumed that research ethics education was provided during graduate school or residency programs. Moreover, the students showed a relatively high learning performance in life ethics, while learning achievement was low in research ethics. Medical school students revealed low interest in and expectations of research ethics in general; therefore, it is necessary to develop guidelines for research ethics in the present situation, in which medical education mainly focuses on life ethics.

  16. UNBIASED INCLINATION DISTRIBUTIONS FOR OBJECTS IN THE KUIPER BELT

    International Nuclear Information System (INIS)

    Gulbis, A. A. S.; Elliot, J. L.; Adams, E. R.; Benecchi, S. D.; Buie, M. W.; Trilling, D. E.; Wasserman, L. H.

    2010-01-01

    Using data from the Deep Ecliptic Survey (DES), we investigate the inclination distributions of objects in the Kuiper Belt. We present a derivation for observational bias removal and use this procedure to generate unbiased inclination distributions for Kuiper Belt objects (KBOs) of different DES dynamical classes, with respect to the Kuiper Belt plane. Consistent with previous results, we find that the inclination distribution for all DES KBOs is well fit by the sum of two Gaussians, or a Gaussian plus a generalized Lorentzian, multiplied by sin i. Approximately 80% of KBOs are in the high-inclination grouping. We find that Classical object inclinations are well fit by sin i multiplied by the sum of two Gaussians, with roughly even distribution between Gaussians of widths 2.0 +0.6 -0.5 0 and 8.1 +2.6 -2.1 0 . Objects in different resonances exhibit different inclination distributions. The inclinations of Scattered objects are best matched by sin i multiplied by a single Gaussian that is centered at 19.1 +3.9 -3.6 0 with a width of 6.9 +4.1 -2.7 0 . Centaur inclinations peak just below 20 0 , with one exceptionally high-inclination object near 80 0 . The currently observed inclination distribution of the Centaurs is not dissimilar to that of the Scattered Extended KBOs and Jupiter-family comets, but is significantly different from the Classical and Resonant KBOs. While the sample sizes of some dynamical classes are still small, these results should begin to serve as a critical diagnostic for models of solar system evolution.

  17. Factors affecting the representation of objects in distributed attention

    OpenAIRE

    Maxwell, Tricia Lesley

    2011-01-01

    Our phenomenological experience of what we see around us is of an accurate representation. However, such information is widely distributed in the brain so necessitates that some form of co-ordination of this information takes place to enable a coherent view of the world. The most prominently researched theory is Feature Integration Theory (Treisman, 1993). This proposes that accurate binding is dependent on the current spatial distribution of attention. Individual objects compete for attentio...

  18. Development and assessment of learning objects about intramuscular medication administration

    Directory of Open Access Journals (Sweden)

    Lilian Mayumi Chinen Tamashiro

    2014-10-01

    Full Text Available OBJECTIVES: to develop and assess a learning object about intramuscular medication administration for nursing undergraduates and nurses.METHOD: a random, intentional and non-probabilistic sample was selected of nurses from a Brazilian social network of nursing and students from the Undergraduate Program at the University of São Paulo School of Nursing to serve as research subjects and assess the object.RESULTS: the participants, 8 nurses and 8 students, studied the object and answered an assessment instrument that included the following criteria: educational aspects (relevance of the theme, objectives and texts/hypertexts, interface of the environment (navigation, accessibility and screen design and didactic resources (interactivity and presentation of resources. In total, 128 significant answers were obtained, 124 (97% of which were positive, assessed as excellent and satisfactory, considered as a flexible, dynamic, objective resources that is appropriate to the nursing learning process.CONCLUSION: the educational technology shows a clear and easily understandable language and the teaching method could be applied in other themes, contributing to the education and training of nursing professionals, positively affecting nursing teaching, stimulating the knowledge, autonomous and independent learning, aligned with the new professional education requirements.

  19. A Collaborative Neurodynamic Approach to Multiple-Objective Distributed Optimization.

    Science.gov (United States)

    Yang, Shaofu; Liu, Qingshan; Wang, Jun

    2018-04-01

    This paper is concerned with multiple-objective distributed optimization. Based on objective weighting and decision space decomposition, a collaborative neurodynamic approach to multiobjective distributed optimization is presented. In the approach, a system of collaborative neural networks is developed to search for Pareto optimal solutions, where each neural network is associated with one objective function and given constraints. Sufficient conditions are derived for ascertaining the convergence to a Pareto optimal solution of the collaborative neurodynamic system. In addition, it is proved that each connected subsystem can generate a Pareto optimal solution when the communication topology is disconnected. Then, a switching-topology-based method is proposed to compute multiple Pareto optimal solutions for discretized approximation of Pareto front. Finally, simulation results are discussed to substantiate the performance of the collaborative neurodynamic approach. A portfolio selection application is also given.

  20. Object-oriented design of medical imaging software.

    Science.gov (United States)

    Ligier, Y; Ratib, O; Logean, M; Girard, C; Perrier, R; Scherrer, J R

    1994-01-01

    A special software package for interactive display and manipulation of medical images was developed at the University Hospital of Geneva, as part of a hospital wide Picture Archiving and Communication System (PACS). This software package, called Osiris, was especially designed to be easily usable and adaptable to the needs of noncomputer-oriented physicians. The Osiris software has been developed to allow the visualization of medical images obtained from any imaging modality. It provides generic manipulation tools, processing tools, and analysis tools more specific to clinical applications. This software, based on an object-oriented paradigm, is portable and extensible. Osiris is available on two different operating systems: the Unix X-11/OSF-Motif based workstations, and the Macintosh family.

  1. Sensorimotor memory of object weight distribution during multidigit grasp.

    Science.gov (United States)

    Albert, Frederic; Santello, Marco; Gordon, Andrew M

    2009-10-09

    We studied the ability to transfer three-digit force sharing patterns learned through consecutive lifts of an object with an asymmetric center of mass (CM). After several object lifts, we asked subjects to rotate and translate the object to the contralateral hand and perform one additional lift. This task was performed under two weight conditions (550 and 950 g) to determine the extent to which subjects would be able to transfer weight and CM information. Learning transfer was quantified by measuring the extent to which force sharing patterns and peak object roll on the first post-translation trial resembled those measured on the pre-translation trial with the same CM. We found that the overall gain of fingertip forces was transferred following object rotation, but that the scaling of individual digit forces was specific to the learned digit-object configuration, and thus was not transferred following rotation. As a result, on the first post-translation trial there was a significantly larger object roll following object lift-off than on the pre-translation trial. This suggests that sensorimotor memories for weight, requiring scaling of fingertip force gain, may differ from memories for mass distribution.

  2. The absolute magnitude distribution of Kuiper Belt objects

    Energy Technology Data Exchange (ETDEWEB)

    Fraser, Wesley C. [Herzberg Institute of Astrophysics, 5071 West Saanich Road, Victoria, BC V9E 2E7 (Canada); Brown, Michael E. [Division of Geological and Planetary Sciences, California Institute of Technology, 1200 East California Boulevard, Pasadena, CA 91125 (United States); Morbidelli, Alessandro [Laboratoire Lagrange, UMR7293, Université de Nice Sophia-Antipolis, CNRS, Observatoire de la Côte d' Azur, BP 4229, F-06304 Nice (France); Parker, Alex [Department of Astronomy, University of California at Berkeley, Berkeley, CA 94720 (United States); Batygin, Konstantin, E-mail: wesley.fraser@nrc.ca [Institute for Theory and Computation, Harvard-Smithsonian Center for Astrophysics, 60 Garden Street, MS 51, Cambridge, MA 02138 (United States)

    2014-02-20

    Here we measure the absolute magnitude distributions (H-distribution) of the dynamically excited and quiescent (hot and cold) Kuiper Belt objects (KBOs), and test if they share the same H-distribution as the Jupiter Trojans. From a compilation of all useable ecliptic surveys, we find that the KBO H-distributions are well described by broken power laws. The cold population has a bright-end slope, α{sub 1}=1.5{sub −0.2}{sup +0.4}, and break magnitude, H{sub B}=6.9{sub −0.2}{sup +0.1} (r'-band). The hot population has a shallower bright-end slope of, α{sub 1}=0.87{sub −0.2}{sup +0.07}, and break magnitude H{sub B}=7.7{sub −0.5}{sup +1.0}. Both populations share similar faint-end slopes of α{sub 2} ∼ 0.2. We estimate the masses of the hot and cold populations are ∼0.01 and ∼3 × 10{sup –4} M {sub ⊕}. The broken power-law fit to the Trojan H-distribution has α{sub 1} = 1.0 ± 0.2, α{sub 2} = 0.36 ± 0.01, and H {sub B} = 8.3. The Kolmogorov-Smirnov test reveals that the probability that the Trojans and cold KBOs share the same parent H-distribution is less than 1 in 1000. When the bimodal albedo distribution of the hot objects is accounted for, there is no evidence that the H-distributions of the Trojans and hot KBOs differ. Our findings are in agreement with the predictions of the Nice model in terms of both mass and H-distribution of the hot and Trojan populations. Wide-field survey data suggest that the brightest few hot objects, with H{sub r{sup ′}}≲3, do not fall on the steep power-law slope of fainter hot objects. Under the standard hierarchical model of planetesimal formation, it is difficult to account for the similar break diameters of the hot and cold populations given the low mass of the cold belt.

  3. The absolute magnitude distribution of Kuiper Belt objects

    International Nuclear Information System (INIS)

    Fraser, Wesley C.; Brown, Michael E.; Morbidelli, Alessandro; Parker, Alex; Batygin, Konstantin

    2014-01-01

    Here we measure the absolute magnitude distributions (H-distribution) of the dynamically excited and quiescent (hot and cold) Kuiper Belt objects (KBOs), and test if they share the same H-distribution as the Jupiter Trojans. From a compilation of all useable ecliptic surveys, we find that the KBO H-distributions are well described by broken power laws. The cold population has a bright-end slope, α 1 =1.5 −0.2 +0.4 , and break magnitude, H B =6.9 −0.2 +0.1 (r'-band). The hot population has a shallower bright-end slope of, α 1 =0.87 −0.2 +0.07 , and break magnitude H B =7.7 −0.5 +1.0 . Both populations share similar faint-end slopes of α 2 ∼ 0.2. We estimate the masses of the hot and cold populations are ∼0.01 and ∼3 × 10 –4 M ⊕ . The broken power-law fit to the Trojan H-distribution has α 1 = 1.0 ± 0.2, α 2 = 0.36 ± 0.01, and H B = 8.3. The Kolmogorov-Smirnov test reveals that the probability that the Trojans and cold KBOs share the same parent H-distribution is less than 1 in 1000. When the bimodal albedo distribution of the hot objects is accounted for, there is no evidence that the H-distributions of the Trojans and hot KBOs differ. Our findings are in agreement with the predictions of the Nice model in terms of both mass and H-distribution of the hot and Trojan populations. Wide-field survey data suggest that the brightest few hot objects, with H r ′ ≲3, do not fall on the steep power-law slope of fainter hot objects. Under the standard hierarchical model of planetesimal formation, it is difficult to account for the similar break diameters of the hot and cold populations given the low mass of the cold belt.

  4. 76 FR 71577 - Guidance for Industry on Medication Guide Distribution Requirements and Inclusion of Medication...

    Science.gov (United States)

    2011-11-18

    ...] Guidance for Industry on Medication Guide Distribution Requirements and Inclusion of Medication Guides in... guidance for industry entitled ``Medication Guides-- Distribution Requirements and Inclusion in Risk... Requirements and Inclusion in Risk Evaluation and Mitigation Strategies (REMS).'' This guidance provides...

  5. Agent-based Algorithm for Spatial Distribution of Objects

    KAUST Repository

    Collier, Nathan

    2012-06-02

    In this paper we present an agent-based algorithm for the spatial distribution of objects. The algorithm is a generalization of the bubble mesh algorithm, initially created for the point insertion stage of the meshing process of the finite element method. The bubble mesh algorithm treats objects in space as bubbles, which repel and attract each other. The dynamics of each bubble are approximated by solving a series of ordinary differential equations. We present numerical results for a meshing application as well as a graph visualization application.

  6. Semantic Indexing of Medical Learning Objects: Medical Students' Usage of a Semantic Network.

    Science.gov (United States)

    Tix, Nadine; Gießler, Paul; Ohnesorge-Radtke, Ursula; Spreckelsen, Cord

    2015-11-11

    The Semantically Annotated Media (SAM) project aims to provide a flexible platform for searching, browsing, and indexing medical learning objects (MLOs) based on a semantic network derived from established classification systems. Primarily, SAM supports the Aachen emedia skills lab, but SAM is ready for indexing distributed content and the Simple Knowledge Organizing System standard provides a means for easily upgrading or even exchanging SAM's semantic network. There is a lack of research addressing the usability of MLO indexes or search portals like SAM and the user behavior with such platforms. The purpose of this study was to assess the usability of SAM by investigating characteristic user behavior of medical students accessing MLOs via SAM. In this study, we chose a mixed-methods approach. Lean usability testing was combined with usability inspection by having the participants complete four typical usage scenarios before filling out a questionnaire. The questionnaire was based on the IsoMetrics usability inventory. Direct user interaction with SAM (mouse clicks and pages accessed) was logged. The study analyzed the typical usage patterns and habits of students using a semantic network for accessing MLOs. Four scenarios capturing characteristics of typical tasks to be solved by using SAM yielded high ratings of usability items and showed good results concerning the consistency of indexing by different users. Long-tail phenomena emerge as they are typical for a collaborative Web 2.0 platform. Suitable but nonetheless rarely used keywords were assigned to MLOs by some users. It is possible to develop a Web-based tool with high usability and acceptance for indexing and retrieval of MLOs. SAM can be applied to indexing multicentered repositories of MLOs collaboratively.

  7. COMPETITION ON THE WHOLESALE MEDICATION DISTRIBUTION MARKET IN ROMANIA

    Directory of Open Access Journals (Sweden)

    Alina HAGIU

    2013-09-01

    Full Text Available Wholesale distribution of medicines in Romania was in the constant attention of the competition authority. In order to analyze the operation of the distribution system practiced in Romania, but also changes that may occur in this system on short and medium term, the Competition Council conducted a sector inquiry after which they found some malfunctioning mainly chained to distributors access to certain medications. Conducted on a sample of 23 pharmaceutical groups operating on the Romanian market and holding approximately 80% of the pharmaceutical market in Romania in 2009, the sector inquiry aimed at two objectives, namely: Legislation analysis with impact on the wholesale distribution of drugs; Market analysis of drug distribution.Following the findings of the high concentration of markets analyzed, due to significant market shares held by innovative drugs under investigation were analyzed also the penetration of generics in the market and the factors that led to this situation.

  8. THE RIGHT OF MEDICAL WORKERS TO CONSCIENTIOUSLY OBJECT

    Directory of Open Access Journals (Sweden)

    Jozo Čizmić

    2016-01-01

    Full Text Available Institute “conscientious” protects citizens’ freedom of each person in relation to the choice according to their own conscience. With the view of her/his ethical, religious or moral principles, medical worker has the right to refer to conscientious objection and decline to conduct health care if it is not in dissonance with professional standards or if it is not causing any permanent consequences on health or it is not danger for patient’s life. Medical worker shall inform the patient and responsible or superior person on her decision in due time. This is a multidisciplinary problem whose solution can be found only through joint and simultaneous access to several scientific disciplines and professions (physicians, lawyers, ethicists, theologians, sociologists, etc., as well as interest groups (associations of patients and health workers, chambers, etc. according to international and national regulations, the recent case law of international and domestic courts, rules and protocols of the profession, the decision of codes of ethics, the principles of religion etc.

  9. Multi-objective optimal dispatch of distributed energy resources

    Science.gov (United States)

    Longe, Ayomide

    This thesis is composed of two papers which investigate the optimal dispatch for distributed energy resources. In the first paper, an economic dispatch problem for a community microgrid is studied. In this microgrid, each agent pursues an economic dispatch for its personal resources. In addition, each agent is capable of trading electricity with other agents through a local energy market. In this paper, a simple market structure is introduced as a framework for energy trades in a small community microgrid such as the Solar Village. It was found that both sellers and buyers benefited by participating in this market. In the second paper, Semidefinite Programming (SDP) for convex relaxation of power flow equations is used for optimal active and reactive dispatch for Distributed Energy Resources (DER). Various objective functions including voltage regulation, reduced transmission line power losses, and minimized reactive power charges for a microgrid are introduced. Combinations of these goals are attained by solving a multiobjective optimization for the proposed ORPD problem. Also, both centralized and distributed versions of this optimal dispatch are investigated. It was found that SDP made the optimal dispatch faster and distributed solution allowed for scalability.

  10. Medical ethics as output of economically motivated industrial objectives

    International Nuclear Information System (INIS)

    Bode, U.H.; Geisler, E.P.

    2002-01-01

    Ethics and economics are not mutually exclusive, but rather related concepts that help the human rate in dealing with scarce resources. Safeguarding the resources employed and making a profit are general industrial objectives. Product-specific objectives, such as optimizing medicinal safety and creating benefits for the individual and society, are discussed. Healing disease, improving quality of life and prolonging length of life are very important considerations. The contributions of the pharmaceutical industry in fulfilling ethically based demands will be primarily treated as the careful use of resources (e.g. by renunciation of state support). Other ethical contributions are the early communication of research results for intersectoral use and a voluntary code of conduct to regulate the actions of pharmaceutical companies with regard to information and advertising. In the Third World pharmaceutical industry is mainly faced to potential waste of valuable medicines, due to insufficient infrastructure of logistics and distribution capacities in one region, given a shortage of these very medicines in other and better structured regions. The value of medicines is defined by a comparison of competing therapies (difference in consumption of resources). Possible ethical deficiencies arising from a lack of direct contact of the patient with industry and the quasi-penalization of patients because of faulty lifestyle are briefly discussed. (author)

  11. Student-Led Objective Tutorial (SLOT) in Medical Education.

    Science.gov (United States)

    Sivagnanam, Gurusamy; Saraswathi, Simansalam; Rajasekaran, Aiyalu

    2006-12-01

    Purpose - To assess an innovative tutoring program named 'Student-Led Objective Tutorial' (SLOT) among undergraduate medical students. Method - The program was conceptualized by the Pharmacology Unit of Faculty of Medicine and Health Sciences, Asian Institute of Medicine Science & Technology (AIMST), Malaysia and implemented in the middle of 2005. A cohort of 246 medical undergraduate students (spread across 5 consecutive batches) participated. Following a brief explanation on the purpose and nature of SLOT, each batch was divided into small groups and was given a reading assignment on 4 previously delivered lecture topics. Each group was asked to prepare 3-5 multiple choice questions (MCQs) of their own in PowerPoint format to be presented, in turns, to the whole class on the day of SLOT. The proceedings were facilitated by 2 lecturers. Student feedback on the efficacy and benefits were assessed through an anonymous self administered questionnaire. Results - About 76% (188) of the students favored SLOT. The acceptance rate of SLOT was higher among males. There was no significant difference between batches in their opinions on whether to pursue SLOT in future. The most prevalent positive comment was that SLOT enhanced learning skills, and the negative comment being, it consumed more time. Conclusions - SLOT is a novel tutorial method which can offset faculty shortage with advantages like enhanced interest among teachers and learners, uniform reach of content, opportunities for group learning, and involvement of visual aids as teaching-learning (T-L) method. SLOT unraveled the students' potential of peer tutoring both inside as well as outside the classroom. Consumer tutors (students) can be tapped as a resource for SLOT for all subjects and courses in healthcare teaching.

  12. Multi-objective optimal operation of smart reconfigurable distribution grids

    Directory of Open Access Journals (Sweden)

    Abdollah Kavousi-Fard

    2016-02-01

    Full Text Available Reconfiguration is a valuable technique that can support the distribution grid from different aspects such as operation cost and loss reduction, reliability improvement, and voltage stability enhancement. An intelligent and efficient optimization framework, however, is required to reach the desired efficiency through the reconfiguration strategy. This paper proposes a new multi-objective optimization model to make use of the reconfiguration strategy for minimizing the power losses, improving the voltage profile, and enhancing the load balance in distribution grids. The proposed model employs the min-max fuzzy approach to find the most satisfying solution from a set of nondominated solutions in the problem space. Due to the high complexity and the discrete nature of the proposed model, a new optimization method based on harmony search (HS algorithm is further proposed. Moreover, a new modification method is suggested to increase the harmony memory diversity in the improvisation stage and increase the convergence ability of the algorithm. The feasibility and satisfying performance of the proposed model are examined on the IEEE 32-bus distribution system.

  13. High performance distributed objects in large hadron collider experiments

    International Nuclear Information System (INIS)

    Gutleber, J.

    1999-11-01

    This dissertation demonstrates how object-oriented technology can support the development of software that has to meet the requirements of high performance distributed data acquisition systems. The environment for this work is a system under planning for the Compact Muon Solenoid experiment at CERN that shall start its operation in the year 2005. The long operational phase of the experiment together with a tight and puzzling interaction with custom devices make the quest for an evolvable architecture that exhibits a high level of abstraction the driving issue. The question arises if an existing approach already fits our needs. The presented work casts light on these problems and as a result comprises the following novel contributions: - Application of object technology at hardware/software boundary. Software components at this level must be characterised by high efficiency and extensibility at the same time. - Identification of limitations when deploying commercial-off-the-shelf middleware for distributed object-oriented computing. - Capturing of software component properties in an efficiency model for ease of comparison and improvement. - Proof of feasibility that the encountered deficiencies in middleware can be avoided and that with the use of software components the imposed requirements can be met. - Design and implementation of an on-line software control system that allows to take into account the ever evolving requirements by avoiding hardwired policies. We conclude that state-of-the-art middleware cannot meet the required efficiency of the planned data acquisition system. Although new tool generations already provide a certain degree of configurability, the obligation to follow standards specifications does not allow the necessary optimisations. We identified the major limiting factors and argue that a custom solution following a component model with narrow interfaces can satisfy our requirements. This approach has been adopted for the current design

  14. Medical Diplomacy: A Tool for Enabling National Security Strategy Objectives

    Science.gov (United States)

    2012-04-06

    USGs global health portfolio includes a diverse set of programs and investments in...cultural linguistic competency, expertise in regional medical initiatives, and knowledge of joint coordination in the ability foster medical goodwill...operates medical research units in Egypt and Peru . Additionally, the Navy has operated facilities in Indonesia and maintains research capabilities

  15. Associations of objectively measured physical activity and abdominal fat distribution

    DEFF Research Database (Denmark)

    Philipsen, Annelotte; Hansen, Anne-Louise Smidt; Jørgensen, Marit Eika

    2015-01-01

    Introduction/Purpose: Visceral adipose tissue (VAT) and physical activity are both independent predictors of Type 2 diabetes. Physical activity and overall obesity are inversely associated with each other. Yet the nature of the association between objectively measured dimensions of physical...... activity and abdominal fat distribution has not been well characterized. We aimed to do so in a middle-age to elderly population at high risk of diabetes. Methods: A cross-sectional analysis of 1134 participants of the ADDITION-PRO study. VAT and subcutaneous adipose tissue (SAT) were assessed one......-dimensionally by ultrasonography and physical activity with combined accelerometry and HR monitoring. Linear regression of physical activity energy expenditure (PAEE) and time spent in different physical activity intensity levels on VAT and SAT was performed. Results: Median body mass index (BMI) was 26.6 kg.m(-2) and PAEE was 28...

  16. Magnetoacoustic microscopic imaging of conductive objects and nanoparticles distribution

    Science.gov (United States)

    Liu, Siyu; Zhang, Ruochong; Luo, Yunqi; Zheng, Yuanjin

    2017-09-01

    Magnetoacoustic tomography has been demonstrated as a powerful and low-cost multi-wave imaging modality. However, due to limited spatial resolution and detection efficiency of magnetoacoustic signal, full potential of the magnetoacoustic imaging remains to be tapped. Here we report a high-resolution magnetoacoustic microscopy method, where magnetic stimulation is provided by a compact solenoid resonance coil connected with a matching network, and acoustic reception is realized by using a high-frequency focused ultrasound transducer. Scanning the magnetoacoustic microscopy system perpendicularly to the acoustic axis of the focused transducer would generate a two-dimensional microscopic image with acoustically determined lateral resolution. It is analyzed theoretically and demonstrated experimentally that magnetoacoustic generation in this microscopic system depends on the conductivity profile of conductive objects and localized distribution of superparamagnetic iron magnetic nanoparticles, based on two different but related implementations. The lateral resolution is characterized. Directional nature of magnetoacoustic vibration and imaging sensitivity for mapping magnetic nanoparticles are also discussed. The proposed microscopy system offers a high-resolution method that could potentially map intrinsic conductivity distribution in biological tissue and extraneous magnetic nanoparticles.

  17. Multi-objective optimization of distributed generation with voltage ...

    African Journals Online (AJOL)

    ... and line power capacity limit. In this paper, it is analyzed that voltage step constraint affects the location, size and power factor of DG in distribution network. The studies are carried out for 17-bus, 38-bus and 76-bus distribution systems. Keywords: Distributed generation, distribution system, distributed generation planning, ...

  18. Higher albedos and size distribution of large transneptunian objects

    Science.gov (United States)

    Lykawka, Patryk Sofia; Mukai, Tadashi

    2005-11-01

    Transneptunian objects (TNOs) orbit beyond Neptune and do offer important clues about the formation of our solar system. Although observations have been increasing the number of discovered TNOs and improving their orbital elements, very little is known about elementary physical properties such as sizes, albedos and compositions. Due to TNOs large distances (>40 AU) and observational limitations, reliable physical information can be obtained only from brighter objects (supposedly larger bodies). According to size and albedo measurements available, it is evident the traditionally assumed albedo p=0.04 cannot hold for all TNOs, especially those with approximately absolute magnitudes H⩽5.5. That is, the largest TNOs possess higher albedos (generally >0.04) that strongly appear to increase as a function of size. Using a compilation of published data, we derived empirical relations which can provide estimations of diameters and albedos as a function of absolute magnitude. Calculations result in more accurate size/albedo estimations for TNOs with H⩽5.5 than just assuming p=0.04. Nevertheless, considering low statistics, the value p=0.04 sounds still convenient for H>5.5 non-binary TNOs as a group. We also discuss about physical processes (e.g., collisions, intrinsic activity and the presence of tenuous atmospheres) responsible for the increase of albedo among large bodies. Currently, all big TNOs (>700 km) would be capable to sustain thin atmospheres or icy frosts composed of CH 4, CO or N 2 even for body bulk densities as low as 0.5 g cm -3. A size-dependent albedo has important consequences for the TNOs size distribution, cumulative luminosity function and total mass estimations. According to our analysis, the latter can be reduced up to 50% if higher albedos are common among large bodies. Lastly, by analyzing orbital properties of classical TNOs ( 42AUbodies. For both populations, distinct absolute magnitude distributions are maximized for an inclination threshold

  19. OBJECTIVE AND SUBJECTIVE FACTORS OF MEDICAL DRUG CHOICE

    Directory of Open Access Journals (Sweden)

    E. B. Babanskaya

    2017-01-01

    Full Text Available Aim. To analyze the factors of medical choice in the prescription of medicinal drug (MD for the treatment of cardiovascular diseases. Material and methods. A questionnaire survey of 212 doctors (138 physicians and 42 general practitioners was performed in Irkutsk region and Republic of Buryatia. Questions were related to the physicians’ choice of the original or generic MD and the factors that influence this choice. Results. The majority of respondents prefer the foreign MD, while they prescribed both original and generic drugs (60.4%. The determining factor in the prescription of MD is its efficacy (91.5-95.3%. The main source of information of MD for physicians is the medical literature (78.3%. Only 23.6% of doctors choose the MD based on the results of clinical trials and information about it in specialized medical literature. A half of the respondents believe that their knowledge of cardiovascular MD is insufficient. Doctors need and are interested in information on the pharmacokinetics and pharmacodynamics of MD, side effects, drug interactions and results of clinical studies. Conclusion. It is necessary to focus on the clinical pharmacology of cardiovascular MD during the training of doctors in specialized courses of continuous medical education.

  20. Contemporary Issues in Medicine--Medical Informatics and Population Health: Report II of the Medical School Objectives Project.

    Science.gov (United States)

    Academic Medicine, 1999

    1999-01-01

    The report of the Association of American Medical Colleges' Medical School Objectives Program presents the work of two expert panels. One, on medical informatics, identified five important physician roles: lifelong learner, clinician, educator, researcher, and manager. Another panel established a definition for "population health…

  1. Associations of objectively measured physical activity and abdominal fat distribution.

    Science.gov (United States)

    Philipsen, Annelotte; Hansen, Anne-Louise Smidt; Jørgensen, Marit Eika; Brage, Søren; Carstensen, Bendix; Sandbaek, Annelli; Almdal, Thomas Peter; Gram, Jeppe; Pedersen, Erling Bjerregaard; Lauritzen, Torsten; Witte, Daniel Rinse

    2015-05-01

    Visceral adipose tissue (VAT) and physical activity are both independent predictors of Type 2 diabetes. Physical activity and overall obesity are inversely associated with each other. Yet the nature of the association between objectively measured dimensions of physical activity and abdominal fat distribution has not been well characterized. We aimed to do so in a middle-age to elderly population at high risk of diabetes. A cross-sectional analysis of 1134 participants of the ADDITION-PRO study. VAT and subcutaneous adipose tissue (SAT) were assessed one-dimensionally by ultrasonography and physical activity with combined accelerometry and HR monitoring. Linear regression of physical activity energy expenditure (PAEE) and time spent in different physical activity intensity levels on VAT and SAT was performed. Median body mass index (BMI) was 26.6 kg·m and PAEE was 28.1 kJ·kg·d, with 18.9 h·d spent sedentary, 4.5 h·d in light-intensity physical activity, and 0.4 h·d in moderate-intensity physical activity. PAEE was significantly negatively associated with VAT, and in women, PAEE was also significantly negatively associated with SAT. The difference in VAT was -1.1 mm (95% confidence interval [CI] = -1.8 to -0.3) per 10-kJ·kg·d increment, and the corresponding difference in SAT for women was -0.6 mm (95% CI = -1.2 to -0.04) in models adjusted for age, sex, and waist circumference. Exchanging 1 h of light physical activity with moderate physical activity was significantly associated with VAT (-4.5 mm, 95% CI = -7.6 to -1.5). Exchanging one sedentary hour with light physical activity was significantly associated with both VAT (-0.9 mm, 95% CI = -0.1 to -1.8) and SAT (-0.4 mm, 95% CI = -0.0 to -0.7). In this population with low physical activity levels, cross-sectional findings indicate that increasing overall physical activity and decreasing time spent sedentary is important to avoid the accumulation of metabolically deleterious VAT.

  2. CADMIO: computer aided design for medical information objects.

    Science.gov (United States)

    Minarelli, D V; Ferri, F; Pisanelli, D M; Ricci, F L; Tittarelli, F

    1995-01-01

    The growth of the computational capability and the tools of graphic software is nowadays available in an integrated manner into the development environments, thus permitting the realization of tool kits capable of handling information that is complex and of different kinds such as the typical medical information. This has given a great impulse to the creation of electronic medical folders joining together with new and stimulating functionality with respect to the usual paper document [1]. In the present work, we propose a tool capable of defining a multimedia electronic medical folder and representing its architecture through a layout that is formed on the basis of the particular data types to be handled. This tool is capable of providing an integrated view of data that, even though they are close in cognitive sense, are often stored and represented apart in the practice. Different approaches to the browsing feature are giving within the system, thus the user can personalize the way of viewing the information stored into the folder or can let the system guide the browsing.

  3. The Implementation of Medical Informatics in the National Competence Based Catalogue of Learning Objectives for Undergraduate Medical Education (NKLM).

    Science.gov (United States)

    Behrends, Marianne; Steffens, Sandra; Marschollek, Michael

    2017-01-01

    The National Competence Based Catalogue of Learning Objectives for Undergraduate Medical Education (NKLM) describes medical skills and attitudes without being ordered by subjects or organs. Thus, the NKLM enables systematic curriculum mapping and supports curricular transparency. In this paper we describe where learning objectives related to Medical Informatics (MI) in Hannover coincide with other subjects and where they are taught exclusively in MI. An instance of the web-based MERLIN-database was used for the mapping process. In total 52 learning objectives overlapping with 38 other subjects could be allocated to MI. No overlap exists for six learning objectives describing explicitly topics of information technology or data management for scientific research. Most of the overlap was found for learning objectives relating to documentation and aspects of data privacy. The identification of numerous shared learning objectives with other subjects does not mean that other subjects teach the same content as MI. Identifying common learning objectives rather opens up the possibility for teaching cooperations which could lead to an important exchange and hopefully an improvement in medical education. Mapping of a whole medical curriculum offers the opportunity to identify common ground between MI and other medical subjects. Furthermore, in regard to MI, the interaction with other medical subjects can strengthen its role in medical education.

  4. About the Distribution of Metal Objects in Prepalatial Crete

    Directory of Open Access Journals (Sweden)

    Borja Legarra Herrero

    2004-11-01

    Full Text Available Although metal objects have been used as evidence in different interpretations of the socioeconomic changes identified in Prepalatial Crete (c.3100-1900 BC, they constitute an understudied category of material. This paper argues that metal objects on Crete were subject to complex processes regarding the creation of meaning; a more comprehensive appraisal of metal objects on the island may cast new light on these issues. Copper-based, gold, lead and silver objects are investigated from their ore extraction locations outside Crete to their final deposition, linking the different steps of the process of creating an artefact with different layers of meanings for the metal and, subsequently, for the finished objects. This study evaluates differences in the use of metals, with a particular focus on their intra-island depositional patterns. It seeks to identify differences in the roles of metals within Cretan communities as well as regional fashions in the use of metal objects. It is suggested that metals had different characters since their depositional patterns vary, and that people consciously chose certain metals to make specific objects and also used metal objects in different ways, reflecting the socio-economic context for each region.

  5. Object-oriented design and programming in medical decision support.

    Science.gov (United States)

    Heathfield, H; Armstrong, J; Kirkham, N

    1991-12-01

    The concept of object-oriented design and programming has recently received a great deal of attention from the software engineering community. This paper highlights the realisable benefits of using the object-oriented approach in the design and development of clinical decision support systems. These systems seek to build a computational model of some problem domain and therefore tend to be exploratory in nature. Conventional procedural design techniques do not support either the process of model building or rapid prototyping. The central concepts of the object-oriented paradigm are introduced, namely encapsulation, inheritance and polymorphism, and their use illustrated in a case study, taken from the domain of breast histopathology. In particular, the dual roles of inheritance in object-oriented programming are examined, i.e., inheritance as a conceptual modelling tool and inheritance as a code reuse mechanism. It is argued that the use of the former is not entirely intuitive and may be difficult to incorporate into the design process. However, inheritance as a means of optimising code reuse offers substantial technical benefits.

  6. Fast neutron radiography of extended biological and medical objects

    International Nuclear Information System (INIS)

    Duehmke, E.; Greim, L.

    1978-01-01

    The fast neutron radiography enables us to image extended objects and yields quite different pictures than conventional roentgenograms. Using foils of cellulose nitrate and the track etching technique a γ-ray-insensitive detector is available providing sufficient imaging qualities. One of the biological neutrograms shown in the paper is of special importance because one can see a malignant tumor of the columna vertebralis. This finding was not detectable by roentgenological examination. (orig.) [de

  7. Mediman: Object oriented programming approach for medical image analysis

    International Nuclear Information System (INIS)

    Coppens, A.; Sibomana, M.; Bol, A.; Michel, C.

    1993-01-01

    Mediman is a new image analysis package which has been developed to analyze quantitatively Positron Emission Tomography (PET) data. It is object-oriented, written in C++ and its user interface is based on InterViews on top of which new classes have been added. Mediman accesses data using external data representation or import/export mechanism which avoids data duplication. Multimodality studies are organized in a simple database which includes images, headers, color tables, lists and objects of interest (OOI's) and history files. Stored color table parameters allow to focus directly on the interesting portion of the dynamic range. Lists allow to organize the study according to modality, acquisition protocol, time and spatial properties. OOI's (points, lines and regions) are stored in absolute 3-D coordinates allowing correlation with other co-registered imaging modalities such as MRI or SPECT. OOI's have visualization properties and are organized into groups. Quantitative ROI analysis of anatomic images consists of position, distance, volume calculation on selected OOI's. An image calculator is connected to mediman. Quantitation of metabolic images is performed via profiles, sectorization, time activity curves and kinetic modeling. Mediman is menu and mouse driven, macro-commands can be registered and replayed. Its interface is customizable through a configuration file. The benefit of the object-oriented approach are discussed from a development point of view

  8. Agent-based Algorithm for Spatial Distribution of Objects

    KAUST Repository

    Collier, Nathan; Sieniek, Marcin

    2012-01-01

    method. The bubble mesh algorithm treats objects in space as bubbles, which repel and attract each other. The dynamics of each bubble are approximated by solving a series of ordinary differential equations. We present numerical results for a meshing

  9. Health Canada unveils plan to distribute marijuana for medical use.

    Science.gov (United States)

    Thaczuk, Derek

    2003-08-01

    Under pressure from the courts, Health Canada reluctantly comes up with a distribution plan to provide dried cannabis and seeds to patients using medical marijuana. The plan has been greeted with considerable criticism

  10. Load Balanced Mapping of Distributed Objects to Minimize Network Communication

    NARCIS (Netherlands)

    Stoyenko, Alexander D.; Bosch, J.; Bosch, Jan; Aksit, Mehmet; Marlowe, Thomas J.

    1996-01-01

    This paper introduces a new load balancing and communica- tion minimizing heuristic used in the Inverse Remote Procedure Call (IRPC) system. While the paper briefly describes the IRPC system, the focus is on the new IRPC assignment heuristic. The IRPC compiler maps a distributed program to a graph

  11. Sharing Real-Time Objects in Distributed Embedded Systems

    DEFF Research Database (Denmark)

    Larsen, Erland Ketil; Havn, Ib

    2015-01-01

    microcontrollers connected by a RS-485 bus. The demo system shows that it is relatively simple to implement a distributed embedded system with the provided API, and the latency of the communication service is predictable. A low coupling to hardware makes it easy to port to another platform and/or another network...

  12. Development of total medical material distribution management system.

    Science.gov (United States)

    Uto, Y; Kumamoto, I

    1994-07-01

    Since September 1992, attempts have been made at Kagoshima University Hospital to develop the Medical Material Distribution Management System which helps to realize optimal hospital management as a subsystem of the Total Hospital Information System of Kagoshima University (THINK). As this system has been established, it has become possible for us to have an accurate grasp of the flow and stock of medical materials at our hospital. Furthermore, since September 1993, the Medical Material Distribution Management System has been improved and the Total Medical Material Distribution Management System has been smoothly introduced into the site of clinical practice. This system enables automatic demands for fees for treatment with specific instruments and materials covered by health insurance. It was difficult to predict the effect of this system, because no similar system had been developed in Japan. However, more satisfactory results than expected have been obtained since its introduction.

  13. Distribution of Problems, Medications and Lab Results in Electronic Health Records: The Pareto Principle at Work.

    Science.gov (United States)

    Wright, Adam; Bates, David W

    2010-01-01

    BACKGROUND: Many natural phenomena demonstrate power-law distributions, where very common items predominate. Problems, medications and lab results represent some of the most important data elements in medicine, but their overall distribution has not been reported. OBJECTIVE: Our objective is to determine whether problems, medications and lab results demonstrate a power law distribution. METHODS: Retrospective review of electronic medical record data for 100,000 randomly selected patients seen at least twice in 2006 and 2007 at the Brigham and Women's Hospital in Boston and its affiliated medical practices. RESULTS: All three data types exhibited a power law distribution. The 12.5% most frequently used problems account for 80% of all patient problems, the top 11.8% of medications account for 80% of all medication orders and the top 4.5% of lab result types account for all lab results. CONCLUSION: These three data elements exhibited power law distributions with a small number of common items representing a substantial proportion of all orders and observations, which has implications for electronic health record design.

  14. Peculiarities of rare-earth-element distribution in environmental objects

    International Nuclear Information System (INIS)

    Gorbunov, A.V.; Onischenko, T.L.; Gundorina, S.F.; Frontasyeva, M.V.

    1993-01-01

    The effect of the production of phosphorus fertilizers on the pollution of the environment by rare-earth elements is reviewed. The main sources of rare-earth element pollution in the environment are described. The levels of REEs in components of the environment - atmosphere, snow, different types of soil, native and agricultural types of vegetation - that provide evidence for their participation in the biological cycle of plants are considered. The high values of the correlation coefficients lead one to think that the REE distribution in vegetation occurs under specific laws true for this family of elements. (author) 9 refs.; 6 figs.; 5 tabs

  15. Developing Canadian oncology education goals and objectives for medical students: a national modified Delphi study.

    Science.gov (United States)

    Tam, Vincent C; Ingledew, Paris-Ann; Berry, Scott; Verma, Sunil; Giuliani, Meredith E

    2016-01-01

    Studies have shown that there is a deficiency in focused oncology teaching during medical school in Canada. This study aimed to develop oncology education goals and objectives for medical students through consensus of oncology educators from across Canada. In 2014 we created a comprehensive list of oncology education objectives using existing resources. Experts in oncology education and undergraduate medical education from all 17 Canadian medical schools were invited to participate in a 3-round modified Delphi process. In round 1, the participants scored the objectives on a 9-point Likert scale according to the degree to which they agreed an objective should be taught to medical students. Objectives with a mean score of 7.0 or greater were retained, those with a mean score of 1.0-3.9 were excluded, and those with a mean score of 4.0-6.9 were discussed at a round 2 Web meeting. In round 3, the participants voted on inclusion and exclusion of the round 2 objectives. Thirty-four (92%) of the 37 invited oncology educators, representing 14 medical schools, participated in the study. They included oncologists, family physicians, members of undergraduate medical education curriculum committees and a psychologist. Of the 214 objectives reviewed in round 1, 146 received a mean score of 7.0 or greater, and 68 were scored 4.0-6.9; no objective received a mean score below 4.0. Nine new objectives were suggested. The main themes of participants' comments were to minimize the number of objectives and to aim objectives at the knowledge level required for family physicians. In round 2, the participants were able to combine 28 of the objectives with other existing objectives. In round 3, 7 of the 49 objectives received consensus of at least 75% for inclusion. The final Canadian Oncology Goals and Objectives for Medical Students contained 10 goals and 153 objectives. Through a systematic process, we created a comprehensive, consensus-based set of oncology goals and objectives to

  16. Sexual Health Curricula in U.S. Medical Schools: Current Educational Objectives

    Science.gov (United States)

    Galletly, Carol; Lechuga, Julia; Layde, Joseph B.; Pinkerton, Steven

    2010-01-01

    Objective: The authors identify the explicit and implicit objectives that shape decisions about what medical schools teach regarding human sexuality. Methods: The authors reviewed relevant articles in journals, physician licensing examinations, and publications by professional organizations to identify learning objectives for human sexuality in…

  17. Governance and assessment in a widely distributed medical education program in Australia.

    Science.gov (United States)

    Solarsh, Geoff; Lindley, Jennifer; Whyte, Gordon; Fahey, Michael; Walker, Amanda

    2012-06-01

    The learning objectives, curriculum content, and assessment standards for distributed medical education programs must be aligned across the health care systems and community contexts in which their students train. In this article, the authors describe their experiences at Monash University implementing a distributed medical education program at metropolitan, regional, and rural Australian sites and an offshore Malaysian site, using four different implementation models. Standardizing learning objectives, curriculum content, and assessment standards across all sites while allowing for site-specific implementation models created challenges for educational alignment. At the same time, this diversity created opportunities to customize the curriculum to fit a variety of settings and for innovations that have enriched the educational system as a whole.Developing these distributed medical education programs required a detailed review of Monash's learning objectives and curriculum content and their relevance to the four different sites. It also required a review of assessment methods to ensure an identical and equitable system of assessment for students at all sites. It additionally demanded changes to the systems of governance and the management of the educational program away from a centrally constructed and mandated curriculum to more collaborative approaches to curriculum design and implementation involving discipline leaders at multiple sites.Distributed medical education programs, like that at Monash, in which cohorts of students undertake the same curriculum in different contexts, provide potentially powerful research platforms to compare different pedagogical approaches to medical education and the impact of context on learning outcomes.

  18. Practicing doctors' perceptions on new learning objectives for Vietnamese medical schools

    NARCIS (Netherlands)

    Hoat, L; Dung, DV; Wright, E.P.

    2008-01-01

    Background. As part of the process to develop more community-oriented medical teaching in Vietnam, eight medical schools prepared a set of standard learning objectives with attention to the needs of a doctor working with the community. Because they were prepared based on government documents and the

  19. Ecology and distribution of gastropod snails of medical and ...

    African Journals Online (AJOL)

    A study on the ecology and distribution of snails of medical importance was conducted in water bodies from four different communities (Old Karmo, Gwagwa, ... The following floras were identified from the study-sites; Megathyrsus maximus, Guinea grass and Commelina nigritana (African dayflower) were identified from the ...

  20. [Species composition and distribution of medical mollusca in Shanghai City].

    Science.gov (United States)

    Guo, Yun-hai; Lv, Shan; Gu, Wen-biao; Liu, He-xiang; Wu, Ying; Zhang, Yi

    2015-02-01

    To investigate the species diversity and distribution of medical mollusca in Shanghai City. From August 2012 to October 2013, all kinds of habitats in 8 districts and counties in Shanghai City, namely Jiading, Qingpu, Baoshan, Minhang, Songjiang, Jinshan, Chongming, Pudong, were selected for the field survey according to the distribution characteristics of the river system, and all the specimens of medical mollusca in the investigation sites were collected and classified by morphological identification. Meanwhile, the species composition, habitats as well as the fauna of the medical mollusca collected were analyzed. A total of 5,211 specimens were collected, which belonged to 2 classes, 14 families, 18 genera and 25 species, including Oncomelania hupensis hupensis, Pomacea canaliculata, Parafossarulus striatulus, Alocinma longicornis, Physa acuta, Galba pervia, Hippeutis cantori, etc. The species numbers of medical mollusca in Chongming, Jinshan, Pudong new area and Qingpu districts (counties) were 22, 22, 21 and 20, respectively, which were more than those of other areas. The habitat analysis suggested that the species numbers in the river and wetland were the most, both of which were 14 species. The main faunas of the medical mollusca in Shanghai were the cosmopolitan and oriental species. The freshwater gastropod species are paucity in Shanghai City, but almost of them can be served as the intermediate hosts of certain parasites to transmit snail-related parasitic diseases, so the surveillance of medical mollusca should be strengthened.

  1. DOLCLAN – Middleware Support for Peer-to-Peer Distributed Shared Objects

    DEFF Research Database (Denmark)

    Bardram, Jakob; Mogensen, Martin

    2007-01-01

    Contemporary object-oriented programming seeks to enable distributed computing by accessing remote objects using blocking remote procedure calls. This technique, however, suffers from several drawbacks because it relies on the assumption of stable network connections and synchronous method...... invocations. In this paper we present an approach to support distributed programming, which rely on local object replicas keeping themselves synchronized using an underlying peer-to-peer infrastructure. We have termed our approach Peer-to-peer Distributed Shared Objects (PDSO). This PDSO approach has been...

  2. Adaptive Variance Scaling in Continuous Multi-Objective Estimation-of-Distribution Algorithms

    NARCIS (Netherlands)

    P.A.N. Bosman (Peter); D. Thierens (Dirk); D. Thierens (Dirk)

    2007-01-01

    htmlabstractRecent research into single-objective continuous Estimation-of-Distribution Algorithms (EDAs) has shown that when maximum-likelihood estimations are used for parametric distributions such as the normal distribution, the EDA can easily suffer from premature convergence. In this paper we

  3. The use of web internet technologies to distribute medical images

    International Nuclear Information System (INIS)

    Deller, A.L.; Cheal, D.; Field, J.

    1999-01-01

    Full text: In the past, internet browsers were considered ineffective for image distribution. Today we have the technology to use internet standards for picture archive and communication systems (PACS) and teleradiology effectively. Advanced wavelet compression and state-of-the-art JAVA software allows us to distribute images on normal computer hardware. The use of vendor and database neutral software and industry-standard hardware has many advantages. This standards base approach avoids the costly rapid obsolescence of proprietary PACS and is cheaper to purchase and maintain. Images can be distributed around a hospital site, as well as outside the campus, quickly and inexpensively. It also allows integration between the Hospital Information System (HIS) and the Radiology Information System (RIS). Being able to utilize standard internet technologies and computer hardware for PACS is a cost-effective alternative. A system based on this technology can be used for image distribution, archiving, teleradiology and RIS integration. This can be done without expensive specialized imaging workstations and telecommunication systems. Web distribution of images allows you to send images to multiple places concurrently. A study can be within your Medical Imaging Department, as well as in the ward and on the desktop of referring clinicians - with a report. As long as there is a computer with an internet access account, high-quality images can be at your disposal 24 h a day. The importance of medical images for patient management makes them a valuable component of the patient's medical record. Therefore, an efficient system for displaying and distributing images can improve patient management and make your workplace more effective

  4. A Distributed and Collaborative Intelligent System for Medical Diagnosis

    Directory of Open Access Journals (Sweden)

    Wided LEJOUAD-CHAARI

    2013-08-01

    Full Text Available In this paper, we present a distributed collaborative system assisting physicians in diagnosis when processing medical images. This is a Web-based solution since the different participants and resources are on various sites. It is collaborative because these participants (physicians, radiologists, knowledgebasesdesigners, program developers for medical image processing, etc. can work collaboratively to enhance the quality of programs and then the quality of the diagnosis results. It is intelligent since it is a knowledge-based system including, but not only, a knowledge base, an inference engine said supervision engine and ontologies. The current work deals with the osteoporosis detection in bone radiographies. We rely on program supervision techniques that aim to automatically plan and control complex software usage. Our main contribution is to allow physicians, who are not experts in computing, to benefit from technological advances made by experts in image processing, and then to efficiently use various osteoporosis detection programs in a distributed environment.

  5. Multi-objective PSO based optimal placement of solar power DG in radial distribution system

    Directory of Open Access Journals (Sweden)

    Mahesh Kumar

    2017-06-01

    Full Text Available Ever increasing trend of electricity demand, fossil fuel depletion and environmental issues request the integration of renewable energy into the distribution system. The optimal planning of renewable distributed generation (DG is much essential for ensuring maximum benefits. Hence, this paper proposes the optimal placement of probabilistic based solar power DG into the distribution system. The two objective functions such as power loss reduction and voltage stability index improvement are optimized. The power balance and voltage limits are kept as constraints of the problem. The non-sorting pare to-front based multi-objective particle swarm optimization (MOPSO technique is proposed on standard IEEE 33 radial distribution test system.

  6. A POSSIBLE DIVOT IN THE SIZE DISTRIBUTION OF THE KUIPER BELT'S SCATTERING OBJECTS

    Energy Technology Data Exchange (ETDEWEB)

    Shankman, C.; Gladman, B. J. [Department of Physics and Astronomy, University of British Columbia, 6224 Agriculture Road, Vancouver, BC V6T 1Z1 (Canada); Kaib, N. [Department of Physics and Astronomy, Queens University (Canada); Kavelaars, J. J. [National Research Council of Canada, Victoria, BC V9E 2E7 (Canada); Petit, J. M. [Institut UTINAM, CNRS-Universite de Franche-Comte, Besancon (France)

    2013-02-10

    Via joint analysis of a calibrated telescopic survey, which found scattering Kuiper Belt objects, and models of their expected orbital distribution, we explore the scattering-object (SO) size distribution. Although for D > 100 km the number of objects quickly rise as diameters decrease, we find a relative lack of smaller objects, ruling out a single power law at greater than 99% confidence. After studying traditional ''knees'' in the size distribution, we explore other formulations and find that, surprisingly, our analysis is consistent with a very sudden decrease (a divot) in the number distribution as diameters decrease below 100 km, which then rises again as a power law. Motivated by other dynamically hot populations and the Centaurs, we argue for a divot size distribution where the number of smaller objects rises again as expected via collisional equilibrium. Extrapolation yields enough kilometer-scale SOs to supply the nearby Jupiter-family comets. Our interpretation is that this divot feature is a preserved relic of the size distribution made by planetesimal formation, now ''frozen in'' to portions of the Kuiper Belt sharing a ''hot'' orbital inclination distribution, explaining several puzzles in Kuiper Belt science. Additionally, we show that to match today's SO inclination distribution, the supply source that was scattered outward must have already been vertically heated to the of order 10 Degree-Sign .

  7. Software for Distributed Computation on Medical Databases: A Demonstration Project

    Directory of Open Access Journals (Sweden)

    Balasubramanian Narasimhan

    2017-05-01

    Full Text Available Bringing together the information latent in distributed medical databases promises to personalize medical care by enabling reliable, stable modeling of outcomes with rich feature sets (including patient characteristics and treatments received. However, there are barriers to aggregation of medical data, due to lack of standardization of ontologies, privacy concerns, proprietary attitudes toward data, and a reluctance to give up control over end use. Aggregation of data is not always necessary for model fitting. In models based on maximizing a likelihood, the computations can be distributed, with aggregation limited to the intermediate results of calculations on local data, rather than raw data. Distributed fitting is also possible for singular value decomposition. There has been work on the technical aspects of shared computation for particular applications, but little has been published on the software needed to support the "social networking" aspect of shared computing, to reduce the barriers to collaboration. We describe a set of software tools that allow the rapid assembly of a collaborative computational project, based on the flexible and extensible R statistical software and other open source packages, that can work across a heterogeneous collection of database environments, with full transparency to allow local officials concerned with privacy protections to validate the safety of the method. We describe the principles, architecture, and successful test results for the site-stratified Cox model and rank-k singular value decomposition.

  8. Objectivity

    CERN Document Server

    Daston, Lorraine

    2010-01-01

    Objectivity has a history, and it is full of surprises. In Objectivity, Lorraine Daston and Peter Galison chart the emergence of objectivity in the mid-nineteenth-century sciences--and show how the concept differs from its alternatives, truth-to-nature and trained judgment. This is a story of lofty epistemic ideals fused with workaday practices in the making of scientific images. From the eighteenth through the early twenty-first centuries, the images that reveal the deepest commitments of the empirical sciences--from anatomy to crystallography--are those featured in scientific atlases, the compendia that teach practitioners what is worth looking at and how to look at it. Galison and Daston use atlas images to uncover a hidden history of scientific objectivity and its rivals. Whether an atlas maker idealizes an image to capture the essentials in the name of truth-to-nature or refuses to erase even the most incidental detail in the name of objectivity or highlights patterns in the name of trained judgment is a...

  9. Distributed Generation Planning using Peer Enhanced Multi-objective Teaching-Learning based Optimization in Distribution Networks

    Science.gov (United States)

    Selvam, Kayalvizhi; Vinod Kumar, D. M.; Siripuram, Ramakanth

    2017-04-01

    In this paper, an optimization technique called peer enhanced teaching learning based optimization (PeTLBO) algorithm is used in multi-objective problem domain. The PeTLBO algorithm is parameter less so it reduced the computational burden. The proposed peer enhanced multi-objective based TLBO (PeMOTLBO) algorithm has been utilized to find a set of non-dominated optimal solutions [distributed generation (DG) location and sizing in distribution network]. The objectives considered are: real power loss and the voltage deviation subjected to voltage limits and maximum penetration level of DG in distribution network. Since the DG considered is capable of injecting real and reactive power to the distribution network the power factor is considered as 0.85 lead. The proposed peer enhanced multi-objective optimization technique provides different trade-off solutions in order to find the best compromise solution a fuzzy set theory approach has been used. The effectiveness of this proposed PeMOTLBO is tested on IEEE 33-bus and Indian 85-bus distribution system. The performance is validated with Pareto fronts and two performance metrics (C-metric and S-metric) by comparing with robust multi-objective technique called non-dominated sorting genetic algorithm-II and also with the basic TLBO.

  10. A Scientific Workflow Platform for Generic and Scalable Object Recognition on Medical Images

    Science.gov (United States)

    Möller, Manuel; Tuot, Christopher; Sintek, Michael

    In the research project THESEUS MEDICO we aim at a system combining medical image information with semantic background knowledge from ontologies to give clinicians fully cross-modal access to biomedical image repositories. Therefore joint efforts have to be made in more than one dimension: Object detection processes have to be specified in which an abstraction is performed starting from low-level image features across landmark detection utilizing abstract domain knowledge up to high-level object recognition. We propose a system based on a client-server extension of the scientific workflow platform Kepler that assists the collaboration of medical experts and computer scientists during development and parameter learning.

  11. EMR-based medical knowledge representation and inference via Markov random fields and distributed representation learning.

    Science.gov (United States)

    Zhao, Chao; Jiang, Jingchi; Guan, Yi; Guo, Xitong; He, Bin

    2018-05-01

    Electronic medical records (EMRs) contain medical knowledge that can be used for clinical decision support (CDS). Our objective is to develop a general system that can extract and represent knowledge contained in EMRs to support three CDS tasks-test recommendation, initial diagnosis, and treatment plan recommendation-given the condition of a patient. We extracted four kinds of medical entities from records and constructed an EMR-based medical knowledge network (EMKN), in which nodes are entities and edges reflect their co-occurrence in a record. Three bipartite subgraphs (bigraphs) were extracted from the EMKN, one to support each task. One part of the bigraph was the given condition (e.g., symptoms), and the other was the condition to be inferred (e.g., diseases). Each bigraph was regarded as a Markov random field (MRF) to support the inference. We proposed three graph-based energy functions and three likelihood-based energy functions. Two of these functions are based on knowledge representation learning and can provide distributed representations of medical entities. Two EMR datasets and three metrics were utilized to evaluate the performance. As a whole, the evaluation results indicate that the proposed system outperformed the baseline methods. The distributed representation of medical entities does reflect similarity relationships with respect to knowledge level. Combining EMKN and MRF is an effective approach for general medical knowledge representation and inference. Different tasks, however, require individually designed energy functions. Copyright © 2018 Elsevier B.V. All rights reserved.

  12. The analysis of distribution of the chromosome aberration breakpoints from medical diagnostic X-ray workers

    International Nuclear Information System (INIS)

    Wang Qin; Li Jin; Tang Weisheng; Wang Zhiquan

    2003-01-01

    Objective: To analyze the distribution of the chromosome aberration breakpoints from medical diagnostic x-ray workers. Methods: The breakpoints of lymphocyte chromosomes are analyzed using G-banding. Results: There are 146 breakpoints among 3545 metaphase in 37 cases of X-ray workers. There are statistically significant differences between observed values and expected values (χ 2 =42.82, df=23, P 0.05). Conclusion: The chromosome aberration breakpoints of medical diagnostic X-ray workers are non-random. The observed values of breakpoint numbers are higher than those of the expected values in 7 and 14 chromosomes (P<0.05)

  13. Homeopathy as Boundary Object and Distributed Therapeutic Agency. A Discussion on the Homeopathic Placebo Response.

    Science.gov (United States)

    Rughiniş, Cosima; Ciocănel, Alexandra; Vasile, Sorina

    2017-09-27

    We discuss homeopathy's placebo effect as the result of a distributed therapeutic agency involving humans, objects, and texts. Homeopathy has been involved in controversies for centuries, and the dispute whether it is therapy or quackery is as lively as ever. Still, homeopathy has retained significant popularity and acceptance within the medical establishment. We bracket the issue of biochemical effectiveness of homeopathic remedies as we only discuss homeopathy's potential to elicit a placebo response within its therapeutic alliance, in virtue of its social, symbolic, and material features. The review is based on literature discussing homeopathic effectiveness, including historical, biographical, sociological, and epistemological perspectives. We build upon research that clarifies the therapeutic relationship, examining its activities and meanings for practitioners and patients. Previous analyses discussing homeopathy's placebo effect stress the importance of the individualized consultation that functions as psychotherapy and generates empathy and hope. We enlarge the discussion, highlighting homeopathy's distributed therapeutic agency across humans, texts, and materials. The historical evolution of homeopathy in relation to biomedicine and science is important to understand its institutional integration into mainstream medicine and its appeal to scientifically minded doctors. Anecdotes of healing and the message of no-harm encourage patients to try homeopathy and hope for the best. The esthetics and ritual of remedies, coupled with computers' scientific legitimacy and time-saving power constitute a material infrastructure of therapeutic persuasion. Through its relation with biomedicine, its doctrine, consultation design, and treatment rituals, homeopathy offers a powerful medium to elicit a placebo response in a therapeutic alliance. By virtue of its proximity and radical difference from the scientific and biomedical enterprises, its material and textual

  14. Distribution Network Expansion Planning Based on Multi-objective PSO Algorithm

    DEFF Research Database (Denmark)

    Zhang, Chunyu; Ding, Yi; Wu, Qiuwei

    2013-01-01

    This paper presents a novel approach for electrical distribution network expansion planning using multi-objective particle swarm optimization (PSO). The optimization objectives are: investment and operation cost, energy losses cost, and power congestion cost. A two-phase multi-objective PSO...... algorithm was proposed to solve this optimization problem, which can accelerate the convergence and guarantee the diversity of Pareto-optimal front set as well. The feasibility and effectiveness of both the proposed multi-objective planning approach and the improved multi-objective PSO have been verified...

  15. Multi-objective optimal power flow for active distribution network considering the stochastic characteristic of photovoltaic

    Science.gov (United States)

    Zhou, Bao-Rong; Liu, Si-Liang; Zhang, Yong-Jun; Yi, Ying-Qi; Lin, Xiao-Ming

    2017-05-01

    To mitigate the impact on the distribution networks caused by the stochastic characteristic and high penetration of photovoltaic, a multi-objective optimal power flow model is proposed in this paper. The regulation capability of capacitor, inverter of photovoltaic and energy storage system embedded in active distribution network are considered to minimize the expected value of active power the T loss and probability of voltage violation in this model. Firstly, a probabilistic power flow based on cumulant method is introduced to calculate the value of the objectives. Secondly, NSGA-II algorithm is adopted for optimization to obtain the Pareto optimal solutions. Finally, the best compromise solution can be achieved through fuzzy membership degree method. By the multi-objective optimization calculation of IEEE34-node distribution network, the results show that the model can effectively improve the voltage security and economy of the distribution network on different levels of photovoltaic penetration.

  16. A prototype distributed object-oriented architecture for image-based automatic laser alignment

    International Nuclear Information System (INIS)

    Stout, E.A.; Kamm, V.J.M.; Spann, J.M.; Van Arsdall, P.J.

    1996-01-01

    Designing a computer control system for the National Ignition Facility (NIF) is a complex undertaking because of the system's large size and its distributed nature. The controls team is addressing that complexity by adopting the object-oriented programming paradigm, designing reusable software frameworks, and using the Common Object Request Broker Architecture (CORBA) for distribution. A prototype system for image-based automatic laser alignment has been developed to evaluate and gain experience with CORBA and OOP in a small distributed system. The prototype is also important in evaluating alignment concepts, image processing techniques, speed and accuracy of automatic alignment objectives for the NIF, and control hardware for aligment devices. The prototype system has met its inital objectives and provides a basis for continued development

  17. The electron density and temperature distributions predicted by bow shock models of Herbig-Haro objects

    International Nuclear Information System (INIS)

    Noriega-Crespo, A.; Bohm, K.H.; Raga, A.C.

    1990-01-01

    The observable spatial electron density and temperature distributions for series of simple bow shock models, which are of special interest in the study of Herbig-Haro (H-H) objects are computed. The spatial electron density and temperature distributions are derived from forbidden line ratios. It should be possible to use these results to recognize whether an observed electron density or temperature distribution can be attributed to a bow shock, as is the case in some Herbig-Haro objects. As an example, the empirical and predicted distributions for H-H 1 are compared. The predicted electron temperature distributions give the correct temperature range and they show very good diagnostic possibilities if the forbidden O III (4959 + 5007)/4363 wavelength ratio is used. 44 refs

  18. Objective and subjective factors of efficiency and performance of medical audit

    Directory of Open Access Journals (Sweden)

    V. S. Biryukov

    2017-01-01

    Full Text Available The work is devoted to analysis factors affecting the effective operation of quality management systems in health care institutions. It is shown important role of quality of carrying out audits, internal and external, in elimination of various kinds of risks and discrepancies in activity of medical institutions. Two main factors were revealed which influencing the quality of audit: 1. Subjective or "human" factor, consisting in sufficient motivation of the top management and internal auditors of medical institutions. 2. Objective or technological factor, consisting in sufficient training of internal auditors, adequacy selected audit methodology, etc.

  19. Multi-objective analysis of impacts of distributed generation placement on the operational characteristics of networks for distribution system planning

    Energy Technology Data Exchange (ETDEWEB)

    Barin, Alexandre; Pozzatti, Luis F.; Canha, Luciane N.; Abaide, Alzenira R. [Federal University of Santa Maria - UFSM, Post-graduation Program of Electric Engineering - PPGEE, Center of Studies of Energy and Environment - CEEMA, Santa Maria, RS (Brazil); Machado, Ricardo Q. [University of Sao Paulo - USP, Sao Carlos, SP (Brazil); Arend, Gustavo [State Electric Energy Company - CEEE-D, Division of Distribution, Porto Alegre, RS (Brazil)

    2010-12-15

    Recent advances in energy technology generation and new directions in electricity regulation have made distributed generation (DG) more widespread, with consequent significant impacts on the operational characteristics of distribution networks. For this reason, new methods for identifying such impacts are needed, together with research and development of new tools and resources to maintain and facilitate continued expansion towards DG. This paper presents a study aimed at determining appropriate DG sites for distribution systems. The main considerations which determine DG sites are also presented, together with an account of the advantages gained from correct DG placement. The paper intends to define some quantitative and qualitative parameters evaluated by Digsilent registered, GARP3 registered and DSA-GD software. A multi-objective approach based on the Bellman-Zadeh algorithm and fuzzy logic is used to determine appropriate DG sites. The study also aims to find acceptable DG locations both for distribution system feeders, as well as for nodes inside a given feeder. (author)

  20. The use of software agents and distributed objects to integrate enterprises: Compatible or competing technologies?

    Energy Technology Data Exchange (ETDEWEB)

    Pancerella, C.M.

    1998-04-01

    Distributed object and software agent technologies are two integration methods for connecting enterprises. The two technologies have overlapping goals--interoperability and architectural support for integrating software components--though to date little or no integration of the two technologies has been made at the enterprise level. The primary difference between these two technologies is that distributed object technologies focus on the problems inherent in connecting distributed heterogeneous systems whereas software agent technologies focus on the problems involved with coordination and knowledge exchange across domain boundaries. This paper addresses the integration of these technologies in support of enterprise integration across organizational and geographic boundaries. The authors discuss enterprise integration issues, review their experiences with both technologies, and make recommendations for future work. Neither technology is a panacea. Good software engineering techniques must be applied to integrate an enterprise because scalability and a distributed software development team are realities.

  1. Radiation Protection in Interventional Radiology. Training objectives for the medical specialists

    International Nuclear Information System (INIS)

    Ruiz-Cruces, R.; Vano, E.; Hernandez Armas, J.; Carrera, F.

    2003-01-01

    The Directive 97/43 Euratom on medical exposures and the report RP 116 published by the European Commission on Education and Training in radiation protection for medical exposures, established that interventional radiologists should have a more skilled training for handling X-Ray equipment and a better knowledge about the ways of protecting patients and staff against ionising radiation. To analyse the objectives for training in radiation protection recommended in the European Guideline and to show the most important points and modifications for a better practical application of this guide. An inquiry has been performed into the specific objectives recommended by the European Guideline RP 116 about training on Radiation Protection. Twenty interventional radiologists were requested to fill in the test, pointing out the importance of each objective (0-no necessary, 1-medium importance, 2-very important), and they were encouraged to suggest other more interesting for them not included in the European Guideline. The average scores for each of the objectives included in the European Guideline are shown, and an additional relation of suggested topics has been added to the current list. The scoring system show the priority and importance of the objectives that could be taken into account during the next training courses to be held in Spain and it could be used as a base of discussion in some European meeting in order to improve the European Guideline in the future. (Author) 13 refs

  2. Object-orientated DBMS techniques for time-oriented medical record.

    Science.gov (United States)

    Pinciroli, F; Combi, C; Pozzi, G

    1992-01-01

    In implementing time-orientated medical record (TOMR) management systems, use of a relational model played a big role. Many applications have been developed to extend query and data manipulation languages to temporal aspects of information. Our experience in developing TOMR revealed some deficiencies inside the relational model, such as: (a) abstract data type definition; (b) unified view of data, at a programming level; (c) management of temporal data; (d) management of signals and images. We identified some first topics to face by an object-orientated approach to database design. This paper describes the first steps in designing and implementing a TOMR by an object-orientated DBMS.

  3. Multi-Objective Distribution Network Operation Based on Distributed Generation Optimal Placement Using New Antlion Optimizer Considering Reliability

    Directory of Open Access Journals (Sweden)

    KHANBABAZADEH Javad

    2016-10-01

    Full Text Available Distribution network designers and operators are trying to deliver electrical energy with high reliability and quality to their subscribers. Due to high losses in the distribution systems, using distributed generation can improves reliability, reduces losses and improves voltage profile of distribution network. Therefore, the choice of the location of these resources and also determining the amount of their generated power to maximize the benefits of this type of resource is an important issue which is discussed from different points of view today. In this paper, a new multi-objective optimal location and sizing of distributed generation resources is performed to maximize its benefits on the 33 bus distribution test network considering reliability and using a new Antlion Optimizer (ALO. The benefits for DG are considered as system losses reduction, system reliability improvement and benefits from the sale electricity and voltage profile improvement. For each of the mentioned benefits, the ALO algorithm is used to optimize the location and sizing of distributed generation resources. In order to verify the proposed approach, the obtained results have been analyzed and compared with the results of particle swarm optimization (PSO algorithm. The results show that the ALO has shown better performance in optimization problem solution versus PSO.

  4. 76 FR 10908 - Draft Guidance for Industry on Medication Guides-Distribution Requirements and Inclusion of...

    Science.gov (United States)

    2011-02-28

    ...] Draft Guidance for Industry on Medication Guides--Distribution Requirements and Inclusion of Medication... a draft guidance for industry entitled ``Medication Guides--Distribution Requirements and Inclusion... Inclusion of Medication Guides in Risk Evaluation and Mitigation Strategies (REMS).'' This draft guidance is...

  5. Integrating heterogeneous databases in clustered medic care environments using object-oriented technology

    Science.gov (United States)

    Thakore, Arun K.; Sauer, Frank

    1994-05-01

    The organization of modern medical care environments into disease-related clusters, such as a cancer center, a diabetes clinic, etc., has the side-effect of introducing multiple heterogeneous databases, often containing similar information, within the same organization. This heterogeneity fosters incompatibility and prevents the effective sharing of data amongst applications at different sites. Although integration of heterogeneous databases is now feasible, in the medical arena this is often an ad hoc process, not founded on proven database technology or formal methods. In this paper we illustrate the use of a high-level object- oriented semantic association method to model information found in different databases into an integrated conceptual global model that integrates the databases. We provide examples from the medical domain to illustrate an integration approach resulting in a consistent global view, without attacking the autonomy of the underlying databases.

  6. Practicing doctors' perceptions on new learning objectives for Vietnamese medical schools

    Directory of Open Access Journals (Sweden)

    Dung Do Van

    2007-06-01

    Full Text Available Abstract Background As part of the process to develop more community-oriented medical teaching in Vietnam, eight medical schools prepared a set of standard learning objectives with attention to the needs of a doctor working with the community. Because they were prepared based on government documents and the opinions of the teachers, it was necessary to check them with doctors who had already graduated and were working at different sites in the community. Methods Each of the eight medical faculties asked 100 practising recent graduates to complete a questionnaire to check the relevance of the skills that the teachers considered most important. We used mean and standard deviation to summarize the scores rated by the respondents for each skill and percentile at four points: p50, p25, p10 and p5 to describe the variation of scores among the respondents. Correlation coefficient was used to measure the relationship between skill levels set by the teachers and the perception of practicing doctors regarding frequency of using skills and priority for each skill. Additional information was taken from the records of focus group discussions to clarify, explain or expand on the results from the quantitative data. Results In many cases the skills considered important by teachers were also rated as highly necessary and/or frequently used by the respondents. There were, however, discrepancies: some skills important to teachers were seldom used and not considered important by the doctors. In focus group discussions the doctors also identified skills that are not taught at all in the medical schools but would be needed by practising doctors. Conclusion Although most of the skills and skill levels included in the learning objectives by the teachers were consistent with the opinions of their graduates, the match was not perfect. The experience of the graduates and their additional comments should be included as inputs to the definition of learning objectives for

  7. The "Profiles" document: a modern revision of the objectives of undergraduate medical studies in Switzerland.

    Science.gov (United States)

    Michaud, Pierre-André; Jucker-Kupper, Patrick; The Profiles Working Group

    2016-01-01

    The Joint Commission of the Swiss Medical Schools (SMIFK/CIMS) decided in 2000 to establish a Swiss Catalogue of Learning Objectives (SCLO) for undergraduate medical training, which was adapted from a similar Dutch blueprint. A second version of the SCLO was developed and launched in 2008. The catalogue is a prerequisite for the accreditation of the curricula of the six Swiss medical faculties and defines the contents of the Federal Licensing Examination (FLE). Given the evolution of the field of medicine and of medical education, the SMIFK/CIMS has decided to embark on a total revision of the SCLO. This article presents the proposed structure and content of Profiles, a new document which, in the future, will direct the format of undergraduate studies and of the FLE. Profiles stands for the Principal Relevant Objectives for Integrative Learning and Education in Switzerland. It is currently being developed by a group of experts from the six Swiss faculties as well as representatives of other institutions involved in these developments. The foundations of Profiles are grounded in the evolution of medical practice and of public health and are based on up-to-date teaching concepts, such as EPAs (entrustable professional activities). An introduction will cover the concepts and a tutorial will be displayed. Three main chapters will provide a description of the seven 2015 CanMEDS roles, a list of core EPAs and a series of ≈250 situations embracing the most frequent and current conditions affecting health. As Profiles is still a work in progress, it is hoped that this paper will attract the interest of all individuals involved in the training of medical students.

  8. Distributed deep learning networks among institutions for medical imaging.

    Science.gov (United States)

    Chang, Ken; Balachandar, Niranjan; Lam, Carson; Yi, Darvin; Brown, James; Beers, Andrew; Rosen, Bruce; Rubin, Daniel L; Kalpathy-Cramer, Jayashree

    2018-03-29

    Deep learning has become a promising approach for automated support for clinical diagnosis. When medical data samples are limited, collaboration among multiple institutions is necessary to achieve high algorithm performance. However, sharing patient data often has limitations due to technical, legal, or ethical concerns. In this study, we propose methods of distributing deep learning models as an attractive alternative to sharing patient data. We simulate the distribution of deep learning models across 4 institutions using various training heuristics and compare the results with a deep learning model trained on centrally hosted patient data. The training heuristics investigated include ensembling single institution models, single weight transfer, and cyclical weight transfer. We evaluated these approaches for image classification in 3 independent image collections (retinal fundus photos, mammography, and ImageNet). We find that cyclical weight transfer resulted in a performance that was comparable to that of centrally hosted patient data. We also found that there is an improvement in the performance of cyclical weight transfer heuristic with a high frequency of weight transfer. We show that distributing deep learning models is an effective alternative to sharing patient data. This finding has implications for any collaborative deep learning study.

  9. Medical Assistance in Dying in Canada: An Ethical Analysis of Conscientious and Religious Objections

    Directory of Open Access Journals (Sweden)

    Christie, Timothy

    2016-08-01

    Full Text Available Background: The Supreme Court of Canada (SCC has ruled that the federal government is required to remove the provisions of the Criminal Code of Canada that prohibit medical assistance in dying (MAID. The SCC has stipulated that individual physicians will not be required to provide MAID should they have a religious or conscientious objection. Therefore, the pending legislative response will have to balance the rights of the patients with the rights of physicians, other health care professionals, and objecting institutions. Objective: The objective of this paper is to critically assess, within the Canadian context, the moral probity of individual or institutional objections to MAID that are for either religious or conscientious reasons. Methods: Deontological ethics and the Doctrine of Double Effect. Results: The religious or conscientious objector has conflicting duties, i.e., a duty to respect the “right to life” (section 7 of the Charter and a duty to respect the tenets of his or her religious or conscientious beliefs (protected by section 2 of the Charter. Conclusion: The discussion of religious or conscientious objections to MAID has not explicitly considered the competing duties of the conscientious objector. It has focussed on the fact that a conscientious objection exists and has ignored the normative question of whether the duty to respect one’s conscience or religion supersedes the duty to respect the patient’s right to life.

  10. Use of an object model in three dimensional image reconstruction. Application in medical imaging

    International Nuclear Information System (INIS)

    Delageniere-Guillot, S.

    1993-02-01

    Threedimensional image reconstruction from projections corresponds to a set of techniques which give information on the inner structure of the studied object. These techniques are mainly used in medical imaging or in non destructive evaluation. Image reconstruction is an ill-posed problem. So the inversion has to be regularized. This thesis deals with the introduction of a priori information within the reconstruction algorithm. The knowledge is introduced through an object model. The proposed scheme is applied to the medical domain for cone beam geometry. We address two specific problems. First, we study the reconstruction of high contrast objects. This can be applied to bony morphology (bone/soft tissue) or to angiography (vascular structures opacified by injection of contrast agent). With noisy projections, the filtering steps of standard methods tend to smooth the natural transitions of the investigated object. In order to regularize the reconstruction but to keep contrast, we introduce a model of classes which involves the Markov random fields theory. We develop a reconstruction scheme: analytic reconstruction-reprojection. Then, we address the case of an object changing during the acquisition. This can be applied to angiography when the contrast agent is moving through the vascular tree. The problem is then stated as a dynamic reconstruction. We define an evolution AR model and we use an algebraic reconstruction method. We represent the object at a particular moment as an intermediary state between the state of the object at the beginning and at the end of the acquisition. We test both methods on simulated and real data, and we prove how the use of an a priori model can improve the results. (author)

  11. Distributed dendritic processing facilitates object detection: a computational analysis on the visual system of the fly.

    Science.gov (United States)

    Hennig, Patrick; Möller, Ralf; Egelhaaf, Martin

    2008-08-28

    Detecting objects is an important task when moving through a natural environment. Flies, for example, may land on salient objects or may avoid collisions with them. The neuronal ensemble of Figure Detection cells (FD-cells) in the visual system of the fly is likely to be involved in controlling these behaviours, as these cells are more sensitive to objects than to extended background structures. Until now the computations in the presynaptic neuronal network of FD-cells and, in particular, the functional significance of the experimentally established distributed dendritic processing of excitatory and inhibitory inputs is not understood. We use model simulations to analyse the neuronal computations responsible for the preference of FD-cells for small objects. We employed a new modelling approach which allowed us to account for the spatial spread of electrical signals in the dendrites while avoiding detailed compartmental modelling. The models are based on available physiological and anatomical data. Three models were tested each implementing an inhibitory neural circuit, but differing by the spatial arrangement of the inhibitory interaction. Parameter optimisation with an evolutionary algorithm revealed that only distributed dendritic processing satisfies the constraints arising from electrophysiological experiments. In contrast to a direct dendro-dendritic inhibition of the FD-cell (Direct Distributed Inhibition model), an inhibition of its presynaptic retinotopic elements (Indirect Distributed Inhibition model) requires smaller changes in input resistance in the inhibited neurons during visual stimulation. Distributed dendritic inhibition of retinotopic elements as implemented in our Indirect Distributed Inhibition model is the most plausible wiring scheme for the neuronal circuit of FD-cells. This microcircuit is computationally similar to lateral inhibition between the retinotopic elements. Hence, distributed inhibition might be an alternative explanation of

  12. An Object-Oriented Information Model for Policy-based Management of Distributed Applications

    NARCIS (Netherlands)

    Diaz, G.; Gay, V.C.J.; Horlait, E.; Hamza, M.H.

    2002-01-01

    This paper presents an object-oriented information model to support a policy-based management for distributed multimedia applications. The information base contains application-level information about the users, the applications, and their profile. Our Information model is described in details and

  13. Constructing Common Information Space across Distributed Emergency Medical Teams

    DEFF Research Database (Denmark)

    Zhang, Zhan; Sarcevic, Aleksandra; Bossen, Claus

    2017-01-01

    This paper examines coordination and real-time information sharing across four emergency medical teams in a high-risk and distributed setting as they provide care to critically injured patients within the first hour after injury. Through multiple field studies we explored how common understanding...... of critical patient data is established across these heterogeneous teams and what coordination mechanisms are being used to support information sharing and interpretation. To analyze the data, we drew on the concept of Common Information Spaces (CIS). Our results showed that teams faced many challenges...... in achieving efficient information sharing and coordination, including difficulties in locating and assembling team members, communicating and interpreting information from the field, and accommodating differences in team goals and information needs, all while having minimal technology support. We reflect...

  14. A framework for multi-object tracking over distributed wireless camera networks

    Science.gov (United States)

    Gau, Victor; Hwang, Jenq-Neng

    2010-07-01

    In this paper, we propose a unified framework targeting at two important issues in a distributed wireless camera network, i.e., object tracking and network communication, to achieve reliable multi-object tracking over distributed wireless camera networks. In the object tracking part, we propose a fully automated approach for tracking of multiple objects across multiple cameras with overlapping and non-overlapping field of views without initial training. To effectively exchange the tracking information among the distributed cameras, we proposed an idle probability based broadcasting method, iPro, which adaptively adjusts the broadcast probability to improve the broadcast effectiveness in a dense saturated camera network. Experimental results for the multi-object tracking demonstrate the promising performance of our approach on real video sequences for cameras with overlapping and non-overlapping views. The modeling and ns-2 simulation results show that iPro almost approaches the theoretical performance upper bound if cameras are within each other's transmission range. In more general scenarios, e.g., in case of hidden node problems, the simulation results show that iPro significantly outperforms standard IEEE 802.11, especially when the number of competing nodes increases.

  15. Robust Multi-Objective PQ Scheduling for Electric Vehicles in Flexible Unbalanced Distribution Grids

    DEFF Research Database (Denmark)

    Knezovic, Katarina; Soroudi, Alireza; Marinelli, Mattia

    2017-01-01

    With increased penetration of distributed energy resources and electric vehicles (EVs), different EV management strategies can be used for mitigating adverse effects and supporting the distribution grid. This paper proposes a robust multi-objective methodology for determining the optimal day...... demand response programs. The method is tested on a real Danish unbalanced distribution grid with 35% EV penetration to demonstrate the effectiveness of the proposed approach. It is shown that the proposed formulation guarantees an optimal EV cost as long as the price uncertainties are lower than....... The robust formulation effectively considers the errors in the electricity price forecast and its influence on the EV schedule. Moreover, the impact of EV reactive power support on objective values and technical parameters is analysed both when EVs are the only flexible resources and when linked with other...

  16. Coordination strategies for distribution grid congestion management in a Multi-Actor, Multi-Objective Setting

    DEFF Research Database (Denmark)

    Andersen, Peter Bach; Hu, Junjie; Heussen, Kai

    2012-01-01

    It is well understood that the electric vehicle as a distributed energy resource can provide valuable services to the power system. Such services, however, would have to co-exist with hard constraints imposed by EV user demands and distribution grid operation constraints. This paper aims to address...... the interactions between the stakeholders involved, mainly considering the distribution grid congestion problem, and conceptualize several approaches by which their diverse, potentially conflicting, objectives can be coordinated. A key aspect to be considered is the relationship between the operational planning...... and the handling of real-time events for reliable grid operation. This paper presents an analysis of key stakeholders in terms of their objectives and key operations. Three potential strategies for congestion management are presented and evaluated based on their complexity of implementation, the value and benefits...

  17. Evaluating distributed medical education: what are the community's expectations?

    Science.gov (United States)

    Lovato, Chris; Bates, Joanna; Hanlon, Neil; Snadden, David

    2009-05-01

    This study aimed to explore community members' perceptions of present and future impacts of the implementation of an undergraduate medical education programme in an underserved community. We conducted semi-structured interviews with eight key informants representing the health, education, business, economy, media and political sectors. A two-stage approach was used. In the first stage, the interviews were analysed to identify sector-specific impacts informants perceived as already occurring or which they hoped to see in the future. The transcripts were then re-analysed to determine any underlying themes that crossed sectors. Community leaders described impacts that were already occurring in all sectors and also described changes in the community itself. Four underlying themes emerged: an increase in pride and status; partnership development; community self-efficacy, and community development. These underlying themes appear to characterise the development of social capital in the community. The implementation of distributed undergraduate medical education programmes in rural and underserved communities may impact their host communities in ways other than the production of a rural doctor workforce. Further studies to quantify impacts in diverse sectors and to explore possible links with social capital are needed.

  18. MODELING OF TECHNICAL CHANNELS OF INFORMATION LEAKAGE AT DISTRIBUTED CONTROL OBJECTS

    Directory of Open Access Journals (Sweden)

    Aleksander Vladimirovich Karpov

    2018-05-01

    Full Text Available The significant increase in requirements for distributed control objects’ functioning can’t be realized only at the expense of the widening and strengthening of security control measures. The first step in ensuring the information security at such objects is the analysis of the conditions of their functioning and modeling of technical channels of information leakage. The development of models of such channels is essentially the only method of complete study of their opportunities and it is pointed toward receiving quantitative assessments of the safe operation of compound objects. The evaluation data are necessary to make a decision on the degree of the information security from a leak according to the current criterion. The existing models are developed for the standard concentrated objects and allow to evaluate the level of information security from a leak on each of channels separately, what involves the significant increase in the required protective resource and time of assessment of information security on an object in general. The article deals with a logical-and-probabilistic method of a security assessment of structurally-compound objects. The model of a security leak on the distributed control objects is cited as an example. It is recommended to use a software package of an automated structurally-logistical modeling of compound systems, which allows to evaluate risk of information leakage in the loudspeaker. A possibility of information leakage by technical channels is evaluated and such differential characteristics of the safe operation of the distributed control objects as positive and negative contributions of the initiating events and conditions, which cause a leak are calculated. Purpose. The aim is a quantitative assessment of data risk, which is necessary for justifying the rational composition of organizational and technical protection measures, as well as a variant of the structure of the information security system from a

  19. Multi-object segmentation framework using deformable models for medical imaging analysis.

    Science.gov (United States)

    Namías, Rafael; D'Amato, Juan Pablo; Del Fresno, Mariana; Vénere, Marcelo; Pirró, Nicola; Bellemare, Marc-Emmanuel

    2016-08-01

    Segmenting structures of interest in medical images is an important step in different tasks such as visualization, quantitative analysis, simulation, and image-guided surgery, among several other clinical applications. Numerous segmentation methods have been developed in the past three decades for extraction of anatomical or functional structures on medical imaging. Deformable models, which include the active contour models or snakes, are among the most popular methods for image segmentation combining several desirable features such as inherent connectivity and smoothness. Even though different approaches have been proposed and significant work has been dedicated to the improvement of such algorithms, there are still challenging research directions as the simultaneous extraction of multiple objects and the integration of individual techniques. This paper presents a novel open-source framework called deformable model array (DMA) for the segmentation of multiple and complex structures of interest in different imaging modalities. While most active contour algorithms can extract one region at a time, DMA allows integrating several deformable models to deal with multiple segmentation scenarios. Moreover, it is possible to consider any existing explicit deformable model formulation and even to incorporate new active contour methods, allowing to select a suitable combination in different conditions. The framework also introduces a control module that coordinates the cooperative evolution of the snakes and is able to solve interaction issues toward the segmentation goal. Thus, DMA can implement complex object and multi-object segmentations in both 2D and 3D using the contextual information derived from the model interaction. These are important features for several medical image analysis tasks in which different but related objects need to be simultaneously extracted. Experimental results on both computed tomography and magnetic resonance imaging show that the proposed

  20. Multi-Objective Planning Techniques in Distribution Networks: A Composite Review

    Directory of Open Access Journals (Sweden)

    Syed Ali Abbas Kazmi

    2017-02-01

    Full Text Available Distribution networks (DNWs are facing numerous challenges, notably growing load demands, environmental concerns, operational constraints and expansion limitations with the current infrastructure. These challenges serve as a motivation factor for various distribution network planning (DP strategies, such as timely addressing load growth aiming at prominent objectives such as reliability, power quality, economic viability, system stability and deferring costly reinforcements. The continuous transformation of passive to active distribution networks (ADN needs to consider choices, primarily distributed generation (DG, network topology change, installation of new protection devices and key enablers as planning options in addition to traditional grid reinforcements. Since modern DP (MDP in deregulated market environments includes multiple stakeholders, primarily owners, regulators, operators and consumers, one solution fit for all planning scenarios may not satisfy all these stakeholders. Hence, this paper presents a review of several planning techniques (PTs based on mult-objective optimizations (MOOs in DNWs, aiming at better trade-off solutions among conflicting objectives and satisfying multiple stakeholders. The PTs in the paper spread across four distinct planning classifications including DG units as an alternative to costly reinforcements, capacitors and power electronic devices for ensuring power quality aspects, grid reinforcements, expansions, and upgrades as a separate category and network topology alteration and reconfiguration as a viable planning option. Several research works associated with multi-objective planning techniques (MOPT have been reviewed with relevant models, methods and achieved objectives, abiding with system constraints. The paper also provides a composite review of current research accounts and interdependence of associated components in the respective classifications. The potential future planning areas, aiming at

  1. Volumetric Medical Image Coding: An Object-based, Lossy-to-lossless and Fully Scalable Approach

    Science.gov (United States)

    Danyali, Habibiollah; Mertins, Alfred

    2011-01-01

    In this article, an object-based, highly scalable, lossy-to-lossless 3D wavelet coding approach for volumetric medical image data (e.g., magnetic resonance (MR) and computed tomography (CT)) is proposed. The new method, called 3DOBHS-SPIHT, is based on the well-known set partitioning in the hierarchical trees (SPIHT) algorithm and supports both quality and resolution scalability. The 3D input data is grouped into groups of slices (GOS) and each GOS is encoded and decoded as a separate unit. The symmetric tree definition of the original 3DSPIHT is improved by introducing a new asymmetric tree structure. While preserving the compression efficiency, the new tree structure allows for a small size of each GOS, which not only reduces memory consumption during the encoding and decoding processes, but also facilitates more efficient random access to certain segments of slices. To achieve more compression efficiency, the algorithm only encodes the main object of interest in each 3D data set, which can have any arbitrary shape, and ignores the unnecessary background. The experimental results on some MR data sets show the good performance of the 3DOBHS-SPIHT algorithm for multi-resolution lossy-to-lossless coding. The compression efficiency, full scalability, and object-based features of the proposed approach, beside its lossy-to-lossless coding support, make it a very attractive candidate for volumetric medical image information archiving and transmission applications. PMID:22606653

  2. SYSTEMATIC BIASES IN THE OBSERVED DISTRIBUTION OF KUIPER BELT OBJECT ORBITS

    International Nuclear Information System (INIS)

    Jones, R. L.; Parker, J. Wm.; Bieryla, A.; Marsden, B. G.; Gladman, B.; Kavelaars, JJ.; Petit, J.-M.

    2010-01-01

    The orbital distribution of Kuiper Belt objects (KBOs) provides important tests of solar system evolution models. However, our understanding of this orbital distribution can be affected by many observational biases. An important but difficult to quantify bias results from tracking selection effects; KBOs are recovered or lost depending on assumptions made about their orbital elements when fitting the initial (short) observational arc. Quantitatively studying the effects and significance of this bias is generally difficult, because only the objects where the assumptions were correct are recovered and thus available to study 'the problem', and because different observers use different assumptions and methods. We have used a sample of 38 KBOs that were discovered and tracked, bias-free, as part of the Canada-France Ecliptic Plane Survey to evaluate the potential for losing objects based on the two most common orbit and ephemeris prediction sources: the Minor Planet Center (MPC) and the Bernstein and Khushalani (BK) orbit fitting code. In both cases, we use early discovery and recovery astrometric measurements of the objects to generate ephemeris predictions that we then compare to later positional measurements; objects that have large differences between the predicted and actual positions would be unlikely to be recovered and are thus considered 'lost'. We find systematic differences in the orbit distributions which would result from using the two orbit-fitting procedures. In our sample, the MPC-derived orbit solutions lost slightly fewer objects (five out of 38) due to large ephemeris errors at one year recovery, but the objects which were lost belonged to more 'unusual' orbits such as scattering disk objects or objects with semimajor axes interior to the 3:2 resonance. Using the BK code, more objects (seven out of 38) would have been lost due to ephemeris errors, but the lost objects came from a range of orbital regions, primarily the classical belt region. We also

  3. An approach for access differentiation design in medical distributed applications built on databases.

    Science.gov (United States)

    Shoukourian, S K; Vasilyan, A M; Avagyan, A A; Shukurian, A K

    1999-01-01

    A formalized "top to bottom" design approach was described in [1] for distributed applications built on databases, which were considered as a medium between virtual and real user environments for a specific medical application. Merging different components within a unified distributed application posits new essential problems for software. Particularly protection tools, which are sufficient separately, become deficient during the integration due to specific additional links and relationships not considered formerly. E.g., it is impossible to protect a shared object in the virtual operating room using only DBMS protection tools, if the object is stored as a record in DB tables. The solution of the problem should be found only within the more general application framework. Appropriate tools are absent or unavailable. The present paper suggests a detailed outline of a design and testing toolset for access differentiation systems (ADS) in distributed medical applications which use databases. The appropriate formal model as well as tools for its mapping to a DMBS are suggested. Remote users connected via global networks are considered too.

  4. Multi-objective optimization with estimation of distribution algorithm in a noisy environment.

    Science.gov (United States)

    Shim, Vui Ann; Tan, Kay Chen; Chia, Jun Yong; Al Mamun, Abdullah

    2013-01-01

    Many real-world optimization problems are subjected to uncertainties that may be characterized by the presence of noise in the objective functions. The estimation of distribution algorithm (EDA), which models the global distribution of the population for searching tasks, is one of the evolutionary computation techniques that deals with noisy information. This paper studies the potential of EDAs; particularly an EDA based on restricted Boltzmann machines that handles multi-objective optimization problems in a noisy environment. Noise is introduced to the objective functions in the form of a Gaussian distribution. In order to reduce the detrimental effect of noise, a likelihood correction feature is proposed to tune the marginal probability distribution of each decision variable. The EDA is subsequently hybridized with a particle swarm optimization algorithm in a discrete domain to improve its search ability. The effectiveness of the proposed algorithm is examined via eight benchmark instances with different characteristics and shapes of the Pareto optimal front. The scalability, hybridization, and computational time are rigorously studied. Comparative studies show that the proposed approach outperforms other state of the art algorithms.

  5. A tale of two directories Implementing distributed shared objects in Java

    CERN Document Server

    Herlihy, M

    1999-01-01

    A directory service keep tracks of the location and status of mobile objects in a distributed system. This paper describes our experience implementing two distributed directory protocols as part of the Aleph toolkit, a distributed shared object system implemented in Java. One protocol is a conventional home-based protocol, in which a fixed node keeps track of the object's location and status. The other is a novel arrow protocol, based on a simple path-reversal algorithm. We were surprised to discover that the arrow protocol outperformed the home protocol, sometimes substantially, across a range of system sizes. This paper describes a series of experiments testing whether the discrepancy is due to an artifact of the Java run-time system (such as differences in thread management or object serialization costs), or whether it is something inherent in the protocols themselves. In the end, we use insights gained from these experimental results to design a new directory protocol that usually outperforms both. (29 re...

  6. Medical students' perception of objective structured clinical examination: a feedback for process improvement.

    Science.gov (United States)

    Nasir, Abdulrasheed A; Yusuf, Ayodeji S; Abdur-Rahman, Lukman O; Babalola, Olasunkanmi M; Adeyeye, Ademola A; Popoola, Ademola A; Adeniran, James O

    2014-01-01

    Medical educators have always been desirous of the best methods for formative and summative evaluation of trainees. The Objective Structured Clinical Examination (OSCE) is an approach for student assessment in which aspects of clinical competence are evaluated in a comprehensive, consistent, and structured manner with close attention to the objectivity of the process. Though popular in most medical schools globally, its use in Nigeria medical schools appears limited. This study was conceived to explore students' perception about the acceptability of OSCE process and to provide feedback to be used to improve the assessment technique. A cross-sectional survey was conducted on final-year medical students, who participated in the final MBBS surgery examination in June 2011. A 19-item self-administered structured questionnaire was employed to obtain relevant data on demographics of respondents and questions evaluating the OSCE stations in terms of the quality of instructions and organization, learning opportunities, authenticity and transparency of the process, and usefulness of the OSCE as an assessment instrument compared with other formats. Students' responses were based on a 5-point Likert scales ranging from strongly disagree to strongly agree. The data were analyzed using SPSS, version 15 (SPSS, Inc, Chicago, IL). The study took place at the University of Ilorin, College of Health Science. A total of 187 final-year medical students were enrolled in to the survey. Of 187 eligible students, 151 completed the self-administered questionnaire representing 80.7% response rate. A total of 61 (40.4%) students felt that it was easy to understand written instructions at the OSCE stations. In total, 106 (70.2%) students felt that the time allocated to each station was adequate. A total of 89 (58.9%) students agreed that the OSCE accurately measured their knowledge and skill, and 85 (56.3%) reported that OSCE enhanced their communication skill. Of the respondents, 80 (53

  7. An Efficacious Multi-Objective Fuzzy Linear Programming Approach for Optimal Power Flow Considering Distributed Generation.

    Science.gov (United States)

    Warid, Warid; Hizam, Hashim; Mariun, Norman; Abdul-Wahab, Noor Izzri

    2016-01-01

    This paper proposes a new formulation for the multi-objective optimal power flow (MOOPF) problem for meshed power networks considering distributed generation. An efficacious multi-objective fuzzy linear programming optimization (MFLP) algorithm is proposed to solve the aforementioned problem with and without considering the distributed generation (DG) effect. A variant combination of objectives is considered for simultaneous optimization, including power loss, voltage stability, and shunt capacitors MVAR reserve. Fuzzy membership functions for these objectives are designed with extreme targets, whereas the inequality constraints are treated as hard constraints. The multi-objective fuzzy optimal power flow (OPF) formulation was converted into a crisp OPF in a successive linear programming (SLP) framework and solved using an efficient interior point method (IPM). To test the efficacy of the proposed approach, simulations are performed on the IEEE 30-busand IEEE 118-bus test systems. The MFLP optimization is solved for several optimization cases. The obtained results are compared with those presented in the literature. A unique solution with a high satisfaction for the assigned targets is gained. Results demonstrate the effectiveness of the proposed MFLP technique in terms of solution optimality and rapid convergence. Moreover, the results indicate that using the optimal DG location with the MFLP algorithm provides the solution with the highest quality.

  8. OntoVIP: an ontology for the annotation of object models used for medical image simulation.

    Science.gov (United States)

    Gibaud, Bernard; Forestier, Germain; Benoit-Cattin, Hugues; Cervenansky, Frédéric; Clarysse, Patrick; Friboulet, Denis; Gaignard, Alban; Hugonnard, Patrick; Lartizien, Carole; Liebgott, Hervé; Montagnat, Johan; Tabary, Joachim; Glatard, Tristan

    2014-12-01

    This paper describes the creation of a comprehensive conceptualization of object models used in medical image simulation, suitable for major imaging modalities and simulators. The goal is to create an application ontology that can be used to annotate the models in a repository integrated in the Virtual Imaging Platform (VIP), to facilitate their sharing and reuse. Annotations make the anatomical, physiological and pathophysiological content of the object models explicit. In such an interdisciplinary context we chose to rely on a common integration framework provided by a foundational ontology, that facilitates the consistent integration of the various modules extracted from several existing ontologies, i.e. FMA, PATO, MPATH, RadLex and ChEBI. Emphasis is put on methodology for achieving this extraction and integration. The most salient aspects of the ontology are presented, especially the organization in model layers, as well as its use to browse and query the model repository. Copyright © 2014 Elsevier Inc. All rights reserved.

  9. Objective structured practical examination in biochemistry: An experience in Medical College, Kolkata.

    Science.gov (United States)

    Kundu, Dipankar; Das, H N; Sen, Gargi; Osta, Manish; Mandal, T; Gautam, Divyendu

    2013-01-01

    Undergraduate medical examination is undergoing extensive re evaluation with new core educational objectives being defined. Consequently, new exam systems have also been designed to test the objectives. Objective structured practical examination (OSPE) is one of them. To introduce OSPE as a method of assessment of practical skills and learning and to determine student satisfaction regarding the OSPE. Furthermore, to explore the faculty perception of OSPE as a learning and assessment tool. The first M.B.B.S students of 2011 12 batch of Medical College, Kolkata, were the subjects for the study. OSPE was organized and conducted on "Identification of Unknown Abnormal Constituents in Urine." Coefficient of reliability of questions administered was done by calculating Cronbach's alpha. A questionnaire on various components of the OSPE was administered to get the feedback. 16 students failed to achieve an average of 50% or above in the assessment. However, 49 students on an average achieved >75%, 52 students achieved between 65% and 75%, and 29 students scored between 50% and 65%. Cronbach's alpha of the questions administered showed to be having high internal consistency with a score of 0.80. Ninety nine percent of students believed that OSPE helps them to improve and 81% felt that this type of assessment fits in as both learning and evaluation tools. Faculty feedback reflected that such assessment tested objectivity, measured practical skills better, and eliminated examiner bias to a greater extent. OSPE tests different desired components of competence better and eliminated examiner bias. Student feedback reflects that such assessment helps them to improve as it is effective both as teaching and evaluation tools.

  10. Dependency of energy and spatial distributions of photons on edge of object in brain SPECT

    CERN Document Server

    Deloar, H M; Kudomi, N; Kim, K M; Aoi, T; Iida, H

    2003-01-01

    Accurate mu maps are important for quantitative image reconstruction in SPECT. The Compton scatter energy window (CSW) technique has been proposed to define the outline of objects. In this technique, a lower energy window image is acquired in addition to the main photo-peak energy window. The image of the lower energy window is used to estimate the edge of the scanned object to produce a constant attenuation map. The aim of this study was to investigate the dependency of CSW on the spatial and energy distribution of radioisotope to predict the edges of objects. Two particular cases of brain study were considered, namely uniform distribution and non-uniform distribution using Monte Carlo simulation and experiments with uniform cylindrical phantom and hotspot phantom. The phantoms were filled with water and a radioactive solution of sup 9 sup 9 sup m Tc. For each phantom, 20%, 30%, 40% and 50% thresholds of the mean profile were applied to estimate E sub w sub t , the energy window for minimum difference betwee...

  11. A policy-based multi-objective optimisation framework for residential distributed energy system design★

    Directory of Open Access Journals (Sweden)

    Wouters Carmen

    2017-01-01

    Full Text Available Distributed energy systems (DES are increasingly being introduced as solutions to alleviate conventional energy system challenges related to energy security, climate change and increasing demands. From a technological and economic perspective, distributed energy resources are already becoming viable. The question still remains as to how these technologies and practices can be “best” selected, sized and integrated within consumer areas. To aid decision-makers and enable widespread DES adoption, a strategic superstructure design framework is therefore still required that ensures balancing of multiple stakeholder interests and fits in with liberalised energy system objectives of competition, security of supply and sustainability. Such a design framework is presented in this work. An optimisation-based approach for the design of neighbourhood-based DES is developed that enables meeting their yearly electricity, heating and cooling needs by appropriately selecting, sizing and locating technologies and energy interactions. A pool of poly-generation and storage technologies is hereto considered combined with local energy sharing between participating prosumers through thermal pipeline design and microgrid operation, and, a bi-directional connection with the central distribution grid. A superstructure mixed-integer linear programming approach (MILP is proposed to trade off three minimisation objectives in the design process: total annualised cost, annual CO2 emissions and electrical system unavailability, aligned with the three central energy system objectives. The developed model is applied on a small South Australian neighbourhood. The approach enables identifying “knee-point” neighbourhood energy system designs through Pareto trade-offs between objectives and serves to inform decision-makers about the impact of policy objectives on DES development strategies.

  12. Impact of Mobile Dose-Tracking Technology on Medication Distribution at an Academic Medical Center.

    Science.gov (United States)

    Kelm, Matthew; Campbell, Udobi

    2016-05-01

    Medication dose-tracking technologies have the potential to improve efficiency and reduce costs associated with re-dispensing doses reported as missing. Data describing this technology and its impact on the medication use process are limited. The purpose of this study is to assess the impact of dose-tracking technology on pharmacy workload and drug expense at an academic, acute care medical center. Dose-tracking technology was implemented in June 2014. Pre-implementation data were collected from February to April 2014. Post-implementation data were collected from July to September 2014. The primary endpoint was the percent of re-dispensed oral syringe and compounded sterile product (CSP) doses within the pre- and post-implementation periods per 1,000 discharges. Secondary endpoints included pharmaceutical expense generated from re-dispensing doses, labor costs, and staff satisfaction with the medication distribution process. We observed an average 6% decrease in re-dispensing of oral syringe and CSP doses from pre- to post-implementation (15,440 vs 14,547 doses; p = .047). However, when values were adjusted per 1,000 discharges, this trend did not reach statistical significance (p = .074). Pharmaceutical expense generated from re-dispensing doses was significantly reduced from pre- to post-implementation ($834,830 vs $746,466 [savings of $88,364]; p = .047). We estimated that $2,563 worth of technician labor was avoided in re-dispensing missing doses. We also saw significant improvement in staff perception of technology assisting in reducing missing doses (p = .0003), as well as improvement in effectiveness of resolving or minimizing missing doses (p = .01). The use of mobile dose-tracking technology demonstrated meaningful reductions in both the number of doses re-dispensed and cost of pharmaceuticals dispensed.

  13. Frequent Statement and Dereference Elimination for Imperative and Object-Oriented Distributed Programs

    Science.gov (United States)

    El-Zawawy, Mohamed A.

    2014-01-01

    This paper introduces new approaches for the analysis of frequent statement and dereference elimination for imperative and object-oriented distributed programs running on parallel machines equipped with hierarchical memories. The paper uses languages whose address spaces are globally partitioned. Distributed programs allow defining data layout and threads writing to and reading from other thread memories. Three type systems (for imperative distributed programs) are the tools of the proposed techniques. The first type system defines for every program point a set of calculated (ready) statements and memory accesses. The second type system uses an enriched version of types of the first type system and determines which of the ready statements and memory accesses are used later in the program. The third type system uses the information gather so far to eliminate unnecessary statement computations and memory accesses (the analysis of frequent statement and dereference elimination). Extensions to these type systems are also presented to cover object-oriented distributed programs. Two advantages of our work over related work are the following. The hierarchical style of concurrent parallel computers is similar to the memory model used in this paper. In our approach, each analysis result is assigned a type derivation (serves as a correctness proof). PMID:24892098

  14. Medical emergencies in a dental office: inhalation and ingestion of orthodontic objects.

    Science.gov (United States)

    Bilder, Leon; Hazan-Molina, Hagai; Aizenbud, Dror

    2011-01-01

    The authors reviewed the literature regarding inhalation and ingestion of orthodontic appliances and suggest ways to manage and prevent these events. The authors conducted literature searches of free text and Medical Subject Headings terms by using PubMed and Embase databases and selected appropriate studies. They analyzed retrieved articles according to several parameters: inhalation or ingestion event, number of cases, patient's sex and age, type of orthodontic appliance, in-office event or out-of-office event, and medical treatment. The authors found a total of 2,279 articles in their preliminary search. Eighteen reports of 24 cases from this search met all of the search criteria (that is, clinical studies, case reports or reviews limited to English, Hebrew or Arabic on any form of aspiration or inhalation of orthodontic appliances). Most cases (67 percent) involved ingested objects, and of those cases, the majority (57 percent) occurred in female patients. Most cases (85 percent) occurred outside the orthodontist's office. Seventeen patients (71 percent) had been treated with a fixed orthodontic appliance. In 60 percent of cases, the maxilla was involved. With one exception, no severe complications were reported (only seven patients were examined in a hospital emergency department), and patients were discharged uneventfully from the orthodontic office or emergency department. Orthodontists and team members should participate in medical emergency management courses that emphasize the use of guidelines in cases of inhalation or ingestion of orthodontic objects. Each orthodontist's office should develop written emergency protocols for out-of-office events and present them to patients and their parents at the start of treatment.

  15. Virtual patient simulator for distributed collaborative medical education.

    Science.gov (United States)

    Caudell, Thomas P; Summers, Kenneth L; Holten, Jim; Hakamata, Takeshi; Mowafi, Moad; Jacobs, Joshua; Lozanoff, Beth K; Lozanoff, Scott; Wilks, David; Keep, Marcus F; Saiki, Stanley; Alverson, Dale

    2003-01-01

    Project TOUCH (Telehealth Outreach for Unified Community Health; http://hsc.unm.edu/touch) investigates the feasibility of using advanced technologies to enhance education in an innovative problem-based learning format currently being used in medical school curricula, applying specific clinical case models, and deploying to remote sites/workstations. The University of New Mexico's School of Medicine and the John A. Burns School of Medicine at the University of Hawai'i face similar health care challenges in providing and delivering services and training to remote and rural areas. Recognizing that health care needs are local and require local solutions, both states are committed to improving health care delivery to their unique populations by sharing information and experiences through emerging telehealth technologies by using high-performance computing and communications resources. The purpose of this study is to describe the deployment of a problem-based learning case distributed over the National Computational Science Alliance's Access Grid. Emphasis is placed on the underlying technical components of the TOUCH project, including the virtual reality development tool Flatland, the artificial intelligence-based simulation engine, the Access Grid, high-performance computing platforms, and the software that connects them all. In addition, educational and technical challenges for Project TOUCH are identified. Copyright 2003 Wiley-Liss, Inc.

  16. COORDINATED LOCATION, DISTRIBUTION AND INVENTORY DECISIONS IN SUPPLY CHAIN NETWORK DESIGN: A MULTI-OBJECTIVE APPROACH

    Directory of Open Access Journals (Sweden)

    G. Reza Nasiri

    2012-01-01

    Full Text Available

    ENGLISH ABSTRACT: This research presents an integrated multi-objective distribution model for use in simultaneous strategic and operational food supply chain (SC planning. The proposed method is adopted to allow use of a performance measurement system that includes conflicting objectives such as distribution costs, customer service level (safety stock holding, resource utilisation, and the total delivery time, with reference to multiple warehouse capacities and uncertain forecast demands. To deal with these objectives and enable the decision makers (DMs to evaluate a greater number of alternative solutions, three different approaches are implemented in the proposed solution procedure. A detailed case study derived from food industrial data is used to illustrate the preference of the proposed approach. The proposed method yields an efficient solution and an overall degree of DMs’ satisfaction with the determined objective values.

    AFRIKAANSE OPSOMMING: Die navorsing behandel ’n geïntegreerde multidoelwit distribusiemodel vir strategiese beplanning van ’n voedseltoevoerketting. Om met die model doelmatig te werk, moet ’n versameling van randvoorwaardes hanteer word om die saamgestelde optimiseringsdoelwit te bereik teen ’n agtergrond van uiteenlopende sienings.

  17. Technology of solving multi-objective problems of control of systems with distributed parameters

    Science.gov (United States)

    Rapoport, E. Ya.; Pleshivtseva, Yu. E.

    2017-07-01

    A constructive technology of multi-objective optimization of control of distributed parameter plants is proposed. The technology is based on a single-criterion version in the form of the minimax convolution of normalized performance criteria. The approach under development is based on the transition to an equivalent form of the variational problem with constraints, with the problem solution being a priori Pareto-effective. Further procedures of preliminary parameterization of control actions and subsequent reduction to a special problem of semi-infinite programming make it possible to find the sought extremals with the use of their Chebyshev properties and fundamental laws of the subject domain. An example of multi-objective optimization of operation modes of an engineering thermophysics object is presented, which is of independent interest.

  18. INITIAL PLANETESIMAL SIZES AND THE SIZE DISTRIBUTION OF SMALL KUIPER BELT OBJECTS

    International Nuclear Information System (INIS)

    Schlichting, Hilke E.; Fuentes, Cesar I.; Trilling, David E.

    2013-01-01

    The Kuiper Belt is a remnant from the early solar system and its size distribution contains many important constraints that can be used to test models of planet formation and collisional evolution. We show, by comparing observations with theoretical models, that the observed Kuiper Belt size distribution is well matched by coagulation models, which start with an initial planetesimal population with radii of about 1 km, and subsequent collisional evolution. We find that the observed size distribution above R ∼ 30 km is primordial, i.e., it has not been modified by collisional evolution over the age of the solar system, and that the size distribution below R ∼ 30 km has been modified by collisions and that its slope is well matched by collisional evolution models that use published strength laws. We investigate in detail the resulting size distribution of bodies ranging from 0.01 km to 30 km and find that its slope changes several times as a function of radius before approaching the expected value for an equilibrium collisional cascade of material strength dominated bodies for R ∼< 0.1 km. Compared to a single power-law size distribution that would span the whole range from 0.01 km to 30 km, we find in general a strong deficit of bodies around R ∼ 10 km and a strong excess of bodies around 2 km in radius. This deficit and excess of bodies are caused by the planetesimal size distribution left over from the runaway growth phase, which left most of the initial mass in small planetesimals while only a small fraction of the total mass is converted into large protoplanets. This excess mass in small planetesimals leaves a permanent signature in the size distribution of small bodies that is not erased after 4.5 Gyr of collisional evolution. Observations of the small Kuiper Belt Object (KBO) size distribution can therefore test if large KBOs grew as a result of runaway growth and constrained the initial planetesimal sizes. We find that results from recent KBO

  19. Multi-objective optimization of water quality, pumps operation, and storage sizing of water distribution systems.

    Science.gov (United States)

    Kurek, Wojciech; Ostfeld, Avi

    2013-01-30

    A multi-objective methodology utilizing the Strength Pareto Evolutionary Algorithm (SPEA2) linked to EPANET for trading-off pumping costs, water quality, and tanks sizing of water distribution systems is developed and demonstrated. The model integrates variable speed pumps for modeling the pumps operation, two water quality objectives (one based on chlorine disinfectant concentrations and one on water age), and tanks sizing cost which are assumed to vary with location and diameter. The water distribution system is subject to extended period simulations, variable energy tariffs, Kirchhoff's laws 1 and 2 for continuity of flow and pressure, tanks water level closure constraints, and storage-reliability requirements. EPANET Example 3 is employed for demonstrating the methodology on two multi-objective models, which differ in the imposed water quality objective (i.e., either with disinfectant or water age considerations). Three-fold Pareto optimal fronts are presented. Sensitivity analysis on the storage-reliability constraint, its influence on pumping cost, water quality, and tank sizing are explored. The contribution of this study is in tailoring design (tank sizing), pumps operational costs, water quality of two types, and reliability through residual storage requirements, in a single multi-objective framework. The model was found to be stable in generating multi-objective three-fold Pareto fronts, while producing explainable engineering outcomes. The model can be used as a decision tool for both pumps operation, water quality, required storage for reliability considerations, and tank sizing decision-making. Copyright © 2012 Elsevier Ltd. All rights reserved.

  20. Pattern recognition for cache management in distributed medical imaging environments.

    Science.gov (United States)

    Viana-Ferreira, Carlos; Ribeiro, Luís; Matos, Sérgio; Costa, Carlos

    2016-02-01

    Traditionally, medical imaging repositories have been supported by indoor infrastructures with huge operational costs. This paradigm is changing thanks to cloud outsourcing which not only brings technological advantages but also facilitates inter-institutional workflows. However, communication latency is one main problem in this kind of approaches, since we are dealing with tremendous volumes of data. To minimize the impact of this issue, cache and prefetching are commonly used. The effectiveness of these mechanisms is highly dependent on their capability of accurately selecting the objects that will be needed soon. This paper describes a pattern recognition system based on artificial neural networks with incremental learning to evaluate, from a set of usage pattern, which one fits the user behavior at a given time. The accuracy of the pattern recognition model in distinct training conditions was also evaluated. The solution was tested with a real-world dataset and a synthesized dataset, showing that incremental learning is advantageous. Even with very immature initial models, trained with just 1 week of data samples, the overall accuracy was very similar to the value obtained when using 75% of the long-term data for training the models. Preliminary results demonstrate an effective reduction in communication latency when using the proposed solution to feed a prefetching mechanism. The proposed approach is very interesting for cache replacement and prefetching policies due to the good results obtained since the first deployment moments.

  1. Benefit distribution of social health insurance: evidence from china's urban resident basic medical insurance.

    Science.gov (United States)

    Pan, Jay; Tian, Sen; Zhou, Qin; Han, Wei

    2016-09-01

    Equity is one of the essential objectives of the social health insurance. This article evaluates the benefit distribution of the China's Urban Residents' Basic Medical Insurance (URBMI), covering 300 million urban populations. Using the URBMI Household Survey data fielded between 2007 and 2011, we estimate the benefit distribution by the two-part model, and find that the URBMI beneficiaries from lower income groups benefited less than that of higher income groups. In other words, government subsidy that was supposed to promote the universal coverage of health care flew more to the rich. Our study provides new evidence on China's health insurance system reform, and it bears meaningful policy implication for other developing countries facing similar challenges on the way to universal coverage of health insurance. © The Author 2016. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  2. Virtual memory support for distributed computing environments using a shared data object model

    Science.gov (United States)

    Huang, F.; Bacon, J.; Mapp, G.

    1995-12-01

    Conventional storage management systems provide one interface for accessing memory segments and another for accessing secondary storage objects. This hinders application programming and affects overall system performance due to mandatory data copying and user/kernel boundary crossings, which in the microkernel case may involve context switches. Memory-mapping techniques may be used to provide programmers with a unified view of the storage system. This paper extends such techniques to support a shared data object model for distributed computing environments in which good support for coherence and synchronization is essential. The approach is based on a microkernel, typed memory objects, and integrated coherence control. A microkernel architecture is used to support multiple coherence protocols and the addition of new protocols. Memory objects are typed and applications can choose the most suitable protocols for different types of object to avoid protocol mismatch. Low-level coherence control is integrated with high-level concurrency control so that the number of messages required to maintain memory coherence is reduced and system-wide synchronization is realized without severely impacting the system performance. These features together contribute a novel approach to the support for flexible coherence under application control.

  3. Multi-objective scheduling of electric vehicles in smart distribution system

    International Nuclear Information System (INIS)

    Zakariazadeh, Alireza; Jadid, Shahram; Siano, Pierluigi

    2014-01-01

    Highlights: • Environmental/economic operational scheduling of electric vehicles. • The Vehicle to Grid capability and the actual patterns of drivers are considered. • A novel conceptual model for an electric vehicle management system is proposed. - Abstract: When preparing for the widespread adoption of Electric Vehicles (EVs), an important issue is to use a proper EVs’ charging/discharging scheduling model that is able to simultaneously consider economic and environmental goals as well as technical constraints of distribution networks. This paper proposes a multi-objective operational scheduling method for charging/discharging of EVs in a smart distribution system. The proposed multi-objective framework, based on augmented ε-constraint method, aims at minimizing the total operational costs and emissions. The Vehicle to Grid (V2G) capability as well as the actual patterns of drivers are considered in order to generate the Pareto-optimal solutions. The Benders decomposition technique is used in order to solve the proposed optimization model and to convert the large scale mixed integer nonlinear problem into mixed-integer linear programming and nonlinear programming problems. The effectiveness of the proposed resources scheduling approach is tested on a 33-bus distribution test system over a 24-h period. The results show that the proposed EVs’ charging/discharging method can reduce both of operation cost and air pollutant emissions

  4. Multi-Objective Scheduling of Electric Vehicles in Smart Distribution Network

    Directory of Open Access Journals (Sweden)

    Changhong Deng

    2016-11-01

    Full Text Available Due to the energy savings and environmental protection they provide, plug-in electric vehicles (PEVs are increasing in number quickly. Rapid development of PEVs brings new opportunities and challenges to the electricity distribution network’s dispatching. A high number of uncoordinated charging PEVs has significant negative impacts on the secure and economic operation of a distribution network. In this paper, a bi-level programming approach that coordinates PEVs’ charging with the network load and electricity price of the open market is presented. The major objective of the upper level model is to minimize the total network costs and the deviation of electric vehicle aggregators’ charging power and the equivalent power. The subsequent objective of the lower level model after the upper level decision is to minimize the dispatching deviation of the sum of PEVs’ charging power and their optimization charging power under the upper level model. An improved particle swarm optimization algorithm is used to solve the bi-level programming. Numerical studies using a modified IEEE 69-bus distribution test system including six electric vehicle aggregators verify the efficiency of the proposed model.

  5. Pre-Hawking radiation may allow for reconstruction of the mass distribution of the collapsing object

    Energy Technology Data Exchange (ETDEWEB)

    Dai, De-Chang, E-mail: diedachung@gmail.com [Institute of Natural Sciences, Shanghai Key Lab for Particle Physics and Cosmology, and Center for Astrophysics and Astronomy, Department of Physics and Astronomy, Shanghai Jiao Tong University, Shanghai 200240 (China); Stojkovic, Dejan [HEPCOS, Department of Physics, SUNY, University at Buffalo, Buffalo, NY 14260-1500 (United States)

    2016-07-10

    Hawking radiation explicitly depends only on the black hole's total mass, charge and angular momentum. It is therefore generally believed that one cannot reconstruct the information about the initial mass distribution of an object that made the black hole. However, instead of looking at radiation from a static black hole, we can study the whole time-dependent process of the gravitational collapse, and pre-Hawking radiation which is excited because of the time-dependent metric. We compare radiation emitted by a single collapsing shell with that emitted by two concentric shells of the equivalent total mass. We calculate the gravitational trajectory and the momentum energy tensor. We show that the flux of energy emitted during the collapse by a single shell is significantly different from the flux emitted by two concentric shells of the equivalent total mass. When the static black hole is formed, the fluxes become indistinguishable. This implies that an observer studying the flux of particles from a collapsing object could in principle reconstruct information not only about the total mass of the collapsing object, but also about the mass distribution.

  6. Pre-Hawking radiation may allow for reconstruction of the mass distribution of the collapsing object

    Directory of Open Access Journals (Sweden)

    De-Chang Dai

    2016-07-01

    Full Text Available Hawking radiation explicitly depends only on the black hole's total mass, charge and angular momentum. It is therefore generally believed that one cannot reconstruct the information about the initial mass distribution of an object that made the black hole. However, instead of looking at radiation from a static black hole, we can study the whole time-dependent process of the gravitational collapse, and pre-Hawking radiation which is excited because of the time-dependent metric. We compare radiation emitted by a single collapsing shell with that emitted by two concentric shells of the equivalent total mass. We calculate the gravitational trajectory and the momentum energy tensor. We show that the flux of energy emitted during the collapse by a single shell is significantly different from the flux emitted by two concentric shells of the equivalent total mass. When the static black hole is formed, the fluxes become indistinguishable. This implies that an observer studying the flux of particles from a collapsing object could in principle reconstruct information not only about the total mass of the collapsing object, but also about the mass distribution.

  7. The structure of medical competence and results on an Objective Structured Clinical Examination

    NARCIS (Netherlands)

    Jacobs, A.; Denessen, E.J.P.G.; Postma, C.

    2004-01-01

    Background: Medical competence is a central concept in medical education. Educational efforts in medical training are directed at the achievement of a maximal medical competence. The concept of the structure of medical competence (multidimensional or one-dimensional with strongly interrelated

  8. Quantitative Analysis of Uncertainty in Medical Reporting: Creating a Standardized and Objective Methodology.

    Science.gov (United States)

    Reiner, Bruce I

    2018-04-01

    Uncertainty in text-based medical reports has long been recognized as problematic, frequently resulting in misunderstanding and miscommunication. One strategy for addressing the negative clinical ramifications of report uncertainty would be the creation of a standardized methodology for characterizing and quantifying uncertainty language, which could provide both the report author and reader with context related to the perceived level of diagnostic confidence and accuracy. A number of computerized strategies could be employed in the creation of this analysis including string search, natural language processing and understanding, histogram analysis, topic modeling, and machine learning. The derived uncertainty data offers the potential to objectively analyze report uncertainty in real time and correlate with outcomes analysis for the purpose of context and user-specific decision support at the point of care, where intervention would have the greatest clinical impact.

  9. Catalogue of Interactive Learning Objectives to improve an Integrated Medical and Dental Curriculum.

    Science.gov (United States)

    Mahmoodi, Benjamin; Sagheb, K; Sagheb, Ka; Schulz, P; Willershausen, B; Al-Nawas, B; Walter, C

    2016-12-01

    Online learning media are increasingly being incorporated into medical and dental education. However, the coordination between obligatory and facultative teaching domains still remains unsatisfying. The Catalogue of Interactive Learning Objectives of the University Clinic of Mainz (ILKUM), aims to offer knowledge transfer for students while being mindful of their individual qualifications. Its hierarchical structure is designed according to the Association for Dental Education in Europe (ADEE) levels of competence. The ILKUM was designed to establish a stronger interconnection between already existing and prospective learning strategies. All contents are linked to the current lectures as well as to e-learning modules, e.g., clinical case studies and OR videos. Students can conduct self-examinations regarding specific learning objectives. Since 2007, ILKUM has been developed and analyzed regarding its acceptance among dental students. These improved e-learning techniques foster time and location-independent access to study materials and allow an estimation of the knowledge achieved by students. Surveys of our students clearly show a large demand for upgrading ILKUM content (89%; n = 172) with integrated self-testing (89%; n = 174). In parallel to the advancement of our e-learning offering, a portion of internet-based learning is constantly rising among students. The broad acceptance and demand for the development of ILKUM show its potential. Moreover, ILKUM grants fast, topic-oriented querying of learning content without time and locale limitations as well as direct determination of the individually needed knowledge conditions. The long-term goal of the ILKUM project is to be a sustainable, important additional modality of teaching and training for dental and medical students.

  10. Estimating distribution of hidden objects with drones: from tennis balls to manatees.

    Directory of Open Access Journals (Sweden)

    Julien Martin

    Full Text Available Unmanned aerial vehicles (UAV, or drones, have been used widely in military applications, but more recently civilian applications have emerged (e.g., wildlife population monitoring, traffic monitoring, law enforcement, oil and gas pipeline threat detection. UAV can have several advantages over manned aircraft for wildlife surveys, including reduced ecological footprint, increased safety, and the ability to collect high-resolution geo-referenced imagery that can document the presence of species without the use of a human observer. We illustrate how geo-referenced data collected with UAV technology in combination with recently developed statistical models can improve our ability to estimate the distribution of organisms. To demonstrate the efficacy of this methodology, we conducted an experiment in which tennis balls were used as surrogates of organisms to be surveyed. We used a UAV to collect images of an experimental field with a known number of tennis balls, each of which had a certain probability of being hidden. We then applied spatially explicit occupancy models to estimate the number of balls and created precise distribution maps. We conducted three consecutive surveys over the experimental field and estimated the total number of balls to be 328 (95%CI: 312, 348. The true number was 329 balls, but simple counts based on the UAV pictures would have led to a total maximum count of 284. The distribution of the balls in the field followed a simulated environmental gradient. We also were able to accurately estimate the relationship between the gradient and the distribution of balls. Our experiment demonstrates how this technology can be used to create precise distribution maps in which discrete regions of the study area are assigned a probability of presence of an object. Finally, we discuss the applicability and relevance of this experimental study to the case study of Florida manatee distribution at power plants.

  11. Estimating distribution of hidden objects with drones: from tennis balls to manatees.

    Science.gov (United States)

    Martin, Julien; Edwards, Holly H; Burgess, Matthew A; Percival, H Franklin; Fagan, Daniel E; Gardner, Beth E; Ortega-Ortiz, Joel G; Ifju, Peter G; Evers, Brandon S; Rambo, Thomas J

    2012-01-01

    Unmanned aerial vehicles (UAV), or drones, have been used widely in military applications, but more recently civilian applications have emerged (e.g., wildlife population monitoring, traffic monitoring, law enforcement, oil and gas pipeline threat detection). UAV can have several advantages over manned aircraft for wildlife surveys, including reduced ecological footprint, increased safety, and the ability to collect high-resolution geo-referenced imagery that can document the presence of species without the use of a human observer. We illustrate how geo-referenced data collected with UAV technology in combination with recently developed statistical models can improve our ability to estimate the distribution of organisms. To demonstrate the efficacy of this methodology, we conducted an experiment in which tennis balls were used as surrogates of organisms to be surveyed. We used a UAV to collect images of an experimental field with a known number of tennis balls, each of which had a certain probability of being hidden. We then applied spatially explicit occupancy models to estimate the number of balls and created precise distribution maps. We conducted three consecutive surveys over the experimental field and estimated the total number of balls to be 328 (95%CI: 312, 348). The true number was 329 balls, but simple counts based on the UAV pictures would have led to a total maximum count of 284. The distribution of the balls in the field followed a simulated environmental gradient. We also were able to accurately estimate the relationship between the gradient and the distribution of balls. Our experiment demonstrates how this technology can be used to create precise distribution maps in which discrete regions of the study area are assigned a probability of presence of an object. Finally, we discuss the applicability and relevance of this experimental study to the case study of Florida manatee distribution at power plants.

  12. Methodology for the Efficient Progressive Distribution and Visualization of 3D Building Objects

    Directory of Open Access Journals (Sweden)

    Bo Mao

    2016-10-01

    Full Text Available Three-dimensional (3D, city models have been applied in a variety of fields. One of the main problems in 3D city model utilization, however, is the large volume of data. In this paper, a method is proposed to generalize the 3D building objects in 3D city models at different levels of detail, and to combine multiple Levels of Detail (LODs for a progressive distribution and visualization of the city models. First, an extended structure for multiple LODs of building objects, BuildingTree, is introduced that supports both single buildings and building groups; second, constructive solid geometry (CSG representations of buildings are created and generalized. Finally, the BuildingTree is stored in the NoSQL database MongoDB for dynamic visualization requests. The experimental results indicate that the proposed progressive method can efficiently visualize 3D city models, especially for large areas.

  13. A multi-objective particle swarm optimization for production-distribution planning in supply chain network

    Directory of Open Access Journals (Sweden)

    Alireza Pourrousta

    2012-04-01

    Full Text Available Integrated supply chain includes different components of order, production and distribution and it plays an important role on reducing the cost of manufacturing system. In this paper, an integrated supply chain in a form of multi-objective decision-making problem is presented. The proposed model of this paper considers different parameters with uncertainty using trapezoid numbers. We first implement a ranking method to covert the fuzzy model into a crisp one and using multi-objective particle swarm optimization, we solve the resulted model. The results are compared with the performance of NSGA-II for some randomly generated problems and the preliminary results indicate that the proposed model of the paper performs better than the alternative method.

  14. Design and implementation of distributed multimedia surveillance system based on object-oriented middleware

    Science.gov (United States)

    Cao, Xuesong; Jiang, Ling; Hu, Ruimin

    2006-10-01

    Currently, the applications of surveillance system have been increasingly widespread. But there are few surveillance platforms that can meet the requirement of large-scale, cross-regional, and flexible surveillance business. In the paper, we present a distributed surveillance system platform to improve safety and security of the society. The system is constructed by an object-oriented middleware called as Internet Communications Engine (ICE). This middleware helps our platform to integrate a lot of surveillance resource of the society and accommodate diverse range of surveillance industry requirements. In the follow sections, we will describe in detail the design concepts of system and introduce traits of ICE.

  15. Self-perceived versus objectively measured competence in performing clinical practical procedures by final year medical students

    OpenAIRE

    Katowa-Mukwato, Patricia; Banda, Sekelani

    2016-01-01

    Objectives To determine and compare the self-perceived and objectively measured competence in performing 14 core-clinical practical procedures by Final Year Medical Students of the University of Zambia. Methods The study included 56 out of 60 graduating University of Zambia Medical Students of the 2012/2013 academic year. Self-perceived competence: students rated their competence on 14 core- clinical practical procedures using a self-administered questionnaire on a 5-point Likert scale. Objec...

  16. A life cycle multi-objective economic and environmental assessment of distributed generation in buildings

    International Nuclear Information System (INIS)

    Safaei, Amir; Freire, Fausto; Henggeler Antunes, Carlos

    2015-01-01

    Highlights: • A lifecycle optimization model for distributed energy systems is developed. • Model estimates costs and environmental impacts of meeting the building energy demand. • Design and operating strategies to reduce costs and environmental impacts are discussed. • Pareto frontiers of costs vis-à-vis environmental impacts are presented. • Distributed generation can reduce the environmental impacts of the building sector. - Abstract: Distributed generation, namely cogeneration and solar technologies, is expected to play an important role in the future energy supply mix in buildings. This calls for a methodological framework to assess the economic and environmental performance of the building sector when such technologies are employed. A life-cycle model has been developed, combining distributed generation and conventional sources to calculate the cost and environmental impacts of meeting the building energy demand over a defined planning period. Three type of cogeneration technologies, solar photovoltaic and thermal, as well as conventional boilers along with the Portuguese electricity generation mix comprise the energy systems modeled. Pareto optimal frontiers are derived, showing the trade-offs between different types of impacts (non-renewable cumulative energy demand, greenhouse gas emissions, acidification, eutrophication) and cost to meet the energy demand of a commercial building. Our analysis shows that according to the objective to employ distributed generation (reducing cost or environmental impacts), a specific design and operational strategy for the energy systems shall be adopted. The strategies to minimize each type of impact and the associated cost trade-offs by exploring the solutions located on the Pareto optimal frontiers are discussed

  17. Multi-objective optimization and simulation model for the design of distributed energy systems

    International Nuclear Information System (INIS)

    Falke, Tobias; Krengel, Stefan; Meinerzhagen, Ann-Kathrin; Schnettler, Armin

    2016-01-01

    Highlights: • Development of a model for the optimal design of district energy systems. • Multi-objective approach: integrated economic and ecological optimization. • Consideration of conventional conversion technologies, RES and district heating. • Decomposition of optimization problem to reduce computation complexity. • Approach enables the investigation of districts with more than 150 buildings. - Abstract: In this paper, a multi-objective optimization model for the investment planning and operation management of distributed heat and electricity supply systems is presented. Different energy efficiency measures and supply options are taken into account, including various distributed heat and power generation units, storage systems and energy-saving renovation measures. Furthermore, district heating networks are considered as an alternative to conventional, individual heat supply for each building. The optimization problem is decomposed into three subproblems to reduce the computational complexity. This enables a high level of detail in the optimization and simultaneously the comprehensive investigation of districts with more than 100 buildings. These capabilities distinguish the model from previous approaches in this field of research. The developed model is applied to a district in a medium-sized town in Germany in order to analyze the effects of different efficiency measures regarding total costs and emissions of CO 2 equivalents. Based on the Pareto efficient solutions, technologies and efficiency measures that can contribute most efficiently to reduce greenhouse gas emissions are identified.

  18. ARACHNID: A prototype object-oriented database tool for distributed systems

    Science.gov (United States)

    Younger, Herbert; Oreilly, John; Frogner, Bjorn

    1994-01-01

    This paper discusses the results of a Phase 2 SBIR project sponsored by NASA and performed by MIMD Systems, Inc. A major objective of this project was to develop specific concepts for improved performance in accessing large databases. An object-oriented and distributed approach was used for the general design, while a geographical decomposition was used as a specific solution. The resulting software framework is called ARACHNID. The Faint Source Catalog developed by NASA was the initial database testbed. This is a database of many giga-bytes, where an order of magnitude improvement in query speed is being sought. This database contains faint infrared point sources obtained from telescope measurements of the sky. A geographical decomposition of this database is an attractive approach to dividing it into pieces. Each piece can then be searched on individual processors with only a weak data linkage between the processors being required. As a further demonstration of the concepts implemented in ARACHNID, a tourist information system is discussed. This version of ARACHNID is the commercial result of the project. It is a distributed, networked, database application where speed, maintenance, and reliability are important considerations. This paper focuses on the design concepts and technologies that form the basis for ARACHNID.

  19. Impact of fuel cell power plants on multi-objective optimal operation management of distribution network

    Energy Technology Data Exchange (ETDEWEB)

    Niknam, T. [Electrical and Electronic Engineering Department, Shiraz University of Technology, Shiraz (Iran, Islamic Republic of); Zeinoddini-Meymand, H. [Islamic Azad University, Kerman Branch, Kerman (Iran, Islamic Republic of)

    2012-06-15

    This paper presents an interactive fuzzy satisfying method based on hybrid modified honey bee mating optimization and differential evolution (MHBMO-DE) to solve the multi-objective optimal operation management (MOOM) problem, which can be affected by fuel cell power plants (FCPPs). The objective functions are to minimize total electrical energy losses, total electrical energy cost, total pollutant emission produced by sources, and deviation of bus voltages. A new interactive fuzzy satisfying method is presented to solve the multi-objective problem by assuming that the decision-maker (DM) has fuzzy goals for each of the objective functions. Through the interaction with the DM, the fuzzy goals of the DM are quantified by eliciting the corresponding membership functions. Then, by considering the current solution, the DM acts on this solution by updating the reference membership values until the satisfying solution for the DM can be obtained. The MOOM problem is modeled as a mixed integer nonlinear programming problem. Evolutionary methods are used to solve this problem because of their independence from type of the objective function and constraints. Recently researchers have presented a new evolutionary method called honey bee mating optimization (HBMO) algorithm. Original HBMO often converges to local optima, in order to overcome this shortcoming, we propose a new method that improves the mating process and also, combines the modified HBMO with DE algorithm. Numerical results for a distribution test system have been presented to illustrate the performance and applicability of the proposed method. (Copyright copyright 2012 WILEY-VCH Verlag GmbH and Co. KGaA, Weinheim)

  20. Distributive justice and the harm to medical professionals fighting epidemics

    DEFF Research Database (Denmark)

    Albertsen, Andreas; Thaysen, Jens Damgaard

    2017-01-01

    The exposure of doctors, nurses and other medical professionals to risks in the context of epidemics is significant. While traditional medical ethics offers the thought that these dangers may limit the extent to which a duty to care is applicable in such situations, it has less to say about what we......, cure and care for the vulnerable, luck egalitarianism seems to imply that their claim of justice to medical attention in case of infection is weak or non-existent. The article demonstrates how a recent interpretation of luck egalitarianism offers a solution to this problem. Redefining luck...

  1. Role of the pharmacist in preventing distribution of counterfeit medications.

    Science.gov (United States)

    Chambliss, Walter G; Carroll, Wesley A; Kennedy, Daniel; Levine, Donald; Moné, Michael A; Ried, L Douglas; Shepherd, Marv; Yelvigi, Mukund

    2012-01-01

    To provide an overview of the counterfeit medication problem and recommendations of a joint American Pharmacists Association (APhA) Academy of Pharmaceutical Research and Science and APhA Academy of Pharmacy Practice and Management taskforce. SciFinder and PubMed were searched from 1980 to March 2011 using the following keywords: counterfeit drug product, counterfeit medications, drug product authentication, drug product verification, and track-and-trace. Publications, presentations, and websites of organizations that research the counterfeit medication problem in the United States and other countries were reviewed. A representative from the security division of a pharmaceutical manufacturer and a representative from a supplier of anticounterfeiting technologies gave presentations to the taskforce. The taskforce recommends that pharmacists (1) purchase medications from known, reliable sources; (2) warn patients of the dangers of purchasing medications over the Internet; (3) confirm with distributors that products were purchased from manufacturers or other reliable sources; (4) monitor counterfeit product alerts; (5) examine products for suspicious appearance; (6) work with the pharmaceutical industry, distributors, and the Food and Drug Administration (FDA) to close gaps in the supply chain, especially for drugs in short supply; (7) use scanning technology in the pharmacy as part of a prescription verification process; (8) educate themselves, coworkers, and patients about the risks of counterfeit medications; and (9) report suspicious medications to FDA, the distributor, and the manufacturer. The consequence of a patient receiving a counterfeit medication in the United States could be catastrophic, and pharmacists must play an active role in preventing such an event from occurring.

  2. Conducting Integrated Objective Structured Clinical Examination: Experiences at KIST Medical College, Nepal

    Directory of Open Access Journals (Sweden)

    Rano Mal Piryani

    2013-01-01

    Full Text Available Background: Objective structured clinical examination (OSCE, an important tool for assessment of clinical skills, introduced more than 4 decades ago. KIST Medical College, a new medical school of Nepal, affiliated to Tribhuvan University Institute of Medicine, has made learning of physical examination skills structured and integrated with greater involvement of different clinical science departments. Students learn physical examination skills in second year MBBS as a part of early clinical exposure. Objective: To share the experiences regarding implementation of integrated OSCE. Materials and Methods: At the end of clinical posting of learning of physical examination skills, assessment was done with OSCE. Fifteen OSCE stations including each of 5 minutes were developed and arranged. Standardized patients and validated checklist were used. OSCE was conducted in novel way. Prior to the OSCE session: Suitable venue was selected, assessors were identified, standardized patients were selected, running order of the stations in circuit was developed, list of equipments/instruments required was prepared, and tasks, checklists, feedback questionnaires were printed. The day before the OSCE session: OSCE stations were inspected and clearly labeled, condition of required equipments/instruments was checked, a pack of the documents for each OSCE station were made available, and signs were displayed at proper places. On the day of the OSCE session: Reliable stop watch and loud manual bell were used, support staffs were placed to direct the candidates, examiners, and standardized patients (SPs, assessors explained SPs, students were briefed, supervisors observed the session, and feedback were taken from students, assessors, and SPs. At the end of the OSCE session: Checklists and feedback questionnaires were collected, token money was paid to SPs, and a contribution of everyone was appreciated. After the OSCE session: Score was compiled and result declared, and

  3. Gender Distribution Among American Board of Medical Specialties Boards of Directors.

    Science.gov (United States)

    Walker, Laura E; Sadosty, Annie T; Colletti, James E; Goyal, Deepi G; Sunga, Kharmene L; Hayes, Sharonne N

    2016-11-01

    Since 1995, women have comprised more than 40% of all medical school graduates. However, representation at leadership levels in medicine remains considerably lower. Gender representation among the American Board of Medical Specialties (ABMS) boards of directors (BODs) has not previously been evaluated. Our objective was to determine the relative representation of women on ABMS BODs and compare it with the in-training and in-practice gender composition of the respective specialties. The composition of the ABMS BODs was obtained from websites in March 2016 for all Member Boards. Association of American Medical Colleges and American Medical Association data were utilized to identify current and future trends in gender composition. Although represented by a common board, neurology and psychiatry were evaluated separately because of their very different practices and gender demographic characteristics. A total of 25 specialties were evaluated. Of the 25 specialties analyzed, 12 BODs have proportional gender representation compared with their constituency. Seven specialties have a larger proportion of women serving on their boards compared with physicians in practice, and 6 specialties have a greater proportion of men populating their BODs. Based on the most recent trainee data (2013), women have increasing workforce representation in almost all specialties. Although women in both training and practice are approaching equal representation, there is variability in gender ratios across specialties. Directorship within ABMS BODs has a more equitable gender distribution than other areas of leadership in medicine. Further investigation is needed to determine the reasons behind this difference and to identify opportunities to engage women in leadership in medicine. Copyright © 2016 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

  4. An Objective Approach to Select Climate Scenarios when Projecting Species Distribution under Climate Change.

    Directory of Open Access Journals (Sweden)

    Nicolas Casajus

    Full Text Available An impressive number of new climate change scenarios have recently become available to assess the ecological impacts of climate change. Among these impacts, shifts in species range analyzed with species distribution models are the most widely studied. Whereas it is widely recognized that the uncertainty in future climatic conditions must be taken into account in impact studies, many assessments of species range shifts still rely on just a few climate change scenarios, often selected arbitrarily. We describe a method to select objectively a subset of climate change scenarios among a large ensemble of available ones. Our k-means clustering approach reduces the number of climate change scenarios needed to project species distributions, while retaining the coverage of uncertainty in future climate conditions. We first show, for three biologically-relevant climatic variables, that a reduced number of six climate change scenarios generates average climatic conditions very close to those obtained from a set of 27 scenarios available before reduction. A case study on potential gains and losses of habitat by three northeastern American tree species shows that potential future species distributions projected from the selected six climate change scenarios are very similar to those obtained from the full set of 27, although with some spatial discrepancies at the edges of species distributions. In contrast, projections based on just a few climate models vary strongly according to the initial choice of climate models. We give clear guidance on how to reduce the number of climate change scenarios while retaining the central tendencies and coverage of uncertainty in future climatic conditions. This should be particularly useful during future climate change impact studies as more than twice as many climate models were reported in the fifth assessment report of IPCC compared to the previous one.

  5. An Objective Approach to Select Climate Scenarios when Projecting Species Distribution under Climate Change.

    Science.gov (United States)

    Casajus, Nicolas; Périé, Catherine; Logan, Travis; Lambert, Marie-Claude; de Blois, Sylvie; Berteaux, Dominique

    2016-01-01

    An impressive number of new climate change scenarios have recently become available to assess the ecological impacts of climate change. Among these impacts, shifts in species range analyzed with species distribution models are the most widely studied. Whereas it is widely recognized that the uncertainty in future climatic conditions must be taken into account in impact studies, many assessments of species range shifts still rely on just a few climate change scenarios, often selected arbitrarily. We describe a method to select objectively a subset of climate change scenarios among a large ensemble of available ones. Our k-means clustering approach reduces the number of climate change scenarios needed to project species distributions, while retaining the coverage of uncertainty in future climate conditions. We first show, for three biologically-relevant climatic variables, that a reduced number of six climate change scenarios generates average climatic conditions very close to those obtained from a set of 27 scenarios available before reduction. A case study on potential gains and losses of habitat by three northeastern American tree species shows that potential future species distributions projected from the selected six climate change scenarios are very similar to those obtained from the full set of 27, although with some spatial discrepancies at the edges of species distributions. In contrast, projections based on just a few climate models vary strongly according to the initial choice of climate models. We give clear guidance on how to reduce the number of climate change scenarios while retaining the central tendencies and coverage of uncertainty in future climatic conditions. This should be particularly useful during future climate change impact studies as more than twice as many climate models were reported in the fifth assessment report of IPCC compared to the previous one.

  6. Developing a Mass Casualty Surge Capacity Protocol for Emergency Medical Services to Use for Patient Distribution.

    Science.gov (United States)

    Shartar, Samuel E; Moore, Brooks L; Wood, Lori M

    2017-12-01

    Metropolitan areas must be prepared to manage large numbers of casualties related to a major incident. Most US cities do not have adequate trauma center capacity to manage large-scale mass casualty incidents (MCIs). Creating surge capacity requires the distribution of casualties to hospitals that are not designated as trauma centers. Our objectives were to extrapolate MCI response research into operational objectives for MCI distribution plan development; formulate a patient distribution model based on research, hospital capacities, and resource availability; and design and disseminate a casualty distribution tool for use by emergency medical services (EMS) personnel to distribute patients to the appropriate level of care. Working with hospitals within the region, we refined emergency department surge capacity for MCIs and developed a prepopulated tool for EMS providers to use to distribute higher-acuity casualties to trauma centers and lower-acuity casualties to nontrauma hospitals. A mechanism to remove a hospital from the list of available resources, if it is overwhelmed with patients who self-transport to the location, also was put into place. The number of critically injured survivors from an MCI has proven to be consistent, averaging 7% to 10%. Moving critically injured patients to level 1 trauma centers can result in a 25% reduction in mortality, when compared with care at nontrauma hospitals. US cities face major gaps in the surge capacity needed to manage an MCI. Sixty percent of "walking wounded" casualties self-transport to the closest hospital(s) to the incident. Directing critically ill patients to designated trauma centers has the potential to reduce mortality associated with the event. When applied to MCI responses, damage-control principles reduce resource utilization and optimize surge capacity. A universal system for mass casualty triage was identified and incorporated into the region's EMS. Flagship regional coordinating hospitals were designated

  7. System of and method for transparent management of data objects in containers across distributed heterogenous resources

    Science.gov (United States)

    Moore, Reagan W.; Rajasekar, Arcot; Wan, Michael Y.

    2007-09-11

    A system of and method for maintaining data objects in containers across a network of distributed heterogeneous resources in a manner which is transparent to a client. A client request pertaining to containers is resolved by querying meta data for the container, processing the request through one or more copies of the container maintained on the system, updating the meta data for the container to reflect any changes made to the container as a result processing the re quest, and, if a copy of the container has changed, changing the status of the copy to indicate dirty status or synchronizing the copy to one or more other copies that may be present on the system.

  8. Experience using a distributed object oriented database for a DAQ system

    International Nuclear Information System (INIS)

    Bee, C.P.; Eshghi, S.; Jones, R.

    1996-01-01

    To configure the RD13 data acquisition system, we need many parameters which describe the various hardware and software components. Such information has been defined using an entity-relation model and stored in a commercial memory-resident database. during the last year, Itasca, an object oriented database management system (OODB), was chosen as a replacement database system. We have ported the existing databases (hs and sw configurations, run parameters etc.) to Itasca and integrated it with the run control system. We believe that it is possible to use an OODB in real-time environments such as DAQ systems. In this paper, we present our experience and impression: why we wanted to change from an entity-relational approach, some useful features of Itasca, the issues we meet during this project including integration of the database into an existing distributed environment and factors which influence performance. (author)

  9. Consumer-based technology for distribution of surgical videos for objective evaluation.

    Science.gov (United States)

    Gonzalez, Ray; Martinez, Jose M; Lo Menzo, Emanuele; Iglesias, Alberto R; Ro, Charles Y; Madan, Atul K

    2012-08-01

    The Global Operative Assessment of Laparoscopic Skill (GOALS) is one validated metric utilized to grade laparoscopic skills and has been utilized to score recorded operative videos. To facilitate easier viewing of these recorded videos, we are developing novel techniques to enable surgeons to view these videos. The objective of this study is to determine the feasibility of utilizing widespread current consumer-based technology to assist in distributing appropriate videos for objective evaluation. Videos from residents were recorded via a direct connection from the camera processor via an S-video output via a cable into a hub to connect to a standard laptop computer via a universal serial bus (USB) port. A standard consumer-based video editing program was utilized to capture the video and record in appropriate format. We utilized mp4 format, and depending on the size of the file, the videos were scaled down (compressed), their format changed (using a standard video editing program), or sliced into multiple videos. Standard available consumer-based programs were utilized to convert the video into a more appropriate format for handheld personal digital assistants. In addition, the videos were uploaded to a social networking website and video sharing websites. Recorded cases of laparoscopic cholecystectomy in a porcine model were utilized. Compression was required for all formats. All formats were accessed from home computers, work computers, and iPhones without difficulty. Qualitative analyses by four surgeons demonstrated appropriate quality to grade for these formats. Our preliminary results show promise that, utilizing consumer-based technology, videos can be easily distributed to surgeons to grade via GOALS via various methods. Easy accessibility may help make evaluation of resident videos less complicated and cumbersome.

  10. Distributed solar photovoltaic array location and extent dataset for remote sensing object identification

    Science.gov (United States)

    Bradbury, Kyle; Saboo, Raghav; L. Johnson, Timothy; Malof, Jordan M.; Devarajan, Arjun; Zhang, Wuming; M. Collins, Leslie; G. Newell, Richard

    2016-12-01

    Earth-observing remote sensing data, including aerial photography and satellite imagery, offer a snapshot of the world from which we can learn about the state of natural resources and the built environment. The components of energy systems that are visible from above can be automatically assessed with these remote sensing data when processed with machine learning methods. Here, we focus on the information gap in distributed solar photovoltaic (PV) arrays, of which there is limited public data on solar PV deployments at small geographic scales. We created a dataset of solar PV arrays to initiate and develop the process of automatically identifying solar PV locations using remote sensing imagery. This dataset contains the geospatial coordinates and border vertices for over 19,000 solar panels across 601 high-resolution images from four cities in California. Dataset applications include training object detection and other machine learning algorithms that use remote sensing imagery, developing specific algorithms for predictive detection of distributed PV systems, estimating installed PV capacity, and analysis of the socioeconomic correlates of PV deployment.

  11. Teaching medical students about fair distribution of healthcare resources.

    NARCIS (Netherlands)

    Leget, C.J.W.; Hoedemaekers, R.H.M.V.

    2007-01-01

    Healthcare package decisions are complex. Different judgements about effectiveness, cost-effectiveness and disease burden influence the decision-making process. Moreover, different concepts of justice generate different ideas about fair distribution of healthcare resources. This paper presents a

  12. Surrogate Based Uni/Multi-Objective Optimization and Distribution Estimation Methods

    Science.gov (United States)

    Gong, W.; Duan, Q.; Huo, X.

    2017-12-01

    Parameter calibration has been demonstrated as an effective way to improve the performance of dynamic models, such as hydrological models, land surface models, weather and climate models etc. Traditional optimization algorithms usually cost a huge number of model evaluations, making dynamic model calibration very difficult, or even computationally prohibitive. With the help of a serious of recently developed adaptive surrogate-modelling based optimization methods: uni-objective optimization method ASMO, multi-objective optimization method MO-ASMO, and probability distribution estimation method ASMO-PODE, the number of model evaluations can be significantly reduced to several hundreds, making it possible to calibrate very expensive dynamic models, such as regional high resolution land surface models, weather forecast models such as WRF, and intermediate complexity earth system models such as LOVECLIM. This presentation provides a brief introduction to the common framework of adaptive surrogate-based optimization algorithms of ASMO, MO-ASMO and ASMO-PODE, a case study of Common Land Model (CoLM) calibration in Heihe river basin in Northwest China, and an outlook of the potential applications of the surrogate-based optimization methods.

  13. Preattentive representation of feature conjunctions for concurrent spatially distributed auditory objects.

    Science.gov (United States)

    Takegata, Rika; Brattico, Elvira; Tervaniemi, Mari; Varyagina, Olga; Näätänen, Risto; Winkler, István

    2005-09-01

    The role of attention in conjoining features of an object has been a topic of much debate. Studies using the mismatch negativity (MMN), an index of detecting acoustic deviance, suggested that the conjunctions of auditory features are preattentively represented in the brain. These studies, however, used sequentially presented sounds and thus are not directly comparable with visual studies of feature integration. Therefore, the current study presented an array of spatially distributed sounds to determine whether the auditory features of concurrent sounds are correctly conjoined without focal attention directed to the sounds. Two types of sounds differing from each other in timbre and pitch were repeatedly presented together while subjects were engaged in a visual n-back working-memory task and ignored the sounds. Occasional reversals of the frequent pitch-timbre combinations elicited MMNs of a very similar amplitude and latency irrespective of the task load. This result suggested preattentive integration of auditory features. However, performance in a subsequent target-search task with the same stimuli indicated the occurrence of illusory conjunctions. The discrepancy between the results obtained with and without focal attention suggests that illusory conjunctions may occur during voluntary access to the preattentively encoded object representations.

  14. Scope and geographical distribution of African medical journals ...

    African Journals Online (AJOL)

    Design: A search was done for relevant African medical journals on electronic databases, library catalogues and internet sites, and a list was compiled of active journals. A survey was conducted via ... Fifty-one journals were published in English, 7 in French and 1 in Portuguese. Most journals were owned by an association ...

  15. An objective approach for Burkholderia pseudomallei strain selection as challenge material for medical countermeasures efficacy testing

    Directory of Open Access Journals (Sweden)

    Kristopher E. Van Zandt

    2012-09-01

    Full Text Available Burkholderia pseudomallei is the causative agent of melioidosis, a rare disease of biodefense concern with high mortality and extreme difficulty in treatment. No human vaccines are available that protect against B. pseudomallei infection, and with the current limitations of antibiotic treatment, the development of new preventative and therapeutic interventions is crucial. Although clinical trials could be used to test the efficacy of new medical countermeasures (MCMs, the high mortality rates associated with melioidosis raises significant ethical issues concerning treating individuals with new compounds with unknown efficacies. The US Food and Drug Administration (FDA has formulated a set of guidelines for the licensure of new MCMs to treat diseases in which it would be unethical to test the efficacy of these drugs in humans. The FDA Animal Rule 21 CFR 314 calls for consistent, well-characterized B. pseudomallei strains to be used as challenge material in animal models. In order to facilitate the efficacy testing of new MCMs for melioidosis using animal models, we intend to develop a well-characterized panel of strains for use. This panel will comprise of strains that were isolated from human cases, have a low passage history, are virulent in animal models, and are well characterized phenotypically and genotypically. We have reviewed published and unpublished data on various B. pseudomallei strains to establish an objective method for selecting the strains to be included in the panel of B. pseudomallei strains with attention to five categories: animal infection models, genetic characterization, clinical and passage history, and availability of the strain to the research community. We identified 109 strains with data in at least one of the five categories, scored each strain based on the gathered data and identified 6 strains as candidate for a B. pseudomallei strain panel.

  16. An objective approach for Burkholderia pseudomallei strain selection as challenge material for medical countermeasures efficacy testing.

    Science.gov (United States)

    Van Zandt, Kristopher E; Tuanyok, Apichai; Keim, Paul S; Warren, Richard L; Gelhaus, H Carl

    2012-01-01

    Burkholderia pseudomallei is the causative agent of melioidosis, a rare disease of biodefense concern with high mortality and extreme difficulty in treatment. No human vaccines are available that protect against B. pseudomallei infection, and with the current limitations of antibiotic treatment, the development of new preventative and therapeutic interventions is crucial. Although clinical trials could be used to test the efficacy of new medical countermeasures (MCMs), the high mortality rates associated with melioidosis raises significant ethical issues concerning treating individuals with new compounds with unknown efficacies. The US Food and Drug Administration (FDA) has formulated a set of guidelines for the licensure of new MCMs to treat diseases in which it would be unethical to test the efficacy of these drugs in humans. The FDA "Animal Rule" 21 CFR 314 calls for consistent, well-characterized B. pseudomallei strains to be used as challenge material in animal models. In order to facilitate the efficacy testing of new MCMs for melioidosis using animal models, we intend to develop a well-characterized panel of strains for use. This panel will comprise of strains that were isolated from human cases, have a low passage history, are virulent in animal models, and are well-characterized phenotypically and genotypically. We have reviewed published and unpublished data on various B. pseudomallei strains to establish an objective method for selecting the strains to be included in the panel of B. pseudomallei strains with attention to five categories: animal infection models, genetic characterization, clinical and passage history, and availability of the strain to the research community. We identified 109 strains with data in at least one of the five categories, scored each strain based on the gathered data and identified six strains as candidate for a B. pseudomallei strain panel.

  17. Comparison of the commercial color LCD and the medical monochrome LCD using randomized object test patterns.

    Directory of Open Access Journals (Sweden)

    Jay Wu

    Full Text Available Workstations and electronic display devices in a picture archiving and communication system (PACS provide a convenient and efficient platform for medical diagnosis. The performance of display devices has to be verified to ensure that image quality is not degraded. In this study, we designed a set of randomized object test patterns (ROTPs consisting of randomly located spheres with various image characteristics to evaluate the performance of a 2.5 mega-pixel (MP commercial color LCD and a 3 MP diagnostic monochrome LCD in several aspects, including the contrast, resolution, point spread effect, and noise. The ROTPs were then merged into 120 abdominal CT images. Five radiologists were invited to review the CT images, and receiver operating characteristic (ROC analysis was carried out using a five-point rating scale. In the high background patterns of ROTPs, the sensitivity performance was comparable between both monitors in terms of contrast and resolution, whereas, in the low background patterns, the performance of the commercial color LCD was significantly poorer than that of the diagnostic monochrome LCD in all aspects. The average area under the ROC curve (AUC for reviewing abdominal CT images was 0.717±0.0200 and 0.740±0.0195 for the color monitor and the diagnostic monitor, respectively. The observation time (OT was 145±27.6 min and 127±19.3 min, respectively. No significant differences appeared in AUC (p = 0.265 and OT (p = 0.07. The overall results indicate that ROTPs can be implemented as a quality control tool to evaluate the intrinsic characteristics of display devices. Although there is still a gap in technology between different types of LCDs, commercial color LCDs could replace diagnostic monochrome LCDs as a platform for reviewing abdominal CT images after monitor calibration.

  18. [Determination and analysis of cost and production measures in physicians' practices and hospitals for the objective evaluation of medical measures].

    Science.gov (United States)

    Gessner, U; Horisberger, B

    1981-05-01

    The complete data on 7200 practising physicians in Switzerland were analyzed in the first phase of the project. The 2600 GP's and the 4600 specialists (in 18 medical specialties) were categorized as to year of graduation and geographic regions (population centres). The distributions of the practising physician of the different specialties over the population centres (defined by 30-min. catchment area) areas were evaluated. Trends towards specialization in larger settlement areas were analyzed. The results are being used as a basis for formation of samples for further studies. The inventories of medical technical equipment and medical procedures are in the process of systematization.

  19. Exploring emerging learning needs: a UK-wide consultation on environmental sustainability learning objectives for medical education.

    Science.gov (United States)

    Walpole, Sarah C; Mortimer, Frances; Inman, Alice; Braithwaite, Isobel; Thompson, Trevor

    2015-12-24

    This study aimed to engage wide-ranging stakeholders and develop consensus learning objectives for undergraduate and postgraduate medical education. A UK-wide consultation garnered opinions of healthcare students, healthcare educators and other key stakeholders about environmental sustainability in medical education. The policy Delphi approach informed this study. Draft learning objectives were revised iteratively during three rounds of consultation: online questionnaire or telephone interview, face-to-face seminar and email consultation. Twelve draft learning objectives were developed based on review of relevant literature. In round one, 64 participants' median ratings of the learning objectives were 3.5 for relevance and 3.0 for feasibility on a Likert scale of one to four. Revisions were proposed, e.g. to highlight relevance to public health and professionalism. Thirty three participants attended round two. Conflicting opinions were explored. Added content areas included health benefits of sustainable behaviours. To enhance usability, restructuring provided three overarching learning objectives, each with subsidiary points. All participants from rounds one and two were contacted in round three, and no further edits were required. This is the first attempt to define consensus learning objectives for medical students about environmental sustainability. Allowing a wide range of stakeholders to comment on multiple iterations of the document stimulated their engagement with the issues raised and ownership of the resulting learning objectives.

  20. Data management in an object-oriented distributed aircraft conceptual design environment

    Science.gov (United States)

    Lu, Zhijie

    In the competitive global market place, aerospace companies are forced to deliver the right products to the right market, with the right cost, and at the right time. However, the rapid development of technologies and new business opportunities, such as mergers, acquisitions, supply chain management, etc., have dramatically increased the complexity of designing an aircraft. Therefore, the pressure to reduce design cycle time and cost is enormous. One way to solve such a dilemma is to develop and apply advanced engineering environments (AEEs), which are distributed collaborative virtual design environments linking researchers, technologists, designers, etc., together by incorporating application tools and advanced computational, communications, and networking facilities. Aircraft conceptual design, as the first design stage, provides major opportunity to compress design cycle time and is the cheapest place for making design changes. However, traditional aircraft conceptual design programs, which are monolithic programs, cannot provide satisfactory functionality to meet new design requirements due to the lack of domain flexibility and analysis scalability. Therefore, we are in need of the next generation aircraft conceptual design environment (NextADE). To build the NextADE, the framework and the data management problem are two major problems that need to be addressed at the forefront. Solving these two problems, particularly the data management problem, is the focus of this research. In this dissertation, in light of AEEs, a distributed object-oriented framework is firstly formulated and tested for the NextADE. In order to improve interoperability and simplify the integration of heterogeneous application tools, data management is one of the major problems that need to be tackled. To solve this problem, taking into account the characteristics of aircraft conceptual design data, a robust, extensible object-oriented data model is then proposed according to the

  1. The distribution of two medically and agriculturally important cryptic ...

    African Journals Online (AJOL)

    Univariate and multivariate analyses showed statistically significant differences between eco geographic characteristics of collecting localities associated with each of the two species in South Africa. The derived distributions indicate previously reported cases of plague in South Africa, to some extent, coincide with the ...

  2. User Interface Design in Medical Distributed Web Applications.

    Science.gov (United States)

    Serban, Alexandru; Crisan-Vida, Mihaela; Mada, Leonard; Stoicu-Tivadar, Lacramioara

    2016-01-01

    User interfaces are important to facilitate easy learning and operating with an IT application especially in the medical world. An easy to use interface has to be simple and to customize the user needs and mode of operation. The technology in the background is an important tool to accomplish this. The present work aims to creating a web interface using specific technology (HTML table design combined with CSS3) to provide an optimized responsive interface for a complex web application. In the first phase, the current icMED web medical application layout is analyzed, and its structure is designed using specific tools, on source files. In the second phase, a new graphic adaptable interface to different mobile terminals is proposed, (using HTML table design (TD) and CSS3 method) that uses no source files, just lines of code for layout design, improving the interaction in terms of speed and simplicity. For a complex medical software application a new prototype layout was designed and developed using HTML tables. The method uses a CSS code with only CSS classes applied to one or multiple HTML table elements, instead of CSS styles that can be applied to just one DIV tag at once. The technique has the advantage of a simplified CSS code, and a better adaptability to different media resolutions compared to DIV-CSS style method. The presented work is a proof that adaptive web interfaces can be developed just using and combining different types of design methods and technologies, using HTML table design, resulting in a simpler to learn and use interface, suitable for healthcare services.

  3. The objectives-based logbook : a tool for evaluation of medical education

    NARCIS (Netherlands)

    Raghoebar-Krieger, Helga Maria Josette

    2001-01-01

    In the Netherlands medical schools are responsible for the quality control of medical education. Quality control of education relates to the evaluation of what students have learned (the output). Because the output depends on factors such as the learning processes of students and the input of

  4. Digital Distributed Control System Design: Control Policy for Shared Objects in HTR-PM

    International Nuclear Information System (INIS)

    Zhou Shuqiao; Huang Xiaojin

    2014-01-01

    HTR-PM is an HTR demonstration plant with a structure of two modules feeding one steam turbine. Compared with the structure of one single reactor feeding one turbine, there are more devices shared between these two modules. When they are operated, the shared components are prone to introduce collisions or even logical deadlocks for different technical processes. The future commercial HTR-PM plants are supposed to comprise more modules for a larger turbine, thus the collision problem introduced by the shared components may become severer. Therefore, how to design suitable policies in the distributed control system (DCS) to relieve the collisions during using these shared devices is a new and also a very important problem. In this paper, the classifications of the shared devices are first addressed, and then how to identify the shared objects of an NPP is proposed. Furthermore, a general model for the control logic design is proposed, taking into consideration the collision avoidance, time delay and fairness. The example of how to apply the schemes to relieve the conflicts and deadlocks in the processes of using the shared devices in fuel element cycling system is illustrated. (author)

  5. DETERMINATION OF THE RESIDUAL OPERATING TIME OF UNRESTORABLE ELEMENT OF THE ELECTRIC POWER OBJECT AT THE WAYBALL DISTRIBUTION

    International Nuclear Information System (INIS)

    Namgaladze, D.; Gurgenidze, D.

    2007-01-01

    In practice, it is often essential to determinethe residual operating time for an unrestorable element of the electric power object which has operated without failure for a certain time. The density of probability distribution of operating time can be determined from the initial probability distribution of operating time. In this work, the relations for determination of the function of residual operating time of the unrestorable element at the exponential and Wayball distributions are analytically derived. (author)

  6. Integration Platform As Central Service Of Data Replication In Distributed Medical System

    Directory of Open Access Journals (Sweden)

    Wiesław Wajs

    2007-01-01

    Full Text Available The paper presents the application of Java Integration Platform (JIP to data replicationin the distributed medical system. After an introductory part on the medical system’s architecture,the focus shifts to a comparison of different approaches that exist with regard totransferring data between the system’s components. A description is given of the historicaldata processing and of the whole area of the JIP application to the medical system.

  7. [Experience of the development special medical technical laboratory for studies of effects caused by potent electromagnetic radiation in biologic objects].

    Science.gov (United States)

    Gorodetsky, B N; Kalyada, T V; Petrov, S V

    2015-01-01

    This article covers topics of creating special medical technical laboratory for medial and biologic studies concerning influence of potent high-frequency elecromagnetic radiation on various biologic objects. The authors gave example of such laboratory, described its construction features, purpose and main characteristics of the included devices.

  8. Automatic pre-processing for an object-oriented distributed hydrological model using GRASS-GIS

    Science.gov (United States)

    Sanzana, P.; Jankowfsky, S.; Branger, F.; Braud, I.; Vargas, X.; Hitschfeld, N.

    2012-04-01

    Landscapes are very heterogeneous, which impact the hydrological processes occurring in the catchments, especially in the modeling of peri-urban catchments. The Hydrological Response Units (HRUs), resulting from the intersection of different maps, such as land use, soil types and geology, and flow networks, allow the representation of these elements in an explicit way, preserving natural and artificial contours of the different layers. These HRUs are used as model mesh in some distributed object-oriented hydrological models, allowing the application of a topological oriented approach. The connectivity between polygons and polylines provides a detailed representation of the water balance and overland flow in these distributed hydrological models, based on irregular hydro-landscape units. When computing fluxes between these HRUs, the geometrical parameters, such as the distance between the centroid of gravity of the HRUs and the river network, and the length of the perimeter, can impact the realism of the calculated overland, sub-surface and groundwater fluxes. Therefore, it is necessary to process the original model mesh in order to avoid these numerical problems. We present an automatic pre-processing implemented in the open source GRASS-GIS software, for which several Python scripts or some algorithms already available were used, such as the Triangle software. First, some scripts were developed to improve the topology of the various elements, such as snapping of the river network to the closest contours. When data are derived with remote sensing, such as vegetation areas, their perimeter has lots of right angles that were smoothed. Second, the algorithms more particularly address bad-shaped elements of the model mesh such as polygons with narrow shapes, marked irregular contours and/or the centroid outside of the polygons. To identify these elements we used shape descriptors. The convexity index was considered the best descriptor to identify them with a threshold

  9. Self-perceived versus objectively measured competence in performing clinical practical procedures by final year medical students.

    Science.gov (United States)

    Katowa-Mukwato, Patricia; Banda, Sekelani

    2016-04-30

    To determine and compare the self-perceived and objectively measured competence in performing 14 core-clinical practical procedures by Final Year Medical Students of the University of Zambia. The study included 56 out of 60 graduating University of Zambia Medical Students of the 2012/2013 academic year. Self-perceived competence: students rated their competence on 14 core- clinical practical procedures using a self-administered questionnaire on a 5-point Likert scale. Objective competence: it was measured by Objective Structured Clinical Examination (OSCE) by faculty using predetermined rating scales. Rank order correlation test was performed for self-perceived and objectively measured competence. Two thirds 36 (66.7%) of the participants perceived themselves as moderately competent, 15 (27.8%) rated themselves as highly competent while 3 (5.6%) had low self-perception. With objective competence, the majority 52 (92.8%) were barely competent while 4 (7.2%) were absolutely competent. When overall self-perception was compared to objectively measured competence, there was a discordance which was demonstrated by a negative correlation (Spearman rho -.123). Significant numbers of students reported low self-competence in performing procedures such as endotracheal intubation, gastric lavage and cardiopulmonary resuscitation which most never performed during the clinical years of medical education. In addition, the negative correlation between self-perceived and objectively measured competence demonstrated the inability of students to assess and rate themselves objectively due to fear that others may know their weaknesses and realize that they are not as competent as expected at a specific level of training.

  10. A new technique for dynamic load distribution when two manipulators mutually lift a rigid object. Part 1, The proposed technique

    Energy Technology Data Exchange (ETDEWEB)

    Unseren, M.A.

    1994-04-01

    A general framework for solving the dynamic load distribution when two manipulators hold a rigid object is proposed. The underspecified problem of solving for the contact forces and torques based on the object`s equations of motion is transformed into a well specified problem. This is accomplished by augmenting the object`s equations of motion with additional equations which relate a new vector variable quantifying the internal contact force and torque degrees of freedom (DOF) as a linear function of the contact forces and torques. The resulting augmented system yields a well specified solution for the contact forces and torques in which they are separated into their motion inducing and internal components. A particular solution is suggested which enables the designer to conveniently specify what portion of the payload`s mass each manipulator is to bear. It is also shown that the results of the previous work are just a special case of the general load distribution framework described here.

  11. Architecture of distributed picture archiving and communication systems for storing and processing high resolution medical images

    Directory of Open Access Journals (Sweden)

    Tokareva Victoria

    2018-01-01

    Full Text Available New generation medicine demands a better quality of analysis increasing the amount of data collected during checkups, and simultaneously decreasing the invasiveness of a procedure. Thus it becomes urgent not only to develop advanced modern hardware, but also to implement special software infrastructure for using it in everyday clinical practice, so-called Picture Archiving and Communication Systems (PACS. Developing distributed PACS is a challenging task for nowadays medical informatics. The paper discusses the architecture of distributed PACS server for processing large high-quality medical images, with respect to technical specifications of modern medical imaging hardware, as well as international standards in medical imaging software. The MapReduce paradigm is proposed for image reconstruction by server, and the details of utilizing the Hadoop framework for this task are being discussed in order to provide the design of distributed PACS as ergonomic and adapted to the needs of end users as possible.

  12. Architecture of distributed picture archiving and communication systems for storing and processing high resolution medical images

    Science.gov (United States)

    Tokareva, Victoria

    2018-04-01

    New generation medicine demands a better quality of analysis increasing the amount of data collected during checkups, and simultaneously decreasing the invasiveness of a procedure. Thus it becomes urgent not only to develop advanced modern hardware, but also to implement special software infrastructure for using it in everyday clinical practice, so-called Picture Archiving and Communication Systems (PACS). Developing distributed PACS is a challenging task for nowadays medical informatics. The paper discusses the architecture of distributed PACS server for processing large high-quality medical images, with respect to technical specifications of modern medical imaging hardware, as well as international standards in medical imaging software. The MapReduce paradigm is proposed for image reconstruction by server, and the details of utilizing the Hadoop framework for this task are being discussed in order to provide the design of distributed PACS as ergonomic and adapted to the needs of end users as possible.

  13. Distributed parallel cooperative coevolutionary multi-objective large-scale immune algorithm for deployment of wireless sensor networks

    DEFF Research Database (Denmark)

    Cao, Bin; Zhao, Jianwei; Yang, Po

    2018-01-01

    -objective evolutionary algorithms the Cooperative Coevolutionary Generalized Differential Evolution 3, the Cooperative Multi-objective Differential Evolution and the Nondominated Sorting Genetic Algorithm III, the proposed algorithm addresses the deployment optimization problem efficiently and effectively.......Using immune algorithms is generally a time-intensive process especially for problems with a large number of variables. In this paper, we propose a distributed parallel cooperative coevolutionary multi-objective large-scale immune algorithm that is implemented using the message passing interface...... (MPI). The proposed algorithm is composed of three layers: objective, group and individual layers. First, for each objective in the multi-objective problem to be addressed, a subpopulation is used for optimization, and an archive population is used to optimize all the objectives. Second, the large...

  14. Equality in Distribution of Human Resources: the Case of Iran's Ministry of Health and Medical Education.

    Science.gov (United States)

    Mobaraki, H; Hassani, A; Kashkalani, T; Khalilnejad, R; Chimeh, E Ehsani

    2013-01-01

    Equity in access to and utilization of health services is a common goal of policy-makers in most countries. The fair allocation of human resources is one of the dimensions of equity, which was evaluated in this study. We evaluated the equity of human resources' distribution among Iran's medical science universities between 2005 and 2009 by inequality measures including Lorenze curve, Gini coefficient and Rabin hood indexes. In the distribution 60403 recruitment licenses among medical universities with 72456140 covered populations, Gini coefficient was 0.167 and Robin Hood Index 0.11. Calculations indicated Recruitment licenses are equitably distributed in MOH&ME of Iran. However a portion of recruitment licenses should redistributed for achieving perfect equal distribution among all public medical universities of Iran.

  15. Development of Geriatric Mental Health Learning Objectives for Medical Students: A Response to the Institute of Medicine 2012 Report.

    Science.gov (United States)

    Lehmann, Susan W; Brooks, William B; Popeo, Dennis; Wilkins, Kirsten M; Blazek, Mary C

    2017-10-01

    America is aging as the population of older adults increases. The shortage of geriatric mental health specialists means that most geriatric mental healthcare will be provided by physicians who do not have specialty training in geriatrics. The Institute of Medicine Report of 2012 highlighted the urgent need for development of national competencies and curricula in geriatric mental health for all clinicians. Virtually all physicians can expect to treat older patients with mental health symptoms, yet currently there are no widely accepted learning objectives in geriatric mental health specific for medical students. The authors describe the development of a set of such learning objectives that all medical students should achieve by graduation. The iterative process included initial drafting by content experts from five medical schools with input and feedback from a wider group of geriatric psychiatrists, geriatricians, internists, and medical educators. The final document builds upon previously published work and includes specific knowledge, attitudes and skills in six key domains: Normal Aging, Mental Health Assessment of the Geriatric Patient, Psychopharmacology, Delirium, Depression, and Dementia. These objectives address a pressing need, providing a framework for national standards and curriculum development. Copyright © 2017 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  16. A near-peer teaching program designed, developed and delivered exclusively by recent medical graduates for final year medical students sitting the final objective structured clinical examination (OSCE

    Directory of Open Access Journals (Sweden)

    Sobowale Oluwaseun

    2011-03-01

    Full Text Available Abstract Background The General Medical Council states that teaching doctors and students is important for the care of patients. Our aim was to deliver a structured teaching program to final year medical students, evaluate the efficacy of teaching given by junior doctors and review the pertinent literature. Methods We developed a revision package for final year medical students sitting the Objective Structured Clinical Examination (OSCE. The package was created and delivered exclusively by recent medical graduates and consisted of lectures and small group seminars covering the core areas of medicine and surgery, with a focus on specific OSCE station examples. Students were asked to complete a feedback questionnaire during and immediately after the program. Results One hundred and eighteen completed feedback questionnaires were analysed. All participants stated that the content covered was relevant to their revision. 73.2% stated that junior doctors delivered teaching that is comparable to that of consultant - led teaching. 97.9% stated the revision course had a positive influence on their learning. Conclusions Our study showed that recent medical graduates are able to create and deliver a structured, formal revision program and provide a unique perspective to exam preparation that was very well received by our student cohort. The role of junior doctors teaching medical students in a formal structured environment is very valuable and should be encouraged.

  17. Medication errors in residential aged care facilities: a distributed cognition analysis of the information exchange process.

    Science.gov (United States)

    Tariq, Amina; Georgiou, Andrew; Westbrook, Johanna

    2013-05-01

    Medication safety is a pressing concern for residential aged care facilities (RACFs). Retrospective studies in RACF settings identify inadequate communication between RACFs, doctors, hospitals and community pharmacies as the major cause of medication errors. Existing literature offers limited insight about the gaps in the existing information exchange process that may lead to medication errors. The aim of this research was to explicate the cognitive distribution that underlies RACF medication ordering and delivery to identify gaps in medication-related information exchange which lead to medication errors in RACFs. The study was undertaken in three RACFs in Sydney, Australia. Data were generated through ethnographic field work over a period of five months (May-September 2011). Triangulated analysis of data primarily focused on examining the transformation and exchange of information between different media across the process. The findings of this study highlight the extensive scope and intense nature of information exchange in RACF medication ordering and delivery. Rather than attributing error to individual care providers, the explication of distributed cognition processes enabled the identification of gaps in three information exchange dimensions which potentially contribute to the occurrence of medication errors namely: (1) design of medication charts which complicates order processing and record keeping (2) lack of coordination mechanisms between participants which results in misalignment of local practices (3) reliance on restricted communication bandwidth channels mainly telephone and fax which complicates the information processing requirements. The study demonstrates how the identification of these gaps enhances understanding of medication errors in RACFs. Application of the theoretical lens of distributed cognition can assist in enhancing our understanding of medication errors in RACFs through identification of gaps in information exchange. Understanding

  18. Multi-objective optimization control of plug-in electric vehicles in low voltage distribution networks

    DEFF Research Database (Denmark)

    García-Villalobos, J.; Zamora, I.; Knezovic, Katarina

    2016-01-01

    The massive introduction of plug-in electric vehicles (PEVs) into low voltage (LV) distribution networks will lead to several problems, such as: increase of energy losses, decrease of distribution transformer lifetime, lines and transformer overload issues, voltage drops and unbalances...

  19. It is time to improve the quality of medical information distributed to students across social media.

    Science.gov (United States)

    Zucker, Benjamin E; Kontovounisios, Christos

    2018-01-01

    The ubiquitous nature of social media has meant that its effects on fields outside of social communication have begun to be felt. The generation undergoing medical education are of the generation referred to as "digital natives", and as such routinely incorporate social media into their education. Social media's incorporation into medical education includes its use as a platform to distribute information to the public ("distributive education") and as a platform to provide information to a specific audience ("push education"). These functions have proved beneficial in many regards, such as enabling constant access to the subject matter, other learners, and educators. However, the usefulness of using social media as part of medical education is limited by the vast quantities of poor quality information and the time required to find information of sufficient quality and relevance, a problem confounded by many student's preoccupation with "efficient" learning. In this Perspective, the authors discuss whether social media has proved useful as a tool for medical education. The current growth in the use of social media as a tool for medical education seems to be principally supported by students' desire for efficient learning rather than by the efficacy of social media as a resource for medical education. Therefore, improvements in the quality of information required to maximize the impact of social media as a tool for medical education are required. Suggested improvements include an increase in the amount of educational content distributed on social media produced by academic institutions, such as universities and journals.

  20. Hospital ownership and medical services: market mix, spillover effects, and nonprofit objectives.

    Science.gov (United States)

    Horwitz, Jill R; Nichols, Austin

    2009-09-01

    Hospitals operate in markets with varied demographic, competitive, and ownership characteristics, yet research on ownership tends to examine hospitals in isolation. Here we examine three hospital ownership types -- nonprofit, for-profit, and government -- and their spillover effects. We estimate the effects of for-profit market share in two ways, on the provision of medical services and on operating margins at the three types of hospitals. We find that nonprofit hospitals' medical service provision systematically varies by market mix. We find no significant effect of market mix on the operating margins of nonprofit hospitals, but find that for-profit hospitals have higher margins in markets with more for-profits. These results fit best with theories in which hospitals maximize their own output.

  1. An Objective Approach for Burkholderia pseudomallei Strain Selection as Challenge Material for Medical Countermeasures Efficacy Testing

    OpenAIRE

    Van Zandt, Kristopher E.; Tuanyok, Apichai; Keim, Paul S.; Warren, Richard L.; Gelhaus, H. Carl

    2012-01-01

    Burkholderia pseudomallei is the causative agent of melioidosis, a rare disease of biodefense concern with high mortality and extreme difficulty in treatment. No human vaccines are available that protect against B. pseudomallei infection, and with the current limitations of antibiotic treatment, the development of new preventative and therapeutic interventions is crucial. Although clinical trials could be used to test the efficacy of new medical countermeasures (MCMs), the high mortality rate...

  2. Locating distribution/service centers based on multi objective decision making using set covering and proximity to stock market

    Directory of Open Access Journals (Sweden)

    Mazyar Dabibi

    2016-09-01

    Full Text Available In the present competitive world, facility location is an important aspect of the supply chain (sc optimization. It involves selecting specific locations for facility construction and allocation of the distribution channel among different SC levels. In fact, it is a strategic issue which directly affects many operational/tactical decisions. Besides the accessibility, which results in customer satisfaction, the present paper optimizes the establishment costs of a number of distribution channels by considering their proximity to the stock market of the goods they distribute, and proposes mathematical models for two objective functions using the set covering problem. Then, two objective functions are proposed into one through the ε-constraint method and solved by the metaheuristic Genetic Algorithm (GA. To test the resulted model, a smaller scale problem is solved. Results from running the algorithm with different ε-values show that, on average, a 10% increase in ε, which increases the value of the second objective function - distance covered by customers will cause a 2% decrease in the value of the first objective function including the costs of establishing distribution centers. The repeatability and solution convergence of the two-objective model presented by the GA are other results obtained in this study.

  3. Medical ethics and more: ideal theories, non-ideal theories and conscientious objection.

    Science.gov (United States)

    Luna, Florencia

    2015-01-01

    Doing 'good medical ethics' requires acknowledgment that it is often practised in non-ideal circumstances! In this article I present the distinction between ideal theory (IT) and non-ideal theory (NIT). I show how IT may not be the best solution to tackle problems in non-ideal contexts. I sketch a NIT framework as a useful tool for bioethics and medical ethics and explain how NITs can contribute to policy design in non-ideal circumstances. Different NITs can coexist and be evaluated vis-à-vis the IT. Additionally, I address what an individual doctor ought to do in this non-ideal context with the view that knowledge of NITs can facilitate the decision-making process. NITs help conceptualise problems faced in the context of non-compliance and scarcity in a better and more realistic way. Deciding which policy is optimal in such contexts may influence physicians' decisions regarding their patients. Thus, this analysis-usually identified only with policy making-may also be relevant to medical ethics. Finally, I recognise that this is merely a first step in an unexplored but fundamental theoretical area and that more work needs to be done. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  4. The Size Distribution of Very Small Near Earth Objects As Measured by Warm Spitzer

    NARCIS (Netherlands)

    Trilling, David E.; Hora, J.; Burt, B.; Delbo, M.; Emery, J.; Fazio, G.; Fuentes, C.; Harris, A.; Mueller, M.; Mommert, M.; Smith, H.

    2013-01-01

    We have carried out a pilot search for Near Earth Objects (NEOs) with 84 hours of Warm Spitzer time in April, 2013. Results are obtained through a multi-step process: implanting synthetic objects in the Spitzer data stream; processing the Spitzer data; linking non-sidereal sources to form plausible

  5. An efficient hybrid evolutionary algorithm based on PSO and HBMO algorithms for multi-objective Distribution Feeder Reconfiguration

    Energy Technology Data Exchange (ETDEWEB)

    Niknam, Taher [Electronic and Electrical Engineering Department, Shiraz University of Technology, Shiraz (Iran)

    2009-08-15

    This paper introduces a robust searching hybrid evolutionary algorithm to solve the multi-objective Distribution Feeder Reconfiguration (DFR). The main objective of the DFR is to minimize the real power loss, deviation of the nodes' voltage, the number of switching operations, and balance the loads on the feeders. Because of the fact that the objectives are different and no commensurable, it is difficult to solve the problem by conventional approaches that may optimize a single objective. This paper presents a new approach based on norm3 for the DFR problem. In the proposed method, the objective functions are considered as a vector and the aim is to maximize the distance (norm2) between the objective function vector and the worst objective function vector while the constraints are met. Since the proposed DFR is a multi objective and non-differentiable optimization problem, a new hybrid evolutionary algorithm (EA) based on the combination of the Honey Bee Mating Optimization (HBMO) and the Discrete Particle Swarm Optimization (DPSO), called DPSO-HBMO, is implied to solve it. The results of the proposed reconfiguration method are compared with the solutions obtained by other approaches, the original DPSO and HBMO over different distribution test systems. (author)

  6. Why medical professionals have no moral claim to conscientious objection accommodation in liberal democracies.

    Science.gov (United States)

    Schuklenk, Udo; Smalling, Ricardo

    2017-04-01

    We describe a number of conscientious objection cases in a liberal Western democracy. These cases strongly suggest that the typical conscientious objector does not object to unreasonable, controversial professional services-involving torture, for instance-but to the provision of professional services that are both uncontroversially legal and that patients are entitled to receive. We analyse the conflict between these patients' access rights and the conscientious objection accommodation demanded by monopoly providers of such healthcare services. It is implausible that professionals who voluntarily join a profession should be endowed with a legal claim not to provide services that are within the scope of the profession's practice and that society expects them to provide. We discuss common counterarguments to this view and reject all of them. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  7. Broad band energy distribution of UV-bright BL Lac objects

    International Nuclear Information System (INIS)

    Maraschi, L.; Tanzi, E.G.; Treves, A.

    1984-01-01

    IUE satellite data in the 1200-2000 and 1900-3200 A intervals of BL Lac objects are analyzed in terms of two discernible groups. A total of 25 BL Lac objects were observed, with differences between groups displayed in terms of the power slope of the energy of the UV emissions, i.e., slopes of 1 and 2. Comparisons of the spectra with those of quasars showed that quasars have a small spectral index in the 1000-6000 A band and no correlation exists between the spectral index and UV flux of the BL Lac objects. The comparisons underscore the lack of a thermal component for BL Lac objects. Steep spectral components in both BL Lac objects and highly polarized quasars emissions could both be due to synchrotron emission. Compton scattering of relativistic electrons off synchrotron photons could produce the X ray emissions. 44 references

  8. Broad band energy distribution of UV-bright BL Lac objects

    Energy Technology Data Exchange (ETDEWEB)

    Maraschi, L.; Tanzi, E.G.; Treves, A.

    1984-01-01

    IUE satellite data in the 1200-2000 and 1900-3200 A intervals of BL Lac objects are analyzed in terms of two discernible groups. A total of 25 BL Lac objects were observed, with differences between groups displayed in terms of the power slope of the energy of the UV emissions, i.e., slopes of 1 and 2. Comparisons of the spectra with those of quasars showed that quasars have a small spectral index in the 1000-6000 A band and no correlation exists between the spectral index and UV flux of the BL Lac objects. The comparisons underscore the lack of a thermal component for BL Lac objects. Steep spectral components in both BL Lac objects and highly polarized quasars emissions could both be due to synchrotron emission. Compton scattering of relativistic electrons off synchrotron photons could produce the X ray emissions. 44 references.

  9. Data Mining on Distributed Medical Databases: Recent Trends and Future Directions

    Science.gov (United States)

    Atilgan, Yasemin; Dogan, Firat

    As computerization in healthcare services increase, the amount of available digital data is growing at an unprecedented rate and as a result healthcare organizations are much more able to store data than to extract knowledge from it. Today the major challenge is to transform these data into useful information and knowledge. It is important for healthcare organizations to use stored data to improve quality while reducing cost. This paper first investigates the data mining applications on centralized medical databases, and how they are used for diagnostic and population health, then introduces distributed databases. The integration needs and issues of distributed medical databases are described. Finally the paper focuses on data mining studies on distributed medical databases.

  10. A Pathophysiological Model-Driven Communication for Dynamic Distributed Medical Best Practice Guidance Systems.

    Science.gov (United States)

    Hosseini, Mohammad; Jiang, Yu; Wu, Poliang; Berlin, Richard B; Ren, Shangping; Sha, Lui

    2016-11-01

    There is a great divide between rural and urban areas, particularly in medical emergency care. Although medical best practice guidelines exist and are in hospital handbooks, they are often lengthy and difficult to apply clinically. The challenges are exaggerated for doctors in rural areas and emergency medical technicians (EMT) during patient transport. In this paper, we propose the concept of distributed executable medical best practice guidance systems to assist adherence to best practice from the time that a patient first presents at a rural hospital, through diagnosis and ambulance transfer to arrival and treatment at a regional tertiary hospital center. We codify complex medical knowledge in the form of simplified distributed executable disease automata, from the thin automata at rural hospitals to the rich automata in the regional center hospitals. However, a main challenge is how to efficiently and safely synchronize distributed best practice models as the communication among medical facilities, devices, and professionals generates a large number of messages. This complex problem of patient diagnosis and transport from rural to center facility is also fraught with many uncertainties and changes resulting in a high degree of dynamism. A critically ill patient's medical conditions can change abruptly in addition to changes in the wireless bandwidth during the ambulance transfer. Such dynamics have yet to be addressed in existing literature on telemedicine. To address this situation, we propose a pathophysiological model-driven message exchange communication architecture that ensures the real-time and dynamic requirements of synchronization among distributed emergency best practice models are met in a reliable and safe manner. Taking the signs, symptoms, and progress of stroke patients transported across a geographically distributed healthcare network as the motivating use case, we implement our communication system and apply it to our developed best practice

  11. [Medical graduate and basic education in Austria: emergency or surplus? Objective evaluation or bureaucratic regimentation?].

    Science.gov (United States)

    Barolin, G S

    1989-10-31

    If there is a reform of medical school, it will be desirable to keep the positive aspects of our tradition, while adding favourable aspects out of international experience. We will need to shorten unprofitable ballast, which means theory in excess, seeking for more practical and well accessable knowledge capability of independent work and decisionmaking. We need better communication ("humanization") in medicine. It is necessary to take the whole education system into consideration: college up to professorship, as they are linked together. We cannot recommend to increase the number of exams, but we support a continuating control, working in small groups promoting the motivation of the students. They must see more sense in their studies. Rather intensify the control and supervision of the system of instruction than to reinforce the learning control of students by exams. We reject to explain all failures and disappointments in medical school by lack of financial means or because of competences which overlap each other. Many things could be changed within existing laws. Partly they have to be changed by altering laws. A number of practical possible ways to reach this target are pointed out here.

  12. New multi-objective decision support methodology to solve problems of reconfiguration in the electric distribution systems

    NARCIS (Netherlands)

    Santos, S.F.; Paterakis, N.G.; Catalao, J.P.S.; Camarinha-Matos, L.M.; Baldissera, T.A.; Di Orio, G.; Marques, F.

    2015-01-01

    The distribution systems (DS) reconfiguration problem is formulated in this paper as a multi-objective mixed-integer linear programming (MILP) multiperiod problem, enforcing that the obtained topology is radial in order to exploit several advantages those configurations offer. The effects of

  13. Twelve tips for teaching in a provincially distributed medical education program.

    Science.gov (United States)

    Wong, Roger Y; Chen, Luke; Dhadwal, Gurbir; Fok, Mark C; Harder, Ken; Huynh, Hanh; Lunge, Ryan; Mackenzie, Mark; Mckinney, James; Ovalle, William; Rauniyar, Pooja; Tse, Luke; Villanyi, Diane

    2012-01-01

    As distributed undergraduate and postgraduate medical education becomes more common, the challenges with the teaching and learning process also increase. To collaboratively engage front line teachers in improving teaching in a distributed medical program. We recently conducted a contest on teaching tips in a provincially distributed medical education program and received entries from faculty and resident teachers. Tips that are helpful for teaching around clinical cases at distributed teaching sites include: ask "what if" questions to maximize clinical teaching opportunities, try the 5-min short snapper, multitask to allow direct observation, create dedicated time for feedback, there are really no stupid questions, and work with heterogeneous group of learners. Tips that are helpful for multi-site classroom teaching include: promote teacher-learner connectivity, optimize the long distance working relationship, use the reality television show model to maximize retention and captivate learners, include less teaching content if possible, tell learners what you are teaching and make it relevant and turn on the technology tap to fill the knowledge gap. Overall, the above-mentioned tips offered by front line teachers can be helpful in distributed medical education.

  14. Optimal Allocation of Generalized Power Sources in Distribution Network Based on Multi-Objective Particle Swarm Optimization Algorithm

    Directory of Open Access Journals (Sweden)

    Li Ran

    2017-01-01

    Full Text Available Optimal allocation of generalized power sources in distribution network is researched. A simple index of voltage stability is put forward. Considering the investment and operation benefit, the stability of voltage and the pollution emissions of generalized power sources in distribution network, a multi-objective optimization planning model is established. A multi-objective particle swarm optimization algorithm is proposed to solve the optimal model. In order to improve the global search ability, the strategies of fast non-dominated sorting, elitism and crowding distance are adopted in this algorithm. Finally, tested the model and algorithm by IEEE-33 node system to find the best configuration of GP, the computed result shows that with the generalized power reasonable access to the active distribution network, the investment benefit and the voltage stability of the system is improved, and the proposed algorithm has better global search capability.

  15. Multi-objective optimization design of air distribution of grate cooler by entropy generation minimization and genetic algorithm

    International Nuclear Information System (INIS)

    Shao, Wei; Cui, Zheng; Cheng, Lin

    2016-01-01

    Highlights: • A multi-objective optimization model of air distribution of grate cooler by genetic algorithm is proposed. • Pareto Front is obtained and validated by comparing with operating data. • Optimal schemes are compared and selected by engineering background. • Total power consumption after optimization decreases 61.10%. • Thickness of clinker on three grate plates is thinner. - Abstract: The cooling air distributions of grate cooler exercise a great influence on the clinker cooling efficiency and power consumption of cooling fans. A multi-objective optimization model of air distributions of grate cooler with cross-flow heat exchanger analogy is proposed in this paper. Firstly, thermodynamic and flow models of clinker cooling process is carried out. Then based on entropy generation minimization analysis, modified entropy generation numbers caused by heat transfer and pressure drop are chosen as objective functions respectively which optimized by genetic algorithm. The design variables are superficial velocities of air chambers and thicknesses of clinker layers on different grate plates. A set of Pareto optimal solutions which two objectives are optimized simultaneously is achieved. Scattered distributions of design variables resulting in the conflict between two objectives are brought out. The final optimal air distribution and thicknesses of clinker layers are selected from the Pareto optimal solutions based on power consumption of cooling fans minimization and validated by measurements. Compared with actual operating scheme, the total air volumes of optimized schemes decrease 2.4%, total power consumption of cooling fans decreases 61.1% and the outlet temperature of clinker decreases 122.9 °C which shows a remarkable energy-saving effect on energy consumption.

  16. An object-oriented framework for medical image registration, fusion, and visualization.

    Science.gov (United States)

    Zhu, Yang-Ming; Cochoff, Steven M

    2006-06-01

    An object-oriented framework for image registration, fusion, and visualization was developed based on the classic model-view-controller paradigm. The framework employs many design patterns to facilitate legacy code reuse, manage software complexity, and enhance the maintainability and portability of the framework. Three sample applications built a-top of this framework are illustrated to show the effectiveness of this framework: the first one is for volume image grouping and re-sampling, the second one is for 2D registration and fusion, and the last one is for visualization of single images as well as registered volume images.

  17. A multi-objective control strategy for grid connection of DG (distributed generation) resources

    Energy Technology Data Exchange (ETDEWEB)

    Pouresmaeil, Edris; Montesinos-Miracle, Daniel; Bergas-Jane, Joan [Centre d' Innovacio Tecnologica en Convertidors Estatics i Accionaments (CITCEA-UPC), Departament d' Enginyeria Electrica, Universitat Politecnica de Catalunya, ETS d' Enginyeria Industrial de Barcelona (Spain); Gomis-Bellmunt, Oriol [Centre d' Innovacio Tecnologica en Convertidors Estatics i Accionaments (CITCEA-UPC), Departament d' Enginyeria Electrica, Universitat Politecnica de Catalunya, ETS d' Enginyeria Industrial de Barcelona (Spain); Catalonia Institute for Energy Research IREC, Barcelona (Spain)

    2010-12-15

    This paper presents a flexible control technique for connection of DG (distributed generation) resources to distribution networks, especially during ride-through on faulty grid. This strategy is derived from the abc/{alpha}{beta} and {alpha}{beta}/dq transformations of the ac system variables. The active and reactive currents injected by the DG source are controlled in the synchronously rotating orthogonal dq reference frame. The transformed variables are used to control the VSI (voltage source inverter) which connects the DG to the distribution network. Using a P.L.L. (phase locked loop) in circuit of proposed control technique, the angle of positive sequence has been detected, in order to synchronize the currents to the distribution network. The proposed control technique has the capability of providing active and reactive powers and harmonic currents to nonlinear loads with a fast dynamic response. Simulation results and mathematical analysis have been completed in order to achieve a reduced THD (total harmonic distortion), increased power factor and compensated load's active and reactive powers. The analyses show the high performance of this control strategy in DG applications in comparison with other existing strategies. (author)

  18. Maximizing hosting capacity of renewable energy sources in distribution networks: A multi-objective and scenario-based approach

    International Nuclear Information System (INIS)

    Rabiee, Abbas; Mohseni-Bonab, Seyed Masoud

    2017-01-01

    Due to the development of renewable energy sources (RESs), maximization of hosting capacity (HC) of RESs has gained significant interest in the existing and future power systems. HC maximization should be performed considering various technical constraints like power flow equations, limits on the distribution feeders' voltages and currents, as well as economic constraints such as the cost of energy procurement from the upstream network and power generation by RESs. RESs are volatile and uncertain in nature. Thus, it is necessary to handle their inherent uncertainties in the HC maximization problem. Wind power is now the fastest growing RESs around the world. Hence, in this paper a stochastic multi-objective optimization model is proposed to maximize the distribution network's HC for wind power and minimize the energy procurement costs in a wind integrated power system. The following objective functions are considered: 1) Cost of the purchased energy from upstream network (to be minimized) and 2) Operation and maintenance cost of wind farms. The proposed model is examined on a standard radial 69 bus distribution feeder and a practical 152 bus distribution system. The numerical results substantiate that the proposed model is an effective tool for distribution network operators (DNOs) to consider both technical and economic aspects of distribution network's HC for RESs. - Highlights: • Hosting capacity of wind power is improved in distribution feeders. • A stochastic multi-objective optimization model is proposed. • Wind power and load uncertainties are modeled by scenario based approach. • Purchased energy cost from upstream network and O&M cost of wind farms are used.

  19. Web-based Distributed Medical Information System for Chronic Viral Hepatitis

    Science.gov (United States)

    Yang, Ying; Qin, Tuan-fa; Jiang, Jian-ning; Lu, Hui; Ma, Zong-e.; Meng, Hong-chang

    2008-11-01

    To make a long-term dynamic monitoring to the chronically ill, especially patients of HBV A, we build a distributed Medical Information System for Chronic Viral Hepatitis (MISCHV). The Web-based system architecture and its function are described, and the extensive application and important role are also presented.

  20. Multi-Objective Planning of Multi-Type Distributed Generation Considering Timing Characteristics and Environmental Benefits

    Directory of Open Access Journals (Sweden)

    Yajing Gao

    2014-09-01

    Full Text Available This paper presents a novel approach to multi-type distributed generation (DG planning based on the analysis of investment and income brought by grid-connected DG. Firstly, the timing characteristics of loads and DG outputs, as well as the environmental benefits of DG are analyzed. Then, on the basis of the classification of daily load sequences, the typical daily load sequence and the typical daily output sequence of DG per unit capacity can be computed. The proposed planning model takes the location, capacity and types of DG into account as optimization variables. An improved adaptive genetic algorithm is proposed to solve the model. Case studies have been carried out on the IEEE 14-node distribution system to verify the feasibility and effectiveness of the proposed method and model.

  1. An Object-Oriented Architecture for User Interface Management in Distributed Applications

    OpenAIRE

    Denzer, Ralf

    2017-01-01

    User interfaces for large distributed applications have to handle specific problems: the complexity of the application itself and the integration of online-data into the user interface. A main task of the user interface architecture is to provide powerful tools to design and augment the end-user system easily, hence giving the designer more time to focus on user requirements. Our experiences developing a user interface system for a process control room showed that a lot of time during the dev...

  2. The Withdrawal of Health Care from Irregular Immigrants and Medical Conscientious Objection

    Directory of Open Access Journals (Sweden)

    Yolanda Garcìa Ruiz

    2016-12-01

    Full Text Available The economic crisis so strongly affecting some southern European countries has led to significant cuts in the system of universal public health care in Spain. Such measures particularly affect irregular immigrants and can also cause significant public health consequences. A form of civil resistance that deserves to be analyzed is the conscientious objection of Spanish doctors who have chosen to continue attending irregular immigrants in contravention of new the rules restricting their access to the public health system and their right to health. The aim of this paper is to analyze the new regulation which cut health care for irregular immigrants in Spain, the impact of this new regulation on the most vulnerable groups, and the response of doctors, who exercised their right to conscientious objection in relation to applying the new regulation. Finally to examine the announcement of change which came about as a consequence of international and domestic social pressure causing political risk to the Spanish National Government. La crisis económica, que ha afectado tan profundamente a algunos países del sur de Europa, ha dado lugar a significativos recortes en el sistema de atención sanitaria pública en España. Algunas de las medidas adoptadas han afectado específicamente a los inmigrantes irregulares y pueden tener, incluso, efectos en el ámbito de la salud pública. Una forma de desobediencia civil que merece ser analizada es la declaración de objeción de conciencia de determinados médicos y profesionales sanitarios españoles que han continuado atendiendo a los inmigrantes irregulares en contra de las nuevas  restricciones impuestas por el Gobierno que afectan al reconocimiento universal del derecho a la salud. El propósito de este artículo es el de analizar la nueva regulación que limita el acceso a la asistencia sanitaria de los inmigrantes irregulares en España, el impacto de esta nueva regulación en los grupos más vulnerables

  3. Automatic transfer function design for medical visualization using visibility distributions and projective color mapping.

    Science.gov (United States)

    Cai, Lile; Tay, Wei-Liang; Nguyen, Binh P; Chui, Chee-Kong; Ong, Sim-Heng

    2013-01-01

    Transfer functions play a key role in volume rendering of medical data, but transfer function manipulation is unintuitive and can be time-consuming; achieving an optimal visualization of patient anatomy or pathology is difficult. To overcome this problem, we present a system for automatic transfer function design based on visibility distribution and projective color mapping. Instead of assigning opacity directly based on voxel intensity and gradient magnitude, the opacity transfer function is automatically derived by matching the observed visibility distribution to a target visibility distribution. An automatic color assignment scheme based on projective mapping is proposed to assign colors that allow for the visual discrimination of different structures, while also reflecting the degree of similarity between them. When our method was tested on several medical volumetric datasets, the key structures within the volume were clearly visualized with minimal user intervention. Copyright © 2013 Elsevier Ltd. All rights reserved.

  4. Response to: 'Why medical professionals have no moral claim to conscientious objection accommodation in liberal democracies' by Schuklenk and Smalling.

    Science.gov (United States)

    Glick, Shimon M; Jotkowitz, Alan

    2017-04-01

    The recent essay by Schuklenk and Smalling opposing respect for physicians' conscientious objections to providing patients with medical services that are legally permitted in liberal democracies is based on several erroneous assumptions. Acting in this manner would have serious harmful effects on the ethos of medicine and of bioethics. A much more nuanced and balanced position is critical in order to respect physicians' conscience with minimal damage to patients' rights. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

  5. The ultraviolet to infrared energy distribution of the BL Lacertae object PKS 0422+00 at two different brightness levels

    Energy Technology Data Exchange (ETDEWEB)

    Falomo, R.; Bouchet, P.; Maraschi, L.; Treves, A.; Tanzi, E.G. (Padova, Osservatorio Astronomico, Padua (Italy) European Southern Observatory, La Silla (Chile) Milano Universita, Milan (Italy) CNR, Istituto di Fisica Cosmica, Milan (Italy))

    1989-10-01

    The BL Lacertae object PKS 0422+00 was observed with IUE (International Ultraviolet Explorer) on August 31-September 1, 1987, when the visual magnitude of the object was V = 16.2, and again about 4 months later (January 10, 1988) during an active state (V = 15.6). Quasi-simultaneous optical to infrared observations allow deriving a detailed spectral flux distribution from 8 x 10 to the 13th to 2.5 x 10 the 15th Hz, for each epoch. Fits in terms of broken power laws and logarithmic parabolas are discussed. 32 refs.

  6. The ultraviolet to infrared energy distribution of the BL Lacertae object PKS 0422+00 at two different brightness levels

    International Nuclear Information System (INIS)

    Falomo, R.; Bouchet, P.; Maraschi, L.; Treves, A.; Tanzi, E.G.

    1989-01-01

    The BL Lacertae object PKS 0422+00 was observed with IUE (International Ultraviolet Explorer) on August 31-September 1, 1987, when the visual magnitude of the object was V = 16.2, and again about 4 months later (January 10, 1988) during an active state (V = 15.6). Quasi-simultaneous optical to infrared observations allow deriving a detailed spectral flux distribution from 8 x 10 to the 13th to 2.5 x 10 the 15th Hz, for each epoch. Fits in terms of broken power laws and logarithmic parabolas are discussed. 32 refs

  7. Assessing Communication Skills of Medical Students in Objective Structured Clinical Examinations (OSCE)--A Systematic Review of Rating Scales.

    Science.gov (United States)

    Cömert, Musa; Zill, Jördis Maria; Christalle, Eva; Dirmaier, Jörg; Härter, Martin; Scholl, Isabelle

    2016-01-01

    Teaching and assessment of communication skills have become essential in medical education. The Objective Structured Clinical Examination (OSCE) has been found as an appropriate means to assess communication skills within medical education. Studies have demonstrated the importance of a valid assessment of medical students' communication skills. Yet, the validity of the performance scores depends fundamentally on the quality of the rating scales used in an OSCE. Thus, this systematic review aimed at providing an overview of existing rating scales, describing their underlying definition of communication skills, determining the methodological quality of psychometric studies and the quality of psychometric properties of the identified rating scales. We conducted a systematic review to identify psychometrically tested rating scales, which have been applied in OSCE settings to assess communication skills of medical students. Our search strategy comprised three databases (EMBASE, PsycINFO, and PubMed), reference tracking and consultation of experts. We included studies that reported psychometric properties of communication skills assessment rating scales used in OSCEs by examiners only. The methodological quality of included studies was assessed using the COnsensus based Standards for the selection of health status Measurement INstruments (COSMIN) checklist. The quality of psychometric properties was evaluated using the quality criteria of Terwee and colleagues. Data of twelve studies reporting on eight rating scales on communication skills assessment in OSCEs were included. Five of eight rating scales were explicitly developed based on a specific definition of communication skills. The methodological quality of studies was mainly poor. The psychometric quality of the eight rating scales was mainly intermediate. Our results reveal that future psychometric evaluation studies focusing on improving the methodological quality are needed in order to yield psychometrically

  8. Assessing Communication Skills of Medical Students in Objective Structured Clinical Examinations (OSCE) - A Systematic Review of Rating Scales

    Science.gov (United States)

    Cömert, Musa; Zill, Jördis Maria; Christalle, Eva; Dirmaier, Jörg; Härter, Martin; Scholl, Isabelle

    2016-01-01

    Background Teaching and assessment of communication skills have become essential in medical education. The Objective Structured Clinical Examination (OSCE) has been found as an appropriate means to assess communication skills within medical education. Studies have demonstrated the importance of a valid assessment of medical students’ communication skills. Yet, the validity of the performance scores depends fundamentally on the quality of the rating scales used in an OSCE. Thus, this systematic review aimed at providing an overview of existing rating scales, describing their underlying definition of communication skills, determining the methodological quality of psychometric studies and the quality of psychometric properties of the identified rating scales. Methods We conducted a systematic review to identify psychometrically tested rating scales, which have been applied in OSCE settings to assess communication skills of medical students. Our search strategy comprised three databases (EMBASE, PsycINFO, and PubMed), reference tracking and consultation of experts. We included studies that reported psychometric properties of communication skills assessment rating scales used in OSCEs by examiners only. The methodological quality of included studies was assessed using the COnsensus based Standards for the selection of health status Measurement INstruments (COSMIN) checklist. The quality of psychometric properties was evaluated using the quality criteria of Terwee and colleagues. Results Data of twelve studies reporting on eight rating scales on communication skills assessment in OSCEs were included. Five of eight rating scales were explicitly developed based on a specific definition of communication skills. The methodological quality of studies was mainly poor. The psychometric quality of the eight rating scales was mainly intermediate. Discussion Our results reveal that future psychometric evaluation studies focusing on improving the methodological quality are needed

  9. Distribution majorization of corner points by reinforcement learning for moving object detection

    Science.gov (United States)

    Wu, Hao; Yu, Hao; Zhou, Dongxiang; Cheng, Yongqiang

    2018-04-01

    Corner points play an important role in moving object detection, especially in the case of free-moving camera. Corner points provide more accurate information than other pixels and reduce the computation which is unnecessary. Previous works only use intensity information to locate the corner points, however, the information that former and the last frames provided also can be used. We utilize the information to focus on more valuable area and ignore the invaluable area. The proposed algorithm is based on reinforcement learning, which regards the detection of corner points as a Markov process. In the Markov model, the video to be detected is regarded as environment, the selections of blocks for one corner point are regarded as actions and the performance of detection is regarded as state. Corner points are assigned to be the blocks which are seperated from original whole image. Experimentally, we select a conventional method which uses marching and Random Sample Consensus algorithm to obtain objects as the main framework and utilize our algorithm to improve the result. The comparison between the conventional method and the same one with our algorithm show that our algorithm reduce 70% of the false detection.

  10. A Tutorial on Interfacing the Object Management Group (OMG) Data Distribution Service (DDS) with LabView

    Science.gov (United States)

    Smith, Kevin

    2011-01-01

    This tutorial will explain the concepts and steps for interfacing a National Instruments LabView virtual instrument (VI) running on a Windows platform with another computer via the Object Management Group (OMG) Data Distribution Service (DDS) as implemented by the Twin Oaks Computing CoreDX. This paper is for educational purposes only and therefore, the referenced source code will be simplistic and void of all error checking. Implementation will be accomplished using the C programming language.

  11. A risk-based multi-objective model for optimal placement of sensors in water distribution system

    Science.gov (United States)

    Naserizade, Sareh S.; Nikoo, Mohammad Reza; Montaseri, Hossein

    2018-02-01

    In this study, a new stochastic model based on Conditional Value at Risk (CVaR) and multi-objective optimization methods is developed for optimal placement of sensors in water distribution system (WDS). This model determines minimization of risk which is caused by simultaneous multi-point contamination injection in WDS using CVaR approach. The CVaR considers uncertainties of contamination injection in the form of probability distribution function and calculates low-probability extreme events. In this approach, extreme losses occur at tail of the losses distribution function. Four-objective optimization model based on NSGA-II algorithm is developed to minimize losses of contamination injection (through CVaR of affected population and detection time) and also minimize the two other main criteria of optimal placement of sensors including probability of undetected events and cost. Finally, to determine the best solution, Preference Ranking Organization METHod for Enrichment Evaluation (PROMETHEE), as a subgroup of Multi Criteria Decision Making (MCDM) approach, is utilized to rank the alternatives on the trade-off curve among objective functions. Also, sensitivity analysis is done to investigate the importance of each criterion on PROMETHEE results considering three relative weighting scenarios. The effectiveness of the proposed methodology is examined through applying it to Lamerd WDS in the southwestern part of Iran. The PROMETHEE suggests 6 sensors with suitable distribution that approximately cover all regions of WDS. Optimal values related to CVaR of affected population and detection time as well as probability of undetected events for the best optimal solution are equal to 17,055 persons, 31 mins and 0.045%, respectively. The obtained results of the proposed methodology in Lamerd WDS show applicability of CVaR-based multi-objective simulation-optimization model for incorporating the main uncertainties of contamination injection in order to evaluate extreme value

  12. Legacy systems: managing evolution through integration in a distributed and object-oriented computing environment.

    Science.gov (United States)

    Lemaitre, D; Sauquet, D; Fofol, I; Tanguy, L; Jean, F C; Degoulet, P

    1995-01-01

    Legacy systems are crucial for organizations since they support key functionalities. But they become obsolete with aging and the apparition of new techniques. Managing their evolution is a key issue in software engineering. This paper presents a strategy that has been developed at Broussais University Hospital in Paris to make a legacy system devoted to the management of health care units evolve towards a new up-to-date software. A two-phase evolution pathway is described. The first phase consists in separating the interface from the data storage and application control and in using a communication channel between the individualized components. The second phase proposes to use an object-oriented DBMS in place of the homegrown system. An application example for the management of hypertensive patients is described.

  13. Random distance distribution for spherical objects: general theory and applications to physics

    International Nuclear Information System (INIS)

    Tu Shuju; Fischbach, Ephraim

    2002-01-01

    A formalism is presented for analytically obtaining the probability density function, P n (s), for the random distance s between two random points in an n-dimensional spherical object of radius R. Our formalism allows P n (s) to be calculated for a spherical n-ball having an arbitrary volume density, and reproduces the well-known results for the case of uniform density. The results find applications in geometric probability, computational science, molecular biological systems, statistical physics, astrophysics, condensed matter physics, nuclear physics and elementary particle physics. As one application of these results, we propose a new statistical method derived from our formalism to study random number generators used in Monte Carlo simulations. (author)

  14. Bi-objective Optimization of the Water Distribution Networks (Case Study: Sahand City

    Directory of Open Access Journals (Sweden)

    Ali Nikjoofar

    2012-12-01

    Full Text Available To design an urban water network in addition to minimizing the cost, improving the water pressure is very important. Then in this paper a bi-objective optimization model for the new city of Sahand in Northwestern Iran is developed.  Due to its non-linearity and the huge number of variables, the genetic algorithm has been utilized to solve it. Several Pareto solutions have been obtained and then based on the game theory approach (the area monotonic solution, the most efficient point was provided. The solution is simulated by the WaterGems software and the elements of the network are designed. This optimum solution shows a decrease of 13% in total cost in addition to the improved water pressure.

  15. Multi objective Flower Pollination Algorithm for solving capacitor placement in radial distribution system using data structure load flow analysis

    Directory of Open Access Journals (Sweden)

    Tamilselvan V.

    2016-06-01

    Full Text Available The radial distribution system is a rugged system, it is also the most commonly used system, which suffers by loss and low voltage at the end bus. This loss can be reduced by the use of a capacitor in the system, which injects reactive current and also improves the voltage magnitude in the buses. The real power loss in the distribution line is the I2R loss which depends on the current and resistance. The connection of the capacitor in the bus reduces the reactive current and losses. The loss reduction is equal to the increase in generation, necessary for the electric power provided by firms. For consumers, the quality of power supply depends on the voltage magnitude level, which is also considered and hence the objective of the problem becomes the multi objective of loss minimization and the minimization of voltage deviation. In this paper, the optimal location and size of the capacitor is found using a new computational intelligent algorithm called Flower Pollination Algorithm (FPA. To calculate the power flow and losses in the system, novel data structure load flow is introduced. In this, each bus is considered as a node with bus associated data. Links between the nodes are distribution lines and their own resistance and reactance. To validate the developed FPA solutions standard test cases, IEEE 33 and IEEE 69 radial distribution systems are considered.

  16. Planning an objective and need based curriculum: the logistics with reference to the undergraduate medical education in biochemistry.

    Science.gov (United States)

    Ramasamy, Ramesh; Gopal, Niranjan; Srinivasan, A R; Murugaiyan, Sathish Babu

    2013-03-01

    The medical education is recently being transformed into several domains in order to adapt to the need and the value based academics which is required for the quality doctors who serve the community. Presently, the biochemistry curricula for the graduate students of medicine have been questioned by as many experts, because of their multiple lacunae. In this review, we would like to highlight the scenario which is related to the existing biochemistry curricula for graduate medical students, which have been followed in several medical schools and universities and we also hope to share our ideas for implementing objective and pragmatic curricula. Evidence based research, wherein the articles which are related to innovative teaching-learning tools are collected and the pros and cons which are related to the different methods analyzed in biochemistry point of view. Rapid changes in the content of the curriculum may not be required, but a gradual introduction of the novel approach and the methods of teaching biochemistry can be adopted into the curriculum.

  17. Development of a Dynamically Configurable,Object-Oriented Framework for Distributed, Multi-modal Computational Aerospace Systems Simulation

    Science.gov (United States)

    Afjeh, Abdollah A.; Reed, John A.

    2003-01-01

    This research is aimed at developing a neiv and advanced simulation framework that will significantly improve the overall efficiency of aerospace systems design and development. This objective will be accomplished through an innovative integration of object-oriented and Web-based technologies ivith both new and proven simulation methodologies. The basic approach involves Ihree major areas of research: Aerospace system and component representation using a hierarchical object-oriented component model which enables the use of multimodels and enforces component interoperability. Collaborative software environment that streamlines the process of developing, sharing and integrating aerospace design and analysis models. . Development of a distributed infrastructure which enables Web-based exchange of models to simplify the collaborative design process, and to support computationally intensive aerospace design and analysis processes. Research for the first year dealt with the design of the basic architecture and supporting infrastructure, an initial implementation of that design, and a demonstration of its application to an example aircraft engine system simulation.

  18. NASA JPL Distributed Systems Technology (DST) Object-Oriented Component Approach for Software Inter-Operability and Reuse

    Science.gov (United States)

    Hall, Laverne; Hung, Chaw-Kwei; Lin, Imin

    2000-01-01

    The purpose of this paper is to provide a description of NASA JPL Distributed Systems Technology (DST) Section's object-oriented component approach to open inter-operable systems software development and software reuse. It will address what is meant by the terminology object component software, give an overview of the component-based development approach and how it relates to infrastructure support of software architectures and promotes reuse, enumerate on the benefits of this approach, and give examples of application prototypes demonstrating its usage and advantages. Utilization of the object-oriented component technology approach for system development and software reuse will apply to several areas within JPL, and possibly across other NASA Centers.

  19. Engineering analysis and literature review of the use of CORBA in distributed object-oriented systems

    Energy Technology Data Exchange (ETDEWEB)

    Holloway, F., LLNL

    1997-06-11

    This note was written based upon review of many papers, articles, and text books at time when we had little experience with an actual CORBA product. Some of the references conflicted with each other, and we now see that some of the comments made by other authors were misunderstandings or wrong. The product that we are currently using (and many others) do not implement all of CORBA - in fact, it is obvious that there is a great deal more to add to CORBA to meet all of the goals and expectations summarized herein. With all of its capability and promised advantage, CORBA is a complex package of technologies and products which requires quite a concentrated effort to master. We have developed a Test Package which to date has been used to send and receive data from up to 12 Servers on up to 5 computers in our office network, with up to 1000 objects per server. The data is expressed in all available IDL types including long arrays and unbounded strings. Performance measurements have established solid data upon which we can base estimates and models of the performance of the communication layer of the overall system after further design and prototyping on the frameworks and applications has been completed (see CORBA Test Package, ref. 14).

  20. Employing Measures of Heterogeneity and an Object-Based Approach to Extrapolate Tree Species Distribution Data

    Directory of Open Access Journals (Sweden)

    Trevor G. Jones

    2014-07-01

    Full Text Available Information derived from high spatial resolution remotely sensed data is critical for the effective management of forested ecosystems. However, high spatial resolution data-sets are typically costly to acquire and process and usually provide limited geographic coverage. In contrast, moderate spatial resolution remotely sensed data, while not able to provide the spectral or spatial detail required for certain types of products and applications, offer inexpensive, comprehensive landscape-level coverage. This study assessed using an object-based approach to extrapolate detailed tree species heterogeneity beyond the extent of hyperspectral/LiDAR flightlines to the broader area covered by a Landsat scene. Using image segments, regression trees established ecologically decipherable relationships between tree species heterogeneity and the spectral properties of Landsat segments. The spectral properties of Landsat bands 4 (i.e., NIR: 0.76–0.90 µm, 5 (i.e., SWIR: 1.55–1.75 µm and 7 (SWIR: 2.08–2.35 µm were consistently selected as predictor variables, explaining approximately 50% of variance in richness and diversity. Results have important ramifications for ongoing management initiatives in the study area and are applicable to wide range of applications.

  1. Training-Load Distribution in Endurance Runners: Objective Versus Subjective Assessment.

    Science.gov (United States)

    Manzi, Vincenzo; Bovenzi, Antonio; Castagna, Carlo; Sinibaldi Salimei, Paola; Volterrani, Maurizio; Iellamo, Ferdinando

    2015-11-01

    To assess the distribution of exercise intensity in long-distance recreational athletes (LDRs) preparing for a marathon and to test the hypothesis that individual perception of effort could provide training responses similar to those provided by standardized training methodologies. Seven LDRs (age 36.5 ± 3.8 y) were followed during a 5-mo training period culminating with a city marathon. Heart rate at 2.0 and 4.0 mmol/L and maximal heart rate were used to establish 3 intensity training zones. Internal training load (TL) was assessed by training zones and TRIMPi methods. These were compared with the session-rating-of-perceived-exertion (RPE) method. Total time spent in zone 1 was higher than in zones 2 and 3 (76.3% ± 6.4%, 17.3% ± 5.8%, and 6.3% ± 0.9%, respectively; P = .000 for both, ES = 0.98, ES = 0.99). TL quantified by session-RPE provided the same result. The comparison between session-RPE and training-zones-based methods showed no significant difference at the lowest intensity (P = .07, ES = 0.25). A significant correlation was observed between TL RPE and TL TRIMPi at both individual and group levels (r = .79, P marathon (r = -.83, P recreational LDRs most of the training time is spent at low intensity and that this is associated with improved performances. Session-RPE is an easy-to-use training method that provides responses similar to those obtained with standardized training methodologies.

  2. [Analysis of foreign experience of usage of automation systems of medication distribution in prevention and treatment facilities].

    Science.gov (United States)

    Miroshnichenko, Iu V; Umarov, S Z

    2012-12-01

    One of the ways of increase of effectiveness and safety of patients medication supplement is the use of automated systems of distribution, through which substantially increases the efficiency and safety of patients' medication supplement, achieves significant economy of material and financial resources for medication assistance and possibility of systematical improvement of its accessibility and quality.

  3. Filtering for distributed mechanical systems using position measurements: perspectives in medical imaging

    International Nuclear Information System (INIS)

    Moireau, Philippe; Chapelle, Dominique; Tallec, Patrick Le

    2009-01-01

    We propose an effective filtering methodology designed to perform estimation in a distributed mechanical system using position measurements. As in a previously introduced method, the filter is inspired by robust control feedback, but here we take full advantage of the estimation specificity to choose a feedback law that can act on displacements instead of velocities and still retain the same kind of dissipativity property which guarantees robustness. This is very valuable in many applications for which positions are more readily available than velocities, as in medical imaging. We provide an in-depth analysis of the proposed procedure, as well as detailed numerical assessments using a test problem inspired by cardiac biomechanics, as medical diagnosis assistance is an important perspective for this approach. The method is formulated first for measurements based on Lagrangian displacements, but we then derive a nonlinear extension allowing us to instead consider segmented images, which of course is even more relevant in medical applications

  4. Development by a Large Integrated Health Care System of an Objective Methodology for Evaluation of Medical Oncology Service Sites.

    Science.gov (United States)

    Bjegovich-Weidman, Marija; Kahabka, Jill; Bock, Amy; Frick, Jacob; Kowalski, Helga; Mirro, Joseph

    2012-03-01

    Aurora Health Care (AHC) is the largest health care system in Wisconsin, with 14 acute care hospitals. In early 2010, a group of 18 medical oncologists became affiliated with AHC. This affiliation added 13 medical oncology infusion clinics to our existing 12 sites. In the era of health care reform and declining reimbursement, we need an objective method and criteria to evaluate our 25 outpatient medical oncology sites. We developed financial, clinical, and strategic tools for the evaluation and management of our cancer subservice lines and outpatient sites. The key to our success has been the direct involvement of stakeholders with a vested interest in the services in the selection of the criteria and evaluation process. We developed our objective metrics for evaluation based on strategic, financial, operational, and patient experience criteria. Strategic criteria included: population trends, full-time equivalent (FTE) medical oncologists/primary care physicians, FTE radiation oncologists, FTE oncologic surgeons, new annual cases of patients with cancer, and market share trends. Financial criteria per site included: physician work relative value units, staff FTE by type, staff salaries, and profit and loss. Operational criteria included: facility by type (clinic v hospital based), hours of operation, and facility detail (eg, No. of chairs, No. of procedure and examination rooms, square footage). Patient experience criteria included: nursing model primary/nurse navigators, multidisciplinary support at site, Press Ganey (South Bend, IN; health care performance improvement company) results, and employee engagement score. The outcome of our data analysis has resulted in the development of recommendations for AHC senior leadership and geographic market leadership to consider the consolidation of four sites (phase one, four sites; phase two, two sites) and priority strategic sites to address capacity issues that limit growth. The recommendations if implemented would

  5. Students’ perception of the learning environment in a distributed medical programme

    Directory of Open Access Journals (Sweden)

    Kiran Veerapen

    2010-09-01

    Full Text Available Background : The learning environment of a medical school has a significant impact on students’ achievements and learning outcomes. The importance of equitable learning environments across programme sites is implicit in distributed undergraduate medical programmes being developed and implemented. Purpose : To study the learning environment and its equity across two classes and three geographically separate sites of a distributed medical programme at the University of British Columbia Medical School that commenced in 2004. Method : The validated Dundee Ready Educational Environment Survey was sent to all students in their 2nd and 3rd year (classes graduating in 2009 and 2008 of the programme. The domains of the learning environment surveyed were: students’ perceptions of learning, students’ perceptions of teachers, students’ academic self-perceptions, students’ perceptions of the atmosphere, and students’ social self-perceptions. Mean scores, frequency distribution of responses, and inter- and intrasite differences were calculated. Results : The perception of the global learning environment at all sites was more positive than negative. It was characterised by a strongly positive perception of teachers. The work load and emphasis on factual learning were perceived negatively. Intersite differences within domains of the learning environment were more evident in the pioneer class (2008 of the programme. Intersite differences consistent across classes were largely related to on-site support for students. Conclusions : Shared strengths and weaknesses in the learning environment at UBC sites were evident in areas that were managed by the parent institution, such as the attributes of shared faculty and curriculum. A greater divergence in the perception of the learning environment was found in domains dependent on local arrangements and social factors that are less amenable to central regulation. This study underlines the need for ongoing

  6. Students' perception of the learning environment in a distributed medical programme.

    Science.gov (United States)

    Veerapen, Kiran; McAleer, Sean

    2010-09-24

    The learning environment of a medical school has a significant impact on students' achievements and learning outcomes. The importance of equitable learning environments across programme sites is implicit in distributed undergraduate medical programmes being developed and implemented. To study the learning environment and its equity across two classes and three geographically separate sites of a distributed medical programme at the University of British Columbia Medical School that commenced in 2004. The validated Dundee Ready Educational Environment Survey was sent to all students in their 2nd and 3rd year (classes graduating in 2009 and 2008) of the programme. The domains of the learning environment surveyed were: students' perceptions of learning, students' perceptions of teachers, students' academic self-perceptions, students' perceptions of the atmosphere, and students' social self-perceptions. Mean scores, frequency distribution of responses, and inter- and intrasite differences were calculated. The perception of the global learning environment at all sites was more positive than negative. It was characterised by a strongly positive perception of teachers. The work load and emphasis on factual learning were perceived negatively. Intersite differences within domains of the learning environment were more evident in the pioneer class (2008) of the programme. Intersite differences consistent across classes were largely related to on-site support for students. Shared strengths and weaknesses in the learning environment at UBC sites were evident in areas that were managed by the parent institution, such as the attributes of shared faculty and curriculum. A greater divergence in the perception of the learning environment was found in domains dependent on local arrangements and social factors that are less amenable to central regulation. This study underlines the need for ongoing comparative evaluation of the learning environment at the distributed sites and

  7. Impact of a regional distributed medical education program on an underserved community: perceptions of community leaders.

    Science.gov (United States)

    Toomey, Patricia; Lovato, Chris Y; Hanlon, Neil; Poole, Gary; Bates, Joanna

    2013-06-01

    To describe community leaders' perceptions regarding the impact of a fully distributed undergraduate medical education program on a small, medically underserved host community. The authors conducted semistructured interviews in 2007 with 23 community leaders representing, collectively, the education, health, economic, media, and political sectors. They reinterviewed six participants from a pilot study (2005) and recruited new participants using purposeful and snowball sampling. The authors employed analytic induction to organize content thematically, using the sectors as a framework, and they used open coding to identify new themes. The authors reanalyzed transcripts to identify program outcomes (e.g., increased research capacity) and construct a list of quantifiable indicators (e.g., number of grants and publications). Participants reported their perspectives on the current and anticipated impact of the program on education, health services, the economy, media, and politics. Perceptions of impact were overwhelmingly positive (e.g., increased physician recruitment), though some were negative (e.g., strains on health resources). The authors identified new outcomes and confirmed outcomes described in 2005. They identified 16 quantifiable indicators of impact, which they judged to be plausible and measureable. Participants perceive that the regional undergraduate medical education program in their community has broad, local impacts. Findings suggest that early observed outcomes have been maintained and may be expanding. Results may be applicable to medical education programs with distributed or regional sites in similar rural, remote, and/or underserved regions. The areas of impact, outcomes, and quantifiable indicators identified will be of interest to future researchers and evaluators.

  8. Frequency and spatial distribution of animal and object hoarder behavior in Curitiba, Paraná State, Brazil

    Directory of Open Access Journals (Sweden)

    Graziela Ribeiro da Cunha

    Full Text Available Abstract: This study aimed to establish the frequency and spatial distribution of animal and object hoarding in Curitiba (Paraná State, the eighth most populous city in Brazil. All hoarding complaints received by the City Secretaries of Health, Environment and Social Assistance between September 2013 and April 2015 were collected (n = 226 and suspicious cases were individually investigated. A total of 113/226 (50% of complaints were confirmed as hoarding cases, representing an overall ratio of 6.45 cases per 100,000 inhabitants in Curitiba, of which 48/113 (42.5% involved object hoarders, 41/113 (36.3% animal hoarders and 24/113 (21.2% both animal and object hoarders. A correlation of total identified cases with neighborhood population density and all population stratums analyzed (total, gender, age was significantly positive (p < 0.01, and with neighborhood mean monthly income (r = -0.2; p = 0.03 significantly negative. A spatial cluster of cases was found in the north of the city (OR = 8.57; p < 0.01. Hoarding cases were relatively frequent in Curitiba and were associated with population distribution patterns and inversely related to neighborhood income.

  9. [Distribution of the duration of nonoccupational sick leave by medical diagnosis (Catalonia, Spain, 2006-2008)].

    Science.gov (United States)

    Delclós, Jordi; Gimeno, David; Torá, Isabel; Martínez, José Miguel; Manzanera, Rafael; Jardí, Josefina; Alberti, Constança; G Benavides, Fernando

    2013-01-01

    We present a simple and practical tool that allows the usual distribution of the duration of non-occupational sick leave to be determined by medical diagnosis. A total of 2,646,352 episodes of medically certified sick leave, registered by the Catalan Institute of Medical Evaluations for the period 2006-2008, were followed to closure and were entered into a spreadsheet. Given its asymmetric distribution, the median duration of sick leave was 9 days. Musculoskeletal disorders were the most frequent diagnostic group (22.5%), while neoplasms had the longest median duration (56 days). The most common specific diagnoses were diarrhea-gastroenteritis (8.2%; median: 3 days) and acute rhinopharyngitis (5.2%; median: 4 days). The distribution of the duration of sick leave in a population varies by diagnosis and is asymmetric, with most episodes being much shorter than the mean duration. This finding is important for better clinical and administrative management of sick leave episodes. Copyright © 2012 SESPAS. Published by Elsevier Espana. All rights reserved.

  10. Distribution of innate psychomotor skills recognized as important for surgical specialization in unconditioned medical undergraduates.

    Science.gov (United States)

    Moglia, Andrea; Morelli, Luca; Ferrari, Vincenzo; Ferrari, Mauro; Mosca, Franco; Cuschieri, Alfred

    2018-03-14

    There is an increasing interest for a test assessing objectively the innate aptitude for surgery as a craft specialty to complement the current selection process of surgical residents. The aim of this study was to quantify the size of individuals with high, average, and low level of innate psychomotor skills among medical students. A volunteer sample of 155 medical students, without prior experience with surgical simulator, executed five tasks at a virtual simulator for robot-assisted surgery. They had to reach proficiency twice consecutively in each before moving to the next one. A weighting based on time and number of attempts needed to reach proficiency was assigned to each task. Nine students (5.8%) out of 155 significantly outperformed all the others on median (i.q.r.) weighted time [44.7 (42.2-47.3) min vs. 98.5 (70.8-131.8) min, p specialization in other (non-craft) medical specialties.

  11. Modelling formation of disinfection by-products in water distribution: Optimisation using a multi-objective evolutionary algorithm

    KAUST Repository

    Radhakrishnan, Mohanasundar; Pathirana, Assela; Ghebremichael, Kebreab A.; Amy, Gary L.

    2012-01-01

    Concerns have been raised regarding disinfection by-products (DBPs) formed as a result of the reaction of halogen-based disinfectants with DBP precursors. In order to appreciate the chemical and biological tradeoffs, it is imperative to understand the formation trends of DBPs and their spread in the distribution network. However, the water at a point in a complex distribution system is a mixture from various sources, whose proportions are complex to estimate and requires advanced hydraulic analysis. To understand the risks of DBPs and to develop mitigation strategies, it is important to understand the distribution of DBPs in a water network, which requires modelling. The goal of this research was to integrate a steady-state water network model with a particle backtracking algorithm and chlorination as well as DBPs models in order to assess the tradeoffs between biological and chemical risks in the distribution network. A multi-objective optimisation algorithm was used to identify the optimal proportion of water from various sources, dosages of alum, and dosages of chlorine in the treatment plant and in booster locations to control the formation of chlorination DBPs and to achieve a balance between microbial and chemical risks. © IWA Publishing 2012.

  12. Modelling formation of disinfection by-products in water distribution: Optimisation using a multi-objective evolutionary algorithm

    KAUST Repository

    Radhakrishnan, Mohanasundar

    2012-05-01

    Concerns have been raised regarding disinfection by-products (DBPs) formed as a result of the reaction of halogen-based disinfectants with DBP precursors. In order to appreciate the chemical and biological tradeoffs, it is imperative to understand the formation trends of DBPs and their spread in the distribution network. However, the water at a point in a complex distribution system is a mixture from various sources, whose proportions are complex to estimate and requires advanced hydraulic analysis. To understand the risks of DBPs and to develop mitigation strategies, it is important to understand the distribution of DBPs in a water network, which requires modelling. The goal of this research was to integrate a steady-state water network model with a particle backtracking algorithm and chlorination as well as DBPs models in order to assess the tradeoffs between biological and chemical risks in the distribution network. A multi-objective optimisation algorithm was used to identify the optimal proportion of water from various sources, dosages of alum, and dosages of chlorine in the treatment plant and in booster locations to control the formation of chlorination DBPs and to achieve a balance between microbial and chemical risks. © IWA Publishing 2012.

  13. Distribution of microorganisms in medical devices and their inactivation effects by gamma-irradiation

    International Nuclear Information System (INIS)

    Ito, Hitoshi; Ishigaki, Isao

    1986-01-01

    Radiation treatment is getting important position for sterilizing medical devices and for packaging films of foods. Recently, survey of bioburden is an important technique for evaluation of sterility doses for medical devices. However, many studies have been done mainly on the irradiation effects of spore-forming bacteria in medical devices. In this study, radiation sensitivity of spore-forming bacteria and fungi were examined after the survey on distribution of microorganisms in several kinds of medical devices. The main contaminant in disposable syringes, needles and conical flasks were consisted of Bacillus, with lesser amount of Micrococcus, Pseudomonas, Peptococcaceae and fungi as positive of 5 - 60 % in the medical devices which cultivated in thioglycolate broth. Bacillus group were identified as B. pumilus, B. sphaericus, B. coagulans, B. megaterium and etc. Fungi were isolated a lesser amounts compared with spore-forming bacteria and identified as Blastomyces, Penicillium, Haplosporangium, Euricoa and Audeobasidium. Peptococaceae were not isolated after irradiation with a dose of 0.1 Mrad even the samples were contaminated with high percentage. The D 10 values of dryed endospores of Bacillus-isolates which attached to the filter paper with pepton-glycerin were obtained to be 0.11 - 0.19 Mrad. The D 10 values of many isolates of fungi in dry condition were obtained below 0.08 Mrad. However, the isolate of Aureobasidium is radiation-resistant, and it's D 10 values was obtained as 0.28 Mrad under aerobic and anaerobic dry condition. (author)

  14. [Development and evaluation of the medical imaging distribution system with dynamic web application and clustering technology].

    Science.gov (United States)

    Yokohama, Noriya; Tsuchimoto, Tadashi; Oishi, Masamichi; Itou, Katsuya

    2007-01-20

    It has been noted that the downtime of medical informatics systems is often long. Many systems encounter downtimes of hours or even days, which can have a critical effect on daily operations. Such systems remain especially weak in the areas of database and medical imaging data. The scheme design shows the three-layer architecture of the system: application, database, and storage layers. The application layer uses the DICOM protocol (Digital Imaging and Communication in Medicine) and HTTP (Hyper Text Transport Protocol) with AJAX (Asynchronous JavaScript+XML). The database is designed to decentralize in parallel using cluster technology. Consequently, restoration of the database can be done not only with ease but also with improved retrieval speed. In the storage layer, a network RAID (Redundant Array of Independent Disks) system, it is possible to construct exabyte-scale parallel file systems that exploit storage spread. Development and evaluation of the test-bed has been successful in medical information data backup and recovery in a network environment. This paper presents a schematic design of the new medical informatics system that can be accommodated from a recovery and the dynamic Web application for medical imaging distribution using AJAX.

  15. The moral code in Islam and organ donation in Western countries: reinterpreting religious scriptures to meet utilitarian medical objectives.

    Science.gov (United States)

    Rady, Mohamed Y; Verheijde, Joseph L

    2014-06-02

    End-of-life organ donation is controversial in Islam. The controversy stems from: (1) scientifically flawed medical criteria of death determination; (2) invasive perimortem procedures for preserving transplantable organs; and (3) incomplete disclosure of information to consenting donors and families. Data from a survey of Muslims residing in Western countries have shown that the interpretation of religious scriptures and advice of faith leaders were major barriers to willingness for organ donation. Transplant advocates have proposed corrective interventions: (1) reinterpreting religious scriptures, (2) reeducating faith leaders, and (3) utilizing media campaigns to overcome religious barriers in Muslim communities. This proposal disregards the intensifying scientific, legal, and ethical controversies in Western societies about the medical criteria of death determination in donors. It would also violate the dignity and inviolability of human life which are pertinent values incorporated in the Islamic moral code. Reinterpreting religious scriptures to serve the utilitarian objectives of a controversial end-of-life practice, perceived to be socially desirable, transgresses the Islamic moral code. It may also have deleterious practical consequences, as donors can suffer harm before death. The negative normative consequences of utilitarian secular moral reasoning reset the Islamic moral code upholding the sanctity and dignity of human life.

  16. A multi-objective possibilistic programming approach for locating distribution centers and allocating customers demands in supply chains

    Directory of Open Access Journals (Sweden)

    Seyed Ahmad Yazdian

    2011-01-01

    Full Text Available In this paper, we present a multi-objective possibilistic programming model to locate distribution centers (DCs and allocate customers' demands in a supply chain network design (SCND problem. The SCND problem deals with determining locations of facilities (DCs and/or plants, and also shipment quantities between each two consecutive tier of the supply chain. The primary objective of this study is to consider different risk factors which are involved in both locating DCs and shipping products as an objective function. The risk consists of various components: the risks related to each potential DC location, the risk associated with each arc connecting a plant to a DC and the risk of shipment from a DC to a customer. The proposed method of this paper considers the risk phenomenon in fuzzy forms to handle the uncertainties inherent in these factors. A possibilistic programming approach is proposed to solve the resulted multi-objective problem and a numerical example for three levels of possibility is conducted to analyze the model.

  17. The "general recognition and acceptance" standard of objectivity for good faith in prescribing: legal and medical implications.

    Science.gov (United States)

    Brushwood, David B

    2007-01-01

    The United States Court of Appeals for the 4th Circuit has ruled that a jury considering charges of drug trafficking against a pain management physician should be instructed that the defendant's good faith is a defense to the charges. The court rejected a subjective standard of good faith, and instead ruled that the good faith of the defendant must be evaluated from an objective perspective. This objective standard requires that the jury determine whether the defendant was practicing in accordance with the standard generally recognized and accepted in the United States. General recognition and acceptance are determined on a case-by-case basis, within the context of a defendant's practice. Simply because a physician's practice is out of the norm for many physicians does not mean it can't be generally recognized and accepted within the standard of medical practice. Expert witness testimony of pain management physicians will assist juries in the application of this standard for good faith in prescribing.

  18. Distributed Large Data-Object Environments: End-to-End Performance Analysis of High Speed Distributed Storage Systems in Wide Area ATM Networks

    Science.gov (United States)

    Johnston, William; Tierney, Brian; Lee, Jason; Hoo, Gary; Thompson, Mary

    1996-01-01

    We have developed and deployed a distributed-parallel storage system (DPSS) in several high speed asynchronous transfer mode (ATM) wide area networks (WAN) testbeds to support several different types of data-intensive applications. Architecturally, the DPSS is a network striped disk array, but is fairly unique in that its implementation allows applications complete freedom to determine optimal data layout, replication and/or coding redundancy strategy, security policy, and dynamic reconfiguration. In conjunction with the DPSS, we have developed a 'top-to-bottom, end-to-end' performance monitoring and analysis methodology that has allowed us to characterize all aspects of the DPSS operating in high speed ATM networks. In particular, we have run a variety of performance monitoring experiments involving the DPSS in the MAGIC testbed, which is a large scale, high speed, ATM network and we describe our experience using the monitoring methodology to identify and correct problems that limit the performance of high speed distributed applications. Finally, the DPSS is part of an overall architecture for using high speed, WAN's for enabling the routine, location independent use of large data-objects. Since this is part of the motivation for a distributed storage system, we describe this architecture.

  19. FUNDAMENTAL PARAMETERS AND SPECTRAL ENERGY DISTRIBUTIONS OF YOUNG AND FIELD AGE OBJECTS WITH MASSES SPANNING THE STELLAR TO PLANETARY REGIME

    Energy Technology Data Exchange (ETDEWEB)

    Filippazzo, Joseph C.; Rice, Emily L. [Department of Engineering Science and Physics, College of Staten Island, City University of New York, 2800 Victory Blvd, Staten Island, NY 10314 (United States); Faherty, Jacqueline; Cruz, Kelle L. [Department of Astrophysics, American Museum of Natural History, New York, NY 10024 (United States); Van Gordon, Mollie M. [Department of Geography, University of California, Berkeley, CA 94720 (United States); Looper, Dagny L. [Tisch School of the Arts, New York University, New York, NY 10003 (United States)

    2015-09-10

    We combine optical, near-infrared, and mid-infrared spectra and photometry to construct expanded spectral energy distributions for 145 field age (>500 Myr) and 53 young (lower age estimate <500 Myr) ultracool dwarfs (M6-T9). This range of spectral types includes very low mass stars, brown dwarfs, and planetary mass objects, providing fundamental parameters across both the hydrogen and deuterium burning minimum masses for the largest sample assembled to date. A subsample of 29 objects have well constrained ages as probable members of a nearby young moving group. We use 182 parallaxes and 16 kinematic distances to determine precise bolometric luminosities (L{sub bol}) and radius estimates from evolutionary models give semi-empirical effective temperatures (T{sub eff}) for the full range of young and field age late-M, L, and T dwarfs. We construct age-sensitive relationships of luminosity, temperature, and absolute magnitude as functions of spectral type and absolute magnitude to disentangle the effects of degenerate physical parameters such as T{sub eff}, surface gravity, and clouds on spectral morphology. We report bolometric corrections in J for both field age and young objects and find differences of up to a magnitude for late-L dwarfs. Our correction in Ks shows a larger dispersion but not necessarily a different relationship for young and field age sequences. We also characterize the NIR–MIR reddening of low gravity L dwarfs and identify a systematically cooler T{sub eff} of up to 300 K from field age objects of the same spectral type and 400 K cooler from field age objects of the same M{sub H} magnitude.

  20. Combining satellite data and appropriate objective functions for improved spatial pattern performance of a distributed hydrologic model

    Directory of Open Access Journals (Sweden)

    M. C. Demirel

    2018-02-01

    Full Text Available Satellite-based earth observations offer great opportunities to improve spatial model predictions by means of spatial-pattern-oriented model evaluations. In this study, observed spatial patterns of actual evapotranspiration (AET are utilised for spatial model calibration tailored to target the pattern performance of the model. The proposed calibration framework combines temporally aggregated observed spatial patterns with a new spatial performance metric and a flexible spatial parameterisation scheme. The mesoscale hydrologic model (mHM is used to simulate streamflow and AET and has been selected due to its soil parameter distribution approach based on pedo-transfer functions and the build in multi-scale parameter regionalisation. In addition two new spatial parameter distribution options have been incorporated in the model in order to increase the flexibility of root fraction coefficient and potential evapotranspiration correction parameterisations, based on soil type and vegetation density. These parameterisations are utilised as they are most relevant for simulated AET patterns from the hydrologic model. Due to the fundamental challenges encountered when evaluating spatial pattern performance using standard metrics, we developed a simple but highly discriminative spatial metric, i.e. one comprised of three easily interpretable components measuring co-location, variation and distribution of the spatial data. The study shows that with flexible spatial model parameterisation used in combination with the appropriate objective functions, the simulated spatial patterns of actual evapotranspiration become substantially more similar to the satellite-based estimates. Overall 26 parameters are identified for calibration through a sequential screening approach based on a combination of streamflow and spatial pattern metrics. The robustness of the calibrations is tested using an ensemble of nine calibrations based on different seed numbers using the

  1. Combining satellite data and appropriate objective functions for improved spatial pattern performance of a distributed hydrologic model

    Science.gov (United States)

    Demirel, Mehmet C.; Mai, Juliane; Mendiguren, Gorka; Koch, Julian; Samaniego, Luis; Stisen, Simon

    2018-02-01

    Satellite-based earth observations offer great opportunities to improve spatial model predictions by means of spatial-pattern-oriented model evaluations. In this study, observed spatial patterns of actual evapotranspiration (AET) are utilised for spatial model calibration tailored to target the pattern performance of the model. The proposed calibration framework combines temporally aggregated observed spatial patterns with a new spatial performance metric and a flexible spatial parameterisation scheme. The mesoscale hydrologic model (mHM) is used to simulate streamflow and AET and has been selected due to its soil parameter distribution approach based on pedo-transfer functions and the build in multi-scale parameter regionalisation. In addition two new spatial parameter distribution options have been incorporated in the model in order to increase the flexibility of root fraction coefficient and potential evapotranspiration correction parameterisations, based on soil type and vegetation density. These parameterisations are utilised as they are most relevant for simulated AET patterns from the hydrologic model. Due to the fundamental challenges encountered when evaluating spatial pattern performance using standard metrics, we developed a simple but highly discriminative spatial metric, i.e. one comprised of three easily interpretable components measuring co-location, variation and distribution of the spatial data. The study shows that with flexible spatial model parameterisation used in combination with the appropriate objective functions, the simulated spatial patterns of actual evapotranspiration become substantially more similar to the satellite-based estimates. Overall 26 parameters are identified for calibration through a sequential screening approach based on a combination of streamflow and spatial pattern metrics. The robustness of the calibrations is tested using an ensemble of nine calibrations based on different seed numbers using the shuffled complex

  2. TK3 eBook software to author, distribute, and use electronic course content for medical education.

    Science.gov (United States)

    Morton, David A; Foreman, K Bo; Goede, Patricia A; Bezzant, John L; Albertine, Kurt H

    2007-03-01

    The methods for authoring and distributing course content are undergoing substantial changes due to advancement in computer technology. Paper has been the traditional method to author and distribute course content. Paper enables students to personalize content through highlighting and note taking but does not enable the incorporation of multimedia elements. Computers enable multimedia content but lack the capability of the user to personalize the content. Therefore, we investigated TK3 eBooks as a potential solution to incorporate the benefits of both paper and computer technology. The objective of our study was to assess the utility of TK3 eBooks in the context of authoring and distributing dermatology course content for use by second-year medical students at the University of Utah School of Medicine during the spring of 2004. We incorporated all dermatology course content into TK3 eBook format. TK3 eBooks enable students to personalize information through tools such as "notebook," "hiliter," "stickies," mark pages, and keyword search. Students were given the course content in both paper and eBook formats. At the conclusion of the dermatology course, students completed a questionnaire designed to evaluate the effectiveness of the eBooks compared with paper. Students perceived eBooks as an effective way to distribute course content and as a study tool. However, students preferred paper over eBooks to take notes during lecture. In conclusion, the present study demonstrated that eBooks provide a convenient method for authoring, distributing, and using course content but that students preferred paper to take notes during lecture.

  3. Binomial Distribution Sample Confidence Intervals Estimation 1. Sampling and Medical Key Parameters Calculation

    Directory of Open Access Journals (Sweden)

    Tudor DRUGAN

    2003-08-01

    Full Text Available The aim of the paper was to present the usefulness of the binomial distribution in studying of the contingency tables and the problems of approximation to normality of binomial distribution (the limits, advantages, and disadvantages. The classification of the medical keys parameters reported in medical literature and expressing them using the contingency table units based on their mathematical expressions restrict the discussion of the confidence intervals from 34 parameters to 9 mathematical expressions. The problem of obtaining different information starting with the computed confidence interval for a specified method, information like confidence intervals boundaries, percentages of the experimental errors, the standard deviation of the experimental errors and the deviation relative to significance level was solves through implementation in PHP programming language of original algorithms. The cases of expression, which contain two binomial variables, were separately treated. An original method of computing the confidence interval for the case of two-variable expression was proposed and implemented. The graphical representation of the expression of two binomial variables for which the variation domain of one of the variable depend on the other variable was a real problem because the most of the software used interpolation in graphical representation and the surface maps were quadratic instead of triangular. Based on an original algorithm, a module was implements in PHP in order to represent graphically the triangular surface plots. All the implementation described above was uses in computing the confidence intervals and estimating their performance for binomial distributions sample sizes and variable.

  4. Medical, psychological and socioeconomic aspects of aging in Poland: assumptions and objectives of the PolSenior project.

    Science.gov (United States)

    Bledowski, Piotr; Mossakowska, Malgorzata; Chudek, Jerzy; Grodzicki, Tomasz; Milewicz, Andrzej; Szybalska, Aleksandra; Wieczorowska-Tobis, Katarzyna; Wiecek, Andrzej; Bartoszek, Adam; Dabrowski, Andrzej; Zdrojewski, Tomasz

    2011-12-01

    Both descriptive and longitudinal studies of aging are nowadays a subject of growing interest in different countries worldwide. However, in Poland and other Central-Eastern European countries, such comprehensive, nationally representative, multidimensional studies were never performed in the past in elderly population. The present paper describes the PolSenior project including its objectives, sample selection and structure, methods, fieldwork procedures and study flow. The aim of the project was to examine medical, psychological and socioeconomic aspects of aging in Poland. The research sample included 5695 respondents (2899 males and 2796 females) split into six equally sized age groups of elderly individuals (65-69 years, 70-74 years, 75-79 years, 80-84 years, 85-89 years, 90+years) and one group of subjects just about to enter old age (55-59 years). Subjects were recruited using three stage stratified, proportional draw. The response rate was 42% and ranged from 32% to 61% between provinces. The study consisted of three visits performed by trained nurses including questionnaire survey, comprehensive geriatric assessment and blood and urine sampling. The questionnaire consisted of medical and specific socioeconomic questions. The comprehensive geriatric assessment included blood pressure and anthropometric measurements, as well as selected scales and tests routinely used in the examination of elderly subjects. Blood and urine samples were collected from 4737 and 4526 individuals, respectively. More than 50 biochemical parameters were measured, and DNA was isolated and banked. In a selected group of 1018 subjects, a medical examination by a physician was performed. The self-rated health was lower in females than in males in age groups 70-84, but similar in individuals of both sexes aged 65-69 and 85 years. Besides providing data on health and functioning of elderly population, the PolSenior project aims to analyze interrelationships between different elements of

  5. A new method for the assessment of patient safety competencies during a medical school clerkship using an objective structured clinical examination

    Directory of Open Access Journals (Sweden)

    Renata Mahfuz Daud-Gallotti

    2011-01-01

    Full Text Available INTRODUCTION: Patient safety is seldom assessed using objective evaluations during undergraduate medical education. OBJECTIVE: To evaluate the performance of fifth-year medical students using an objective structured clinical examination focused on patient safety after implementation of an interactive program based on adverse events recognition and disclosure. METHODS: In 2007, a patient safety program was implemented in the internal medicine clerkship of our hospital. The program focused on human error theory, epidemiology of incidents, adverse events, and disclosure. Upon completion of the program, students completed an objective structured clinical examination with five stations and standardized patients. One station focused on patient safety issues, including medical error recognition/disclosure, the patient-physician relationship and humanism issues. A standardized checklist was completed by each standardized patient to assess the performance of each student. The student's global performance at each station and performance in the domains of medical error, the patient-physician relationship and humanism were determined. The correlations between the student performances in these three domains were calculated. RESULTS: A total of 95 students participated in the objective structured clinical examination. The mean global score at the patient safety station was 87.59 ± 1.24 points. Students' performance in the medical error domain was significantly lower than their performance on patient-physician relationship and humanistic issues. Less than 60% of students (n = 54 offered the simulated patient an apology after a medical error occurred. A significant correlation was found between scores obtained in the medical error domains and scores related to both the patient-physician relationship and humanistic domains. CONCLUSIONS: An objective structured clinical examination is a useful tool to evaluate patient safety competencies during the medical

  6. Reliability and Validity of Objective Structured Clinical Examination for Residents of Obstetrics and Gynecology at Kermanshah University of Medical Sciences

    Directory of Open Access Journals (Sweden)

    Nasrin Jalilian

    2012-11-01

    Full Text Available Introduction: Objective structured clinical examination (OSCE is used for the evaluation of the clinical competence in medicine for which it is essential to measure validity and reliability. This study aimed to investigate the validity and reliability of OSCE for residents of obstetrics and gynecology at Kermanshah University of Medical Sciences in 2011.Methods: A descriptive-correlation study was designed and the data of OSCE for obstetrics and gynecology were collected via learning behavior checklists in method stations and multiple choice questions in question stations. The data were analyzed through Pearson correlation coefficient and Cronbach's alpha, using SPSS software (version 16. To determine the criterion validity, correlation of OSCE scores with scores of resident promotion test, direct observation of procedural skills, and theoretical knowledge was determined; for reliability, however, Cronbach's alpha was used. Total sample consisted of 25 participants taking part in 14 stations. P value of less than 0.05 was considered as significant.Results: The mean OSCE scores was 22.66 (±6.85. Criterion validity of the stations with resident promotion theoretical test, first theoretical knowledge test, second theoretical knowledge, and direct observation of procedural skills (DOPS was 0.97, 0.74, 0.49, and 0.79, respectively. In question stations, criterion validity was 0.15, and total validity of OSCE was 0.77.Conclusion: Findings of the present study indicated acceptable validity and reliability of OSCE for residents of obstetrics and gynecology.

  7. Multi-objective problem of the modified distributed parallel machine and assembly scheduling problem (MDPMASP) with eligibility constraints

    Science.gov (United States)

    Amallynda, I.; Santosa, B.

    2017-11-01

    This paper proposes a new generalization of the distributed parallel machine and assembly scheduling problem (DPMASP) with eligibility constraints referred to as the modified distributed parallel machine and assembly scheduling problem (MDPMASP) with eligibility constraints. Within this generalization, we assume that there are a set non-identical factories or production lines, each one with a set unrelated parallel machine with different speeds in processing them disposed to a single assembly machine in series. A set of different products that are manufactured through an assembly program of a set of components (jobs) according to the requested demand. Each product requires several kinds of jobs with different sizes. Beside that we also consider to the multi-objective problem (MOP) of minimizing mean flow time and the number of tardy products simultaneously. This is known to be NP-Hard problem, is important to practice, as the former criterions to reflect the customer's demand and manufacturer's perspective. This is a realistic and complex problem with wide range of possible solutions, we propose four simple heuristics and two metaheuristics to solve it. Various parameters of the proposed metaheuristic algorithms are discussed and calibrated by means of Taguchi technique. All proposed algorithms are tested by Matlab software. Our computational experiments indicate that the proposed problem and fourth proposed algorithms are able to be implemented and can be used to solve moderately-sized instances, and giving efficient solutions, which are close to optimum in most cases.

  8. Increasing parameter certainty and data utility through multi-objective calibration of a spatially distributed temperature and solute model

    Directory of Open Access Journals (Sweden)

    C. Bandaragoda

    2011-05-01

    Full Text Available To support the goal of distributed hydrologic and instream model predictions based on physical processes, we explore multi-dimensional parameterization determined by a broad set of observations. We present a systematic approach to using various data types at spatially distributed locations to decrease parameter bounds sampled within calibration algorithms that ultimately provide information regarding the extent of individual processes represented within the model structure. Through the use of a simulation matrix, parameter sets are first locally optimized by fitting the respective data at one or two locations and then the best results are selected to resolve which parameter sets perform best at all locations, or globally. This approach is illustrated using the Two-Zone Temperature and Solute (TZTS model for a case study in the Virgin River, Utah, USA, where temperature and solute tracer data were collected at multiple locations and zones within the river that represent the fate and transport of both heat and solute through the study reach. The result was a narrowed parameter space and increased parameter certainty which, based on our results, would not have been as successful if only single objective algorithms were used. We also found that the global optimum is best defined by multiple spatially distributed local optima, which supports the hypothesis that there is a discrete and narrowly bounded parameter range that represents the processes controlling the dominant hydrologic responses. Further, we illustrate that the optimization process itself can be used to determine which observed responses and locations are most useful for estimating the parameters that result in a global fit to guide future data collection efforts.

  9. Distributed and hierarchical object-based image analysis for damage assessment: a case study of 2008 Wenchuan earthquake, China

    Directory of Open Access Journals (Sweden)

    Jing Sun

    2016-11-01

    Full Text Available Object-based image analysis (OBIA is an emerging technique for analyzing remote sensing image based on object properties including spectral, geometry, contextual and texture information. To reduce the computational cost of this comprehensive OBIA and make it more feasible in disaster responses, we developed a unique approach – distributed and hierarchical OBIA approach for damage assessment. This study demonstrated a completed classification of YingXiu town, heavily devastated by the 2008 Wenchuan earthquake using Quickbrid imagery. Two distinctive areas, mountainous areas and urban, were analyzed separately. This approach does not require substantial processing power and large amounts of available memory because image of a large disaster-affected area was split in smaller pieces. Two or more computers could be used in parallel to process and analyze these sub-images based on different requirements. The approach can be applicable in other cases whereas the established set of rules can be adopted in similar study areas. More experiments will be carried out in future studies to prove its feasibility.

  10. A multi-objective model for locating distribution centers in a supply chain network considering risk and inventory decisions

    Directory of Open Access Journals (Sweden)

    Sara Gharegozloo Hamedani

    2013-04-01

    Full Text Available This paper presents a multi-objective location problem in a three level supply chain network under uncertain environment considering inventory decisions. The proposed model of this paper considers uncertainty for different parameters including procurement, transportation costs, supply, demand and the capacity of various facilities. The proposed model presents a robust optimization model, which specifies locations of distribution centers to be opened, inventory control parameters (r, Q, and allocation of supply chain components, concurrently. The resulted mixed-integer nonlinear programming minimizes the expected total cost of such a supply chain network comprising location, procurement, transportation, holding, ordering, and shortage costs. The model also minimizes the variability of the total cost of relief chain and minimizes the financial risk or the probability of not meeting a certain budget. We use the ε-constraint method, which is a multi-objective technique with implicit trade-off information given, to solve the problem and using a couple of numerical instances, we examine the performance of the proposed approach.

  11. Distributed medical services within the ATM-based Berlin regional test bed

    Science.gov (United States)

    Thiel, Andreas; Bernarding, Johannes; Krauss, Manfred; Schulz, Sandra; Tolxdorff, Thomas

    1996-05-01

    The ATM-based Metropolitan Area Network (MAN) of Berlin connects two university hospitals (Benjamin Franklin University Hospital and Charite) with the computer resources of the Technical University of Berlin (TUB). Distributed new medical services have been implemented and will be evaluated within the highspeed MAN of Berlin. The network with its data transmission rates of up to 155 Mbit/s renders these medical services externally available to practicing physicians. Resource and application sharing is demonstrated by the use of two software systems. The first software system is an interactive 3D reconstruction tool (3D- Medbild), based on a client-server mechanism. This structure allows the use of high- performance computers at the TUB from the low-level workstations in the hospitals. A second software system, RAMSES, utilizes a tissue database of Magnetic Resonance Images. For the remote control of the software, the developed applications use standards such as DICOM 3.0 and features of the World Wide Web. Data security concepts are being tested and integrated for the needs of the sensitive medical data. The highspeed network is the necessary prerequisite for the clinical evaluation of data in a joint teleconference. The transmission of digitized real-time sequences such as video and ultrasound and the interactive manipulation of data are made possible by Multi Media tools.

  12. Generation and distribution of PAHs in the process of medical waste incineration

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Ying, E-mail: echochen327@163.com [School of Environment, Tsinghua University, Beijing 100084 (China); National Center of Solid Waste Management, Ministry of Environmental Protection, Beijing 100029 (China); Zhao, Rongzhi [Civil and Environmental Engineering School, University of Science and Technology Beijing, Beijing 100083 (China); Xue, Jun [National Center of Solid Waste Management, Ministry of Environmental Protection, Beijing 100029 (China); Li, Jinhui, E-mail: jinhui@tsinghua.edu.cn [State Key Joint Laboratory of Environment Simulation and Pollution Control, School of Environment, Tsinghua University, Beijing 100084 (China)

    2013-05-15

    Highlights: ► PAHs generation and distribution features of medical waste incineration are studied. ► More PAHs were found in fly ash than that in bottom ash. ► The highest proportion of PAHs consisted of the seven most carcinogenic ones. ► Increase of free oxygen molecule and burning temperature promote PAHs degradation. ► There is a moderate positive correlation between total PCDD/Fs and total PAHs. - Abstract: After the deadly earthquake on May 12, 2008 in Wenchuan county of China, several different incineration approaches were used for medical waste disposal. This paper investigates the generation properties of polycyclic aromatic hydrocarbons (PAHs) during the incineration. Samples were collected from the bottom ash in an open burning slash site, surface soil at the open burning site, bottom ash from a simple incinerator, bottom ash generated from the municipal solid waste (MSW) incinerator used for medical waste disposal, and bottom ash and fly ash from an incinerator exclusively used for medical waste. The species of PAHs were analyzed, and the toxicity equivalency quantities (TEQs) of samples calculated. Analysis results indicate that the content of total PAHs in fly ash was 1.8 × 10{sup 3} times higher than that in bottom ash, and that the strongly carcinogenic PAHs with four or more rings accumulated sensitively in fly ash. The test results of samples gathered from open burning site demonstrate that Acenaphthylene (ACY), Acenaphthene (ACE), Fluorene (FLU), Phenanthrene (PHE), Anthracene (ANT) and other PAHs were inclined to migrate into surrounding environment along air and surface watershed corridors, while 4- to 6-ring PAHs accumulated more likely in soil. Being consistent with other studies, it has also been confirmed that increases in both free oxygen molecules and combustion temperatures could promote the decomposition of polycyclic PAHs. In addition, without the influence of combustion conditions, there is a positive correlation between

  13. Generation and distribution of PAHs in the process of medical waste incineration

    International Nuclear Information System (INIS)

    Chen, Ying; Zhao, Rongzhi; Xue, Jun; Li, Jinhui

    2013-01-01

    Highlights: ► PAHs generation and distribution features of medical waste incineration are studied. ► More PAHs were found in fly ash than that in bottom ash. ► The highest proportion of PAHs consisted of the seven most carcinogenic ones. ► Increase of free oxygen molecule and burning temperature promote PAHs degradation. ► There is a moderate positive correlation between total PCDD/Fs and total PAHs. - Abstract: After the deadly earthquake on May 12, 2008 in Wenchuan county of China, several different incineration approaches were used for medical waste disposal. This paper investigates the generation properties of polycyclic aromatic hydrocarbons (PAHs) during the incineration. Samples were collected from the bottom ash in an open burning slash site, surface soil at the open burning site, bottom ash from a simple incinerator, bottom ash generated from the municipal solid waste (MSW) incinerator used for medical waste disposal, and bottom ash and fly ash from an incinerator exclusively used for medical waste. The species of PAHs were analyzed, and the toxicity equivalency quantities (TEQs) of samples calculated. Analysis results indicate that the content of total PAHs in fly ash was 1.8 × 10 3 times higher than that in bottom ash, and that the strongly carcinogenic PAHs with four or more rings accumulated sensitively in fly ash. The test results of samples gathered from open burning site demonstrate that Acenaphthylene (ACY), Acenaphthene (ACE), Fluorene (FLU), Phenanthrene (PHE), Anthracene (ANT) and other PAHs were inclined to migrate into surrounding environment along air and surface watershed corridors, while 4- to 6-ring PAHs accumulated more likely in soil. Being consistent with other studies, it has also been confirmed that increases in both free oxygen molecules and combustion temperatures could promote the decomposition of polycyclic PAHs. In addition, without the influence of combustion conditions, there is a positive correlation between total

  14. Radiation monitoring and dose distribution of medical workers in A.P. state 1999-2000

    International Nuclear Information System (INIS)

    Singh, D.R.; Reddy, K.S.; Kamble, M.K.; Roy, Madhumita

    2001-01-01

    Individual monitoring for external ionizing radiation is being conducted for all radiation workers in Andhra Pradesh State by TLD Unit located in Nuclear Fuel Complex, Hyderabad.The Unit comes under Personnel Monitoring Section of Bhabha Atomic Research Center, Mumbai. The aim of monitoring is to confirm that the radiation safety standards are strictly adhered in the institutions and also to investigate excessive exposures, if any. Personnel monitoring also provides data for epidemiological studies. In view of ICRP/AERB recommendations of 100 mSv dose limit for the five years block of 1994-98, the dose distribution among radiation workers in Andhra Pradesh State is analyzed for the period 1994-98. In continuation of above work, we have analyzed the data for the year 1999-2000 for various medical diagnostic procedures and these are presented

  15. Using standardized video cases for assessment of medical communication skills: reliability of an objective structured video examination by computer

    NARCIS (Netherlands)

    Hulsman, R. L.; Mollema, E. D.; Oort, F. J.; Hoos, A. M.; de Haes, J. C. J. M.

    2006-01-01

    OBJECTIVE: Using standardized video cases in a computerized objective structured video examination (OSVE) aims to measure cognitive scripts underlying overt communication behavior by questions on knowledge, understanding and performance. In this study the reliability of the OSVE assessment is

  16. The geography of graduate medical education: imbalances signal need for new distribution policies.

    Science.gov (United States)

    Mullan, Fitzhugh; Chen, Candice; Steinmetz, Erika

    2013-11-01

    Graduate medical education (GME) determines the overall number, specialization mix, and geographic distribution of the US physician workforce. Medicare GME payments-which represent the largest single public investment in health workforce development-are allocated based on an inflexible system whose rationale, effectiveness, and balance are increasingly being scrutinized. We analyzed Medicare cost reports from teaching hospitals and found large state-level differences in the number of Medicare-sponsored residents per 100,000 population (1.63 in Montana versus 77.13 in New York), total Medicare GME payments ($1.64 million in Wyoming versus $2 billion in New York), payments per person ($1.94 in Montana versus $103.63 in New York), and average payments per resident ($63,811 in Louisiana versus $155,135 in Connecticut). Ways to address these imbalances include revising Medicare's GME funding formulas and protecting those states that receive less Medicare GME support in case funding is decreased and making them a priority if it is increased. The GME system badly needs a coordinating body to deliberate and make policy about public investments in graduate medical education.

  17. Relations between the matter density and layer thickness radial distributions in spherically symmetric objects: for high energy nuclear physics and astrophysics use

    International Nuclear Information System (INIS)

    Zielinska, M.; Zawislawski, Z.; Strugalska-Gola, E.; Strugalski, Z.

    1991-01-01

    It is shown how it is possible to transform known data on radial distribution of the matter layer thickness to unknown radial distribution of the matter density inside spherically symmetric objects. Appropriate formulas and testing of them are presented. An application of the method for the radial distribution of the matter density inside a target nucleus is discussed as an example. 2 refs.; 2 figs

  18. What influences national and foreign physicians' geographic distribution? An analysis of medical doctors' residence location in Portugal.

    Science.gov (United States)

    Russo, Giuliano; Ferrinho, Paulo; de Sousa, Bruno; Conceição, Cláudia

    2012-07-02

    The debate over physicians' geographical distribution has attracted the attention of the economic and public health literature over the last forty years. Nonetheless, it is still to date unclear what influences physicians' location, and whether foreign physicians contribute to fill the geographical gaps left by national doctors in any given country. The present research sets out to investigate the current distribution of national and international physicians in Portugal, with the objective to understand its determinants and provide an evidence base for policy-makers to identify policies to influence it. A cross-sectional study of physicians currently registered in Portugal was conducted to describe the population and explore the association of physician residence patterns with relevant personal and municipality characteristics. Data from the Portuguese Medical Council on physicians' residence and characteristics were analysed, as well as data from the National Institute of Statistics on municipalities' population, living standards and health care network. Descriptive statistics, chi-square tests, negative binomial and logistic regression modelling were applied to determine: (a) municipality characteristics predicting Portuguese and International physicians' geographical distribution, and; (b) doctors' characteristics that could increase the odds of residing outside the country's metropolitan areas. There were 39,473 physicians in Portugal in 2008, 51.1% of whom male, and 40.2% between 41 and 55 years of age. They were predominantly Portuguese (90.5%), with Spanish, Brazilian and African nationalities also represented. Population, Population's Purchasing Power, Nurses per capita and Municipality Development Index (MDI) were the municipality characteristics displaying the strongest association with national physicians' location. For foreign physicians, the MDI was not statistically significant, while municipalities' foreign population applying for residence

  19. What influences national and foreign physicians’ geographic distribution? An analysis of medical doctors’ residence location in Portugal

    Directory of Open Access Journals (Sweden)

    Russo Giuliano

    2012-07-01

    Full Text Available Abstract Background The debate over physicians’ geographical distribution has attracted the attention of the economic and public health literature over the last forty years. Nonetheless, it is still to date unclear what influences physicians’ location, and whether foreign physicians contribute to fill the geographical gaps left by national doctors in any given country. The present research sets out to investigate the current distribution of national and international physicians in Portugal, with the objective to understand its determinants and provide an evidence base for policy-makers to identify policies to influence it. Methods A cross-sectional study of physicians currently registered in Portugal was conducted to describe the population and explore the association of physician residence patterns with relevant personal and municipality characteristics. Data from the Portuguese Medical Council on physicians’ residence and characteristics were analysed, as well as data from the National Institute of Statistics on municipalities’ population, living standards and health care network. Descriptive statistics, chi-square tests, negative binomial and logistic regression modelling were applied to determine: (a municipality characteristics predicting Portuguese and International physicians’ geographical distribution, and; (b doctors’ characteristics that could increase the odds of residing outside the country’s metropolitan areas. Results There were 39,473 physicians in Portugal in 2008, 51.1% of whom male, and 40.2% between 41 and 55 years of age. They were predominantly Portuguese (90.5%, with Spanish, Brazilian and African nationalities also represented. Population, Population’s Purchasing Power, Nurses per capita and Municipality Development Index (MDI were the municipality characteristics displaying the strongest association with national physicians’ location. For foreign physicians, the MDI was not statistically significant

  20. Multi-objective stochastic distribution feeder reconfiguration problem considering hydrogen and thermal energy production by fuel cell power plants

    International Nuclear Information System (INIS)

    Niknam, Taher; Kavousi Fard, Abdollah; Baziar, Aliasghar

    2012-01-01

    This paper assesses the operation and management of electrical energy, hydrogen production and thermal load supplement by the Fuel Cell Power Plants (FCPP) in the distribution systems with regard to the uncertainties which exist in the load demand as well as the price of buying natural gas for FCPPs, fuel cost for residential loads, tariff for purchasing electricity, tariff for selling electricity, hydrogen selling price, operation and maintenance cost and the price of purchasing power from the grid. Therefore, a new modified multi-objective optimization algorithm called Teacher-Learning Algorithm (TLA) is proposed to integrate the optimal operation management of Proton Exchange Membrane FCPPs (PEM-FCPPs) and the optimal configuration of the system through an economic model of the PEM-FCPP. In order to improve the total ability of TLA for global search and exploration, a new modification process is suggested such that the algorithm will search the total search space globally. Also, regarding the uncertainties of the new complicated power systems, in this paper for the first time, the DFR problem is investigated in a stochastic environment by the use of probabilistic load flow technique based on Point Estimate Method (PEM). In order to see the feasibility and the superiority of the proposed method, a standard test system is investigated as the case study. The simulation results are investigated in four different scenarios to show the effect of hydrogen production and thermal recovery more evidently. -- Highlights: ► Present an economical and thermal modeling of PEM-FCPPs. ► Present an approach for optimal operation of PEM-FCPPs in a stochastic environment. ► Consider benefits of thermal recovery and Hydrogen production for PEM-FCPPs. ► Present several scenarios for management of PEM-FCPPs.

  1. The scholar role in the National Competence Based Catalogues of Learning Objectives for Undergraduate Medical Education (NKLM) compared to other international frameworks.

    Science.gov (United States)

    Hautz, Stefanie C; Hautz, Wolf E; Keller, Niklas; Feufel, Markus A; Spies, Claudia

    2015-01-01

    In Germany, a national competence based catalogue of learning objectives in medicine (NKLM) was developed by the Society for Medical Education and the Council of Medical Faculties. As many of its international counterparts the NKLM describes the qualifications of medical school graduates. The definition of such outcome frameworks indents to make medical education transparent to students, teachers and society. The NKLM aims to amend existing lists of medical topics for assessment with learnable competencies. All outcome frameworks are structured into chapters, domains or physician roles. The definition of the scholar-role poses a number of questions such as: What distinguishes necessary qualifications of a scientifically qualified physician from those of a medical scientist? 13 outcome frameworks were identified through a systematic three-step literature review and their content compared to the scholar role in the NKLM by means of a qualitative text analysis. The three steps consist of (1) search for outcome frameworks, (2) in- and exclusion, and (3) data extraction, categorization, and validation. The results were afterwards matched with the scholar role of the NKLM. Extracted contents of all frameworks may be summarized into the components Common Basics, Clinical Application, Research, Teaching and Education, and Lifelong Learning. Compared to the included frameworks the NKLM emphasises competencies necessary for research and teaching while clinical application is less prominently mentioned. The scholar role of the NKLM differs from other international outcome frameworks. Discussing these results shall increase propagation and understanding of the NKLM and thus contribute to the qualification of future medical graduates in Germany.

  2. The scholar role in the National Competence Based Catalogues of Learning Objectives for Undergraduate Medical Education (NKLM compared to other international frameworks

    Directory of Open Access Journals (Sweden)

    Hautz, Stefanie C.

    2015-11-01

    Full Text Available Background: In Germany, a national competence based catalogue of learning objectives in medicine (NKLM was developed by the Society for Medical Education and the Council of Medical Faculties. As many of its international counterparts the NKLM describes the qualifications of medical school graduates. The definition of such outcome frameworks indents to make medical education transparent to students, teachers and society. The NKLM aims to amend existing lists of medical topics for assessment with learnable competencies. All outcome frameworks are structured into chapters, domains or physician roles. The definition of the scholar-role poses a number of questions such as: What distinguishes necessary qualifications of a scientifically qualified physician from those of a medical scientist? Methods: 13 outcome frameworks were identified through a systematic three-step literature review and their content compared to the scholar role in the NKLM by means of a qualitative text analysis. The three steps consist of (1 search for outcome frameworks, (2 in- and exclusion, and (3 data extraction, categorization, and validation. The results were afterwards matched with the scholar role of the NKLM.Results: Extracted contents of all frameworks may be summarized into the components , and . Compared to the included frameworks the NKLM emphasises competencies necessary for research and teaching while clinical application is less prominently mentioned. Conclusion: The scholar role of the NKLM differs from other international outcome frameworks. Discussing these results shall increase propagation and understanding of the NKLM and thus contribute to the qualification of future medical graduates in Germany.

  3. Geographical distribution and profile of medical doctors in public sector hospitals of the Limpopo Province, South Africa.

    Science.gov (United States)

    Ntuli, Samuel T; Maboya, Edwin

    2017-09-27

    The shortage and unequal distribution of medical doctors in low- and middle-income countries continues to be a public health concern. To establish the geographical distribution and demographic profile of medical doctors in public sector hospitals of the Limpopo Province, South Africa. The PERSAL system was used to obtain information on the number of medical doctors employed in public sector hospitals of the Limpopo Province. Data were exported from PERSAL's database and then analysed using STATA version 9.0. The mean age of the 887 medical doctors was 40.1 ± 11.2 years (range 24-79 years). Sixty per cent of the doctors were male, 66% were aged ≤ 45 years and 84% were African. Most of the doctors (86%) were medical officers, of which 55% had < 5 years working experience. Overall, the doctor-to-population ratio for the five districts in the province was 16.4/100 000, with Capricorn (33.7/100 000) and Waterberg (20.2/100 000) recording the highest ratios. A large proportion (43%) of medical officers are employed in the Capricorn District, of which 71% were practising at the tertiary hospital. This study demonstrated a shortage and maldistribution of medical doctors in the public sector hospitals of the Limpopo Province. This has a potentially negative effect on the delivery of an appropriate and efficient healthcare service to the population and requires urgent attention.

  4. Characterization of medical students recall of factual knowledge using learning objects and repeated testing in a novel e-learning system.

    Science.gov (United States)

    Taveira-Gomes, Tiago; Prado-Costa, Rui; Severo, Milton; Ferreira, Maria Amélia

    2015-01-24

    Spaced-repetition and test-enhanced learning are two methodologies that boost knowledge retention. ALERT STUDENT is a platform that allows creation and distribution of Learning Objects named flashcards, and provides insight into student judgments-of-learning through a metric called 'recall accuracy'. This study aims to understand how the spaced-repetition and test-enhanced learning features provided by the platform affect recall accuracy, and to characterize the effect that students, flashcards and repetitions exert on this measurement. Three spaced laboratory sessions (s0, s1 and s2), were conducted with n=96 medical students. The intervention employed a study task, and a quiz task that consisted in mentally answering open-ended questions about each flashcard and grading recall accuracy. Students were randomized into study-quiz and quiz groups. On s0 both groups performed the quiz task. On s1 and s2, the study-quiz group performed the study task followed by the quiz task, whereas the quiz group only performed the quiz task. We measured differences in recall accuracy between groups/sessions, its variance components, and the G-coefficients for the flashcard component. At s0 there were no differences in recall accuracy between groups. The experiment group achieved a significant increase in recall accuracy that was superior to the quiz group in s1 and s2. In the study-quiz group, increases in recall accuracy were mainly due to the session, followed by flashcard factors and student factors. In the quiz group, increases in recall accuracy were mainly accounted by flashcard factors, followed by student and session factors. The flashcard G-coefficient indicated an agreement on recall accuracy of 91% in the quiz group, and of 47% in the study-quiz group. Recall accuracy is an easily collectible measurement that increases the educational value of Learning Objects and open-ended questions. This metric seems to vary in a way consistent with knowledge retention, but further

  5. Combining satellite data and appropriate objective functions for improved spatial pattern performance of a distributed hydrologic model

    DEFF Research Database (Denmark)

    Demirel, Mehmet C.; Mai, Juliane; Mendiguren Gonzalez, Gorka

    2018-01-01

    selected due to its soil parameter distribution approach based on pedo-transfer functions and the build in multi-scale parameter regionalisation. In addition two new spatial parameter distribution options have been incorporated in the model in order to increase the flexibility of root fraction coefficient...

  6. Improving the human readability of Arden Syntax medical logic modules using a concept-oriented terminology and object-oriented programming expressions.

    Science.gov (United States)

    Choi, Jeeyae; Bakken, Suzanne; Lussier, Yves A; Mendonça, Eneida A

    2006-01-01

    Medical logic modules are a procedural representation for sharing task-specific knowledge for decision support systems. Based on the premise that clinicians may perceive object-oriented expressions as easier to read than procedural rules in Arden Syntax-based medical logic modules, we developed a method for improving the readability of medical logic modules. Two approaches were applied: exploiting the concept-oriented features of the Medical Entities Dictionary and building an executable Java program to replace Arden Syntax procedural expressions. The usability evaluation showed that 66% of participants successfully mapped all Arden Syntax rules to Java methods. These findings suggest that these approaches can play an essential role in the creation of human readable medical logic modules and can potentially increase the number of clinical experts who are able to participate in the creation of medical logic modules. Although our approaches are broadly applicable, we specifically discuss the relevance to concept-oriented nursing terminologies and automated processing of task-specific nursing knowledge.

  7. Ethnographies across Virtual and Physical Spaces: A Reflexive Commentary on a Live Canadian/UK Ethnography of Distributed Medical Education

    Science.gov (United States)

    Tummons, Jonathan; Macleod, Anna; Kits, Olga

    2015-01-01

    This article draws on an ongoing ethnography of distributed medical education (DME) provision in Canada in order to explore the methodological choices of the researchers as well as the wider pluralisation of ethnographic frameworks that is reflected within current research literature. The article begins with a consideration of the technologically…

  8. Image illumination enhancement with an objective no-reference measure of illumination assessment based on Gaussian distribution mapping

    Directory of Open Access Journals (Sweden)

    Gholamreza Anbarjafari

    2015-12-01

    Full Text Available Illumination problems have been an important concern in many image processing applications. The pattern of the histogram on an image introduces meaningful features; hence within the process of illumination enhancement, it is important not to destroy such information. In this paper we propose a method to enhance image illumination using Gaussian distribution mapping which also keeps the information laid on the pattern of the histogram on the original image. First a Gaussian distribution based on the mean and standard deviation of the input image will be calculated. Simultaneously a Gaussian distribution with the desired mean and standard deviation will be calculated. Then a cumulative distribution function of each of the Gaussian distributions will be calculated and used in order to map the old pixel value onto the new pixel value. Another important issue in the field of illumination enhancement is absence of a quantitative measure for the assessment of the illumination of an image. In this research work, a quantitative measure indicating the illumination state, i.e. contrast level and brightness of an image, is also proposed. The measure utilizes the estimated Gaussian distribution of the input image and the Kullback-Leibler Divergence (KLD between the estimated Gaussian and the desired Gaussian distributions to calculate the quantitative measure. The experimental results show the effectiveness and the reliability of the proposed illumination enhancement technique, as well as the proposed illumination assessment measure over conventional and state-of-the-art techniques.

  9. Is Content Really King? An Objective Analysis of the Public's Response to Medical Videos on YouTube

    Science.gov (United States)

    Desai, Tejas; Shariff, Afreen; Dhingra, Vibhu; Minhas, Deeba; Eure, Megan; Kats, Mark

    2013-01-01

    Medical educators and patients are turning to YouTube to teach and learn about medical conditions. These videos are from authors whose credibility cannot be verified & are not peer reviewed. As a result, studies that have analyzed the educational content of YouTube have reported dismal results. These studies have been unable to exclude videos created by questionable sources and for non-educational purposes. We hypothesize that medical education YouTube videos, authored by credible sources, are of high educational value and appropriately suited to educate the public. Credible videos about cardiovascular diseases were identified using the Mayo Clinic's Center for Social Media Health network. Content in each video was assessed by the presence/absence of 7 factors. Each video was also evaluated for understandability using the Suitability Assessment of Materials (SAM). User engagement measurements were obtained for each video. A total of 607 videos (35 hours) were analyzed. Half of all videos contained 3 educational factors: treatment, screening, or prevention. There was no difference between the number of educational factors present & any user engagement measurement (p NS). SAM scores were higher in videos whose content discussed more educational factors (pYouTube. PMID:24367517

  10. SOMWeb: a semantic web-based system for supporting collaboration of distributed medical communities of practice.

    Science.gov (United States)

    Falkman, Göran; Gustafsson, Marie; Jontell, Mats; Torgersson, Olof

    2008-08-26

    Information technology (IT) support for remote collaboration of geographically distributed communities of practice (CoP) in health care must deal with a number of sociotechnical aspects of communication within the community. In the mid-1990s, participants of the Swedish Oral Medicine Network (SOMNet) began discussing patient cases in telephone conferences. The cases were distributed prior to the conferences using PowerPoint and email. For the technical support of online CoP, Semantic Web technologies can potentially fulfill needs of knowledge reuse, data exchange, and reasoning based on ontologies. However, more research is needed on the use of Semantic Web technologies in practice. The objectives of this research were to (1) study the communication of distributed health care professionals in oral medicine; (2) apply Semantic Web technologies to describe community data and oral medicine knowledge; (3) develop an online CoP, Swedish Oral Medicine Web (SOMWeb), centered on user-contributed case descriptions and meetings; and (4) evaluate SOMWeb and study how work practices change with IT support. Based on Java, and using the Web Ontology Language and Resource Description Framework for handling community data and oral medicine knowledge, SOMWeb was developed using a user-centered and iterative approach. For studying the work practices and evaluating the system, a mixed-method approach of interviews, observations, and a questionnaire was used. By May 2008, there were 90 registered users of SOMWeb, 93 cases had been added, and 18 meetings had utilized the system. The introduction of SOMWeb has improved the structure of meetings and their discussions, and a tenfold increase in the number of participants has been observed. Users submit cases to seek advice on diagnosis or treatment, to show an unusual case, or to create discussion. Identified barriers to submitting cases are lack of time, concern about whether the case is interesting enough, and showing gaps in one's own

  11. „Sirogojno Style“: The Production and Distribution of Hand-crafted Objects/Products Made of Wool

    Directory of Open Access Journals (Sweden)

    Senka Kovač

    2016-03-01

    Full Text Available The basic premise of my research regarding the fashion production of Sirogojno style was that „objects are, like words, carriers of information“. Based on research published so far – a paper by Bojana Bogdanovic being the most detailed – and my own fieldwork conducted in 2010, I have attempted to ascertain the extent to which this particular style of fashion carried information about the cultural environment which it represented. The research encompasses the study of the materials being used, the production and the sale of products made of wool. The development of this particular style was influenced by the enthusiasm of designer Dobrila Vasiljevic-Smiljanic and the women of the mt. Zlatibor region, as well as the support provided by the political structure of the period, the local government, and through Dobrila Vasiljevic-Smiljanic’s family ties – the church. Her creations are famous for incorporating adapted local ornaments. A distinct and recognizable style of woolen products was created. This „Wool Road“ – from using local raw materials to materials imported from Iceland, from creating unique motifs to sale in the open, from national and international sales to musealized sales in the first decade of the 21st century – has lasted for over fifty years. Products from Sirogojno were renowned both in the country and abroad. All the negative processes which happened during the nineties influenced the decline of production and distribution of hand-crafted products from Sirogojno. In the late 1990’s, the production was acquired by a local owner who didn’t show much interest in it. This production has been musealized in the first decade of the 21st century. Dobrila Vasiljevic-Smiljanic told me in 2010 that „everything should be started from scratch now, from new motifs to new marketing“. The new owners of the firm say that „the villages are deserted and there aren’t enough weavers“. On the other hand, there is sale

  12. A multi-objective optimization of the active and reactive resource scheduling at a distribution level in a smart grid context

    DEFF Research Database (Denmark)

    Sousa, Tiago; Morais, Hugo; Vale, Zita

    2015-01-01

    In the traditional paradigm, the large power plants supply the reactive power required at a transmission level and the capacitors and transformer tap changer were also used at a distribution level. However, in a near future will be necessary to schedule both active and reactive power...... at a distribution level, due to the high number of resources connected in distribution levels. This paper proposes a new multi-objective methodology to deal with the optimal resource scheduling considering the distributed generation, electric vehicles and capacitor banks for the joint active and reactive power...... scheduling. The proposed methodology considers the minimization of the cost (economic perspective) of all distributed resources, and the minimization of the voltage magnitude difference (technical perspective) in all buses. The Pareto front is determined and a fuzzy-based mechanism is applied to present...

  13. Workflow-enabled distributed component-based information architecture for digital medical imaging enterprises.

    Science.gov (United States)

    Wong, Stephen T C; Tjandra, Donny; Wang, Huili; Shen, Weimin

    2003-09-01

    Few information systems today offer a flexible means to define and manage the automated part of radiology processes, which provide clinical imaging services for the entire healthcare organization. Even fewer of them provide a coherent architecture that can easily cope with heterogeneity and inevitable local adaptation of applications and can integrate clinical and administrative information to aid better clinical, operational, and business decisions. We describe an innovative enterprise architecture of image information management systems to fill the needs. Such a system is based on the interplay of production workflow management, distributed object computing, Java and Web techniques, and in-depth domain knowledge in radiology operations. Our design adapts the approach of "4+1" architectural view. In this new architecture, PACS and RIS become one while the user interaction can be automated by customized workflow process. Clinical service applications are implemented as active components. They can be reasonably substituted by applications of local adaptations and can be multiplied for fault tolerance and load balancing. Furthermore, the workflow-enabled digital radiology system would provide powerful query and statistical functions for managing resources and improving productivity. This paper will potentially lead to a new direction of image information management. We illustrate the innovative design with examples taken from an implemented system.

  14. Multi-objective optimization of cooling air distributions of grate cooler with different clinker particles diameters and air chambers by genetic algorithm

    International Nuclear Information System (INIS)

    Shao, Wei; Cui, Zheng; Cheng, Lin

    2017-01-01

    Highlights: • A multi-objective optimization model of air distributions of grate cooler by genetic algorithm is proposed. • Optimal air distributions of different conditions are obtained and validated by measurements. • The most economic average diameters of clinker particles is 0.02 m. • The most economic amount of air chambers is 9. - Abstract: The paper proposes a multi-objective optimization model of cooling air distributions of grate cooler in cement plant based on convective heat transfer principle and entropy generation minimization analysis. The heat transfer and flow models of clinker cooling process are brought out at first. Then the modified entropy generation numbers caused by heat transfer and viscous dissipation are considered as objective functions respectively which are optimized by genetic algorithm simultaneously. The design variables are superficial velocities of air chambers and thicknesses of clinker layer on different grate plates. The model is verified by a set of Pareto optimal solutions and scattered distributions of design variables. Sensitive analysis of average diameters of clinker particles and amount of air chambers are carried out based on the optimization model. The optimal cooling air distributions are compared by heat recovered, energy consumption of cooling fans and heat efficiency of grate cooler. And all of them are selected from the Pareto optimal solutions based on energy consumption of cooling fans minimization. The results show that the most effective and economic average diameter of clinker particles is 0.02 m and the amount of air chambers is 9.

  15. Adding Live-Streaming to Recorded Lectures in a Non-Distributed Pre-Clerkship Medical Education Model.

    Science.gov (United States)

    Sandhu, Amanjot; Fliker, Aviva; Leitao, Darren; Jones, Jodi; Gooi, Adrian

    2017-01-01

    Live-streaming video has had increasing uses in medical education, especially in distributed education models. The literature on the impact of live-streaming in non-distributed education models, however, is scarce. To determine the attitudes towards live-streaming and recorded lectures as a resource to pre-clerkship medical students in a non-distributed medical education model. First and second year medical students were sent a voluntary cross-sectional survey by email, and were asked questions on live-streaming, recorded lectures and in person lectures using a 5-point Likert and open answers. Of the 118 responses (54% response rate), the data suggested that both watching recorded lectures (Likert 4.55) and live-streaming lectures (4.09) were perceived to be more educationally valuable than face-to-face attendance of lectures (3.60). While responses indicated a statistically significant increase in anticipated classroom attendance if both live-streaming and recorded lectures were removed (from 63% attendance to 76%, p =0.002), there was no significant difference in attendance if live-streaming lectures were removed but recorded lectures were maintained (from 63% to 66%, p=0.76). The addition of live-streaming lectures in the pre-clerkship setting was perceived to be value added to the students. The data also suggests that the removal of live-streaming lectures would not lead to a statistically significant increase in classroom attendance by pre-clerkship students.

  16. Theoretical basis for transfer of laboratory test results of grain size distribution of coal to real object

    Energy Technology Data Exchange (ETDEWEB)

    Sikora, W; Chodura, J [Politechnika Sladska, Gliwice (Poland). Instytut Mechanizacji Gornictwa

    1989-01-01

    Evaluates a method for forecasting size distribution of black coal mined by shearer loaders in one coal seam. Laboratory tests for determining coal comminution during cutting and haulage along the face are analyzed. Methods for forecasting grain size distribution of coal under operational conditions using formulae developed on the basis of laboratory tests are discussed. Recommendations for design of a test stand and test conditions are discussed. A laboratory stand should accurately model operational conditions of coal cutting, especially dimensions of the individual elements of the shearer loader, geometry of the cutting drum and cutting tools, and strength characteristics of the coal seam. 9 refs.

  17. A practical multi-objective PSO algorithm for optimal operation management of distribution network with regard to fuel cell power plants

    Energy Technology Data Exchange (ETDEWEB)

    Niknam, Taher; Meymand, Hamed Zeinoddini; Mojarrad, Hasan Doagou [Department of Electrical and Electronics Engineering, Shiraz University of Technology, Shiraz, P.O. 71555-313 (Iran, Islamic Republic of)

    2011-05-15

    In this paper a novel Multi-objective fuzzy self adaptive hybrid particle swarm optimization (MFSAHPSO) evolutionary algorithm to solve the Multi-objective optimal operation management (MOOM) is presented. The purposes of the MOOM problem are to decrease the total electrical energy losses, the total electrical energy cost and the total pollutant emission produced by fuel cells and substation bus. Conventional algorithms used to solve the multi-objective optimization problems convert the multiple objectives into a single objective, using a vector of the user-predefined weights. In this conversion several deficiencies can be detected. For instance, the optimal solution of the algorithms depends greatly on the values of the weights and also some of the information may be lost in the conversion process and so this strategy is not expected to provide a robust solution. This paper presents a new MFSAHPSO algorithm for the MOOM problem. The proposed algorithm maintains a finite-sized repository of non-dominated solutions which gets iteratively updated in the presence of new solutions. Since the objective functions are not the same, a fuzzy clustering technique is used to control the size of the repository, within the limits. The proposed algorithm is tested on a distribution test feeder and the results demonstrate the capabilities of the proposed approach, to generate true and well-distributed Pareto-optimal non-dominated solutions of the MOOM problem. (author)

  18. Energy distribution and variability of BL Lac objects. The cases of PKS 2155-304 and 3C 66A

    International Nuclear Information System (INIS)

    Maraschi, L.; Maccagni, D.; Tanzi, E.G.; Treves, A.

    1983-01-01

    The BL Lacertae objects, PKS 2155-304 and 3C66A have been observed in the ultraviolet and the X-ray region. The radiation flux in both regions are discussed with respect to its energy and time dependence. (Auth.)

  19. A discrepancy in objective and subjective measures of knowledge: do some medical students with learning problems delude themselves?

    Science.gov (United States)

    Anthoney, T R

    1986-01-01

    In general, the rankings of first-year medical students on a written test of long-term neuroscience retention (RET) correlated strongly with how many of three neuroscience research presentations given within the following 2 days the students reported understanding. The lowest-ranking sixth of the class on RET, however, reported understanding almost every lecture, even more than the highest-ranking RET students did. Some of these low-ranking students were aware that they had areas of weakness, but simply tolerated more of them without reporting overall lack of understanding. Other low-ranking students, however, seemed genuinely unaware that they had any areas of weakness. This interpretation was further supported by data on small-group problem-solving performance during the first-year neuroscience course, on use of human resources during the final first-year neuroscience take-home examination, and on performance during the third-year clinical clerkships. Persistence of the problem, even after 5 months of instruction specifically designed to improve such information-processing skills, suggests that correction may be difficult to achieve. The need for specific valid evaluative instruments and effective correctional techniques is noted.

  20. The Application of Observational Practice and Educational Networking in Simulation-Based and Distributed Medical Education Contexts.

    Science.gov (United States)

    Welsher, Arthur; Rojas, David; Khan, Zain; VanderBeek, Laura; Kapralos, Bill; Grierson, Lawrence E M

    2018-02-01

    Research has revealed that individuals can improve technical skill performance by viewing demonstrations modeled by either expert or novice performers. These findings support the development of video-based observational practice communities that augment simulation-based skill education and connect geographically distributed learners. This study explores the experimental replicability of the observational learning effect when demonstrations are sampled from a community of distributed learners and serves as a context for understanding learner experiences within this type of training protocol. Participants from 3 distributed medical campuses engaged in a simulation-based learning study of the elliptical excision in which they completed a video-recorded performance before being assigned to 1 of 3 groups for a 2-week observational practice intervention. One group observed expert demonstrations, another observed novice demonstrations, and the third observed a combination of both. Participants returned for posttesting immediately and 1 month after the intervention. Participants also engaged in interviews regarding their perceptions of the usability and relevance of video-based observational practice to clinical education. Checklist (P simulation-based skill learning in a group of geographically distributed trainees. These findings support the use of Internet-mediated observational learning communities in distributed and simulation-based medical education contexts.

  1. Effects of Carpal Tunnel Syndrome on adaptation of multi-digit forces to object mass distribution for whole-hand manipulation

    Directory of Open Access Journals (Sweden)

    Zhang Wei

    2012-11-01

    Full Text Available Abstract Background Carpal tunnel syndrome (CTS is a compression neuropathy of the median nerve that results in sensorimotor deficits in the hand. Until recently, the effects of CTS on hand function have been studied using mostly two-digit grip tasks. The purpose of this study was to investigate the coordination of multi-digit forces as a function of object center of mass (CM during whole-hand grasping. Methods Fourteen CTS patients and age- and gender-matched controls were instructed to grasp, lift, hold, and release a grip device with five digits for seven consecutive lifts while maintaining its vertical orientation. The object CM was changed by adding a mass at different locations at the base of the object. We measured forces and torques exerted by each digit and object kinematics and analyzed modulation of these variables to object CM at object lift onset and during object hold. Our task requires a modulation of digit forces at and after object lift onset to generate a compensatory moment to counteract the external moment caused by the added mass and to minimize object tilt. Results We found that CTS patients learned to generate a compensatory moment and minimized object roll to the same extent as controls. However, controls fully exploited the available degrees of freedom (DoF in coordinating their multi-digit forces to generate a compensatory moment, i.e., digit normal forces, tangential forces, and the net center of pressure on the finger side of the device at object lift onset and during object hold. In contrast, patients modulated only one of these DoFs (the net center of pressure to object CM by modulating individual normal forces at object lift onset. During object hold, however, CTS patients were able to modulate digit tangential force distribution to object CM. Conclusions Our findings suggest that, although CTS did not affect patients’ ability to perform our manipulation task, it interfered with the modulation of specific grasp

  2. Altered luminosity functions for relativistically beamed objects. II - Distribution of Lorentz factors and parent populations with complex luminosity functions

    International Nuclear Information System (INIS)

    Urry, C.M.; Padovani, P.

    1991-01-01

    In a previous paper, Urry and Shafer (1984) showed that the observed luminosity function (LF) of objects that have part or all of their emission relativistically beamed was a double power law, flat at the faint end and steep at the bright end, so that the ratio of beamed sources to parents was a strong function of luminosity. These calculations are extended here for more realistic LFs required for actual tests of a unified theory of AGN. The observed LF of the beam-dominated objects is generally flatter than the parent LF, so that the number density ratio is a strong function of luminosity and can easily be greater than unity at high luminosities, even for gradual low-luminosity cutoffs in the parent LF. Several characteristic break points can be identified depending on the details of the parent LF. The calculations can be used to test unified theories by predicting the observed LF for aligned objects from the LF of the proposed parent population. 6 refs

  3. [3D printed medical devices and anatomical models: What kind of distribution and which uses in French hospitals?

    Science.gov (United States)

    Pierreville, J; Serrano, C; van den Brink, H; Prognon, P; Pineau, J; Martelli, N

    2018-03-01

    3D printing plays an increasingly important role in the medical sector and particularly in surgery. Nowadays, numerous manufacturers benefit from this technology to produce their medical devices and some hospitals have also purchased 3D printers. In this context, the aim of the present study was to study the distribution and the use of 3D printing in French hospitals in order to its main features in surgery. By conducting a national survey, we targeted hospitals equipped with 3D printers and those using external providers to benefit from this technology. Forty-seven hospitals were identified as using 3D printing including eight equipped with in-house 3D printers. This work gives us a first picture of 3D printing for hospital use in France and it raises questions about hospital pharmacists' involvement in 3D printed medical device production. Copyright © 2017 Académie Nationale de Pharmacie. Published by Elsevier Masson SAS. All rights reserved.

  4. The Impact of Health Changes on Labor Supply: Evidence from Merged Data on Individual Objective Medical Diagnosis Codes and Early Retirement Behavior

    DEFF Research Database (Denmark)

    Christensen, Bent Jesper; Kallestrup-Lamb, Malene

    2012-01-01

    The justification bias in the estimated impact of health shocks on retirement is mitigated by using objective health measures from a large, register-based longitudinal data set including medical diagnosis codes, along with labor market status, financial, and socio-economic variables. The duration...... until retirement is modeled using single and competing risk specifications, observed and unobserved heterogeneity, and flexible baseline hazards. Wealth is used as a proxy for elapsed duration to mitigate the potential selection bias stemming from conditioning on initial participation. The competing...

  5. Antidopaminergic medication in healthy subjects provokes subjective and objective mental impairments tightly correlated with perturbation of biogenic monoamine metabolism and prolactin secretion

    Directory of Open Access Journals (Sweden)

    Veselinović T

    2018-04-01

    Full Text Available Tanja Veselinović,1,2 Ingo Vernaleken,1,2 Paul Cumming,3,4 Uwe Henning,5 Lina Winkler,1,2 Peter Kaleta,1,2 Michael Paulzen,1,2 Christian Luckhaus,6 Gerhard Gründer1,2,7 1Department of Psychiatry, Psychotherapy, and Psychosomatics, Faculty of Medicine, RWTH Aachen University, Aachen, 2Translational Brain Medicine, Jülich Aachen Research Alliance (JARA, Jülich, Germany; 3IHBI, School of Psychology and Counselling, Queensland University of Technology, 4QIMR Berghofer Institute, Brisbane, Australia; 5Neurobiochemical Research Unit, Department of Psychiatry, Heinrich Heine University, Düsseldorf, 6LWL University Hospital Bochum, Department of Psychiatry, Division of Cognitive Neuropsychiatry and Psychiatric Preventive Medicine, Ruhr University Bochum, Bochum, 7Department of Molecular Neuroimaging, Central Institute of Mental Health, Mannheim, Germany Objectives: Off-label prescription of antipsychotics to patients without psychotic symptoms has become a routine matter for many psychiatrists and also some general practitioners. Nonetheless, little is known about the possibly detrimental effects of antidopaminergic medications on general psychopathology, subjective mental state, or a possible association with physiological parameters in nonpsychotic individuals.Methods: In this randomized, single-blinded study, groups of healthy volunteers (n=18 received low doses of reserpine, aripiprazole, haloperidol, or placebo on 7 successive days. Relevant physiological parameters (plasma prolactin, concentrations of catecholamine metabolites in plasma, and 24-hour urine and each subject’s mental state (Positive and Negative Syndrome Scale, Hamilton Rating Scale for Depression, visual analogue scale, Beck Depression Inventory II were assessed at the start and end of the trial.Results: Of the three active treatments, only reserpine caused a significant increase in some plasma- and urine-catecholamine metabolites, but all three medications evoked objective

  6. Medical Big Data Warehouse: Architecture and System Design, a Case Study: Improving Healthcare Resources Distribution.

    Science.gov (United States)

    Sebaa, Abderrazak; Chikh, Fatima; Nouicer, Amina; Tari, AbdelKamel

    2018-02-19

    The huge increases in medical devices and clinical applications which generate enormous data have raised a big issue in managing, processing, and mining this massive amount of data. Indeed, traditional data warehousing frameworks can not be effective when managing the volume, variety, and velocity of current medical applications. As a result, several data warehouses face many issues over medical data and many challenges need to be addressed. New solutions have emerged and Hadoop is one of the best examples, it can be used to process these streams of medical data. However, without an efficient system design and architecture, these performances will not be significant and valuable for medical managers. In this paper, we provide a short review of the literature about research issues of traditional data warehouses and we present some important Hadoop-based data warehouses. In addition, a Hadoop-based architecture and a conceptual data model for designing medical Big Data warehouse are given. In our case study, we provide implementation detail of big data warehouse based on the proposed architecture and data model in the Apache Hadoop platform to ensure an optimal allocation of health resources.

  7. Production of Astatine-211 at the Duke University Medical Center for its regional distribution

    Energy Technology Data Exchange (ETDEWEB)

    Zalutsky, Michael [Duke University Medical Center, Durham, NC (United States)

    2016-01-01

    Systemic targeted radiation therapy and radioimmunotherapy continue to be important tools in the treatment of certain cancers. Because of their high energy and short path length, alpha particle emitters such as 211At are more effective than either external beam x- ray or in vivo beta radiation in delivering potentially curative doses of radiation. The limited clinical trials that have been conducted to date have yielded encouraging responses in some patients, e.g., malignant brain tumors. In order to escalate the additional necessary research and development in radiochemistry, radiobiology and efficacy evaluation of alpha particle radiotherapeutics, it is universally agreed that access to an affordable, reliable supply of 211At is warranted. In conjunction with the Department of Energy's intent to enhance stable and radioactive isotope availability for research applications, it is the primary objective of this project to improve 211At production and purification capabilities at Duke so that this radionuclide can be supplied to researchers at other institutions throughout the US.The most widely used 211At production method involves the α,2n reaction on Bismuth using a cyclotron with beams ≤ 28 MeV. Yields can be enhanced with use of an internal target that allows for a higher alpha fluence plus efficient heat dissipation in the target. Both of these items are in place at Duke; however, in order to support production for multi-institutional use, irradiation campaigns in excess of 50 µAp and four hours duration will be needed. Further, post-irradiation processing equipment is lacking that will enable the distribution process. Financial support is sought for i) a shielded, ventilated processing/containment hood; ii) development of a post-irradiation target retrieval system; iii) fabrication of a 211At distillation and recovery module and iv) a performance review and, where needed, an enhancement of seven

  8. Distributed Geant4 simulation in medical and space science applications using DIANE framework and the GRID

    CERN Document Server

    Moscicki, J T; Mantero, A; Pia, M G

    2003-01-01

    Distributed computing is one of the most important trends in IT which has recently gained significance for large-scale scientific applications. Distributed analysis environment (DIANE) is a R&D study, focusing on semiinteractive parallel and remote data analysis and simulation, which has been conducted at CERN. DIANE provides necessary software infrastructure for parallel scientific applications in the master-worker model. Advanced error recovery policies, automatic book-keeping of distributed jobs and on-line monitoring and control tools are provided. DIANE makes a transparent use of a number of different middleware implementations such as load balancing service (LSF, PBS, GRID Resource Broker, Condor) and security service (GSI, Kerberos, openssh). A number of distributed Geant 4 simulations have been deployed and tested, ranging from interactive radiotherapy treatment planning using dedicated clusters in hospitals, to globally-distributed simulations of astrophysics experiments using the European data g...

  9. Objective Methodology to Assess Meaningful Research Productivity by Orthopaedic Residency Departments: Validation Against Widely Distributed Ranking Metrics and Published Surrogates.

    Science.gov (United States)

    Jones, Louis B; Goel, Sameer; Hung, Leroy Y; Graves, Matthew L; Spitler, Clay A; Russell, George V; Bergin, Patrick F

    2018-04-01

    The mission of any academic orthopaedic training program can be divided into 3 general areas of focus: clinical care, academic performance, and research. Clinical care is evaluated on clinical volume, patient outcomes, patient satisfaction, and becoming increasingly focused on data-driven quality metrics. Academic performance of a department can be used to motivate individual surgeons, but objective measures are used to define a residency program. Annual in-service examinations serve as a marker of resident knowledge base, and board pass rates are clearly scrutinized. Research productivity, however, has proven harder to objectively quantify. In an effort to improve transparency and better account for conflicts of interest, bias, and self-citation, multiple bibliometric measures have been developed. Rather than using individuals' research productivity as a surrogate for departmental research, we sought to establish an objective methodology to better assess a residency program's ability to conduct meaningful research. In this study, we describe a process to assess the number and quality of publications produced by an orthopaedic residency department. This would allow chairmen and program directors to benchmark their current production and make measurable goals for future research investment. The main goal of the benchmarking system is to create an "h-index" for residency programs. To do this, we needed to create a list of relevant articles in the orthopaedic literature. We used the Journal Citation Reports. This publication lists all orthopaedic journals that are given an impact factor rating every year. When we accessed the Journal Citation Reports database, there were 72 journals included in the orthopaedic literature section. To ensure only relevant, impactful journals were included, we selected journals with an impact factor greater than 0.95 and an Eigenfactor Score greater than 0.00095. After excluding journals not meeting these criteria, we were left with 45

  10. Using the iBook in medical education and healthcare settings--the iBook as a reusable learning object; a report of the author's experience using iBooks Author software.

    Science.gov (United States)

    Payne, Karl Fb; Goodson, Alexander Mc; Tahim, Arpan; Wharrad, Heather J; Fan, Kathleen

    2012-12-01

    The recently launched iBooks 2 from Apple has created a new genre of 'interactive multimedia eBook'. This article aims to dscribe the benefit of the iBook in a medical education and healthcare setting. We discuss the attributes of an iBook as compared with the requirements of the conventional web-based Reusable Learning Object. The structure and user interface within an iBook is highlighted, and the iBook-creating software iBooks Author is discussed in detail. A report of personal experience developing and distributing an iBook for junior trainees in oral and maxillofacial surgery is provided, with discussion of the limitations of this approach and the need for further evidence-based studies.

  11. Future distributed generation: An operational multi-objective optimization model for integrated small scale urban electrical, thermal and gas grids

    International Nuclear Information System (INIS)

    Lo Cascio, Ermanno; Borelli, Davide; Devia, Francesco; Schenone, Corrado

    2017-01-01

    Highlights: • Multi-objective optimization model for retrofitted and integrated natural gas pressure regulation stations. • Comparison of different incentive mechanisms for recovered energy based on the characteristics of preheating process. • Control strategies comparison: performances achieved with optimal control vs. ones obtained by thermal load tracking. - Abstract: A multi-objective optimization model for urban integrated electrical, thermal and gas grids is presented. The main system consists of a retrofitted natural gas pressure regulation station where a turbo-expander allows to recover energy from the process. Here, the natural gas must be preheated in order to avoid methane hydrates. The preheating phase could be based on fossil fuels, renewable or on a thermal mix. Depending on the system configuration, the proposed optimization model enables a proper differentiation based on how the natural gas preheating process is expected to be accomplished. This differentiation is addressed by weighting the electricity produced by the turbo-expander and linking it to proper remuneration tariffs. The effectiveness of the model has been tested on an existing plant located in the city of Genoa. Here, the thermal energy is provided by means of two redundant gas-fired boilers and a cogeneration unit. Furthermore, the whole system is thermally integrated with a district heating network. Numerical simulation results, obtained with the commercial proprietary software Honeywell UniSim Design Suite, have been compared with the optimal solutions achieved. The effectiveness of the model, in terms of economic and environmental performances, is finally quantified. For specific conditions, the model allows achieving an operational costs reduction of about 17% with the respect to thermal-load-tracking control logic.

  12. Distributed radiology clerkship for the core clinical year of medical school.

    Science.gov (United States)

    Chew, Felix S

    2002-11-01

    The central role that diagnostic radiology has in the modern practice of medicine has not always been reflected in radiology's place in the curriculum. We developed a new radiology clerkship for undergraduate medical students during their core clinical year that was supported by Web technology. The assumptions underlying the design of the clerkship were that radiology is best learned from radiologists and that students are most receptive to learning radiology when it is related to concurrent patient care experiences. Beginning in May 2000, a required radiology clerkship experience was incorporated into the core clinical year at Wake Forest University School of Medicine. The core clinical year was organized into three 16-week blocks of clerkships. Two or four independent half-day radiology tutorial sessions were included with each clerkship block, and attended by all students in the block (approximately 35 students), regardless of their specific clerkship assignments. There were ten different radiology tutorials, each given three times during the year as students rotated through the clerkship blocks. Thus, each student attended a radiology tutorial session every four to eight weeks during the year. The topics covered during the tutorials were correlated with the content of the clerkship blocks and included adult and pediatric chest radiology, adult and pediatric abdominal radiology, body CT, neuroradiology, obstetric ultrasound, gynecologic ultrasound, osteoporosis, adult and pediatric fractures, mammography, and cervical spine trauma. The tutorials included pre- and post-test, lectures, case presentations, and sometimes tours of the radiology department. The educational emphasis was on pragmatic case-based learning exercises, development of verbal and visual vocabulary, and learning when and where to seek more information. To provide continuity and organization, Web-based curriculum materials were designed and implemented as a component of the clerkship. The home

  13. Distributed medical image analysis and diagnosis through crowd-sourced games: a malaria case study.

    Science.gov (United States)

    Mavandadi, Sam; Dimitrov, Stoyan; Feng, Steve; Yu, Frank; Sikora, Uzair; Yaglidere, Oguzhan; Padmanabhan, Swati; Nielsen, Karin; Ozcan, Aydogan

    2012-01-01

    In this work we investigate whether the innate visual recognition and learning capabilities of untrained humans can be used in conducting reliable microscopic analysis of biomedical samples toward diagnosis. For this purpose, we designed entertaining digital games that are interfaced with artificial learning and processing back-ends to demonstrate that in the case of binary medical diagnostics decisions (e.g., infected vs. uninfected), with the use of crowd-sourced games it is possible to approach the accuracy of medical experts in making such diagnoses. Specifically, using non-expert gamers we report diagnosis of malaria infected red blood cells with an accuracy that is within 1.25% of the diagnostics decisions made by a trained medical professional.

  14. Distributed medical image analysis and diagnosis through crowd-sourced games: a malaria case study.

    Directory of Open Access Journals (Sweden)

    Sam Mavandadi

    Full Text Available In this work we investigate whether the innate visual recognition and learning capabilities of untrained humans can be used in conducting reliable microscopic analysis of biomedical samples toward diagnosis. For this purpose, we designed entertaining digital games that are interfaced with artificial learning and processing back-ends to demonstrate that in the case of binary medical diagnostics decisions (e.g., infected vs. uninfected, with the use of crowd-sourced games it is possible to approach the accuracy of medical experts in making such diagnoses. Specifically, using non-expert gamers we report diagnosis of malaria infected red blood cells with an accuracy that is within 1.25% of the diagnostics decisions made by a trained medical professional.

  15. Objectively Assessed Exercise Behavior in Chinese Patients with Early-Stage Cancer: A Predictor of Perceived Benefits, Communication with Doctors, Medical Coping Modes, Depression and Quality of Life.

    Science.gov (United States)

    Liu, Zhunzhun; Zhang, Lanfeng; Shi, Songsong; Xia, Wenkai

    2017-01-01

    This study sought to identify factors associated with objectively assessed exercise behavior in Chinese patients with early-stage cancer. Three hundred and fifty one cancer patients were recruited from the Affiliated Jiangyin Hospital of Southeast University Medical College and the Nantong Tumor Hospital. One-way ANOVA, Pearson Chi-square tests and regression analysis were employed to identify the correlations between physical exercise and the measured factors. The results showed that occupation type (χ2 = 14.065; p = 0.029), monthly individual monthly income level (χ2 = 24.795; p = 0.003), BMI (χ2 = 15.709; p = 0.015) and diagnosis (χ2 = 42.442; p exercise with different frequency per week. Differences in the frequency of exercise were associated with different degrees of reported Benefit Finding (BF) (F = 24.651; p exercise. Our results indicated that benefit finding, medical coping modes, communication with doctors, social support, depression and quality of life were significantly correlated with exercise. The variance in several psychosocial factors (benefit finding, medical coping modes, the communication with doctors, depression and quality of life) could be explained by exercise. Psychosocial factors should be addressed and examined over time when evaluating the effect of physical exercise that is prescribed as a clinically relevant treatment.

  16. The economic contribution of the Northern Ontario School of Medicine to communities participating in distributed medical education.

    Science.gov (United States)

    Hogenbirk, John C; Robinson, David R; Hill, Mary Ellen; Pong, Raymond W; Minore, Bruce; Adams, Ken; Strasser, Roger P; Lipinski, Joe

    2015-01-01

    The economic contribution of medical schools to major urban centres can be substantial, but there is little information on the contribution to the economy of participating communities made by schools that provide education and training away from major cities and academic health science centres. We sought to assess the economic contribution of the Northern Ontario School of Medicine (NOSM) to northern Ontario communities participating in NOSM's distributed medical education programs. We developed a local economic model and used actual expenditures from 2007/08 to assess the economic contribution of NOSM to communities in northern Ontario. We also estimated the economic contribution of medical students or residents participating in different programs in communities away from the university campuses. To explore broader economic effects, we conducted semistructured interviews with leaders in education, health care and politics in northern Ontario. The total economic contribution to northern Ontario was $67.1 million based on $36.3 million in spending by NOSM and $1.0 million spent by students. Economic contributions were greatest in the university campus cities of Thunder Bay ($26.7 million) and Sudbury ($30.4 million), and $0.8-$1.2 million accrued to the next 3 largest population centres. Communities might realize an economic contribution of $7300-$103 900 per pair of medical learners per placement. Several of the 59 interviewees remarked that the dollar amount could be small to moderate but had broader economic implications. Distributed medical education at the NOSM resulted in a substantial economic contribution to participating communities.

  17. Can generalized distribution factors lead to ''objective'' transmission toll allocations? Some lessons from the recent Chilean experience

    International Nuclear Information System (INIS)

    Galetovic, Alexander; Palma-Behnke, Rodrigo

    2008-01-01

    How to charge for transmission lines in a liberalized electricity market is still a conceptually unresolved issue and the literature offers many methods to determine who ''uses'' a given line and how to allocate tolls among users. But there seems to be some agreement that once a given method is chosen, calculating use and toll allocations is a mere technical matter. We suggest, by contrast that this belief is not warranted. We apply one power flow identification method - generalized load distribution factors - to allocate transmission tolls among the users of the Chilean transmission system and show that almost any allocation of tolls can be achieved by suitably choosing parameter values. Essentially, the method affords many degrees of freedom to the person responsible for setting the parameters needed to apply it. We argue that this suggests that setting parameter values is a central feature of transmission regulation. Moreover, our results suggest that an allocation method cannot answer the key unresolved question in the literature: what is the structure of tolls that gives economically adequate expansion incentives. (author)

  18. Nationaler Kompetenzbasierter Lernzielkatalog Medizin (NKLM für Deutschland: Zusammenarbeit der Gesellschaft für Medizinische Ausbildung (GMA und des Medizinischen Fakultätentages (MFT [National Competence-Based Learning Objectives for Undergraduate Medical Education (NKLM in Germany: Cooperation of the Association for Medical Education (GMA and the Association of Medical Faculties in Germany (MFT

    Directory of Open Access Journals (Sweden)

    Hahn, Eckhart G.

    2009-08-01

    Full Text Available [english] The Framework for Qualifications of the European Higher Education Area (FQ-EHEA; Bologna Process and the European Qualifications Framework for Lifelong Learning (EQF-LLL; Lisbon Process are competence-driven frameworks for vocational and higher education programmes in need for defined learning objectives. In the field of medical education, The Netherlands and Switzerland have developed national catalogues for undergraduate medical training, which are competence-based and compatible with a two-cycle curriculum comprised of a Bachelor in Medicine and a Master in Medicine. In Germany, virtually all medical organizations, last not least the Association of Medical Faculties (MFT, have voted against the application of the two-cycle (and the three-cycle curriculum to medical undergraduate education. A standstill of the European processes will not be accepted in the political arena, and a proposition was made by the Conference of German Ministers of Higher Education to develop a medical qualification framework for Germany, asking the Association for Medical Education (GMA and the MFT to join forces. This is not possible without consented national learning objectives derived from the professional context of physicians. The GMA has teamed up with the MFT to develop National Competence-Based Learning Objectives for Undergraduate Medical Education (NKLM in Germany (see Figure 1 to fulfill these needs.

  19. Trends of the effective dose distribution of occupational exposures in medical and research departments for KIRAMS in Republic of Korea

    International Nuclear Information System (INIS)

    Park, M.; Kim, G. S.; Ji, Y. H.; Jung, M. S.; Kim, K. B.; Jung, H.

    2014-01-01

    This work proposes the basic reference data of occupational dose management and statistical dose distribution with the classification of radiation work groups though analysis of occupational dose distribution. Data on occupational radiation exposure from medical and scientific usage of radiation in Korea Institute of Radiological and Medical Sciences for the years 2002-11 are presented and evaluated with the characteristic tendency of radiation working groups. The results of occupational radiation exposure were measured by personal dosemeters. The monitored occupational exposure dose data were evaluated according to the average effective dose and collective dose. The most annual average effective dose for all occupational radiation workers was under 1 mSv. Considering the dose distribution of each department, most overexposure workers worked in radiopharmaceutical product facilities, nuclear medicine department and radiation oncology department. In addition, no monitored workers were found to have received an occupational exposure over 50 mSv in single year or 100 mSv in this period. Although the trend of occupational exposure was controlled <1 mSv after 2007 and the radiation protection status was sufficient, it was consistently necessary to optimise and reduce the occupational radiation exposure. (authors)

  20. Isotope distribution program at the Oak Ridge National Laboratory with emphasis on medical isotopes

    International Nuclear Information System (INIS)

    Adair, H.L.

    1987-01-01

    The Isotope Distribution Program (IDP) is a group of individual activities with separate and diverse DOE sponsors which share the common mission of the production and distribution of isotope products and the performance of isotope-related services. Its basic mission is to provide isotope products and associated services to the user community by utilizing government-owned facilities that are excess to the primary mission of the DOE. The IDP is in its 41st year of operation. Initially, the program provided research quantities of radioactive materials, and through the 1950's it was the major supplier of radioisotopes for both research and commercial application. Distribution of enriched stable isotopes began in 1954. This paper discusses the use of radioisotopes in medicine and the role that ORNL plays in this field

  1. Free Open Access Medical Education (FOAM in Emergency Medicine: The Global Distribution of Users in 2016

    Directory of Open Access Journals (Sweden)

    Jennifer W. Bellows

    2018-04-01

    Full Text Available Introduction: Free open-access medical education (FOAM is a collection of interactive online medical education resources—free and accessible to students, physicians and other learners. This novel approach to medical education has the potential to reach learners across the globe; however, the extent of its global uptake is unknown. Methods: This descriptive report evaluates the 2016 web analytics data from a convenience sample of FOAM blogs and websites with a focus on emergency medicine (EM and critical care. The number of times a site was accessed, or “sessions”, was categorized by country of access, cross-referenced with World Bank data for population and income level, and then analyzed using simple descriptive statistics and geographic mapping. Results: We analyzed 12 FOAM blogs published from six countries, with a total reported volume of approximately 18.7 million sessions worldwide in 2016. High-income countries accounted for 73.7% of population-weighted FOAM blog and website sessions in 2016, while upper-middle income countries, lower-middle income countries and low-income countries accounted for 17.5%, 8.5% and 0.3%, respectively. Conclusion: FOAM, while largely used in high-income countries, is used in low- and middle-income countries as well. The potential to provide free, online training resources for EM in places where formal training is limited is significant and thus is prime for further investigation.

  2. Disease distribution and medical resources during the Beijing 2008 Olympic and Paralympic Games.

    Science.gov (United States)

    Liang, Xue-Ya; Lan, Ling; Chen, Wei-Na; Zhang, Ai-Ping; Lü, Chao-Ying; Lü, Yan-Wei; Dai, Jian-Ping

    2011-04-01

    Appropriate planning and staffing for medical services at large-scale athletic events is essential to provide for a safe and successful competition. There are few well-documented accounts describing the demand for such services. The present study provided the data from the Beijing 2008 Olympics and Paralympics, with a view to provide the guidance for planning future events. A total of 22 029 and 8046 patients, who received medical care from a physician at an Olympic or Paralympic medical station, were included. The patient proportion among different personnel, various disease proportions at different kinds of venues, and the disease spectrum at specified venues at the Olympics and Paralympics were analyzed. At both games, the patient proportion varied by accreditation status. The staff accounted for the largest number of visits at the Olympics (44.83%) and Paralympics (36.95%), with respiratory diseases the most common. Various disease spectrums were discovered at the different kinds of venues. Surgical diseases were the most frequently listed reason for visits, both at competition and non-competition venues, especially during the Paralympics. The sport-related injuries accounted for a majority of the surgical cases during both games. At training venues, ear nose and throat diseases accounted for the greatest number of visits during both games. During both games, people contracted different diseases at different venues. Adequate surgeons should be designated to offer assistance mostly in trauma situations. Appropriate numbers of physicians in respiratory diseases and otorhinolaryngology is of great importance.

  3. The distribution of P-values in medical research articles suggested selective reporting associated with statistical significance.

    Science.gov (United States)

    Perneger, Thomas V; Combescure, Christophe

    2017-07-01

    Published P-values provide a window into the global enterprise of medical research. The aim of this study was to use the distribution of published P-values to estimate the relative frequencies of null and alternative hypotheses and to seek irregularities suggestive of publication bias. This cross-sectional study included P-values published in 120 medical research articles in 2016 (30 each from the BMJ, JAMA, Lancet, and New England Journal of Medicine). The observed distribution of P-values was compared with expected distributions under the null hypothesis (i.e., uniform between 0 and 1) and the alternative hypothesis (strictly decreasing from 0 to 1). P-values were categorized according to conventional levels of statistical significance and in one-percent intervals. Among 4,158 recorded P-values, 26.1% were highly significant (P values values equal to 1, and (3) about twice as many P-values less than 0.05 compared with those more than 0.05. The latter finding was seen in both randomized trials and observational studies, and in most types of analyses, excepting heterogeneity tests and interaction tests. Under plausible assumptions, we estimate that about half of the tested hypotheses were null and the other half were alternative. This analysis suggests that statistical tests published in medical journals are not a random sample of null and alternative hypotheses but that selective reporting is prevalent. In particular, significant results are about twice as likely to be reported as nonsignificant results. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Heterogeneous distribution of Zn stable isotopes in mice and applications to medical sciences

    Science.gov (United States)

    Moynier, F.; Fujii, T.; Shaw, A.; Le Borgne, M.

    2013-12-01

    Zinc is required for the function of more than 300 enzymes involved in many metabolic pathways, and is a vital micronutrient for living organisms. To investigate if Zn isotopes could be used to better understand metal homeostasis, as well as a biomarker for diseases, we assessed the distribution of natural Zn isotopes in various mouse tissues. We found that, with respect to Zn isotopes, most mouse organs are isotopically distinct and that the total range of variation within one mouse encompasses the variations observed in the Earth's crust. Therefore, biological activity must have a major impact on the distribution of Zn isotopes in inorganic materials. The most striking aspect of the data is that red blood cells and bones are enriched by ~0.5 per mil in 66Zn relative to 64Zn when compared to serum, and up to ~1 per mil when compared to the brain and liver. This fractionation is well explained by the equilibrium distribution of isotopes between different bonding environments of Zn in different organs. Differences in gender and genetic background did not appear to affect the isotopic distribution of Zn. Together, these results suggest that potential use of Zn isotopes as a tracer for dietary Zn, and for detecting disturbances in Zn metabolism due to pathological conditions.

  5. Web based parallel/distributed medical data mining using software agents

    Energy Technology Data Exchange (ETDEWEB)

    Kargupta, H.; Stafford, B.; Hamzaoglu, I.

    1997-12-31

    This paper describes an experimental parallel/distributed data mining system PADMA (PArallel Data Mining Agents) that uses software agents for local data accessing and analysis and a web based interface for interactive data visualization. It also presents the results of applying PADMA for detecting patterns in unstructured texts of postmortem reports and laboratory test data for Hepatitis C patients.

  6. Acceptability, Feasibility and Feedback Analysis of Perception for Objective Structured Practical Examination As an Assessment Tool in Undergraduate in Competency Based Medical Education

    Directory of Open Access Journals (Sweden)

    Harsha V. Patil

    2016-04-01

    Full Text Available Background: There is an increasing tendency to use Objective Structured Practical examination (OSPE as an evaluation tool of practical performance in medical education. Aim and Objectives: The objective of the present study was to determine the acceptability and feasibility of OSPE as an assessment tool of formative examination by feedback analysis in the microbiology nd subject in 2 year MBBS undergraduate students and to discuss the pros and cons of OSPE method. Material and Methods: A well organized comprehensive ten OSPE stations were arranged to assess the practical nd skills of 2 year MBBS students in the department of microbiology. The practical performance skill of 50 second year undergraduate MBBS students were assessed by OSPE for microbiology subject by creating 10 structured stations of OSPE. The stations were written so as to cover major important practical nd microbiology topics of 2 year MBBS. The practical tasks chosen for the OSPE were mapped as per learning objectives of the course and the expected level of learning of the students. Results: A qualitative feedback from the examiners/ observers and the students was taken to assess acceptability feasibility of OSPE assessment. The examiners and the students were asked to rate OSPE by five point Likert scale Questionnaires. For the majority of students (92% and examiners/ observers (100% OSPE session was acceptable (p < 0.001. All examiners perceived OSPE method as feasible assessment tool (p < 0.001. Majority of the examiners and the students were in agreement or strongly in agreement in Likert scale rating for feedback analysis of OSPE session. There was no significant statistical difference among students and examiners/observers (Chi-squre:1.5184; DF:5; p= 0.8234. Conclusions: The OSPE is reliable and reproducible practical assessment tool and yields dependable information about the practical performance capabilities and competence of individual student and can be used as an

  7. The Impact of Health Changes on Labor Supply: Evidence from Merged Data on Individual Objective Medical Diagnosis Codes and Early Retirement Behavior

    DEFF Research Database (Denmark)

    Christensen, Bent Jesper; Kallestrup-Lamb, Malene

    2012-01-01

    The justification bias in the estimated impact of health shocks on retirement is mitigated by using objective health measures from a large, register-based longitudinal data set including medical diagnosis codes, along with labor market status, financial, and socio-economic variables. The duration...... until retirement is modeled using single and competing risk specifications, observed and unobserved heterogeneity, and flexible baseline hazards. Wealth is used as a proxy for elapsed duration to mitigate the potential selection bias stemming from conditioning on initial participation. The competing...... risk specification distinguishes complete multi-period routes to retirement, such as unemployment followed by early retirement. A result on comparison of coefficients across all states is offered. The empirical results indicate a strong impact of health changes on retirement, and hence a large...

  8. Aligning institutional priorities: engaging house staff in a quality improvement and safety initiative to fulfill Clinical Learning Environment Review objectives and electronic medical record Meaningful Use requirements.

    Science.gov (United States)

    Flanagan, Meghan R; Foster, Carolyn C; Schleyer, Anneliese; Peterson, Gene N; Mandell, Samuel P; Rudd, Kristina E; Joyner, Byron D; Payne, Thomas H

    2016-02-01

    House staff quality improvement projects are often not aligned with training institution priorities. House staff are the primary users of inpatient problem lists in academic medical centers, and list maintenance has significant patient safety and financial implications. Improvement of the problem list is an important objective for hospitals with electronic health records under the Meaningful Use program. House staff surveys were used to create an electronic problem list manager (PLM) tool enabling efficient problem list updating. Number of new problems added and house staff perceptions of the problem list were compared before and after PLM intervention. The PLM was used by 654 house staff after release. Surveys demonstrated increased problem list updating (P = .002; response rate 47%). Mean new problems added per day increased from 64 pre-PLM to 125 post-PLM (P house staff in institutional quality and safety initiatives with tangible institutional benefits. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Generation and distribution of PAHs in the process of medical waste incineration.

    Science.gov (United States)

    Chen, Ying; Zhao, Rongzhi; Xue, Jun; Li, Jinhui

    2013-05-01

    After the deadly earthquake on May 12, 2008 in Wenchuan county of China, several different incineration approaches were used for medical waste disposal. This paper investigates the generation properties of polycyclic aromatic hydrocarbons (PAHs) during the incineration. Samples were collected from the bottom ash in an open burning slash site, surface soil at the open burning site, bottom ash from a simple incinerator, bottom ash generated from the municipal solid waste (MSW) incinerator used for medical waste disposal, and bottom ash and fly ash from an incinerator exclusively used for medical waste. The species of PAHs were analyzed, and the toxicity equivalency quantities (TEQs) of samples calculated. Analysis results indicate that the content of total PAHs in fly ash was 1.8×10(3) times higher than that in bottom ash, and that the strongly carcinogenic PAHs with four or more rings accumulated sensitively in fly ash. The test results of samples gathered from open burning site demonstrate that Acenaphthylene (ACY), Acenaphthene (ACE), Fluorene (FLU), Phenanthrene (PHE), Anthracene (ANT) and other PAHs were inclined to migrate into surrounding environment along air and surface watershed corridors, while 4- to 6-ring PAHs accumulated more likely in soil. Being consistent with other studies, it has also been confirmed that increases in both free oxygen molecules and combustion temperatures could promote the decomposition of polycyclic PAHs. In addition, without the influence of combustion conditions, there is a positive correlation between total PCDD/Fs and total PAHs, although no such relationship has been found for TEQ. Copyright © 2013 Elsevier Ltd. All rights reserved.

  10. Do workers’ health surveillance examinations fulfill their occupational preventive objective? Analysis of the medical practice of occupational physicians in Catalonia, Spain

    Directory of Open Access Journals (Sweden)

    Mari Cruz Rodríguez-Jareño

    2017-10-01

    Full Text Available Objectives: Although routine workers’ health examinations are extensively performed worldwide with important resource allocation, few studies have analyzed their quality. The objective of this study has been to analyze the medical practice of workers’ health examinations in Catalonia (Spain in terms of its occupational preventive aim. Material and Methods: A cross-sectional study was carried out by means of an online survey addressed to occupational physicians who were members of the Catalan Society of Safety and Occupational Medicine. The questionnaire included factual questions on how they performed health examinations in their usual practice. The bivariate analysis of the answers was performed by type of occupational health service (external/internal. Results: The response rate was 57.9% (N = 168, representing 40.3% of the reference population. A high percentage of occupational physicians had important limitations in their current medical practice, including availability of clinical and exposure information, job-specificity of tests, and early detection and appropriate management of suspected occupational diseases. The situation in external occupational health services – that covered the great majority of Catalan employees – was worse remarkably in regard to knowledge of occupational and nonoccupational sickness absence data, participation in the investigation of occupational injuries and diseases, and accessibility for workers to the occupational health service. Conclusions: This study raises serious concerns about the occupational preventive usefulness of these health examinations, and subsequently about our health surveillance system, based primarily on them. Professionals alongside health and safety institutions and stakeholders should promote the rationalization of this system, following the technical criteria of need, relevance, scientific validity and effectiveness, whilst ensuring that its ultimate goal of improving the health

  11. A randomized comparison of video demonstration versus hands-on training of medical students for vacuum delivery using Objective Structured Assessment of Technical Skills (OSATS).

    Science.gov (United States)

    Hilal, Ziad; Kumpernatz, Anne K; Rezniczek, Günther A; Cetin, Cem; Tempfer-Bentz, Eva-Katrin; Tempfer, Clemens B

    2017-03-01

    To compare medical students' skills for vaginal operative delivery by vacuum extraction (VE) after hands-on training versus video demonstration. We randomized medical students to an expert demonstration (group 1) or a hands-on (group 2) training using a standardized VE algorithm on a pelvic training model. Students were tested with a 40-item Objective Structured Assessment of Technical Skills (OSATS) scoring system after training and 4 days later. OSATS scores were the primary outcome. Performance time, self-assessment, confidence, and global rating scale were secondary outcomes. We assessed the constructive validity of OSATS in this VE model comparing metric scores of experts and students. In all, 137 students were randomized. OSATS scores were higher in group 2 (n = 63) compared with group 1 (n = 74) (32.89 ± 6.39 vs 27.51 ± 10.27, respectively; P training is superior to video demonstration for teaching VE on a pelvic model.

  12. Military Emergency Medical Service System Assessment: Application of the National Park Service Needs Assessment and Program Audit to Objectively Evaluate the Military EMS System of Okinawa, Japan.

    Science.gov (United States)

    Ross, Elliot M; Harper, Stephen A; Cunningham, Cord; Walrath, Benjamin D; DeMers, Gerard; Kharod, Chetan U

    2017-03-01

    As part of a Military Emergency Medical Services (EMS) system process improvement initiative, the authors sought to objectively evaluate the U.S. military EMS system for the island of Okinawa. They applied a program evaluation tool currently utilized by the U.S. National Park Service (NPS). A comprehensive needs assessment was conducted to evaluate the current Military EMS system in Okinawa, Japan. The NPS EMS Program Audit Worksheet was used to get an overall "score" of our assessment. After all the data had been collected, a joint committee of Military EMS physicians reviewed the findings and made formal recommendations. From 2011 to 2014, U.S. military EMS on Okinawa averaged 1,345 ± 137 patient transports annually. An advanced life support (ALS) provider would have been dispatched on 558 EMS runs (38%) based on chief complaint in 2014 had they been available. Over 36,000 man-hours were expended during this period to provide National Registry Emergency Medical Technician (EMT)-accredited instruction to certify 141 Navy Corpsman as EMT Basics. The NPS EMS Program Audit Worksheet was used and the program scored a total of 31, suggesting the program is well planned and operating within standards. This evaluation of the Military EMS system on Okinawa using the NPS program assessment and audit worksheet demonstrates the NPS evaluation instruments may offer a useful assessment tool for the evaluation of Military EMS systems. Reprint & Copyright © 2017 Association of Military Surgeons of the U.S.

  13. Going the distance: early results of a distributed medical education initiative for Royal College residencies in Canada.

    Science.gov (United States)

    Myhre, Douglas L; Hohman, Stacey

    2012-01-01

    There is a shortage of specialty physicians practising in rural Canada: only 2.4% of Canadian specialist physicians practise rurally. Numerous strategies have been proposed and attempted that aim to increase the number of rural physicians. These include undergraduate and postgraduate distributed medical education opportunities. The Distributed Royal College Initiative at the University of Calgary is increasing the exposure of specialty residents to rural medicine through regional rotations and electives. An assessment of the initial impacts of this programme was made. Specialty residents were sent a voluntary survey following their regional rotation in academic year 2010-2011. The survey measured each resident's satisfaction with the experience, interest in undertaking another rotation and the impact of the rotation on potential rural practice location. The survey asked for written comments on the rotation. Data were analysed using descriptive statistics. A total of 73% (29) of the 40 eligible residents completed the survey that was distributed upon completion of the rotation. In the survey, 45% of respondents indicated they would have been likely to practise in a regional community prior to the experience. This changed to 76% following the rotation. Analysis of the comments revealed strong positive characteristics of the experience across all disciplines. Specialty-based, rural distributed programmes were perceived by the residents as educationally valuable and may be crucial in helping shift attitudes towards rural practice. Specific successful characteristics of the rotations provide direction to increase their quality further. These findings need to be verified in a larger sample.

  14. Expression and cellular distribution of multidrug transporter proteins in two major causes of medically intractable epilepsy: Focal cortical dysplasia and glioneuronal tumors

    NARCIS (Netherlands)

    Aronica, E.; Gorter, J. A.; Jansen, G. H.; van Veelen, C. W. M.; van Rijen, P. C.; Leenstra, S.; Ramkema, M.; Scheffer, G. L.; Scheper, R. J.; Troost, D.

    2003-01-01

    The cell-specific distribution of multidrug resistance extrusion pumps was studied in developmental glioneuronal lesions, including focal cortical dysplasia (15 cases) and ganglioglioma (15 cases) from patients with medically intractable epilepsy. Lesional, perilesional, as well as normal brain

  15. Distribution of the horticultural plants in togo according to decorative parts and medical value

    International Nuclear Information System (INIS)

    Radji, R.; Kokou, K

    2014-01-01

    In Togo, more than six hundred species of horticultural plants were identified belonging to approximately 59% of Dicotyledons (49 families, 145 genera and 315 species) and 37.37% were monocotyledons. Pteridophytes and gymnosperms accounted for less than 6%. The spectrum of morphological types indicated that herbs accounted for 55%, while trees and shrubs were 15%. More than 50% of the species of this flora were exotic. The species distributions were made according to their decorative parts and their place of use. Across the country, 55 plantings were recorded and unevenly distributed in cities. Apart from their ornamental use, these plants were used for feeding, traditional and industrial cosmetics in psychotherapy, horticultural therapy and in traditional and conventional medicine preparation. In this study, 79 species from 39 families are reported as medicinal plants. The Apocynaceae and Fabaceae (6 species), the Euphorbiaceae and Liliaceae (5 species), the Arecaceae and Verbenaceae (4 species) were the best represented families. (author)

  16. A Method for Medical Diagnosis Based on Optical Fluence Rate Distribution at Tissue Surface.

    Science.gov (United States)

    Hamdy, Omnia; El-Azab, Jala; Al-Saeed, Tarek A; Hassan, Mahmoud F; Solouma, Nahed H

    2017-09-20

    Optical differentiation is a promising tool in biomedical diagnosis mainly because of its safety. The optical parameters' values of biological tissues differ according to the histopathology of the tissue and hence could be used for differentiation. The optical fluence rate distribution on tissue boundaries depends on the optical parameters. So, providing image displays of such distributions can provide a visual means of biomedical diagnosis. In this work, an experimental setup was implemented to measure the spatially-resolved steady state diffuse reflectance and transmittance of native and coagulated chicken liver and native and boiled breast chicken skin at 635 and 808 nm wavelengths laser irradiation. With the measured values, the optical parameters of the samples were calculated in vitro using a combination of modified Kubelka-Munk model and Bouguer-Beer-Lambert law. The estimated optical parameters values were substituted in the diffusion equation to simulate the fluence rate at the tissue surface using the finite element method. Results were verified with Monte-Carlo simulation. The results obtained showed that the diffuse reflectance curves and fluence rate distribution images can provide discrimination tools between different tissue types and hence can be used for biomedical diagnosis.

  17. Study of the impact of artificial articulations on the dose distribution under medical irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Buffard, E. [IRMA/CREST/FEMTO-st, UMR-CNRS 6174, Po-circumflex le Universitaire BP 71427 25211 Montbeliard (France)]. E-mail: edwige.buffard@pu-pm.univ-fcomte.fr; Gschwind, R. [IRMA/CREST/FEMTO-st, UMR-CNRS 6174, Po-circumflex le Universitaire BP 71427 25211 Montbeliard (France)]. E-mail: regine.gschwind@pu-pm.univ-fcomte.fr; Makovicka, L. [IRMA/CREST/FEMTO-st, UMR-CNRS 6174, Po-circumflex le Universitaire BP 71427 25211 Montbeliard (France); Martin, E. [IRMA/CREST/FEMTO-st, UMR-CNRS 6174, Po-circumflex le Universitaire BP 71427 25211 Montbeliard (France); Meunier, C. [IRMA/CREST/FEMTO-st, UMR-CNRS 6174, Po-circumflex le Universitaire BP 71427 25211 Montbeliard (France); David, C. [Departement Oncologie et Radiotherapie, CH A. Boulloche 25200 Montbeliard (France)

    2005-02-01

    Perturbations due to the presence of high density heterogeneities in the body are not correctly taken into account in the Treatment Planning Systems currently available for external radiotherapy. For this reason, the accuracy of the dose distribution calculations has to be improved by using Monte Carlo simulations. In a previous study, we established a theoretical model by using the Monte Carlo code EGSnrc [I. Kawrakow, D.W.O. Rogers, The EGSnrc code system: MC simulation of electron and photon transport. Technical Report PIRS-701, NRCC, Ottawa, Canada, 2000] in order to obtain the dose distributions around simple heterogeneities. These simulations were then validated by experimental results obtained with thermoluminescent dosemeters and an ionisation chamber. The influence of samples composed of hip prostheses materials (titanium alloy and steel) and a substitute of bone were notably studied. A more complex model was then developed with the Monte Carlo code BEAMnrc [D.W.O. Rogers, C.M. MA, G.X. Ding, B. Walters, D. Sheikh-Bagheri, G.G. Zhang, BEAMnrc Users Manual. NRC Report PPIRS 509(a) rev F, 2001] in order to take into account the hip prosthesis geometry. The simulation results were compared to experimental measurements performed in a water phantom, in the case of a standard treatment of a pelvic cancer for one of the beams passing through the implant. These results have shown the great influence of the prostheses on the dose distribution.

  18. A Method for Medical Diagnosis Based on Optical Fluence Rate Distribution at Tissue Surface

    Directory of Open Access Journals (Sweden)

    Omnia Hamdy

    2017-09-01

    Full Text Available Optical differentiation is a promising tool in biomedical diagnosis mainly because of its safety. The optical parameters’ values of biological tissues differ according to the histopathology of the tissue and hence could be used for differentiation. The optical fluence rate distribution on tissue boundaries depends on the optical parameters. So, providing image displays of such distributions can provide a visual means of biomedical diagnosis. In this work, an experimental setup was implemented to measure the spatially-resolved steady state diffuse reflectance and transmittance of native and coagulated chicken liver and native and boiled breast chicken skin at 635 and 808 nm wavelengths laser irradiation. With the measured values, the optical parameters of the samples were calculated in vitro using a combination of modified Kubelka-Munk model and Bouguer-Beer-Lambert law. The estimated optical parameters values were substituted in the diffusion equation to simulate the fluence rate at the tissue surface using the finite element method. Results were verified with Monte-Carlo simulation. The results obtained showed that the diffuse reflectance curves and fluence rate distribution images can provide discrimination tools between different tissue types and hence can be used for biomedical diagnosis.

  19. Modeling of spatial distribution for scorpions of medical importance in the São Paulo State, Brazil

    Directory of Open Access Journals (Sweden)

    José Brites-Neto

    2015-07-01

    Full Text Available Aim: In this work, we aimed to develop maps of modeling geographic distribution correlating to environmental suitability for the two species of scorpions of medical importance at São Paulo State and to develop spatial configuration parameters for epidemiological surveillance of these species of venomous animals. Materials and Methods: In this study, 54 georeferenced points for Tityus serrulatus and 86 points for Tityus bahiensis and eight environmental indicators, were used to generate species distribution models in Maxent (maximum entropy modeling of species geographic distributions version 3.3.3k using 70% of data for training (n=38 to T. serrulatus and n=60 to T. bahiensis and 30% to test the models (n=16 for T. serrulatus and n=26 for T. bahiensis. The logistic threshold used to cut models in converting the continuous probability model into a binary model was the “maximum test sensitivity plus specificity,” provided by Maxent, with results of 0.4143 to T. serrulatus and of 0.3401 to T. bahiensis. The models were evaluated by the area under the curve (AUC, using the omission error and the binomial probability. With the data generated by Maxent, distribution maps were produced using the “ESRI® ArcGIS 10.2.2 for Desktop” software. Results: The models had high predictive success (AUC=0.7698±0.0533, omission error=0.2467 and p<0.001 for T. serrulatus and AUC=0.8205±0.0390, omission error=0.1917 and p<0.001 for T. bahiensis and the resultant maps showed a high environmental suitability in the north, central, and southeast of the state, confirming the increasing spread of these species. The environmental variables that mostly contributed to the scorpions species distribution model were rain precipitation (28.9% and tree cover (28.2% for the T. serrulatus and temperature (45.8% and thermal amplitude (12.6% for the T. bahiensis. Conclusion: The distribution model of these species of medical importance scorpions in São Paulo State

  20. The Impact of Financial Disclosure on Attendee Assessment of Objectivity in Continuing Medical Education Programs in Psychiatry: A Randomized, Controlled Trial.

    Science.gov (United States)

    Jibson, Michael D; Cobourn, Lisa A; Seibert, Jennifer K

    2016-04-01

    The purpose of financial conflict of interest disclosures by speakers at continuing medical education (CME) programs is to assist attendees in their assessment of the objectivity of the information presented. This empirical study was undertaken to determine what level of disclosure is optimal to achieve this goal. Attendees at five CME programs were randomly assigned to receive either a standard financial disclosure, an intermediate level that included whether speakers received more or less than 5% of their income from each company they disclosed, or a high level of disclosure that included the percent of their income derived from each company. A total of 169 attendees (85.4% response rate) completed a questionnaire regarding the objectivity of the CME presentation they attended. Attendees receiving the highest level of disclosure came significantly closer to the ratings of speaker bias made by peer reviewers than did attendees receiving medium or low levels of disclosure (p = 0.03; effect size 0.31). Among the minority of attendees who received the highest level of disclosure but whose assessment of bias differed from that of peer reviewers, however, there was a tendency to underestimate bias (5.9 vs 31.4%; p financial disclosure than are currently required for CME programs.

  1. Multi-modal distribution crossover method based on two crossing segments bounded by selected parents applied to multi-objective design optimization

    Energy Technology Data Exchange (ETDEWEB)

    Ariyarit, Atthaphon; Kanazaki, Masahiro [Tokyo Metropolitan University, Tokyo (Japan)

    2015-04-15

    This paper discusses airfoil design optimization using a genetic algorithm (GA) with multi-modal distribution crossover (MMDX). The proposed crossover method creates four segments from four parents, of which two segments are bounded by selected parents and two segments are bounded by one parent and another segment. After these segments are defined, four offsprings are generated. This study applied the proposed optimization to a real-world, multi-objective airfoil design problem using class-shape function transformation parameterization, which is an airfoil representation that uses polynomial function, to investigate the effectiveness of this algorithm. The results are compared with the results of the blend crossover (BLX) and unimodal normal distribution crossover (UNDX) algorithms. The objective of these airfoil design problems is to successfully find the optimal design. The outcome of using this algorithm is superior to that of the BLX and UNDX crossover methods because the proposed method can maintain higher diversity than the BLX and UNDX methods. This advantage is desirable for real-world problems.

  2. Multi-modal distribution crossover method based on two crossing segments bounded by selected parents applied to multi-objective design optimization

    International Nuclear Information System (INIS)

    Ariyarit, Atthaphon; Kanazaki, Masahiro

    2015-01-01

    This paper discusses airfoil design optimization using a genetic algorithm (GA) with multi-modal distribution crossover (MMDX). The proposed crossover method creates four segments from four parents, of which two segments are bounded by selected parents and two segments are bounded by one parent and another segment. After these segments are defined, four offsprings are generated. This study applied the proposed optimization to a real-world, multi-objective airfoil design problem using class-shape function transformation parameterization, which is an airfoil representation that uses polynomial function, to investigate the effectiveness of this algorithm. The results are compared with the results of the blend crossover (BLX) and unimodal normal distribution crossover (UNDX) algorithms. The objective of these airfoil design problems is to successfully find the optimal design. The outcome of using this algorithm is superior to that of the BLX and UNDX crossover methods because the proposed method can maintain higher diversity than the BLX and UNDX methods. This advantage is desirable for real-world problems.

  3. Measurement of activity distribution using photostimulable phosphor imaging plates in decommissioned 10 MV medical linear accelerator.

    Science.gov (United States)

    Fujibuchi, Toshioh; Yonai, Shunsuke; Yoshida, Masahiro; Sakae, Takeji; Watanabe, Hiroshi; Abe, Yoshihisa; Itami, Jun

    2014-08-01

    Photonuclear reactions generate neutrons in the head of the linear accelerator. Therefore, some parts of the linear accelerator can become activated. Such activated materials must be handled as radioactive waste. The authors attempted to investigate the distribution of induced radioactivity using photostimulable phosphor imaging plates. Autoradiographs were produced from some parts of the linear accelerator (the target, upper jaw, multileaf collimator and shielding). The levels of induced radioactivity were confirmed to be non-uniform within each part from the autoradiographs. The method was a simple and highly sensitive approach to evaluating the relative degree of activation of the linear accelerators, so that appropriate materials management procedures can be carried out.

  4. Distribution

    Science.gov (United States)

    John R. Jones

    1985-01-01

    Quaking aspen is the most widely distributed native North American tree species (Little 1971, Sargent 1890). It grows in a great diversity of regions, environments, and communities (Harshberger 1911). Only one deciduous tree species in the world, the closely related Eurasian aspen (Populus tremula), has a wider range (Weigle and Frothingham 1911)....

  5. Do workers' health surveillance examinations fulfill their occupational preventive objective? Analysis of the medical practice of occupational physicians in Catalonia, Spain.

    Science.gov (United States)

    Rodríguez-Jareño, Mari Cruz; Molinero, Emilia; de Montserrat, Jaume; Vallès, Antoni; Aymerich, Marta

    2017-10-06

    Although routine workers' health examinations are extensively performed worldwide with important resource allocation, few studies have analyzed their quality. The objective of this study has been to analyze the medical practice of workers' health examinations in Catalonia (Spain) in terms of its occupational preventive aim. A cross-sectional study was carried out by means of an online survey addressed to occupational physicians who were members of the Catalan Society of Safety and Occupational Medicine. The questionnaire included factual questions on how they performed health examinations in their usual practice. The bivariate analysis of the answers was performed by type of occupational health service (external/internal). The response rate was 57.9% (N = 168), representing 40.3% of the reference population. A high percentage of occupational physicians had important limitations in their current medical practice, including availability of clinical and exposure information, job-specificity of tests, and early detection and appropriate management of suspected occupational diseases. The situation in external occupational health services - that covered the great majority of Catalan employees - was worse remarkably in regard to knowledge of occupational and nonoccupational sickness absence data, participation in the investigation of occupational injuries and diseases, and accessibility for workers to the occupational health service. This study raises serious concerns about the occupational preventive usefulness of these health examinations, and subsequently about our health surveillance system, based primarily on them. Professionals alongside health and safety institutions and stakeholders should promote the rationalization of this system, following the technical criteria of need, relevance, scientific validity and effectiveness, whilst ensuring that its ultimate goal of improving the health and safety of workers in relation to work is fulfilled. Other countries with

  6. Distribution and medical impact of loss-of-function variants in the Finnish founder population.

    Directory of Open Access Journals (Sweden)

    Elaine T Lim

    2014-07-01

    Full Text Available Exome sequencing studies in complex diseases are challenged by the allelic heterogeneity, large number and modest effect sizes of associated variants on disease risk and the presence of large numbers of neutral variants, even in phenotypically relevant genes. Isolated populations with recent bottlenecks offer advantages for studying rare variants in complex diseases as they have deleterious variants that are present at higher frequencies as well as a substantial reduction in rare neutral variation. To explore the potential of the Finnish founder population for studying low-frequency (0.5-5% variants in complex diseases, we compared exome sequence data on 3,000 Finns to the same number of non-Finnish Europeans and discovered that, despite having fewer variable sites overall, the average Finn has more low-frequency loss-of-function variants and complete gene knockouts. We then used several well-characterized Finnish population cohorts to study the phenotypic effects of 83 enriched loss-of-function variants across 60 phenotypes in 36,262 Finns. Using a deep set of quantitative traits collected on these cohorts, we show 5 associations (p<5×10⁻⁸ including splice variants in LPA that lowered plasma lipoprotein(a levels (P = 1.5×10⁻¹¹⁷. Through accessing the national medical records of these participants, we evaluate the LPA finding via Mendelian randomization and confirm that these splice variants confer protection from cardiovascular disease (OR = 0.84, P = 3×10⁻⁴, demonstrating for the first time the correlation between very low levels of LPA in humans with potential therapeutic implications for cardiovascular diseases. More generally, this study articulates substantial advantages for studying the role of rare variation in complex phenotypes in founder populations like the Finns and by combining a unique population genetic history with data from large population cohorts and centralized research access to National Health

  7. Database application of digital medical X-rays and labs: computerization, storage, retrieval, interpretation, and distribution.

    Science.gov (United States)

    Hatcher, Myron; Tabriziani, Hossein; Heetebry, Irene

    2005-08-01

    Stenter lets the health care worker order an X-ray that is produced as a computer image rather than on flat film. The health care provider can be in any location with the correct equipment, and view the digital image. The dimensions of this discussion are extensive. The cost savings because of reduced media and storage cost is substantial. Health care quality can be improved because of the ability to obtain consultation via telemedicine and the enhanced ability to track medical problems over time via trends. The major downside is the limited cost imbursement system to pay for technology. Unfortunately, this may impact on the improved quality of care. In simple terms someone needs to pay for the technology and the quality of health care needs to be maintained or improved. The real cost to the health care systems needs to be correctly calculated and inappropriate charging kept to a minimum. Specific costs need to be kept in mind and the first is the cost for new staff or staff training. The number of health care providers that are able to read the X-ray can be enlarged remembering that only American Board Certified Radiologists are allowed to give the final recommendation. How do we view the cost of missing something? It could be argued that this risk will be reduced because of improved technology for obtaining the digital X-ray and improved enhancement software. One way to view this situation is to include technology, management, and organization. The cost and benefits occur through the interplay of all three dimensions. The development of digital imaging hardware and artificial intelligence software will demand change in the management and organization. The organization will require changes in its design to accommodate the technology as to support and resources. Management will evolve to include methods for control and monitoring this technology. Business processes and standard operating procedures will change to integrate the technology into the organization in

  8. Evaluation of the distribution of absorbed dose in child phantoms exposed to diagnostic medical x rays

    Energy Technology Data Exchange (ETDEWEB)

    Chen, W. L.; Poston, J. W.; Warner, G. G.

    1978-04-01

    The purpose of this study was to determine, by theoretical calculation and experimental measurement, the absorbed dose distributions in two heterogeneous phantoms representing one-year- and five-year-old children from typical radiographic examinations for those ages. Theoretical work included the modification of an existing internal dose code which uses Monte Carlo methods to determine doses within the Snyder-Fisher mathematical phantom. A Ge(Li) detector and a pinhole collimator were used to measure x-ray spectra which served as input to the modified Monte Carlo codes which were used to calculate organ doses in children. The calculated and measured tissue-air values were compared for a number of organs. For most organs, the results of the calculated absorbed doses agreed with the measured absorbed doses within twice the coefficient of variation of the calculated value. The absorbed dose to specific organs for several selected radiological examinations are given for one-year-old, five-year-old, and adult phantoms.

  9. Evaluation of the distribution of absorbed dose in child phantoms exposed to diagnostic medical x rays

    International Nuclear Information System (INIS)

    Chen, W.L.; Poston, J.W.; Warner, G.G.

    1978-04-01

    The purpose of this study was to determine, by theoretical calculation and experimental measurement, the absorbed dose distributions in two heterogeneous phantoms representing one-year- and five-year-old children from typical radiographic examinations for those ages. Theoretical work included the modification of an existing internal dose code which uses Monte Carlo methods to determine doses within the Snyder-Fisher mathematical phantom. A Ge(Li) detector and a pinhole collimator were used to measure x-ray spectra which served as input to the modified Monte Carlo codes which were used to calculate organ doses in children. The calculated and measured tissue-air values were compared for a number of organs. For most organs, the results of the calculated absorbed doses agreed with the measured absorbed doses within twice the coefficient of variation of the calculated value. The absorbed dose to specific organs for several selected radiological examinations are given for one-year-old, five-year-old, and adult phantoms

  10. A new technique for dynamic load distribution when two manipulators mutually lift a rigid object. Part 2, Derivation of entire system model and control architecture

    Energy Technology Data Exchange (ETDEWEB)

    Unseren, M.A.

    1994-04-01

    A rigid body model for the entire system which accounts for the load distribution scheme proposed in Part 1 as well as for the dynamics of the manipulators and the kinematic constraints is derived in the joint space. A technique is presented for expressing the object dynamics in terms of the joint variables of both manipulators which leads to a positive definite and symmetric inertia matrix. The model is then transformed to obtain reduced order equations of motion and a separate set of equations which govern the behavior of the internal contact forces. The control architecture is applied to the model which results in the explicit decoupling of the position and internal contact force-controlled degrees of freedom (DOF).

  11. Medical geology of endemic goiter in Kalutara, Sri Lanka; distribution and possible causes.

    Science.gov (United States)

    Fernando, G W A R; Liyanage, P L C L; Rajapaksha, Anushka Upamali; Vithanage, Meththika

    2017-12-01

    This study assesses the distribution of goiter in the Kalutara District, Sri Lanka in order to find causative factors for the occurrence of goiter even after the salt iodization. A questionnaire survey was conducted at the household level and at the same time iodine and selenium levels of the water sources were analyzed. Questionnaire survey results indicated the highest numbers of goiter patients in the northern part where the lowest were found in the southern sector which may be due to the presence of acid sulfate soils. Females were more susceptible and it even showed a transmittance between generations. Average iodine concentrations in subsurface water of goiter endemic regions are 28.25 ± 15.47 μg/L whereas non-goiter regions show identical values at 24.74 ± 18.29 μg/L. Surface water exhibited relatively high values at 30.87 ± 16.13 μg/L. Endemic goiter was reported in some isolated patches where iodine and selenium concentrations low, latter was <10 μg/L. The formation of acid sulfate soils in the marshy lands in Kalutara district may lead to transformation of biological available iodine oxidation into volatile iodine by humic substances, at the same time organic matter rich peaty soil may have strong held of iodine and selenium which again induced by low pH and high temperature were suggested as the instrumental factors in the endemic goiter in Kalutara district. Hence, geochemical features such as soil pH, organic matter and thick lateritic cap in the Kalutara goiter endemic area play a role in controlling the available selenium and iodine for food chain through plant uptake and in water.

  12. Evaluation of the distribution of absorbed dose in child phantoms exposed to diagnostic medical x rays

    International Nuclear Information System (INIS)

    Chen, W.L.

    1977-01-01

    The purpose of the study was to determine, by theoretical calculation and experimental measurement, the absorbed dose distributions in two heterogeneous phantoms representing one-year- and five-year-old children from typical radiographic examinations for those ages. Theoretical work included the modification of an existing internal dose code which used Monte Carlo methods to determine doses within the Snyder-Fisher mathematical phantom. A Ge(Li) detector and a pinhole collimator were used to measure x-ray spectra which served as input (i.e., the source routine) to the modified Monte Carlo codes which were used to calculate organ doses in children. Experimental work included the fabrication of child phantoms to match the existing mathematical models. These phantoms were constructed of molded lucite shells filled with differing materials to simulate lung, skeletal, and soft-tissue regions. The skeleton regions of phantoms offered the opportunity to perform meaningful measurements of absorbed dose to bone marrow and bone. Thirteen to fourteen sites in various bones of the skeleton were chosen for placement of TLDs. These sites represented important regions in which active bone marrow is located. Sixteen typical radiographic examinations were performed representing common pediatric diagnostic procedures. The calculated and measured tissue-air values were compared for a number of organs. For most organs, the results of the calculated absorbed doses agreed with the measured absorbed doses within twice the coefficient of variation of the calculated value. The absorbed dose to specific organs for several selected radiological examinations are given for one-year-old, five-year-old, and adult phantoms. For selected radiological exposures, the risk factors of leukemia, thyroid cancer, and genetic death are estimated for one-year- and five-year-old children

  13. Awareness and distribution of ABO, Rhesus blood groups and haemoglobin phenotypes among medical undergraduates in a Nigerian university.

    Science.gov (United States)

    Akingbola, T S; Yuguda, S; Akinyemi, O O; Olomu, S

    2016-09-01

    In the past two decades the Nigerian government and religious organisations have put more emphasis on knowing the haemoglobin electrophoresis of school children and intending couples respectively. Knowledge of the distribution of blood groups and haemoglobin electrophoretic patterns among young people is vital for the prevention of haemoglobinopathies in the population and for providing effective blood banking services. Therefore, this study was designed to assess the frequency and awareness of blood group and haemoglobinphenotypes among a new set of fourth year clinical medical and dental students of the University of Ibadan, Nigeria. Data, including socio-demographics, self- reported blood group and haemoglobin phenotypes, were obtained from 155 students using a self-administered questionnaire. The ABO, Rhesus (Rh) blood groups and haemoglobin electrophoresis were determined by the tile (slide) technique and cellulose acetate at alkaline phrespectively. Only 43.9% of the participants knew their blood groups while less than a third (29.7%) knew their haemoglobin phenotypes. knowledge of both their blood groups and haemoglobin phenotypes was documented in as low as 20.6% of the respondents. The frequency of haemoglobin AA, AS, AC and. CC were 78.0%, 16.8%, 3.9% and 1.3% respectively. Similarly, the distribution of blood groups were: 0 RhD positive - 47.8%;0 RhD negative- 1.9%;ARhD positive- 21.9%; A RhD negative - 1.3%; B RhD positive - 23.2%; B RhD negative -1.3% and AB RhD positive - 2.6%. No participant was AB RhD negative. Participants who bad previously donated blood and those who were females were more likely to know their blood groups and haemoglobin phenotypes respectively (pblood groups and haemoglobin phenotypes among the medical and dental students was poor. Documentation and routine screening for haemoglobinphenotypes as well as blood grouping, accompanied by appropriate counseling should be institutionalised in Nigeriantertiary institutions.

  14. E-learning module on chronic low back pain in older adults: evidence of effect on medical student objective structured clinical examination performance.

    Science.gov (United States)

    Weiner, Debra K; Morone, Natalia E; Spallek, Heiko; Karp, Jordan F; Schneider, Michael; Washburn, Carol; Dziabiak, Michael P; Hennon, John G; Elnicki, D Michael

    2014-06-01

    The Institute of Medicine has highlighted the urgent need to close undergraduate and graduate educational gaps in treating pain. Chronic low back pain (CLBP) is one of the most common pain conditions, and older adults are particularly vulnerable to potential morbidities associated with misinformed treatment. An e-learning case-based interactive module was developed at the University of Pittsburgh Center of Excellence in Pain Education, one of 12 National Institutes of Health-designated centers, to teach students important principles for evaluating and managing CLBP in older adults. A team of six experts in education, information technology, pain management, and geriatrics developed the module. Teaching focused on common errors, interactivity, and expert modeling and feedback. The module mimicked a patient encounter using a standardized patient (the older adult with CLBP) and a pain expert (the patient provider). Twenty-eight medical students were not exposed to the module (Group 1) and 27 were exposed (Group 2). Their clinical skills in evaluating CLBP were assessed using an objective structured clinical examination (OSCE). Mean scores were 62.0 ± 8.6 for Group 1 and 79.5 ± 10.4 for Group 2 (P effect of e-learning modules on more-advanced learners and on improving the care of older adults with CLBP. © 2014, Copyright the Authors Journal compilation © 2014, The American Geriatrics Society.

  15. Object and Objective Lost?

    DEFF Research Database (Denmark)

    Lopdrup-Hjorth, Thomas

    2015-01-01

    This paper explores the erosion and problematization of ‘the organization’ as a demarcated entity. Utilizing Foucault's reflections on ‘state-phobia’ as a source of inspiration, I show how an organization-phobia has gained a hold within Organization Theory (OT). By attending to the history...... of this organization-phobia, the paper argues that OT has become increasingly incapable of speaking about its core object. I show how organizations went from being conceptualized as entities of major importance to becoming theoretically deconstructed and associated with all kinds of ills. Through this history......, organizations as distinct entities have been rendered so problematic that they have gradually come to be removed from the center of OT. The costs of this have been rather significant. Besides undermining the grounds that gave OT intellectual credibility and legitimacy to begin with, the organization-phobia...

  16. THE SPITZER SPACE TELESCOPE SURVEY OF THE ORION A AND B MOLECULAR CLOUDS. II. THE SPATIAL DISTRIBUTION AND DEMOGRAPHICS OF DUSTY YOUNG STELLAR OBJECTS

    International Nuclear Information System (INIS)

    Megeath, S. T.; Kryukova, E.; Gutermuth, R.; Muzerolle, J.; Hora, J. L.; Myers, P. C.; Fazio, G. G.; Allen, L. E.; Flaherty, K.; Hartmann, L.; Pipher, J. L.; Stauffer, J.; Young, E. T.

    2016-01-01

    We analyze the spatial distribution of dusty young stellar objects (YSOs) identified in the Spitzer Survey of the Orion Molecular clouds, augmenting these data with Chandra X-ray observations to correct for incompleteness in dense clustered regions. We also devise a scheme to correct for spatially varying incompleteness when X-ray data are not available. The local surface densities of the YSOs range from 1 pc −2 to over 10,000 pc −2 , with protostars tending to be in higher density regions. This range of densities is similar to other surveyed molecular clouds with clusters, but broader than clouds without clusters. By identifying clusters and groups as continuous regions with surface densities ≥10 pc −2 , we find that 59% of the YSOs are in the largest cluster, the Orion Nebula Cluster (ONC), while 13% of the YSOs are found in a distributed population. A lower fraction of protostars in the distributed population is evidence that it is somewhat older than the groups and clusters. An examination of the structural properties of the clusters and groups shows that the peak surface densities of the clusters increase approximately linearly with the number of members. Furthermore, all clusters with more than 70 members exhibit asymmetric and/or highly elongated structures. The ONC becomes azimuthally symmetric in the inner 0.1 pc, suggesting that the cluster is only ∼2 Myr in age. We find that the star formation efficiency (SFE) of the Orion B cloud is unusually low, and that the SFEs of individual groups and clusters are an order of magnitude higher than those of the clouds. Finally, we discuss the relationship between the young low mass stars in the Orion clouds and the Orion OB 1 association, and we determine upper limits to the fraction of disks that may be affected by UV radiation from OB stars or dynamical interactions in dense, clustered regions

  17. A review of a method for dynamic load distribution, dynamical modeling, and explicit internal force control when two manipulators mutually lift and transport a rigid body object

    International Nuclear Information System (INIS)

    Unseren, M.A.

    1997-01-01

    The paper reviews a method for modeling and controlling two serial link manipulators which mutually lift and transport a rigid body object in a three dimensional workspace. A new vector variable is introduced which parameterizes the internal contact force controlled degrees of freedom. A technique for dynamically distributing the payload between the manipulators is suggested which yields a family of solutions for the contact forces and torques the manipulators impart to the object. A set of rigid body kinematic constraints which restrict the values of the joint velocities of both manipulators is derived. A rigid body dynamical model for the closed chain system is first developed in the joint space. The model is obtained by generalizing the previous methods for deriving the model. The joint velocity and acceleration variables in the model are expressed in terms of independent pseudovariables. The pseudospace model is transformed to obtain reduced order equations of motion and a separate set of equations governing the internal components of the contact forces and torques. A theoretic control architecture is suggested which explicitly decouples the two sets of equations comprising the model. The controller enables the designer to develop independent, non-interacting control laws for the position control and internal force control of the system

  18. POSIX and Object Distributed Storage Systems Performance Comparison Studies With Real-Life Scenarios in an Experimental Data Taking Context Leveraging OpenStack Swift & Ceph

    Science.gov (United States)

    Poat, M. D.; Lauret, J.; Betts, W.

    2015-12-01

    The STAR online computing infrastructure has become an intensive dynamic system used for first-hand data collection and analysis resulting in a dense collection of data output. As we have transitioned to our current state, inefficient, limited storage systems have become an impediment to fast feedback to online shift crews. Motivation for a centrally accessible, scalable and redundant distributed storage system had become a necessity in this environment. OpenStack Swift Object Storage and Ceph Object Storage are two eye-opening technologies as community use and development have led to success elsewhere. In this contribution, OpenStack Swift and Ceph have been put to the test with single and parallel I/O tests, emulating real world scenarios for data processing and workflows. The Ceph file system storage, offering a POSIX compliant file system mounted similarly to an NFS share was of particular interest as it aligned with our requirements and was retained as our solution. I/O performance tests were run against the Ceph POSIX file system and have presented surprising results indicating true potential for fast I/O and reliability. STAR'S online compute farm historical use has been for job submission and first hand data analysis. The goal of reusing the online compute farm to maintain a storage cluster and job submission will be an efficient use of the current infrastructure.

  19. A review of a method for dynamic load distribution, dynamical modeling, and explicit internal force control when two manipulators mutually lift and transport a rigid body object

    Energy Technology Data Exchange (ETDEWEB)

    Unseren, M.A.

    1997-04-20

    The paper reviews a method for modeling and controlling two serial link manipulators which mutually lift and transport a rigid body object in a three dimensional workspace. A new vector variable is introduced which parameterizes the internal contact force controlled degrees of freedom. A technique for dynamically distributing the payload between the manipulators is suggested which yields a family of solutions for the contact forces and torques the manipulators impart to the object. A set of rigid body kinematic constraints which restrict the values of the joint velocities of both manipulators is derived. A rigid body dynamical model for the closed chain system is first developed in the joint space. The model is obtained by generalizing the previous methods for deriving the model. The joint velocity and acceleration variables in the model are expressed in terms of independent pseudovariables. The pseudospace model is transformed to obtain reduced order equations of motion and a separate set of equations governing the internal components of the contact forces and torques. A theoretic control architecture is suggested which explicitly decouples the two sets of equations comprising the model. The controller enables the designer to develop independent, non-interacting control laws for the position control and internal force control of the system.

  20. Preliminary survey on the distribution of medical equipment and frequency of diagnostic and therapeutic procedures in Brazil: a contribution to the UNSCEAR report

    International Nuclear Information System (INIS)

    Biazotto, Bruna; Taboza de Oliveira, Alexandre; Baptista de Freitas, Marcelo

    2008-01-01

    Information about Brazil published in the UNSCEAR 2000 report are still scarce when compared to others countries. In this study, a survey on the distribution of medical equipment (X-ray generators, ultrasound, CT and MRI scanners, nuclear medicine equipment and teletherapy and brachytherapy units) and frequency of diagnostic and therapeutic procedures at the various Brazilian States was carried out. The overall information was obtained from a national database supported by the Brazilian Ministry of Health through the Computer Science Department of the National Health System (SUS - Sistema Unico de Saude). The distribution of equipment and the annual frequency of each type of procedure were analyzed considering the five geographical regions that form the country and their respective population. Temporal and regional trends in the annual frequency of procedures for 2000-2007 were also summarized in this study. National annual frequencies for the total of all medical X-ray examinations (259.0 examinations per 1000 population) were evaluated. Some examples can be given from chest, mammography and CT examinations: 67.4, 30.2 and 7.2 per 1000 population, respectively. In addition, annual frequencies for other modalities of diagnostic imaging have also been estimated: 61.5, 1.6 and 1.4 per 1000 population for ultrasound, nuclear medicine and MRI procedures, respectively. A total of 38.7 therapeutic procedures per 1000 population (teletherapy and brachytherapy) are annually performed in the country. The health services localized in Brazil comprised a total number of 253.1 diagnostic imaging equipment per million population, without considering dental X-ray. Amongst them, X-ray equipment used in common radiological examinations (chest, skull, spine, etc.) stands for 39% (97.7 per million). As expected, a significant decrease in the offer of equipment is observed when technologically more sophisticated equipment is concerned: magnetic resonance (3.5 per million), gamma

  1. Composition and distribution of medically important phlebotomines (Diptera: Psychodidae) in the municipalities of Tierralta and Valencia (Córdoba, Colombia).

    Science.gov (United States)

    Vivero, Rafael José; Quintero, Lina Salazar; Peña, Horacio Cadena; Alvar-Beltrán, Jorge; Tovar, Catalina; Atencia, Claudia M; Vélez, Iván Darío

    2017-01-01

    Ecoepidemiological studies of cutaneous leishmaniasis and regular monitoring of Lutzomyia species have generated a knowledge base that can be used for control and prevention strategies targeted at the disease transmission dynamics in focal areas of Colombia. In this study, the presence and spatial distribution of phlebotomines of medical importance in the municipalities of Tierralta (El Loro and Tuis Tuis villages) and Valencia (Guadua and Mieles villages) were determined. Entomological surveys were performed in 2015 (months of June, September and November) and samples were collected via CDC-traps located in intradomicilary and peridomiciliary areas in the municipalities of Tierralta and Valencia (Department of Córdoba, Colombia). Active searches were also carried out with a mouth aspirator to collect adult phlebotomines from resting sites. ANOVA and Kruskal-Wallis tests were performed to assess if the differences between the communities of phlebotomines. Spatial distribution maps of the Lutzomyia species were generated. A high species diversity of Lutzomyia was observed with a total of 1677 Lutzomyia individuals belonging to 12 species. Among these species, Lu. panamensis was the most abundant (80.18%). The composition of the intradomicilary and peridomiciliary phlebotomines varied significantly (F = 0.9962; df = 1; p = 0.02895). Species like Lu. carpenteri, Lu. camposi, Lu. dysponeta, Lu. atroclavata and Lu. yuilli yuilli were recorded for the first time in the Department of Córdoba, Colombia. The spatial distribution shows that Lu. panamensis and Lu. gomezi are predominant and present in areas with high concentration of houses. This study provides basic information on new records of phlebotomines in the Department of Córdoba. The results suggest that greater vector-human contact occurs in the peridomiciliary environment and that a high number of Lutzomyia species associated with the transmission of leishmaniasis are present in Colombia.

  2. Evaluation of the Effectiveness of Postgraduate General Medicine Training by Objective Structured Clinical Examination—Pilot Study and Reflection on the Experiences of Kaohsiung Medical University Hospital

    Directory of Open Access Journals (Sweden)

    Jer-Chia Tsai

    2008-12-01

    Full Text Available Objective structured clinical examination (OSCE is an effective assessment method to evaluate medical students' clinical competencies performance. Postgraduate year 1 (PGY1 residents have been initiated in a general medicine training program in Taiwan since 2003. However, little is known about the learning effectiveness of trainees from this program. This pilot study aimed to evaluate the clinical core competencies of PGY1 residents using OSCE, and to reflect on the strengths and weaknesses of this pilot assessment project. OSCE was conducted for five PGY1 examinees (4 men, 1 woman with five stations covering core themes, including history taking, physical examination, clinical procedure of airway intubation, clinical reasoning, and communication skills for informing bad news. Itemized checklists and five-point Likert scale global ratings were used for evaluating performance. The results showed that the performance of our PGY1 residents on history taking was significantly better after about 2 months of postgraduate training on general internal medicine. Self-evaluation on performance by examinees revealed significantly lower global ratings on post-course OSCE (4.14 ± 0.80 vs. 3.68 ± 0.66; p < 0.02. Surveys from tutors and standardized patients (SPs completed at pre- and post-course OSCEs showed consistently favorable responses on the purposes, content, process, and environment of this assessment (4.0 ± 0.17 vs. 4.0 ± 0.12, nonsignificant. However, a survey of the examinees completed at preand post-course OSCEs showed relatively unfavorable responses to the same aspects, and to tutors and SPs (4.1 ± 0.09 vs. 3.7 ± 0.18; p < 0.05. Qualitative information revealed that tutors and SPs remarked that PGY1 residents' medical knowledge performance was satisfactory but their clinical reasoning performance, communication skills (giving bad news and self-confidence were unsatisfactory. In conclusion, this pilot study has demonstrated that OSCE is a

  3. Novos objetos e novos desafios para a antropologia da saúde na contemporaneidade New objects and new challenges for medical anthropology nowadays

    Directory of Open Access Journals (Sweden)

    Jorge Alberto Bernstein Iriart

    2011-12-01

    Full Text Available O objetivo deste artigo é tecer uma reflexão sobre os objetos emergentes e os desafios teórico-metodológicos e éticos que se apresentam para a antropologia da saúde na contemporaneidade, abordando dois temas em particular: os desafios suscitados pelos avanços da biologia molecular, biotecnologias e medicina preditiva, e a análise da saúde e da doença no contexto de globalização. A antropologia da saúde nos parece chamada a se expandir nos próximos anos em redes temáticas ao redor desses dois grandes eixos centrais: por um lado, as novas definições da doença e da saúde associadas aos avanços das ciências da vida e a forma como o corpo humano é construído, transformado e redefinido como locus da gestão do risco e da incerteza; por outro, o contexto cada vez mais complexo, globalizado e desigual em que estamos vivendo tornam necessária uma abordagem antropológica igualmente mais global, no qual o processo saúde-doença deve ser analisado, cada vez mais dentro de um conjunto complexo de políticas econômicas, de relações internacionais e de mobilidade de populações, através de novas abordagens de pesquisa de natureza transdisciplinar.This paper aims to reflect on the emerging objects and theoretical, methodological and ethical challenges in contemporary medical anthropology, addressing two issues in particular: the challenged placed by advances in molecular biology, bio-technologies and predictive medicine, and the analysis of health and illness in the context of globalization. Medical anthropology seems to expand in the coming years in thematic networks around these two major centers: on the one hand, the new definitions of disease and health associated with advances in life sciences and how the human body is built, transformed and redefined as the locus of management of risk and uncertainty; on the other, an increasingly complex, globalized and unequal context we are living in make a more global anthropological

  4. An multi objective heuristic method for calculating the performance of distribution network with distributed generators; Um metodo heuristico multi-objetivo para calcular o desempenho de redes de distribuicao com geradores distribuidos

    Energy Technology Data Exchange (ETDEWEB)

    Ciric, Rade M.; Padilha, Antonio [UNESP, Ilha Solteira, SP (Brazil)

    2002-07-01

    This paper describes the allocation and the performance of the distributed generators installed in a electric power distribution network, and presents a investigation to determining the impacts of distributed generators integration in power systems and the distribution network global performance.

  5. Characterization of Medication Velocity and Size Distribution from Pressurized Metered-Dose Inhalers by Phase Doppler Anemometry.

    Science.gov (United States)

    Alatrash, Abubaker; Matida, Edgar

    2016-12-01

    Particle size and velocity are two of the most significant factors that impact the deposition of pressurized metered-dose inhaler (pMDI) sprays in the mouth cavity. pMDIs are prominently used around the world in the treatment of patients suffering from a variety of lung diseases such as asthma and chronic obstructive pulmonary disease. Since their introduction in the field, and as a result of their effectiveness and simplicity of usage, pMDIs are considered to be the most widely prescribed medical aerosol delivery system. In the current study, particle velocity and size distribution were measured at three different locations along the centerline of a pMDI spray using Phase Doppler Anemometry. pMDIs from four different pharmaceutical companies were tested, each using salbutamol sulfate as the medication. Measurements along at the pMDI centerline (at 0, 75, and 100 mm downstream of the inhaler mouthpiece) showed that the spray velocities were bimodal in time for all four pMDI brands. The first peak occurred as the spray was leaving the mouthpiece, while the second peak (at the same location, 0 mm) occurred at around 60, 95, 95, and 115 milliseconds later, respectively, for the four tested inhalers, with a drop in the velocity between the two peaks. Three probability density functions (PDFs) were tested, and the Rosin-Rammler PDF best fit the empirical data, as determined using a chi-squared test. These results suggest that there is a difference in the mean particle velocities at the centerline for the tested pMDIs and the diameter of released particles varied statistically for each brand.

  6. Enhanced Web-Based Otitis Study Case vs. Simple Paper-Case: Impact on Medical Student Objective Structured Clinical Exam Performance

    Directory of Open Access Journals (Sweden)

    Michael H. Malloy, M.D., M.S.

    2002-01-01

    Full Text Available Background: Distance education methods have taken on greater importance as medical student education has moved off campus into the community. What the best methods are for conveying information to students at distant sites has not been determined. Objective: To determine if students at distant community sites who received an otitis media study case by e-mail that was enhanced with a referral to a web-based otitis study case, performed better on otitis OSCE stations than students who received the same case not enhanced with visuals or referrals to a web-based otitis case. Design/Methods: Students were randomized by community site to receive either the enhanced (E or simple otitis study case (S. Students were e-mailed an otitis media study case during the 5th week of the rotation. Those randomized to the E-case received a case that started with a case scenario followed by a "Task" that instructed them to go to this web address: http://www.aap.org/otitismedia/www/vc/ear/index.cfm (American Academy of Pediatrics Otitis Web Site. They were then to select "Case 1" which was a continuation of the case scenario present on their e-mail. A list of learning objectives was also printed on the e-mail. Students receiving the S-case viewed the same case scenario and objectives, but were not instructed to go to the web page. All students rotated through two OSCE otitis stations. In the first station they interviewed a simulated patient(OSCE-SP and counseled her on the management of her 12 month old with otitis. Within that station they viewed a video of a pneumoscopic exam of two ears, one ear with otitis and the other ear normal. At the 2nd otitis station the student presented the case to a faculty and was asked a series of questions about otitis media(OSCE-PR. Scores on the two stations were compared by group. Results: There were 198 students who took the OSCE. 178 (90% responded to a survey that indicated they had opened and read the e-mailed case. There

  7. Scatter and leakage contributions to the out-of-field absorbed dose distribution in water phantom around the medical LINAC radiation beams

    International Nuclear Information System (INIS)

    Bordy, J.M.; Bessiere, I.; Ostrowsky, A.; Poumarede, B.; Sorel, S.; Vermesse, D.

    2013-01-01

    This work is carried out within the framework of EURADOS Working Group 9 (WG9) whose general objective is 'to assess non-target organ doses in radiotherapy and the related risks of second cancers, with the emphasis on dosimetry'. The objective of the present work is to provide reference values (i) to evaluate the current methods of deriving three-dimensional dose distributions in and around the target volume using passive dosimeters, (ii) to derive the leakage dose from the head of the medical linear accelerator (LINAC) and the doses due to scattered radiation from the collimator edges and the body (phantom) itself. Radiation qualities of 6, 12 and 20 MV are used with standard calibration conditions described in IAEA TRS 398 and nonstandard conditions at a reference facility at the Laboratoire National Henri Becquerel (CEA LIST/LNE LNHB). An ionisation chamber is used to measure profile and depth dose in especially design water phantom built to enable investigation of doses up to 60 cm from the beam axis. A first set of experiments is carried out with the beam passing through the tank. From this first experiment, penumbra and out-of-field dose profiles including water and collimator scatter and leakage are found over three orders of magnitude. Two further sets of experiments using the same experimental arrangement with the beam outside the tank, to avoid water scatter, are designed to measure collimator scatter and leakage by closing the jaws of the collimator. It is shown that the ratios between water scatter, collimator scatter and leakage depend on the photon energy. Depending on the energy, typical leakage and collimator scatter represents 10-40% and 30-50% of the total out-of-field doses respectively. Water scatter decreases with energy while leakage increases with energy, and collimator scatter varies only slowly with energy. (authors)

  8. Direct and indirect costs for adverse drug events identified in medical records across care levels, and their distribution among payers.

    Science.gov (United States)

    Natanaelsson, Jennie; Hakkarainen, Katja M; Hägg, Staffan; Andersson Sundell, Karolina; Petzold, Max; Rehnberg, Clas; Jönsson, Anna K; Gyllensten, Hanna

    2017-11-01

    Adverse drug events (ADEs) cause considerable costs in hospitals. However, little is known about costs caused by ADEs outside hospitals, effects on productivity, and how the costs are distributed among payers. To describe the direct and indirect costs caused by ADEs, and their distribution among payers. Furthermore, to describe the distribution of patient out-of-pocket costs and lost productivity caused by ADEs according to socio-economic characteristics. In a random sample of 5025 adults in a Swedish county, prevalence-based costs for ADEs were calculated. Two different methods were used: 1) based on resource use judged to be caused by ADEs, and 2) as costs attributable to ADEs by comparing costs among individuals with ADEs to costs among matched controls. Payers of costs caused by ADEs were identified in medical records among those with ADEs (n = 596), and costs caused to individual patients were described by socio-economic characteristics. Costs for resource use caused by ADEs were €505 per patient with ADEs (95% confidence interval €345-665), of which 38% were indirect costs. Compared to matched controls, the costs attributable to ADEs were €1631, of which €410 were indirect costs. The local health authorities paid 58% of the costs caused by ADEs. Women had higher productivity loss than men (€426 vs. €109, p = 0.018). Out-of-pocket costs displaced a larger proportion of the disposable income among low-income earners than higher income earners (0.7% vs. 0.2%-0.3%). We used two methods to identify costs for ADEs, both identifying indirect costs as an important component of the overall costs for ADEs. Although the largest payers of costs caused by ADEs were the local health authorities responsible for direct costs, employers and patients costs for lost productivity contributed substantially. Our results indicate inequalities in costs caused by ADEs, by sex and income. Copyright © 2016 Elsevier Inc. All rights reserved.

  9. Monitoring and analysis of the change process in curriculum mapping compared to the National Competency-based Learning Objective Catalogue for Undergraduate Medical Education (NKLM at four medical faculties. Part I: Conducive resources and structures

    Directory of Open Access Journals (Sweden)

    Lammerding-Koeppel, Maria

    2017-02-01

    Full Text Available Objective: After passing of the National Competency-based Learning Objectives Catalogue in Medicine (Nationaler Kompetenzbasierter Lernzielkatalog Medizin, [, retrieved on 22.03.2016], the German medical faculties must take inventory and develop their curricula. NKLM contents are expected to be present, but not linked well or sensibly enough in locally grown curricula. Learning and examination formats must be reviewed for appropriateness and coverage of the competences. The necessary curricular transparency is best achieved by systematic curriculum mapping, combined with effective change management. Mapping a complex existing curriculum and convincing a faculty that this will have benefits is not easy. Headed by Tübingen, the faculties of Freiburg, Heidelberg, Mannheim and Tübingen take inventory by mapping their curricula in comparison to the NKLM, using the dedicated web-based MER-database. This two-part article analyses and summarises how NKLM curriculum mapping could be successful in spite of resistance at the faculties. The target is conveying the widest possible overview of beneficial framework conditions, strategies and results. Part I of the article shows the beneficial resources and structures required for implementation of curriculum mapping at the faculties. Part II describes key factors relevant for motivating faculties and teachers during the mapping process.Method: The network project was systematically planned in advance according to steps of project and change management, regularly reflected on and adjusted together in workshops and semi-annual project meetings. From the beginning of the project, a grounded-theory approach was used to systematically collect detailed information on structures, measures and developments at the faculties using various sources and methods, to continually analyse them and to draw a final conclusion (sources: surveys among the project participants with questionnaires, semi-structured group interviews

  10. Monitoring and analysis of the change process in curriculum mapping compared to the National Competency-based Learning Objective Catalogue for Undergraduate Medical Education (NKLM) at four medical faculties. Part I: Conducive resources and structures.

    Science.gov (United States)

    Lammerding-Koeppel, Maria; Giesler, Marianne; Gornostayeva, Maryna; Narciss, Elisabeth; Wosnik, Annette; Zipfel, Stephan; Griewatz, Jan; Fritze, Olaf

    2017-01-01

    Objective: After passing of the National Competency-based Learning Objectives Catalogue in Medicine (Nationaler Kompetenzbasierter Lernzielkatalog Medizin, [NKLM, retrieved on 22.03.2016]), the German medical faculties must take inventory and develop their curricula. NKLM contents are expected to be present, but not linked well or sensibly enough in locally grown curricula. Learning and examination formats must be reviewed for appropriateness and coverage of the competences. The necessary curricular transparency is best achieved by systematic curriculum mapping, combined with effective change management. Mapping a complex existing curriculum and convincing a faculty that this will have benefits is not easy. Headed by Tübingen, the faculties of Freiburg, Heidelberg, Mannheim and Tübingen take inventory by mapping their curricula in comparison to the NKLM, using the dedicated web-based MER LIN -database. This two-part article analyses and summarises how NKLM curriculum mapping could be successful in spite of resistance at the faculties. The target is conveying the widest possible overview of beneficial framework conditions, strategies and results. Part I of the article shows the beneficial resources and structures required for implementation of curriculum mapping at the faculties. Part II describes key factors relevant for motivating faculties and teachers during the mapping process. Method: The network project was systematically planned in advance according to steps of project and change management, regularly reflected on and adjusted together in workshops and semi-annual project meetings. From the beginning of the project, a grounded-theory approach was used to systematically collect detailed information on structures, measures and developments at the faculties using various sources and methods, to continually analyse them and to draw a final conclusion (sources: surveys among the project participants with questionnaires, semi-structured group interviews and

  11. Boundary-Object Trimming

    DEFF Research Database (Denmark)

    Bossen, Claus; Jensen, Lotte Groth; Udsen, Flemming Witt

    2014-01-01

    implementation, which also coupled the work of medical secretaries more tightly to that of other staff, and led to task drift among professions. Medical secretaries have been relatively invisible to health informatics and CSCW, and we propose the term ‘boundary-object trimming’ to foreground and conceptualize...

  12. Associations between accelerometer-assessed sedentary behavior, physical activity and objectively-measured cardiorespiratory fitness with red blood cell distribution width.

    Science.gov (United States)

    Edwards, Meghan K; Loprinzi, Paul D

    2016-10-15

    Emerging work identifies red blood cell distribution width (RDW) as a unique biomarker independently associated with cardiovascular disease and mortality. Encouragingly, recent research demonstrates individual associations of sedentary behavior, physical activity and cardiorespiratory fitness with RDW. However, no study has evaluated their independent and combined associations on RDW, which was this study's purpose. Data from the 2003-2004 National Health and Nutrition Examination Survey were used (N=627 adults 20-49yrs). Sedentary behavior and MVPA were objectively assessed (accelerometry) with cardiorespiratory fitness determined from a submaximal treadmill-based test. Participants were classified as above or below the median values for each of these three parameters, with a PACS (Physical Activity Cardiorespiratory Sedentary) score ranging from 0 to 3, indicating the participant number of these three positive characteristics. A blood sample was obtained from each participant to assess RDW. Only above median MVPA (OR=0.47; 95% CI: 0.32-0.68) was independently associated with a reduced odds of having an elevated RDW. With regard to the additive model, and after adjustment, the odds ratio (95% CI) for the PACS score of 1 (vs. 0), 2 (vs. 0), and 3 (vs. 0), respectively, were 0.81 (0.45-1.45; P=0.46), 0.66 (0.44-0.99; P=0.04) and 0.35 (0.18-0.68; P=0.004). When considering sedentary behavior, MVPA, and cardiorespiratory fitness, only MVPA was associated with reduced odds of elevated RDW, but those with all three characteristics had the lowest odds of elevated RDW. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  13. A Corpus-Based Lexical Study on Frequency and Distribution of Coxhead's Awl Word Families in Medical Research Articles (RAs)

    Science.gov (United States)

    Chen, Qi; Guang-Chun, Ge

    2007-01-01

    We conducted a lexical study on the word frequency and the text coverage of the 570 word families from Coxhead's Academic Word List (AWL) in medical research articles (RAs) based on a corpus of 50 medical RAs written in English with 190425 running words. By computer analysis, we found that the text coverage of the AWL words accounted for around…

  14. COAGULATION CALCULATIONS OF ICY PLANET FORMATION AT 15-150 AU: A CORRELATION BETWEEN THE MAXIMUM RADIUS AND THE SLOPE OF THE SIZE DISTRIBUTION FOR TRANS-NEPTUNIAN OBJECTS

    Energy Technology Data Exchange (ETDEWEB)

    Kenyon, Scott J. [Smithsonian Astrophysical Observatory, 60 Garden Street, Cambridge, MA 02138 (United States); Bromley, Benjamin C., E-mail: skenyon@cfa.harvard.edu, E-mail: bromley@physics.utah.edu [Department of Physics, University of Utah, 201 JFB, Salt Lake City, UT 84112 (United States)

    2012-03-15

    We investigate whether coagulation models of planet formation can explain the observed size distributions of trans-Neptunian objects (TNOs). Analyzing published and new calculations, we demonstrate robust relations between the size of the largest object and the slope of the size distribution for sizes 0.1 km and larger. These relations yield clear, testable predictions for TNOs and other icy objects throughout the solar system. Applying our results to existing observations, we show that a broad range of initial disk masses, planetesimal sizes, and fragmentation parameters can explain the data. Adding dynamical constraints on the initial semimajor axis of 'hot' Kuiper Belt objects along with probable TNO formation times of 10-700 Myr restricts the viable models to those with a massive disk composed of relatively small (1-10 km) planetesimals.

  15. Basic concepts and issues: a primer on distribution and sales representative agreements in the medical device and durable medical equipment industries.

    Science.gov (United States)

    Burow, Heiko E; Kolls, Raymond C

    2006-01-01

    Counsel for a manufacturer of medical devices or durable medical equipment must have working knowledge of various legal disciplines to draft contracts with intermediaries (sales representatives and distributors) for the marketing and sale of the manufacturer's products. If the manufacturer wishes to sell its products abroad, counsel must become familiar with the laws and business practices of the target country, and methods of gaining access to the foreign market. This Article gives readers an overview of the applicable legal principles, under U.S. and foreign laws, in the areas of agency, contracts, healthcare regulation, consumer protection, intellectual property protection, and dealer protection. To aid counsel in drafting intermediary agreements, specific contractual terms and issues are explored in depth, including: appointment clauses, performance provisions, provisions concerning pricing and payment, protective clauses (shielding the manufacturer from liability), term and termination provisions, independent contractor clauses, export control clauses, recordkeeping and audit provisions, choice of law clauses, and dispute resolution clauses.

  16. Recognition difference and improvement direction of the radiological technologists and patient against medical service in department radiology - Inchon area in the object

    International Nuclear Information System (INIS)

    An, Sung Min; Kim, Sung Chul

    2006-01-01

    Satisfaction of the patient against the medical service in department of radiology and it evaluated the different recognition of radiological technologist and patient, and investigates it's improvement direction. It sent the reply the above the which is a usual result in question result of the most that, the receipt process it was complicated in the portion which is insufficient. 'The receipt process is complication', 'waiting time is long' and ' don't radiation protection for patient and guardian'. Also these a facts was recognizing patients and radiological technologist all. And the effort of the radiological technologist is necessary with the method which reduces a recognition difference. The periodical medical service satisfaction investigates and must endeavor in reform measure preparation

  17. Modeling nurses' attitude toward using automated unit-based medication storage and distribution systems: an extension of the technology acceptance model.

    Science.gov (United States)

    Escobar-Rodríguez, Tomás; Romero-Alonso, María Mercedes

    2013-05-01

    This article analyzes the attitude of nurses toward the use of automated unit-based medication storage and distribution systems and identifies influencing factors. Understanding these factors provides an opportunity to explore actions that might be taken to boost adoption by potential users. The theoretical grounding for this research is the Technology Acceptance Model. The Technology Acceptance Model specifies the causal relationships between perceived usefulness, perceived ease of use, attitude toward using, and actual usage behavior. The research model has six constructs, and nine hypotheses were generated from connections between these six constructs. These constructs include perceived risks, experience level, and training. The findings indicate that these three external variables are related to the perceived ease of use and perceived usefulness of automated unit-based medication storage and distribution systems, and therefore, they have a significant influence on attitude toward the use of these systems.

  18. The Impact of Health Changes on Labor Supply: Evidence from Merged Data on Individual Objective Medical Diagnosis Codes and Early Retirement Behavior

    DEFF Research Database (Denmark)

    Christensen, Bent Jesper; Kallestrup-Lamb, Malene

    with a host of demographic, labor market and financial regressors. The panel structure of the data allows following individuals year by year from the age of 50 and precisely measure changes in objectively measured health and other regressors, as well as labor market status. We consider 12 broad, mutually...

  19. MULTIPLE OBJECTS

    Directory of Open Access Journals (Sweden)

    A. A. Bosov

    2015-04-01

    Full Text Available Purpose. The development of complicated techniques of production and management processes, information systems, computer science, applied objects of systems theory and others requires improvement of mathematical methods, new approaches for researches of application systems. And the variety and diversity of subject systems makes necessary the development of a model that generalizes the classical sets and their development – sets of sets. Multiple objects unlike sets are constructed by multiple structures and represented by the structure and content. The aim of the work is the analysis of multiple structures, generating multiple objects, the further development of operations on these objects in application systems. Methodology. To achieve the objectives of the researches, the structure of multiple objects represents as constructive trio, consisting of media, signatures and axiomatic. Multiple object is determined by the structure and content, as well as represented by hybrid superposition, composed of sets, multi-sets, ordered sets (lists and heterogeneous sets (sequences, corteges. Findings. In this paper we study the properties and characteristics of the components of hybrid multiple objects of complex systems, proposed assessments of their complexity, shown the rules of internal and external operations on objects of implementation. We introduce the relation of arbitrary order over multiple objects, we define the description of functions and display on objects of multiple structures. Originality.In this paper we consider the development of multiple structures, generating multiple objects.Practical value. The transition from the abstract to the subject of multiple structures requires the transformation of the system and multiple objects. Transformation involves three successive stages: specification (binding to the domain, interpretation (multiple sites and particularization (goals. The proposed describe systems approach based on hybrid sets

  20. 10 CFR 32.74 - Manufacture and distribution of sources or devices containing byproduct material for medical use.

    Science.gov (United States)

    2010-01-01

    ... 10 Energy 1 2010-01-01 2010-01-01 false Manufacture and distribution of sources or devices... SPECIFIC DOMESTIC LICENSES TO MANUFACTURE OR TRANSFER CERTAIN ITEMS CONTAINING BYPRODUCT MATERIAL Generally Licensed Items § 32.74 Manufacture and distribution of sources or devices containing byproduct material for...

  1. Verfügbarkeit elektronischer Lehr- und Lernmodule für die Aus- und Weiterbildung in der Humanmedizin [Availability of learning objects for graduate and continuing medical education

    Directory of Open Access Journals (Sweden)

    Stausberg, Jürgen

    2008-11-01

    Full Text Available [english] A great number of learning objects is available for graduate and continuing medical education. Nevertheless, it is not known how well the range of available learning objects covers the needs of the various medical fields. To get an idea of this, the content of two catalogs of learning objects (LRSMed and KELDAmed was compared with the study regulations of the medical faculty of the University of Duisburg-Essen on the one hand and with the 2006 directory of certified medical specialists on the other hand. Spearman’s rank correlation coefficient was used as concordance measure in addition to a qualitative assessment. Correlation coefficients of 0.495 (LRSMed and 0.510 (KELDAmed show a relevant concordance with study regulations, while correlation coefficients of 0.300 and –0.182 reveal a worse concordance with continuing medical education. Therefore, the offers for graduate medical education correspond well with the medical fields, based on number of hours per semester per course. The absolute number of 1,822 learning objects from LRSMed and 1,769 from KELDAmed is excellent as well. The gap for continuing medical education can now be closed by means of funding from professional organizations and medical faculties and through healthcare policies. The quality of the learning objects offered by LRSMed and KELDAmed remains unknown, as there is yet no reliable and valid approach for assessing their quality. [german] Elektronische Lehr- und Lernmodule stehen inzwischen in großer Zahl für Aus- und Weiterbildung in der Humanmedizin zur Verfügung. Ob das Angebot die Fachgebiete in der erforderlichen Breite abdeckt ist unbekannt. Für eine erste Einschätzung wurden die Ressourcen von zwei umfassenden Katalogen, dem Learning Resource Server Medizin (LRSMed und der Kommentierten E-Learning Datenbank Medizin (KELDAmed, der Studienordnung der Medizinischen Fakultät der Universität Duisburg-Essen sowie der Ärztestatistik 2006 zu

  2. Propelling Extended Objects

    Science.gov (United States)

    Humbert, Richard

    2010-01-01

    A force acting on just part of an extended object (either a solid or a volume of a liquid) can cause all of it to move. That motion is due to the transmission of the force through the object by its material. This paper discusses how the force is distributed to all of the object by a gradient of stress or pressure in it, which creates the local…

  3. Elegant objects

    CERN Document Server

    Bugayenko, Yegor

    2017-01-01

    There are 23 practical recommendations for object-oriented programmers. Most of them are completely against everything you've read in other books. For example, static methods, NULL references, getters, setters, and mutable classes are called evil. Compound variable names, validators, private static literals, configurable objects, inheritance, annotations, MVC, dependency injection containers, reflection, ORM and even algorithms are our enemies.

  4. Objective lens

    Science.gov (United States)

    Olczak, Eugene G. (Inventor)

    2011-01-01

    An objective lens and a method for using same. The objective lens has a first end, a second end, and a plurality of optical elements. The optical elements are positioned between the first end and the second end and are at least substantially symmetric about a plane centered between the first end and the second end.

  5. Quality, quantity and distribution of medical education and care: regulation by the private sector or mandate by government?

    Science.gov (United States)

    Anlyan, W G

    1975-05-01

    The public, the federal government and most state governments have become increasingly concerned with the lack of access to primary care as well as the specialty and geographic maldistribution problems. Currently, there is a race in progress between the private sector and the federal government to devise solutions to these problems. In the federal sector, varying pieces of legislation are under active consideration to mandate the correction of specialty and geographic maldistribution; proposals include: 1) setting up federal machinery to regulate the numbers and types of residencies; 2) make obligatory the creation of Departments of Family Practice in each medical school; 3) withdraw current education support from medical schools causing tuition levels to increase substantially--federal student loans would then provide the necessary leverage to obligate the borrower to two years of service in an under-served area in exchange for loan forgiveness. In the private sector, for the first time in the history of the United States, the five major organizations involved in medical care have organized to form the Coordinating Council on Medical Education (CCME) and the Liaison Committee on Graduate Medical Education (LCGME). One of the initial major endeavors of the CCME has been to address itself to the problem of specialty maldistribution. The LCGME has been tooling up to become the accrediting group for residency training thus providing an overview of the quality and quantity of specialty training. It will be the intent of this presentation to bring the membership of the Southern Surgical Association an up-to-date report on these parallel efforts. The author's personal hope is that the private sector can move sufficiently rapidly to set up its own regulatory mechanisms and avert another federally controlled bureaucracy that will forever change the character of the medical profession in the United States.

  6. SPECIFIC DIFFERENTIATION AND EPIDEMIOLOGICAL MARKING OF STAPHYLOCOCCUS AUREUS STRAINS DISTINGUISHED FROM THE CARRIERS OF MEDICAL PERSONNEL AND OBJECTS OF EXTERNAL ENVIRONMENT IN CURATIVE INSTITUTIONS OF THE SOUTH RAILWAY

    Directory of Open Access Journals (Sweden)

    Grechishkina Y.A.,

    2011-06-01

    Full Text Available Carried out specific differentiation of pathogenic strains of Staphylococcus aureus, which were isolated from various environmental objects surgical hospital, biomaterials from patients. The results of the research brought together strains of pathogenic staphylococci in the lytic group and 4 show the frequency of detection of each analytic group in the particular material. Received the rationale for the introduction of phage-typing method in the practical work of bacteriological laboratories, epidemiological control software in the hospital for bacteriological indicators to effectively combat nosocomial infections.

  7. Do primary health centres and hospitals contribute equally towards achievement of the transversal clinical competencies of medical students? Performance on the Objective Structured Clinical Examination (OSCE) in competency acquisition.

    Science.gov (United States)

    Soler-González, Jorge; Buti, Miquel; Boada, Jordi; Ayala, Victoria; Peñascal, Eduard; Rodriguez, Toni

    2016-01-01

    The adaptation of the educational programmes of European faculties of medicine to the European Higher Education Area guidelines has focused curricula design on competence acquisition. Competencies are defined as the achievements of a predetermined level of efficacy in real-world scenarios. Our objective was to assess whether performance on a common competence evaluation test, the Objective Structured Clinical Examination (OSCE), resulted in different scores for second-year students after a practical medical training course took place in a primary health centre (PHC) or in a hospital. A descriptive study was conducted during the 2010-2014 academic year of the OSCE test scores obtained by all second-year students. Faculty of Medicine at the University of Lleida (Catalonia, Spain). We performed a correlation analysis between students who completed their practical medical training at the PHC and hospitals utilising Student's t-test for comparison of means. 423 students who completed internships at the PHC and at hospitals obtained OSCE mean scores of 7.32 (SD; IC) (0.82; 7.18-7.47) points and 7.17 (0.83; 6.07-7.26) points, respectively (p=0.07). Second-year medical students acquired similar competency levels in the two analysed training scenarios. The two areas both serve their teaching purpose. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  8. Extended objects

    International Nuclear Information System (INIS)

    Creutz, M.

    1976-01-01

    After some disconnected comments on the MIT bag and string models for extended hadrons, I review current understanding of extended objects in classical conventional relativistic field theories and their quantum mechanical interpretation

  9. Trusted Objects

    International Nuclear Information System (INIS)

    CAMPBELL, PHILIP L.; PIERSON, LYNDON G.; WITZKE, EDWARD L.

    1999-01-01

    In the world of computers a trusted object is a collection of possibly-sensitive data and programs that can be allowed to reside and execute on a computer, even on an adversary's machine. Beyond the scope of one computer we believe that network-based agents in high-consequence and highly reliable applications will depend on this approach, and that the basis for such objects is what we call ''faithful execution.''

  10. Optimization of Temperature Distributions in Critical Cross-sections of Load-bearing Structures of Measurement Optical Systems of Autonomous Objects

    Directory of Open Access Journals (Sweden)

    Livshits Michael Yu.

    2017-01-01

    Full Text Available Problem of the automatic thermogradient stabilization of the constructive elements sizes is discussed. The actual problem is the determination of the control algorithm controlled heat sources, providing them with the minimum possible number of minimal deviation from the desired temperature in a given cross-section design. The proposed procedure for solving optimal control of temperature distribution in the numerical design of its implementation, allows obtaining results that are suitable for approximate implementation in on-Board computers, Autonomous systems and significantly reduce thermal deformation component of the measurement error.

  11. Interactive genetic algorithm for user-centered design of distributed conservation practices in a watershed: An examination of user preferences in objective space and user behavior

    Science.gov (United States)

    Piemonti, Adriana Debora; Babbar-Sebens, Meghna; Mukhopadhyay, Snehasis; Kleinberg, Austin

    2017-05-01

    Interactive Genetic Algorithms (IGA) are advanced human-in-the-loop optimization methods that enable humans to give feedback, based on their subjective and unquantified preferences and knowledge, during the algorithm's search process. While these methods are gaining popularity in multiple fields, there is a critical lack of data and analyses on (a) the nature of interactions of different humans with interfaces of decision support systems (DSS) that employ IGA in water resources planning problems and on (b) the effect of human feedback on the algorithm's ability to search for design alternatives desirable to end-users. In this paper, we present results and analyses of observational experiments in which different human participants (surrogates and stakeholders) interacted with an IGA-based, watershed DSS called WRESTORE to identify plans of conservation practices in a watershed. The main goal of this paper is to evaluate how the IGA adapts its search process in the objective space to a user's feedback, and identify whether any similarities exist in the objective space of plans found by different participants. Some participants focused on the entire watershed, while others focused only on specific local subbasins. Additionally, two different hydrology models were used to identify any potential differences in interactive search outcomes that could arise from differences in the numerical values of benefits displayed to participants. Results indicate that stakeholders, in comparison to their surrogates, were more likely to use multiple features of the DSS interface to collect information before giving feedback, and dissimilarities existed among participants in the objective space of design alternatives.

  12. Lehre am Puls der Zeit - Global Health in der Medizinischen Ausbildung: Positionen, Lernziele und methodische Empfehlungen [Cutting-Edge Education - Global Health in Medical Training: Prosposals, Educational Objectives and Methodological Recommendations

    Directory of Open Access Journals (Sweden)

    Bozorgmehr, Kayvan

    2009-05-01

    Full Text Available [english] Aim: To formulate a guideline on educational objectives and methodology for the implementation of the cross-disciplinary subject “Global Health” in German medical education, on the initiative of the German Medical Students’ Association (bvmd Germany. Methods: For this purpose, the Globalisation and Health Initiative (GandHI of bvmd Germany established the “Global Health Curriculum” working group in May 2008. Review and assessment of available international literature regarding Global Health in medical education. Multilevel consensus development process from May 2008 to January 2009 by means of workshops, group discussions, teleconferences, and e-mail. Results: The bvmd Germany calls for The formulation of 15 general educational objectives based on proposals (ii and (iii. Three clusters shall formulate specific objectives: Regarding form, duration, and implementation of courses. [german] Zielsetzung: Formulierung einer Leitlinie zu Lernzielen und der praktischen Umsetzung eines disziplinübergreifenden Fachgebiets „Global Health“ für die medizinische Ausbildung in Deutschland aus Sicht der Bundesvertretung der Medizinstudierenden (bvmd. Methodik: Initiierung des Arbeitskreises „Global Health Curriculum“ innerhalb der Globalisation and Health Initiative (GandHI der bvmd im Mai 2008. Nicht-systematische Recherche und Bewertung nationaler und internationaler Literatur zu Global Health in der medizinischen Ausbildung. Mehrstufiger Konsensbildungsprozess von Mai 2008 bis Januar 2009 durch Workshops, Arbeitstreffen, Gruppendiskussionen, Telefonkonferenzen und Email-Kommunikation, initiert und koordiniert durch den Arbeitskreis „Global Health Curriculum“ der GandHI. Ergebnisse: : Die bvmd plädiert für Formulierung von 15 allgemeinen Lernzielen, aufbauend auf den Positionen (ii und (iii. Bestehend aus Aufbauend auf Position (iv wird nahe gelegt, entsprechende Kurse als Tagesveranstaltung in Seminarform mit einer Dauer

  13. Computers in medical education 2. Use of a computer package to supplement the clinical experience in a surgical clerkship: an objective evaluation.

    Science.gov (United States)

    Devitt, P; Cehic, D; Palmer, E

    1998-06-01

    Student teaching of surgery has been devolved from the university in an effort to increase and broaden undergraduate clinical experience. In order to ensure uniformity of learning we have defined learning objectives and provided a computer-based package to supplement clinical teaching. A study was undertaken to evaluate the place of computer-based learning in a clinical environment. Twelve modules were provided for study during a 6-week attachment. These covered clinical problems related to cardiology, neurosurgery and gastrointestinal haemorrhage. Eighty-four fourth-year students undertook a pre- and post-test assessment on these three topics as well as acute abdominal pain. No extra learning material on the latter topic was provided during the attachment. While all students showed significant improvement in performance in the post-test assessment, those who had access to the computer material performed significantly better than did the controls. Within the topics, students in both groups performed equally well on the post-test assessment of acute abdominal pain but the control group's performance was significantly lacking on the topic of gastrointestinal haemorrhage, suggesting that the bulk of learning on this subject came from the computer material and little from the clinical attachment. This type of learning resource can be used to supplement the student's clinical experience and at the same time monitor what they learn during clinical clerkships and identify areas of weakness.

  14. The Coldest Object in the Universe: Probing the Mass Distribution of the Ultra-Cold Outflow and Dusty Disk in the Boomerang Nebula

    Science.gov (United States)

    Sahai, R.; Vlemmings, W.; Nyman, L.

    2015-12-01

    Our Cycle 0 ALMA observations confirmed that the Boomerang Nebula is the coldest known object in the Universe, with a massive high-speed outflow that has cooled significantly below the temperature of the cosmic background (CMB). The Boomerang's prodigious mass-loss rate (0.001M⊙) and low-luminosity (300L⊙) make it a key object for understanding the remarkable transition of the circumstellar envelopes of AGB stars into bipolar planetary nebulae. We have obtained new ACA CO 1-0 data that recover much of the flux lost in the Cycle 0 data, and reveal heretofore unseen distant regions of the ultra-cold outflow re-heated to temperatures above the CMB. Our CO J=3-2 data reveal the precise, highly collimated shape of an inner bipolar structure and its dense central waist, with unprecedented angular resolution (0.4”). The waist shows a core-halo structure in the thermal dust emission at 0.88 mm, and its derived flux at this wavelength, compared with the 3.3, 2.6, and 1.3 mm fluxes support the presence of about 5×10-4 M⊙ of very large (˜mm-sized), cold (˜30K) grains. We also find the unexpected presence of weak SO emission, possibly resulting from the release of S from grains due to high-speed shocks.

  15. The Coldest Object in the Universe: Probing the Mass Distribution of the Ultra-Cold Outflow and Dusty Disk in the Boomerang Nebula

    Science.gov (United States)

    Sahai, R.; Vlemmings, W.; Nyman, L. A.

    2014-01-01

    Our Cycle 0 ALMA observations confirmed that the Boomerang Nebula is the coldest known object in the universe, with a massive high-speed outflow that has cooled significantly below the temperature of the cosmic background (CMB). The Boomerang's prodigious mass-loss rate (0.001 solar mass M yr (exp -1) and low-luminosity (300L ) make it a key object for understanding the remarkable transition of the circumstellar envelopes of AGB stars into bipolar planetary nebulae. We have obtained new ACA CO 1-0 data that recover much of the flux lost in the Cycle O data, and reveal heretofore unseen distant regions of the ultra-cold outflow reheated to temperatures above the CMB. Our CO J=3-2 data reveal the precise, highly collimated shape of an inner bipolar structure and its dense central waist, with unprecedented angular resolution (0.4 in). The waist shows a core-halo structure in the thermal dust emission at 0.88 millimeter, and its derived flux at this wavelength, compared with the 3.3, 2.6, and 1.3 millimeter fluxes support the presence of about 5 x 10 (exp -4) solar mass of very large (approximately millimeter-sized), cold (approximately 30K) grains. We also find the unexpected presence of weak SO emission, possibly resulting from the release of S from grains due to high-speed shocks.

  16. Supply and Distribution of Physicians and Physician Extenders. A Background Paper Prepared for the Graduate Medical Education National Advisory Committee

    Science.gov (United States)

    Health Resources Administration (DHEW/PHS), Bethesda, MD. Div. of Medicine.

    Inequities of access to health care and service provisions are considered to be major problems by health policy-makers today. These inequities result from disparities in physician distribution by specialty and geography that are concealed by aggregate analyses of physician supply. This paper describes what is presently known about physician supply…

  17. A comparison between tracer gas and aerosol particles distribution indoors: The impact of ventilation rate, interaction of airflows, and presence of objects

    DEFF Research Database (Denmark)

    Bivolarova, Mariya Petrova; Ondráček, Jakub; Melikov, Arsen Krikor

    2017-01-01

    for the exposure to all different-sized test particles. A change in the ventilation rate did not affect the difference in concentration distribution between tracer gas and larger particle sizes. Increasing the room surface area did not influence the similarity in the dispersion of the aerosol particles...... room with mixing ventilation. Three layouts were arranged: an empty room, an office room with an occupant sitting in front of a table, and a single-bed hospital room. The room occupant was simulated by a thermal manikin. Monodisperse particles of three sizes (0.07, 0.7, and 3.5 μm) and nitrous oxide...... tracer gas were generated simultaneously at the same location in the room. The particles and gas concentrations were measured in the bulk room air, in the breathing zone of the manikin, and in the exhaust air. Within the breathing zone of the sitting occupant, the tracer gas emerged as reliable predictor...

  18. Distribution of residual long-lived radioactivity in the inner concrete walls of a compact medical cyclotron vault room.

    Science.gov (United States)

    Fujibuchi, Toshioh; Nohtomi, Akihiro; Baba, Shingo; Sasaki, Masayuki; Komiya, Isao; Umedzu, Yoshiyuki; Honda, Hiroshi

    2015-01-01

    Compact medical cyclotrons have been set up to generate the nuclides necessary for positron emission tomography. In accelerator facilities, neutrons activate the concrete used to construct the vault room; this activation increases with the use of an accelerator. The activation causes a substantial radioactive waste management problem when facilities are decommissioned. In the present study, several concrete cores from the walls, ceiling and floor of a compact medical cyclotron vault room were samples 2 years after the termination of operations, and the radioactivity concentrations of radionuclides were estimated. Cylindrical concrete cores 5 cm in diameter and 10 cm in length were bored from the concrete wall, ceiling and floor. Core boring was performed at 18 points. The gamma-ray spectrum of each sample was measured using a high-purity germanium detector. The degree of activation of the concrete in the cyclotron vault room was analyzed, and the range and tendency toward activation in the vault room were examined. (60)Co and (152)Eu were identified by gamma-ray spectrometry of the concrete samples. (152)Eu and (60)Co are produced principally from the stable isotopes of europium and cobalt by neutron capture reactions. The radioactivity concentration did not vary much between the surface of the concrete and at a depth of 10 cm. Although the radioactivity concentration near the target was higher than the clearance level for radioactive waste indicated in IAEA RS-G-1.7, the mean radioactivity concentration in the walls and floor was lower than the clearance level. The radioactivity concentration of the inner concrete wall of the medical cyclotron vault room was not uniform. The areas exceeding the clearance level were in the vicinity of the target, but most of the building did not exceed the clearance levels.

  19. Fashion Objects

    DEFF Research Database (Denmark)

    Andersen, Bjørn Schiermer

    2009-01-01

    -- an outline which at the same time indicates the need for transformations of the Durkheimian model on decisive points. Thus, thirdly, it returns to Durkheim and undertakes to develop his concepts in a direction suitable for a sociological theory of fashion. Finally, it discusses the theoretical implications......This article attempts to create a framework for understanding modern fashion phenomena on the basis of Durkheim's sociology of religion. It focuses on Durkheim's conception of the relation between the cult and the sacred object, on his notion of 'exteriorisation', and on his theory of the social...... symbol in an attempt to describe the peculiar attraction of the fashion object and its social constitution. However, Durkheim's notions of cult and ritual must undergo profound changes if they are to be used in an analysis of fashion. The article tries to expand the Durkheimian cult, radically enlarging...

  20. Objective sampling design in a highly heterogeneous landscape - characterizing environmental determinants of malaria vector distribution in French Guiana, in the Amazonian region.

    Science.gov (United States)

    Roux, Emmanuel; Gaborit, Pascal; Romaña, Christine A; Girod, Romain; Dessay, Nadine; Dusfour, Isabelle

    2013-12-01

    Sampling design is a key issue when establishing species inventories and characterizing habitats within highly heterogeneous landscapes. Sampling efforts in such environments may be constrained and many field studies only rely on subjective and/or qualitative approaches to design collection strategy. The region of Cacao, in French Guiana, provides an excellent study site to understand the presence and abundance of Anopheles mosquitoes, their species dynamics and the transmission risk of malaria across various environments. We propose an objective methodology to define a stratified sampling design. Following thorough environmental characterization, a factorial analysis of mixed groups allows the data to be reduced and non-collinear principal components to be identified while balancing the influences of the different environmental factors. Such components defined new variables which could then be used in a robust k-means clustering procedure. Then, we identified five clusters that corresponded to our sampling strata and selected sampling sites in each stratum. We validated our method by comparing the species overlap of entomological collections from selected sites and the environmental similarities of the same sites. The Morisita index was significantly correlated (Pearson linear correlation) with environmental similarity based on i) the balanced environmental variable groups considered jointly (p = 0.001) and ii) land cover/use (p-value sampling approach. Land cover/use maps (based on high spatial resolution satellite images) were shown to be particularly useful when studying the presence, density and diversity of Anopheles mosquitoes at local scales and in very heterogeneous landscapes.

  1. Utilities objectives

    International Nuclear Information System (INIS)

    Cousin, Y.; Fabian, H.U.

    1996-01-01

    The policy of French and german utilities is to make use of nuclear energy as a long term, competitive and environmentally friendly power supply. The world electricity generation is due to double within the next 30 years. In the next 20 to 30 years the necessity of nuclear energy will be broadly recognized. More than for most industries, to deal properly with nuclear energy requires the combination of a consistent political will, of a proper institutional framework, of strong and legitimate control authorities, of a sophisticated industry and of operators with skilled management and human resources. One of the major risk facing nuclear energy is the loss of competitiveness. This can be achieved only through the combination of an optimized design, a consistent standardization, a proper industrial partnership and a stable long term strategy. Although the existing plants in Western Europe are already very safe, the policy is clearly to enhance the safety of the next generation of nuclear plants which are designing today. The French and German utilities have chosen an evolutionary approach based on experience and proven technologies, with an enhanced defense in depth and an objective of easier operation and maintenance. The cost objective is to maintain and improve what has been achieved in the best existing power plants in both countries. This calls for rational choices and optimized design to meet the safety objectives, a strong standardization policy, short construction times, high availability and enough flexibility to enable optimization of the fuel cycle throughout the lifetime of the plants. The conceptual design phase has proven that the French and German teams from industry and from the utilities are able to pursue both the safety and the cost objectives, basing their decision on a rational approach which could be accepted by the safety authorities. (J.S.)

  2. FREQUENCY AND DISTRIBUTION OF ABO & RH BLOOD GROUP IN BILASPUR DISTRICT OF CHHATTISGARH STATE : A STUDY FROM MEDICAL COLLEGE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Bhanu Pratap

    2015-07-01

    Full Text Available BACKGROUND : Approximate 30 blood group systems have discovered and more than 400 erythrocytes antigens are identified. Blood group ABO and Rh are most important among all other blood group systems in transfusion service practices. The frequency of four major blood gr oup s namely A, B, O, AB with Rh Positive and Negative varies in different population of the world and differ also in region and race wise. MATERIAL AND METHOD : This 5 years retrospective study was conducted at Blood Bank of a Medical college Hospital of Bi laspur in Northern Chhattisgarh, catering the 1/3 population of state. Data were collected from the Blood Bank Grouping record from the period of January 2010 to December 2014. Blood group of blood donors and patients were determined by Monoclonal Anti Ser a by slide agglutinations tests. Rare case and difficult case were examined by test tube agglutination method and Matrix Gel System of Tulip. RESULT AND CONCLUSIO N: 31973 subjects were examined for blood group during observation period, Out of these 31092( 97.25% were male and 881 (2.75% were female. The frequency of blood group B in these populations was 11007 (34.42% (33.36% Rh Positive and 1.06% Rh Negative Followed by O were 10864 (33.97% (33.33% Rh Positive and 0.64% Rh Negative, A was 9113 (28.50 % (27.99 % Rh Positive and 0.51% Rh Negative and AB was 989 (3.11% (3.01% Rh Positive and 0.1% Rh Negative. Rhesus group Rh Positive were 31242 (97.7 % and Rh Negative were 731 (2.3 %.

  3. The Dynamical Imprint of Lost Protoplanets on the Trans-Neptunian Populations, and Limits on the Primordial Size Distribution of Trans-Neptunian Objects at Pluto and Larger Sizes.

    Science.gov (United States)

    Shannon, Andrew Brian; Dawson, Rebekah

    2018-04-01

    Planet formation remains a poorly understood process, in part because of our limited access to the intermediate phases of planetesimal and protoplanet growth. Today, the vast majority of the accessible remaining planetesimals and protoplanets reside within the Hot Trans-Neptunian Object population. This population has been depleted by 99% - 99.9% over the course of the Solar system's history, and as such the present day size-number distribution may be incomplete at the large size end. We show that such lost protoplanets would have left signatures in the dynamics of the present-day Trans-Neptunian Populations, and their primordial number can thus be statistically limited by considering the survival of ultra-wide binary TNOs, the Cold Classical Kuiper belt, and the resonant populations. We compare those limits to the predicted size-number distribution of various planetesimal and proto-planet growth models.

  4. [Interprofessional multistation practical training in the auditorium : Implementation of the national competence-based catalog of learning objectives for undergraduate medical education in the cross-sectorial area medicine of aging and the aged at the TU Dresden].

    Science.gov (United States)

    Sauer, Maik; Görnig, Matthias; Voigt, Karen; Schübel, Jeaninne; Bergmann, Antje

    2017-12-05

    The German national competence-based catalogue of learning objectives for undergraduate medical education (NKLM) newly introduced in 2015, provides a variety of learning objectives, competences, as well as practical skills for the cross-sectorial area 7 "Medication of Aging and the Aged" (QB7). Against this background an interdisciplinary teaching concept to mediate all required teaching contents should be developed. Can an interdisciplinary multistation practical course in the auditorium, in which different tasks and skills are trained at each station meet the requirements of the NKLM? Evaluation by questionnaire and rating of answers on a 6-stage Likert scale. Analysis of the qualitative and quantitative evaluation results of 235 participating students and 13 lecturers in 2016. The interdisciplinary multistation practical course in the auditorium is fully compliant with the NKLM. All theoretical and practical contents and competences could be depicted. The subjective learning effect was assessed by students as good (mean = 2.66; SD = 0.94; N = 230). The available teaching time was rated as being too short in qualitative statements. The lecturers attested a high degree of interest by the students (mean = 2.15; SD = 0.86; N = 13), but criticized that the noise level was too loud. Compact, hands-on and interdisciplinary teaching concepts in the QB7 help to make the best use of human and spatial resources and convey all theoretical and practical teaching contents and competences from the NKLM; however, the planning, organization and implementation are very time-consuming.

  5. Solving the interoperability challenge of a distributed complex patient guidance system: a data integrator based on HL7's Virtual Medical Record standard.

    Science.gov (United States)

    Marcos, Carlos; González-Ferrer, Arturo; Peleg, Mor; Cavero, Carlos

    2015-05-01

    We show how the HL7 Virtual Medical Record (vMR) standard can be used to design and implement a data integrator (DI) component that collects patient information from heterogeneous sources and stores it into a personal health record, from which it can then retrieve data. Our working hypothesis is that the HL7 vMR standard in its release 1 version can properly capture the semantics needed to drive evidence-based clinical decision support systems. To achieve seamless communication between the personal health record and heterogeneous data consumers, we used a three-pronged approach. First, the choice of the HL7 vMR as a message model for all components accompanied by the use of medical vocabularies eases their semantic interoperability. Second, the DI follows a service-oriented approach to provide access to system components. Third, an XML database provides the data layer.Results The DI supports requirements of a guideline-based clinical decision support system implemented in two clinical domains and settings, ensuring reliable and secure access, high performance, and simplicity of integration, while complying with standards for the storage and processing of patient information needed for decision support and analytics. This was tested within the framework of a multinational project (www.mobiguide-project.eu) aimed at developing a ubiquitous patient guidance system (PGS). The vMR model with its extension mechanism is demonstrated to be effective for data integration and communication within a distributed PGS implemented for two clinical domains across different healthcare settings in two nations. © The Author 2015. Published by Oxford University Press on behalf of the American Medical Informatics Association. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  6. A needs assessment for mobile technology use in medical education

    OpenAIRE

    Shahrzad Vafa; Diane E. Chico

    2013-01-01

    Objectives: This study investigated how medical students perceived mobile technology as a component of their learning experience and identified barriers to the use of mobile technology in education. Methods: An anonymous survey developed by EDUCAUSE was distributed to 1000 first year medical students (M1s) at two separate medical schools during three consecutive academic years, 2010 to 2013. The 25-item questionnaire assessed student use of mobile devices, student interest in mobile technolog...

  7. TERRITORIAL DISPARITIES REGARDING THE DISTRIBUTION OF HEALTH SERVICE PROVIDERS IN ROMANIA AFTER JOINING THE EUROPEAN UNION STUDY CASE: MEDICAL STAFF WITH TERTIARY LEVEL OF EDUCATION

    Directory of Open Access Journals (Sweden)

    Babucea Ana-Gabriela

    2017-02-01

    Full Text Available In Romania 90ˈs, there was a relatively low level of regional disparities compared with western economies in all fields, but inequalities have emerged and widened rapidly because only certain areas, especially urban areas have benefited from inflows of capital and specialized human resources. Currently, Romania has a low level of development between EU countries, five of the eight NUTS 2 regions being the most underdeveloped in Europe. The aim of this research is a comparative analysis of developments and trends manifested in the public health system in terms of distribution of health services providers at the regional level in Romania. For the analysis of regional disparities, the research seeks to highlight a comprehensive image of the level and dynamics of the Romania territorial inequalities regarding the personnel with tertiary education, which includes physicians, dentists, and pharmaceutical chemists, as professional providers of the health services. Were took into account statistical indicators that describe the distribution of such as healthcare providers, at level of the eight Romanian NUTS2 regions, highlighting inequalities in access to health services for the population. We used available data, accessed from National Institute of Statistics of Romania, regarding Romania, and itˊs eight regions. We appeal also to statistical publications at the national and European level, other data analysis, and experts' opinions expressed in recent articles in the field. In order to identify the factors that can reduce the disparities, and ensure the equity for disadvantaged population, in terms of ensuring the health system of medical services in parallel with a homogeneous distribution of resources and services in this area, we apply specific statistics for territorial analysis and comparisons.

  8. SU-E-T-409: Evaluation of Tissue Composition Effect On Dose Distribution in Radiotherapy with 6 MV Photon Beam of a Medical Linac

    Energy Technology Data Exchange (ETDEWEB)

    Ghorbani, M; Tabatabaei, Z; Noghreiyan, A Vejdani [Mashhad University of Medical Sciences, Mashhad (Iran, Islamic Republic of); Meigooni, A Soleimani [Comprehensive Cancer Center of Nevada, Las Vegas, NV (United States)

    2015-06-15

    Purpose: The aim of this study is to evaluate soft tissue composition effect on dose distribution for various soft tissues and various depths in radiotherapy with 6 MV photon beam of a medical linac. Methods: A phantom and Siemens Primus linear accelerator were simulated using MCNPX Monte Carlo code. In a homogeneous cubic phantom, six types of soft tissue and three types of tissue-equivalent materials were defined separately. The soft tissues were muscle (skeletal), adipose tissue, blood (whole), breast tissue, soft tissue (9-component) and soft tissue (4-component). The tissue-equivalent materials included: water, A-150 tissue-equivalent plastic and perspex. Photon dose relative to dose in 9-component soft tissue at various depths on the beam’s central axis was determined for the 6 MV photon beam. The relative dose was also calculated and compared for various MCNPX tallies including,F8, F6 and,F4. Results: The results of the relative photon dose in various materials relative to dose in 9-component soft tissue and using different tallies are reported in the form of tabulated data. Minor differences between dose distributions in various soft tissues and tissue-equivalent materials were observed. The results from F6 and F4 were practically the same but different with,F8 tally. Conclusion: Based on the calculations performed, the differences in dose distributions in various soft tissues and tissue-equivalent materials are minor but they could be corrected in radiotherapy calculations to upgrade the accuracy of the dosimetric calculations.

  9. Quantum objective realism

    International Nuclear Information System (INIS)

    Bednorz, Adam

    2015-01-01

    The question of whether quantum measurements reflect some underlying objective reality has no generally accepted answer. We show that a description of such reality is possible under natural conditions such as linearity and causality, although in terms of moments and cumulants of finite order and without relativistic invariance. The proposed construction of observations’ probability distribution originates from weak, noninvasive measurements, with detection error replaced by some external finite noise. The noise allows us to construct microscopic objective reality, but remains dynamically decoupled and hence unobservable at the macroscopic level. (paper)

  10. CODAS object monitoring service

    International Nuclear Information System (INIS)

    Wheatley, M.R.; Rainford, M.

    2001-01-01

    The primary Control and Data Acquisition System (CODAS) of JET is based on a TCP/IP network of more than 150 computers. The CODAS computers provide the JET machine control and data acquisition for over 70,000 digital and analog signals. The Object Monitoring Service (OMS) is used by applications for monitoring objects for presentation to the JET machine operators and for the operation of individual software components (such as valve state, access control, mimic definition changes and internal data distribution). Each server typically handles connections from around 60 clients monitoring upwards of 2000 objects. Some servers have over 150 clients and 5000 objects. Acquisition libraries are dynamically linked into a running server as required either to acquire data values for objects or to forward requests to other OMS servers. A mechanism involving dynamic linking allows new libraries to be integrated without stopping or changing running software. OMS provides a very reliable and highly successful 'data-type independent' means of monitoring many different objects. It allows applications to take advantage of new data sources, without the need to change existing code

  11. OneFlorida Clinical Research Consortium: Linking a Clinical and Translational Science Institute With a Community-Based Distributive Medical Education Model.

    Science.gov (United States)

    Shenkman, Elizabeth; Hurt, Myra; Hogan, William; Carrasquillo, Olveen; Smith, Steven; Brickman, Andrew; Nelson, David

    2018-03-01

    Developing a national pragmatic clinical trial infrastructure is central to understanding the effectiveness of interventions applied under usual conditions and where people receive health care. To address this challenge, three Florida universities-the University of Florida Clinical and Translational Science Institute, Florida State University (with its community-based distributive medical education model), and the University of Miami-created (2010-2013) a statewide consortium, the OneFlorida Clinical Research Consortium, to support the conduct of pragmatic clinical trials and provide mentored research experiences for medical and graduate students in real-world practice settings. OneFlorida has four programs, which report to a steering committee with membership from each partner, community members, and the state Medicaid agency and Department of Health to ensure shared governance. The Clinical Research Program provides support to conduct research in the network and uses champions to engage community clinicians. The Citizen Scientist Program has community members who provide input on health topics of importance to them, study design, recruitment and retention strategies, and the interpretation of findings. The Data Trust Program contains electronic health record and health care claims data for 10.6 million Floridians. The Minority Education Program, in collaboration with three historically black colleges and universities, offers minority junior faculty mentoring in pragmatic clinical trials and implementation science. OneFlorida has implemented 27 studies with diverse patient populations and in diverse community practice settings. To identify evidence-based best practices from the clinical trials conducted in the network, foster their implementation, and expand research training opportunities.

  12. Port Harcourt Medical Journal

    African Journals Online (AJOL)

    Port Harcourt Medical Journal's objectives are to disseminate medical information from the College of Health Sciences, University of Port Harcourt and the rest of the national and international medical community; act as a medium for the articulation of research and findings from same as well as proceedings of medical ...

  13. A review of a method for dynamic load distribution, dynamic modeling, and explicit internal force control when two serial link manipulators mutually lift and transport a rigid body object

    International Nuclear Information System (INIS)

    Unseren, M.A.

    1997-09-01

    The report reviews a method for modeling and controlling two serial link manipulators which mutually lift and transport a rigid body object in a three dimensional workspace. A new vector variable is introduced which parameterizes the internal contact force controlled degrees of freedom. A technique for dynamically distributing the payload between the manipulators is suggested which yields a family of solutions for the contact forces and torques the manipulators impart to the object. A set of rigid body kinematic constraints which restricts the values of the joint velocities of both manipulators is derived. A rigid body dynamical model for the closed chain system is first developed in the joint space. The model is obtained by generalizing the previous methods for deriving the model. The joint velocity and acceleration variables in the model are expressed in terms of independent pseudovariables. The pseudospace model is transformed to obtain reduced order equations of motion and a separate set of equations governing the internal components of the contact forces and torques. A theoretic control architecture is suggested which explicitly decouples the two sets of equations comprising the model. The controller enables the designer to develop independent, non-interacting control laws for the position control and internal force control of the system

  14. A review of a method for dynamic load distribution, dynamic modeling, and explicit internal force control when two serial link manipulators mutually lift and transport a rigid body object

    Energy Technology Data Exchange (ETDEWEB)

    Unseren, M.A.

    1997-09-01

    The report reviews a method for modeling and controlling two serial link manipulators which mutually lift and transport a rigid body object in a three dimensional workspace. A new vector variable is introduced which parameterizes the internal contact force controlled degrees of freedom. A technique for dynamically distributing the payload between the manipulators is suggested which yields a family of solutions for the contact forces and torques the manipulators impart to the object. A set of rigid body kinematic constraints which restricts the values of the joint velocities of both manipulators is derived. A rigid body dynamical model for the closed chain system is first developed in the joint space. The model is obtained by generalizing the previous methods for deriving the model. The joint velocity and acceleration variables in the model are expressed in terms of independent pseudovariables. The pseudospace model is transformed to obtain reduced order equations of motion and a separate set of equations governing the internal components of the contact forces and torques. A theoretic control architecture is suggested which explicitly decouples the two sets of equations comprising the model. The controller enables the designer to develop independent, non-interacting control laws for the position control and internal force control of the system.

  15. ‘At-risk’ places: inequities in the distribution of environmental stressors and prescription rates of mental health medications in Glasgow, Scotland

    Science.gov (United States)

    Maantay, Juliana; Maroko, Andrew

    2015-11-01

    Using geospatial analytical methods, this study examines the association between one aspect of the built environment, namely, the concentration of vacant and derelict land (VDL), and the prevalence of mental health disorders (using the proxy variable of mental health medication prescription rates) in Glasgow, Scotland. This study builds on our previous research, which demonstrated the spatial correspondence between the locations of VDL in Glasgow and several physical health outcomes. Numerous studies of other locales have found similar correspondence between different elements of the built environment and various health outcomes. This is the first study of its kind to look at the spatial concentration of vacant and derelict land in relation to mental health, socio-economic indicators, environmental justice, and health inequities. The findings of this study demonstrate an inequity with respect to the distribution of vacant and derelict land, as confirmed by Pearson correlations between VDL density and deprivation (r = .521, p depression, or psychosis and the density of vacant and derelict land while adjusting for socio-demographic characteristics. This indicates that areas with higher VDL densities tend to exhibit higher rates of mental health issues. Based on these findings, strategies for constructive re-use of VDL are proposed.

  16. Calculation of the displacement cross sections and the DPA distribution in hydrogenated amorphous silicon semiconductors detectors in medical digital imaging applications

    International Nuclear Information System (INIS)

    Leyva Fabelo, Antonio; Piñera Hernández, Ibrahin; Shtejer Díaz, Katerin; Abreu Alfonso, Yamiel; Cruz Inclán, Carlos Manuel

    2007-01-01

    In present paper the dependence of the displacement cross sections of the different species of atoms in the a-Si:H structure, with the energy of the secondary electrons generated by the X-rays of the typical energies using in medical imaging applications, was calculated using the Mott-McKinley- Feshbach approach. It was verified that for electron energies higher than 1.52 keV it is possible the occurrence of hydrogen atoms displacements, while for the silicon atoms the threshold energy is 126 keV. These results were compared with those obtained for similar detectors but developed with crystalline silicon. With the use of the mathematical simulation of the radiation transport in the matter, the energy spectrum of the secondary electrons was calculated in order to estimate the number of atomic displacements, which take place in the semiconducting amorphous device in working regime. The spatial distribution of the dpa in the detectors volume, as well as its behavior with the depth in the work region are presented and discussed in the text. (author)

  17. Tanzania Medical Journal

    African Journals Online (AJOL)

    The journal publishes any contribution that advances medical science or ... these core objectives the journal publishes papers on original scientific research, short ... The Tanzania Medical Journal is an international Journal - ISSN: 0856-0719 ...

  18. Objectives and Outcomes

    Energy Technology Data Exchange (ETDEWEB)

    Segalman, D.J.

    1998-11-30

    a significant exposure to biomedical topics and the integration of those topics with chemical (electrical or mechanical) engineering. o We shall provide unique opportunities for our students to work with clinicians and researchers in hospitals and other medical institutions. combined criteria a-k of ABET and 1-6 of AICHE (or IEEE or ASME) in some sensible manner. Here I have just estimated the number of distinct criteria that would be extracted from the AICHE paragraphs. These criteria are necessarily included because of the objective to producing chemical (electrical or mechanical) engineers. every student who desires an internship or independent study at a medical institution will be placed. a majority of our students will take either the FE exam or the M-CAT exam. demonstrating a commitment to professionalism and to life-long learning. a majority of our students will go on to graduate school or other post-graduate school. (I do not assert that this sort of outcome is appropriate to all excellent schools. In the case of this hypothetical school though, this outcome might be a reasonable expectation.) medical schools will rank our school as among the best from which to admit

  19. Medical Students’ and Interns’ Attitudes toward Medical Ethics Education in a Thai Medical School

    Directory of Open Access Journals (Sweden)

    Sakda Sathirareuangchai

    2016-03-01

    Full Text Available Background: Medical ethics has been accepted as part of every accredited medical curriculum for the past 40 years. Medical students’ attitudes have an important role for development and improvement of the curriculum. Faculty of Medicine Siriraj Hospital is the oldest and largest medical school in Thailand, and has been teaching medical ethics since 1907. Objective: To determine attitudes among medical students and interns toward medical ethics education and understand the factors influencing their attitudes. Methods: Mixed quantitative and qualitative research was conducted with early 6th year medical students and interns. A questionnaire was adapted from previous studies and included some original items. Results: Of the 550 questionnaires distributed, 386 were returned (70.2% response rate. Males (n=180 made up 46.63 % of the sample. Interns (n=219, 56.74 % tended to have more positive attitudes toward ethics learning than did medical students (n = 167, 43.26 %. Male participants tended to agree more with negative statements about ethics learning than did females. There was no statistically significant effect of hometown (Bangkok versus elsewhere or grade point average on attitudes. The main problem cited with medical ethics education was lack of engaging methods. Conclusion: Because clinical experience has an effect on learners’ attitudes towards ethics education, medical ethics should be taught at the appropriate time and with proper techniques, such as drawing explicit ties between ethical principles and real-life situations. Attention to the more detailed aspects of these data should also facilitate improvements to curriculum content, thereby ensuring better educational outcomes.

  20. Ferromagnetic Objects Magnetovision Detection System.

    Science.gov (United States)

    Nowicki, Michał; Szewczyk, Roman

    2013-12-02

    This paper presents the application of a weak magnetic fields magnetovision scanning system for detection of dangerous ferromagnetic objects. A measurement system was developed and built to study the magnetic field vector distributions. The measurements of the Earth's field distortions caused by various ferromagnetic objects were carried out. The ability for passive detection of hidden or buried dangerous objects and the determination of their location was demonstrated.

  1. Ferromagnetic Objects Magnetovision Detection System

    Directory of Open Access Journals (Sweden)

    Michał Nowicki

    2013-12-01

    Full Text Available This paper presents the application of a weak magnetic fields magnetovision scanning system for detection of dangerous ferromagnetic objects. A measurement system was developed and built to study the magnetic field vector distributions. The measurements of the Earth’s field distortions caused by various ferromagnetic objects were carried out. The ability for passive detection of hidden or buried dangerous objects and the determination of their location was demonstrated.

  2. [Medical geography].

    Science.gov (United States)

    Hauri, D

    2007-10-17

    Hippocrates already noted that geographical factors such as climate, relief, geology but also settlement patterns had influenced the distribution of diseases. The task of medical geography is to investigate the associations between geographical factors and diseases. Thereby, geographic techniques and concepts are applied on health problems. Of particular importance is the mapping of diseases whose causes are environmental-related. In addition, epidemiological, ecological but also social scientific studies play an important part in the investigation of the associations between geographical factors and diseases. In order to understand the associations between the spatial distribution of diseases and environmental exposures, geographic information systems as well as statistical analyses have recently become more important. Some authors regard medical geography merely as supporting discipline of medicine. Nevertheless, as men and environment future and as they play an important part in the diffusion of diseases being regarded as defeated, medical geography will play an important part concerning medical questions. Especially travel medicine will rely on geographic knowledge, if a patient has to be consulted who plans to travel to an unknown country of which knowledge on the geographical distribution and ecology of diseases will be necessary.

  3. Object width modulates object-based attentional selection.

    Science.gov (United States)

    Nah, Joseph C; Neppi-Modona, Marco; Strother, Lars; Behrmann, Marlene; Shomstein, Sarah

    2018-04-24

    Visual input typically includes a myriad of objects, some of which are selected for further processing. While these objects vary in shape and size, most evidence supporting object-based guidance of attention is drawn from paradigms employing two identical objects. Importantly, object size is a readily perceived stimulus dimension, and whether it modulates the distribution of attention remains an open question. Across four experiments, the size of the objects in the display was manipulated in a modified version of the two-rectangle paradigm. In Experiment 1, two identical parallel rectangles of two sizes (thin or thick) were presented. Experiments 2-4 employed identical trapezoids (each having a thin and thick end), inverted in orientation. In the experiments, one end of an object was cued and participants performed either a T/L discrimination or a simple target-detection task. Combined results show that, in addition to the standard object-based attentional advantage, there was a further attentional benefit for processing information contained in the thick versus thin end of objects. Additionally, eye-tracking measures demonstrated increased saccade precision towards thick object ends, suggesting that Fitts's Law may play a role in object-based attentional shifts. Taken together, these results suggest that object-based attentional selection is modulated by object width.

  4. Spatial distribution of clinical computer systems in primary care in England in 2016 and implications for primary care electronic medical record databases: a cross-sectional population study.

    Science.gov (United States)

    Kontopantelis, Evangelos; Stevens, Richard John; Helms, Peter J; Edwards, Duncan; Doran, Tim; Ashcroft, Darren M

    2018-02-28

    UK primary care databases (PCDs) are used by researchers worldwide to inform clinical practice. These databases have been primarily tied to single clinical computer systems, but little is known about the adoption of these systems by primary care practices or their geographical representativeness. We explore the spatial distribution of clinical computing systems and discuss the implications for the longevity and regional representativeness of these resources. Cross-sectional study. English primary care clinical computer systems. 7526 general practices in August 2016. Spatial mapping of family practices in England in 2016 by clinical computer system at two geographical levels, the lower Clinical Commissioning Group (CCG, 209 units) and the higher National Health Service regions (14 units). Data for practices included numbers of doctors, nurses and patients, and area deprivation. Of 7526 practices, Egton Medical Information Systems (EMIS) was used in 4199 (56%), SystmOne in 2552 (34%) and Vision in 636 (9%). Great regional variability was observed for all systems, with EMIS having a stronger presence in the West of England, London and the South; SystmOne in the East and some regions in the South; and Vision in London, the South, Greater Manchester and Birmingham. PCDs based on single clinical computer systems are geographically clustered in England. For example, Clinical Practice Research Datalink and The Health Improvement Network, the most popular primary care databases in terms of research outputs, are based on the Vision clinical computer system, used by <10% of practices and heavily concentrated in three major conurbations and the South. Researchers need to be aware of the analytical challenges posed by clustering, and barriers to accessing alternative PCDs need to be removed. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  5. Attitudes toward Psychiatry: A Survey of Medical Students at the University of Nairobi, Kenya

    Science.gov (United States)

    Ndetei, David M.; Khasakhala, Lincoln; Ongecha-Owuor, Francisca; Kuria, Mary; Mutiso, Victoria; Syanda, Judy; Kokonya, Donald

    2008-01-01

    Objectives: The authors aim to determine the attitudes of University of Nairobi, Kenya, medical students toward psychiatry. Methods: The study design was cross-sectional. Self-administered sociodemographic and the Attitudes Toward Psychiatry-30 items (ATP-30) questionnaires were distributed sequentially to every third medical student in his or her…

  6. How does preclinical laboratory training impact physical examination skills during the first clinical year? A retrospective analysis of routinely collected objective structured clinical examination scores among the first two matriculating classes of a reformed curriculum in one Polish medical school.

    Science.gov (United States)

    Świerszcz, Jolanta; Stalmach-Przygoda, Agata; Kuźma, Marcin; Jabłoński, Konrad; Cegielny, Tomasz; Skrzypek, Agnieszka; Wieczorek-Surdacka, Ewa; Kruszelnicka, Olga; Chmura, Kaja; Chyrchel, Bernadeta; Surdacki, Andrzej; Nowakowski, Michał

    2017-09-01

    As a result of a curriculum reform launched in 2012 at our institution, preclinical training was shortened to 2 years instead of the traditional 3 years, creating additional incentives to optimise teaching methods. In accordance with the new curriculum, a semester-long preclinical module of clinical skills (CS) laboratory training takes place in the second year of study, while an introductory clinical course (ie, brief introductory clerkships) is scheduled for the Fall semester of the third year. Objective structured clinical examinations (OSCEs) are carried out at the conclusion of both the preclinical module and the introductory clinical course. Our aim was to compare the scores at physical examination stations between the first and second matriculating classes of a newly reformed curriculum on preclinical second-year OSCEs and early clinical third-year OSCEs. Analysis of routinely collected data. One Polish medical school. Complete OSCE records for 462 second-year students and 445 third-year students. OSCE scores by matriculation year. In comparison to the first class of the newly reformed curriculum, significantly higher (ie, better) OSCE scores were observed for those students who matriculated in 2013, a year after implementing the reformed curriculum. This finding was consistent for both second-year and third-year cohorts. Additionally, the magnitude of the improvement in median third-year OSCE scores was proportional to the corresponding advancement in preceding second-year preclinical OSCE scores for each of two different sets of physical examination tasks. In contrast, no significant difference was noted between the academic years in the ability to interpret laboratory data or ECG - tasks which had not been included in the second-year preclinical training. Our results suggest the importance of preclinical training in a CS laboratory to improve students' competence in physical examination at the completion of introductory clinical clerkships during

  7. Anticorrosional protection in nuclear power station objects

    International Nuclear Information System (INIS)

    Czarnocki, A.; Kwiatkowski, A.

    1976-01-01

    The distribution and qualities of chemical protection and demands concerning preparation of the bottom for protecting coats in nuclear power station objects are discussed. The solutions of protections applied abroad and in the objects of ''MARIA'' reactor are presented. (author)

  8. Accessing OSI Managed Objects from ANSAware

    OpenAIRE

    Genilloud, Guy; Gay, David

    1995-01-01

    This paper presents a mechanism allowing an ODP compliant distributed system, ANSA, to access OSI network management objects as if they were ANSA objects. It defines a mapping from the OSI object model to the ANSA object model, and it specifies how an adapter implements this mapping.

  9. Quasi-objects, Cult Objects and Fashion Objects

    DEFF Research Database (Denmark)

    Andersen, Bjørn Schiermer

    2011-01-01

    This article attempts to rehabilitate the concept of fetishism and to contribute to the debate on the social role of objects as well as to fashion theory. Extrapolating from Michel Serres’ theory of the quasi-objects, I distinguish two phenomenologies possessing almost opposite characteristics. T...... as a unique opportunity for studying the interchange between these two forms of fetishism and their respective phenomenologies. Finally, returning to Serres, I briefly consider the theoretical consequences of introducing the fashion object as a quasi-object.......This article attempts to rehabilitate the concept of fetishism and to contribute to the debate on the social role of objects as well as to fashion theory. Extrapolating from Michel Serres’ theory of the quasi-objects, I distinguish two phenomenologies possessing almost opposite characteristics....... These two phenomenologies are, so I argue, essential to quasi-object theory, yet largely ignored by Serres’ sociological interpreters. They correspond with the two different theories of fetishism found in Marx and Durkheim, respectively. In the second half of the article, I introduce the fashion object...

  10. Learning Object Repositories

    Science.gov (United States)

    Lehman, Rosemary

    2007-01-01

    This chapter looks at the development and nature of learning objects, meta-tagging standards and taxonomies, learning object repositories, learning object repository characteristics, and types of learning object repositories, with type examples. (Contains 1 table.)

  11. Beyond the Object

    Directory of Open Access Journals (Sweden)

    2007-01-01

    Full Text Available Object orientation (OO is regained not only in all components of integrate development media but it remarks in the rest of software world from operating system to last application domain - of course, with different intensity and success. A clear prove of OO application in all situations is the development of a wide range of industrial applications. OO technology allows drawing of relation between the geometry, topology and dimensions of data on a class hierarchy; thus, the observation of the amount of data gained by research in many scientific domains is facilitated through class libraries both for graphic primitives and for events examination. In conformity to all waiting, OO asserts in every distributive system, there are very important the applications for making open systems customer-server and dis-tributed applications in Java. Finally OO application in robot's programming and modeling needn't be omitted. However, far to be panacea, OO has also shades which will be researched so on.

  12. Medical Need, Equality, and Uncertainty.

    Science.gov (United States)

    Horne, L Chad

    2016-10-01

    Many hold that distributing healthcare according to medical need is a requirement of equality. Most egalitarians believe, however, that people ought to be equal on the whole, by some overall measure of well-being or life-prospects; it would be a massive coincidence if distributing healthcare according to medical need turned out to be an effective way of promoting equality overall. I argue that distributing healthcare according to medical need is important for reducing individuals' uncertainty surrounding their future medical needs. In other words, distributing healthcare according to medical need is a natural feature of healthcare insurance; it is about indemnity, not equality. © 2016 John Wiley & Sons Ltd.

  13. Medical Data Architecture Project Status

    Science.gov (United States)

    Krihak, M.; Middour, C.; Lindsey, A.; Marker, N.; Wolfe, S.; Winther, S.; Ronzano, K.; Bolles, D.; Toscano, W.; Shaw, T.

    2017-01-01

    The Medical Data Architecture (MDA) project supports the Exploration Medical Capability (ExMC) risk to minimize or reduce the risk of adverse health outcomes and decrements in performance due to in-flight medical capabilities on human exploration missions. To mitigate this risk, the ExMC MDA project addresses the technical limitations identified in ExMC Gap Med 07: We do not have the capability to comprehensively process medically-relevant information to support medical operations during exploration missions. This gap identifies that the current International Space Station (ISS) medical data management includes a combination of data collection and distribution methods that are minimally integrated with on-board medical devices and systems. Furthermore, there are variety of data sources and methods of data collection. For an exploration mission, the seamless management of such data will enable an increasingly autonomous crew than the current ISS paradigm. The MDA will develop capabilities that support automated data collection, and the necessary functionality and challenges in executing a self-contained medical system that approaches crew health care delivery without assistance from ground support. To attain this goal, the first year of the MDA project focused on reducing technical risk, developing documentation and instituting iterative development processes that established the basis for the first version of MDA software (or Test Bed 1). Test Bed 1 is based on a nominal operations scenario authored by the ExMC Element Scientist. This narrative was decomposed into a Concept of Operations that formed the basis for Test Bed 1 requirements. These requirements were successfully vetted through the MDA Test Bed 1 System Requirements Review, which permitted the MDA project to begin software code development and component integration. This paper highlights the MDA objectives, development processes, and accomplishments, and identifies the fiscal year 2017 milestones and

  14. Teachers' Careers: The Objective Dimension.

    Science.gov (United States)

    Evetts, Julia

    1986-01-01

    Analyzes the objective dimension of teachers' careers showing how 530 British male/female teachers are distributed throughout the pay scale and promotions making up the formal structure of teaching. Indicates length of experience is the rewarding but not the sole factor in bureaucratic structure and differential male/female career achievements.…

  15. Precise object tracking under deformation

    International Nuclear Information System (INIS)

    Saad, M.H

    2010-01-01

    The precise object tracking is an essential issue in several serious applications such as; robot vision, automated surveillance (civil and military), inspection, biomedical image analysis, video coding, motion segmentation, human-machine interface, visualization, medical imaging, traffic systems, satellite imaging etc. This frame-work focuses on the precise object tracking under deformation such as scaling , rotation, noise, blurring and change of illumination. This research is a trail to solve these serious problems in visual object tracking by which the quality of the overall system will be improved. Developing a three dimensional (3D) geometrical model to determine the current pose of an object and predict its future location based on FIR model learned by the OLS. This framework presents a robust ranging technique to track a visual target instead of the traditional expensive ranging sensors. The presented research work is applied to real video stream and achieved high precession results.

  16. Precise Object Tracking under Deformation

    International Nuclear Information System (INIS)

    Saad, M.H.

    2010-01-01

    The precise object tracking is an essential issue in several serious applications such as; robot vision, automated surveillance (civil and military), inspection, biomedical image analysis, video coding, motion segmentation, human-machine interface, visualization, medical imaging, traffic systems, satellite imaging etc. This framework focuses on the precise object tracking under deformation such as scaling, rotation, noise, blurring and change of illumination. This research is a trail to solve these serious problems in visual object tracking by which the quality of the overall system will be improved. Developing a three dimensional (3D) geometrical model to determine the current pose of an object and predict its future location based on FIR model learned by the OLS. This framework presents a robust ranging technique to track a visual target instead of the traditional expensive ranging sensors. The presented research work is applied to real video stream and achieved high precession results. xiiiThe precise object tracking is an essential issue in several serious applications such as; robot vision, automated surveillance (civil and military), inspection, biomedical image analysis, video coding, motion segmentation, human-machine interface, visualization, medical imaging, traffic systems, satellite imaging etc. This framework focuses on the precise object tracking under deformation such as scaling, rotation, noise, blurring and change of illumination. This research is a trail to solve these serious problems in visual object tracking by which the quality of the overall system will be improved. Developing a three dimensional (3D) geometrical model to determine the current pose of an object and predict its future location based on FIR model learned by the OLS. This framework presents a robust ranging technique to track a visual target instead of the traditional expensive ranging sensors. The presented research work is applied to real video stream and achieved high

  17. Medical imaging

    CERN Document Server

    Townsend, David W

    1996-01-01

    Since the introduction of the X-ray scanner into radiology almost 25 years ago, non-invasive imaging has become firmly established as an essential tool in the diagnosis of disease. Fully three-dimensional imaging of internal organs is now possible, b and for studies which explore the functional status of the body. Powerful techniques to correlate anatomy and function are available, and scanners which combine anatomical and functional imaging in a single device are under development. Such techniques have been made possible through r ecent technological and mathematical advances. This series of lectures will review both the physical basis of medical imaging techniques using X-rays, gamma and positron emitting radiosiotopes, and nuclear magnetic resonance, and the mathematical methods used to reconstruct three-dimentional distributions from projection data. The lectures will trace the development of medical imaging from simple radiographs to the present-day non-invasive measurement of in vivo biochemistry. They ...

  18. dftools: Distribution function fitting

    Science.gov (United States)

    Obreschkow, Danail

    2018-05-01

    dftools, written in R, finds the most likely P parameters of a D-dimensional distribution function (DF) generating N objects, where each object is specified by D observables with measurement uncertainties. For instance, if the objects are galaxies, it can fit a mass function (D=1), a mass-size distribution (D=2) or the mass-spin-morphology distribution (D=3). Unlike most common fitting approaches, this method accurately accounts for measurement in uncertainties and complex selection functions.

  19. Hawk: A Runtime System for Partitioned Objects

    NARCIS (Netherlands)

    Ben Hassen, S.; Bal, H.E.; Tanenbaum, A.S.

    1997-01-01

    Hawk is a language-independent runtime system for writing data-parallel programs using partitioned objects. A partitioned object is a multidimensional array of elements that can be partitioned and distributed by the programmer. The Hawk runtime system uses the user-defined partitioning of objects

  20. Estimating medication stopping fraction and real-time prevalence of drug use in pharmaco-epidemiologic databases. An application of the reverse waiting time distribution

    DEFF Research Database (Denmark)

    Støvring, Henrik; Pottegård, Anton; Hallas, Jesper

    2017-01-01

    Purpose: To introduce the reverse waiting time distribution (WTD) and show how it can be used to estimate stopping fractions and real-time prevalence of treatment in pharmacoepidemiological studies. Methods: The reverse WTD is the distribution of time from the last dispensed prescription of each......-hoc decision rules for automated implementations, and it yields estimates of real-time prevalence....... patient within a time window to the end of it. It is a mirrored version of the ordinary WTD, which considers the first dispensed prescription of patients within a time window. Based on renewal process theory, the reverse WTD can be analyzed as an ordinary WTD with maximum likelihood estimation. Based...

  1. Superluminal motion of extragalactic objects

    Energy Technology Data Exchange (ETDEWEB)

    Matveenko, L.I. (AN SSSR, Moscow. Inst. Kosmicheskikh Issledovanij)

    1983-07-01

    Extragalactic objects with active nuclei are reviewed. Experimental data are obtained with the method of superfar radiointerferometry. The main peculiarities of the complex structure of Seyfert galaxies, quasars and lacertae objects are considered: the distribution of radiobrightness, spectra, alteration of the density of radiation flux and the distance between the components of sources. The superluminal velocities of component divergence observed are explained by different reasons: fast motion of components considerable difference of the Hubble component or non-cosmologic nature of the red shift of objects, effect of echoreflection of radiation, gravitation lens, systematic alteration of the optical thickness of the object, synchronouys radiation of electrons in the dipole magnetic field, as well as different kinematic illusions connected with the final time of signal propagation.

  2. Review of Meeting Objectives

    International Nuclear Information System (INIS)

    Braams, B.J.; Chung, H.-K.

    2011-01-01

    This is the 21st meeting of the International Atomic and Molecular Data Centres Network. The traditional DCN meeting objectives are: to exchange information about activities in the Centres and review progress; to coordinate work in the Centres; to assess priorities in data evaluation and data production; to make plans for specific evaluations; and to evaluate and revise procedures for collection and exchange of bibliographical and numerical data. All of these are objectives for the present meeting too. In addition to the presentations from DCN and prospective DCN members we have two participants from outside the field of fusion data: Dr N. Mason will tell us about coordination of the Virtual Atomic and Molecular Data Centre and Dr S. Simakov will describe the manner in which nuclear structure and cross-section database development is coordinated by our colleagues in the Nuclear Data Section. In the discussions on Thursday and Friday there are two topics that need special attention this year: the future of our bibliographical data compilation and ways in which we can strengthen data evaluation activities, all with emphasis on collision processes and plasma-material interaction. The first 3 Data Centre Network meetings were held in 1977, 1980 and 1982 and the reports of those meetings make interesting reading and can still provide inspiration for the present meeting. I show some excerpts in the presentation. In 1977 the emphasis was on the coordination of the bibliographical database, AMBDAS, and a collision data index, CIAMDA, as the initial activities of the Network and of the newly formed IAEA A+M Data Unit. In 1980 the central topic of discussion at the meeting shifted to the numerical database and to data evaluation. The Network recommended that numerical data be reviewed by a selected group of scientists and that no unevaluated numerical A+M collision data should be distributed by the IAEA. The report of the meeting in 1982 shows that the bibliographical

  3. Specification of Concurrent Objects

    DEFF Research Database (Denmark)

    Sørensen, Morten U.

    relation over two objects and an event. In the model, objects can be composed by parallel composition, encapsulation, and hiding of operations. Refinement between objects is defined as fair trace inclusion.A specification language is presented where objects can be specified operationally by abstract...

  4. Paradigms in object recognition

    International Nuclear Information System (INIS)

    Mutihac, R.; Mutihac, R.C.

    1999-09-01

    A broad range of approaches has been proposed and applied for the complex and rather difficult task of object recognition that involves the determination of object characteristics and object classification into one of many a priori object types. Our paper revises briefly the three main different paradigms in pattern recognition, namely Bayesian statistics, neural networks, and expert systems. (author)

  5. BL Lacertae objects

    International Nuclear Information System (INIS)

    Disney, M.J.; Veron, P.

    1977-01-01

    The properties of BL Lacertae objects are discussed including their spectra, variability, and brightness. The historical development of observation, and the conclusion that these objects are possibly quasar-related objects rather than variable stars as originally supposed are treated. The possible mechanisms for the unusual luminosity of these objects are considered

  6. Designing the Object Game

    DEFF Research Database (Denmark)

    Filip, Diane; Lindegaard, Hanne

    2016-01-01

    The Object Game is an exploratory design game and an experiment of developing a tangible object that can spark dialogue and retrospection between collaborative partners and act as a boundary object. The objective of this article is to show and elaborate on the development of the Object Game......, and to provide case examples of the game in action. The Object Game has two parts – Story-building and Co-rating of objects – with the aim of stimulating a collaborative reflection on knowledge sharing with different objects. In Story-building, the participants visualize their knowledge sharing process...... these facilitated knowledge transfer, knowledge exchange, knowledge generation, and knowledge integration. The participants collaborative reflected on their use of different objects for knowledge sharing and learn which objects have been effective (and which have not been effective) in their collaborative...

  7. Foreign Object in the Eye: First Aid

    Science.gov (United States)

    ... eye: First aid Foreign object in the eye: First aid By Mayo Clinic Staff If you get a foreign object in your eye Wash your hands ... et al., eds. American Medical Association Handbook of First Aid and Emergency Care. New York, N.Y.: Random ...

  8. Having your radioactive objects identified and collected

    International Nuclear Information System (INIS)

    2012-12-01

    This brochure explains the risks linked with some ancient radioactive objects of domestic use (like radium products of medical use), how to identify them and to have them collected by the French national agency of radioactive wastes (Andra) for further processing. Some advice are given regarding the identification of the objects, their relative hazardousness and the precautions to take for their handling

  9. Medically-enhanced normality

    DEFF Research Database (Denmark)

    Møldrup, Claus; Traulsen, Janine Morgall; Almarsdóttir, Anna Birna

    2003-01-01

    Objective: To consider public perspectives on the use of medicines for non-medical purposes, a usage called medically-enhanced normality (MEN). Method: Examples from the literature were combined with empirical data derived from two Danish research projects: a Delphi internet study and a Telebus...

  10. Tanzania Medical Journal: Submissions

    African Journals Online (AJOL)

    The Tanzania Medical Journal is a multi – disciplinary journal published two times a year in March - June and September – December. ... To achieve its objectives the journal invites papers on original scientific research, short communications, case reports and letters to the editor, in any branch of medical science. Original ...

  11. Distributed creativity

    DEFF Research Database (Denmark)

    Glaveanu, Vlad Petre

    This book challenges the standard view that creativity comes only from within an individual by arguing that creativity also exists ‘outside’ of the mind or more precisely, that the human mind extends through the means of action into the world. The notion of ‘distributed creativity’ is not commonly...... used within the literature and yet it has the potential to revolutionise the way we think about creativity, from how we define and measure it to what we can practically do to foster and develop creativity. Drawing on cultural psychology, ecological psychology and advances in cognitive science......, this book offers a basic framework for the study of distributed creativity that considers three main dimensions of creative work: sociality, materiality and temporality. Starting from the premise that creativity is distributed between people, between people and objects and across time, the book reviews...

  12. Seeing Objects as Faces Enhances Object Detection.

    Science.gov (United States)

    Takahashi, Kohske; Watanabe, Katsumi

    2015-10-01

    The face is a special visual stimulus. Both bottom-up processes for low-level facial features and top-down modulation by face expectations contribute to the advantages of face perception. However, it is hard to dissociate the top-down factors from the bottom-up processes, since facial stimuli mandatorily lead to face awareness. In the present study, using the face pareidolia phenomenon, we demonstrated that face awareness, namely seeing an object as a face, enhances object detection performance. In face pareidolia, some people see a visual stimulus, for example, three dots arranged in V shape, as a face, while others do not. This phenomenon allows us to investigate the effect of face awareness leaving the stimulus per se unchanged. Participants were asked to detect a face target or a triangle target. While target per se was identical between the two tasks, the detection sensitivity was higher when the participants recognized the target as a face. This was the case irrespective of the stimulus eccentricity or the vertical orientation of the stimulus. These results demonstrate that seeing an object as a face facilitates object detection via top-down modulation. The advantages of face perception are, therefore, at least partly, due to face awareness.

  13. Seeing Objects as Faces Enhances Object Detection

    Directory of Open Access Journals (Sweden)

    Kohske Takahashi

    2015-09-01

    Full Text Available The face is a special visual stimulus. Both bottom-up processes for low-level facial features and top-down modulation by face expectations contribute to the advantages of face perception. However, it is hard to dissociate the top-down factors from the bottom-up processes, since facial stimuli mandatorily lead to face awareness. In the present study, using the face pareidolia phenomenon, we demonstrated that face awareness, namely seeing an object as a face, enhances object detection performance. In face pareidolia, some people see a visual stimulus, for example, three dots arranged in V shape, as a face, while others do not. This phenomenon allows us to investigate the effect of face awareness leaving the stimulus per se unchanged. Participants were asked to detect a face target or a triangle target. While target per se was identical between the two tasks, the detection sensitivity was higher when the participants recognized the target as a face. This was the case irrespective of the stimulus eccentricity or the vertical orientation of the stimulus. These results demonstrate that seeing an object as a face facilitates object detection via top-down modulation. The advantages of face perception are, therefore, at least partly, due to face awareness.

  14. Effect of objective function on multi-objective inverse planning of radiation therapy

    International Nuclear Information System (INIS)

    Li Guoli; Wu Yican; Song Gang; Wang Shifang

    2006-01-01

    There are two kinds of objective functions in radiotherapy inverse planning: dose distribution-based and Dose-Volume Histogram (DVH)-based functions. The treatment planning in our days is still a trial and error process because the multi-objective problem is solved by transforming it into a single objective problem using a specific set of weights for each object. This work investigates the problem of objective function setting based on Pareto multi-optimization theory, and compares the effect on multi-objective inverse planning of those two kinds of objective functions including calculation time, converge speed, etc. The basis of objective function setting on inverse planning is discussed. (authors)

  15. Presence, distribution and molecular epidemiology of multi-drug-resistant Gram-negative bacilli from medical personnel of intensive care units in Tianjin, China, 2007-2015.

    Science.gov (United States)

    Liu, H; Fei, C N; Zhang, Y; Liu, G W; Liu, J; Dong, J

    2017-06-01

    Multi-drug-resistant Gram-negative bacteria (MDRGNB) have become an important cause of nosocomial infection in intensive care units (ICUs). To investigate the molecular epidemiology of MDRGNB isolated from medical personnel (MP) and non-medical personnel (NMP) at 69 ICUs in Tianjin, China. From April 2007 to October 2015, 2636 nasal and hand swab samples from 1185 MP and 133 NMP were cultured for GNB (including MDRGNB), meticillin-resistant Staphylococcus aureus (MRSA) and vancomycin-resistant enterococci (VRE). The susceptibilities of GNB to 14 antimicrobial agents were determined, and 80 MDRGNB were characterized using pulsed-field gel electrophoresis (PFGE) and dendrogram analysis. In total, 301 GNB were identified in 269 MP, including 109 MDRGNB isolates in 104 MP. Forty-two GNB were isolated from 39 NMP, which included 20 NMP with MDRGNB. Overall, 8.8% of MP were colonized with MDRGNB, which greatly exceeded colonization rates with MRSA (0.9%) and VRE (0.1%). Three pairs of Klebsiella pneumoniae and one pair of Enterobacter aerogenes were indistinguishable from each other, but the majority of isolate tests had distinct PFGE profiles. The prevalence of MDRGNB was high among ICU MP in Tianjin, and greatly exceeded that of VRE and MRSA. There was no difference in the rates of nasal carriage of MDRGNB between MP and NMP, but NMP were significantly more likely to have hand colonization with MDRGNB. PFGE profiles showed that there was only limited sharing of strains of MDR E. aerogenes and K. pneumoniae between personnel. Copyright © 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  16. Exploring object-oriented technologies

    CERN Multimedia

    2000-01-01

    Object oriented technologies are the corner stone of modern software development. A piece of software is today conceived, constructed and tested as a set of objects interacting with each other, rather than as a large sequential program. OO is present throughout the whole software life cycle allowing for maintainable code re-use, clean design and manageable complexity. OO is also the seed upon which other technologies are being built and deployed, such as distributed computing, component models, open interoperability, etc.This series of three seminars will provide a pragmatic overview on the main ideas behind OO software development and will explain the inner workings of the most outstanding technologies being built on OO, such as UML, CORBA, Component Models, Agent Oriented Computing, Business Objects, etc.

  17. Superluminal motion of extragalactic objects

    International Nuclear Information System (INIS)

    Matveenko, L.I.

    1983-01-01

    Extragalactic objects with active nuclei are reviewed. Experimental data are obtained with the method of superfar radiointerferometry. The main peculiarities of the complex strUcture of Seyfert galaxies quasars and lacertae ob ects are considered: the distribution of radiobrightness, spectra, alteration of the density of radiation flux and the distance between the components of sources. The superluminal velocities of component divergence observed are explained by different reasons: fast motion of components considerable difference of the Hubble component or non-cosmologic nature of the red shift of objects, effect of echoreflection of radiation, gravitation lens, systematic alteration of the optical thickness of the object, synchronoUs radiation of electrons in the dipole magnetic field, as well as different kinematic illusions connected with the final time of signal propagation

  18. Objectivity And Moral Relativism

    OpenAIRE

    Magni, Sergio Filippo

    2017-01-01

    The relativity of morals has usually been taken as an argument against the objectivity of ethics. However, a more careful analysis can show that there are forms of moral objectivism which have relativistic implications, and that moral relativism can be compatible with the objectivity of ethics. Such an objectivity is not always in contrast to moral relativism and it is possible to be relativists without having to give up the claim of objectivity in ethics

  19. Objects in Motion

    Science.gov (United States)

    Damonte, Kathleen

    2004-01-01

    One thing scientists study is how objects move. A famous scientist named Sir Isaac Newton (1642-1727) spent a lot of time observing objects in motion and came up with three laws that describe how things move. This explanation only deals with the first of his three laws of motion. Newton's First Law of Motion says that moving objects will continue…

  20. Survivability via Control Objectives

    Energy Technology Data Exchange (ETDEWEB)

    CAMPBELL,PHILIP L.

    2000-08-11

    Control objectives open an additional front in the survivability battle. A given set of control objectives is valuable if it represents good practices, it is complete (it covers all the necessary areas), and it is auditable. CobiT and BS 7799 are two examples of control objective sets.

  1. Repurposing learning object components

    NARCIS (Netherlands)

    Verbert, K.; Jovanovic, J.; Gasevic, D.; Duval, E.; Meersman, R.

    2005-01-01

    This paper presents an ontology-based framework for repurposing learning object components. Unlike the usual practice where learning object components are assembled manually, the proposed framework enables on-the-fly access and repurposing of learning object components. The framework supports two

  2. Medical physics and challenges faced in Africa

    International Nuclear Information System (INIS)

    Nakatudde, R.

    2010-01-01

    Individual medical physicists have presented many challenges which have greatly inhibited their input in patient care and management. To improve the role and recognition of medical physicists in Africa, FAMPO was established. This is the Federation of African Medical Physics Organisations. Its main role is to bridge the gap between individual medical physicists, existing medical physicist bodies and the International Organisation of Medical Physics (IOMP). It is a non profit making organisation. A qualified medical physicist is an individual who is competent to practice independently one or more of the sub fields of medical physics. i.e. therapeutic radiological, diagnostic radiological, medical nuclear and medical health. Their time should on average be distributed equally among three areas, clinical service and consultation, research and development, and teaching. All diagnostic and radiotherapy centres should have a well established comprehensive quality assurance programme in place, which should involve machine installation and calibration, source delivery and safety, operational procedures, clinical dosimetry and the whole treatment planning process. This should be followed according to national and international recommendations. A study was carried out to identify the challenges faced by medical physicists in Africa and the objectives of the study were; To identify the number of qualified medical physicists and their working experience in hospitals in African countries. To identify the level of involvement of medical physicists in the three areas of Nuclear medicine, Radiology and Radiotherapy in hospitals in African countries.To identify countries with recognised professional bodies governing medical physicists in African countries.To identify the challenges faced by medical physicists in African countries Methods and materials The study was conducted on thirteen medical physicists from seven African countries. i.e. Nigeria, Kenya, Libya, Tanzania, Zambia

  3. Objects, materiality and meaning

    DEFF Research Database (Denmark)

    Lenau, Torben Anker; Lindegaard, Hanne

    2008-01-01

    The present research work investigates the relation between physical objects, their materiality, understood as the physical substances they are made from, and the communication from the objects. In product design of physical objects the communicative aspects are just as important as the function...... of the object, and the designers aim is therefore to tune both in order to achieve a desired goal. To do so the designer basically has 2 options: Alteration of the physical shape of the object and the selection of materials. Through the manipulation of shape and materials can symbolic and sensory information...... be written into the object. The materials are therefore carriers of communication, even though this is dependent of the cultural context and the environment which the object will be part of. However the designer has only minor influence on those....

  4. Medical Futility and Involuntary Passive Euthanasia.

    Science.gov (United States)

    Nair-Collins, Michael

    2018-01-01

    Conflicts between providers and patients or their families surrounding end-of-life care are both regrettable and extremely challenging, interpersonally and ethically, for all involved. These conflicts often implicate the concept of medical futility. The concept of futility is too often conflated with distinct concepts that are more ethically salient, including the fiduciary responsibility to assess surrogate decision-making, and distributive justice. By distinguishing these concepts from futility, it becomes clear that there are some situations in which forgoing life-sustaining treatment over objection is permissible, and perhaps even obligatory. But the justification lies in the constellation of rights and responsibilities surrounding surrogate decision-making, or in distributive justice, but not futility. Once futility is disambiguated from these other concepts, the practice of withholding or withdrawing life-sustaining treatment over the objection of a valid surrogate or a competent patient, based on the alleged futility of such treatment, is more clearly described as involuntary passive euthanasia.

  5. Weaving together peer assessment, audios and medical vignettes in teaching medical terms

    Science.gov (United States)

    Khan, Lateef M.

    2015-01-01

    Objectives The current study aims at exploring the possibility of aligning peer assessment, audiovisuals, and medical case-report extracts (vignettes) in medical terminology teaching. In addition, the study wishes to highlight the effectiveness of audio materials and medical history vignettes in preventing medical students' comprehension, listening, writing, and pronunciation errors. The study also aims at reflecting the medical students' attitudes towards the teaching and learning process. Methods The study involved 161 medical students who received an intensive medical terminology course through audio and medical history extracts. Peer assessment and formative assessment platforms were applied through fake quizzes in a pre- and post-test manner. An 18-item survey was distributed amongst students to investigate their attitudes and feedback towards the teaching and learning process. Quantitative and qualitative data were analysed using the SPSS software. Results The students did better in the posttests than on the pretests for both the quizzes of audios and medical vignettes showing a t-test of -12.09 and -13.60 respectively. Moreover, out of the 133 students, 120 students (90.22%) responded to the survey questions. The students gave positive attitudes towards the application of audios and vignettes in the teaching and learning of medical terminology and towards the learning process. Conclusions The current study revealed that the teaching and learning of medical terminology have more room for the application of advanced technologies, effective assessment platforms, and active learning strategies in higher education. It also highlights that students are capable of carrying more responsibilities of assessment, feedback, and e-learning. PMID:26637986

  6. The development of a National set of Physiology learning objectives ...

    African Journals Online (AJOL)

    International Journal of Medicine and Health Development ... engagement that can be utilized to design a national set of learning objectives towards improving learning ... Key words: Learning objectives, Nigeria, Medical education, curriculum ...

  7. Early object relations into new objects.

    Science.gov (United States)

    Downey, T W

    2001-01-01

    Two strands of change are suggested by this review, one maturational, the other therapeutic or developmental (Hartmann and Kris, 1945). By "maturational" I mean to suggest energies that infuse the individual from earliest life in a manner that includes object relations, but for the healthy exercise of which object relations per se need not be of central and crucial importance. Within wide limits such energies may be delayed until growth conditions prevail without significant distortion of certain of the organism's ego functions. Therapeutic change is analogous to developmental change in that both involve the crucial presence of another to release energies. In therapeutic change these are energies that have been repressed beyond the reach of developmental dynamics. In everyday development crisis and synthesis alternate in conjunction with new and emerging objects to add to the psychological structures brought to the fore by maturation. In many instances, as we see with John, over time and in a less focussed manner, developmental changes can approximate therapeutic change and visa versa. Freud-Dann in their "experiment" pursued one line, in which the equipmental delay brought on by extremely adverse living circumstances was redressed by providing an interpersonally enriching, loving, developmentally facilitating milieu. The sketches of individual children and John's subsequent story provide a perspective into what becomes the stuff of growth and what remains the stuff of neurosis. The developmental reserves and ego resilience of these children were impressive but probably not extraordinary. Usual growth ensued as soon as they were provided with the rich soil of Bulldogs Bank instead of the desert sand of the Tereszin concentration camp. However, no one can escape such adverse circumstances without having taken in the stuff of neurosis. Affects and percepts that were not assimilatable or even available to consciousness at the time remain buried in the unconscious

  8. Interest in medical therapy for celiac disease

    Science.gov (United States)

    Tennyson, Christina A.; Simpson, Suzanne; Lebwohl, Benjamin; Lewis, Suzanne

    2013-01-01

    Objectives: A gluten-free diet is the treatment for celiac disease, but pharmaceutical agents are being developed. The level of interest amongst patients in using a medication to treat celiac disease is unknown. This study examined the level of interest amongst patients in medication to treat celiac disease. Methods: A questionnaire was distributed to celiac disease patients and data were collected on demographics, presentation, and interest in medication. Three validated celiac disease-specific instruments were incorporated: Celiac Disease Associated Quality of Life, the Celiac Symptom Index, and the Celiac Dietary Adherence Test. Results: Responses were received from 365 individuals with biopsy-proven celiac disease. Respondents were 78% (n = 276) female, 48% (n = 170) over 50 years of age, and experienced a classical (diarrhea predominant) presentation in 44% (n = 154). Of the 339 individuals answering the question regarding use of a medication to treat celiac disease, 66% were interested. Interest was greatest in older individuals (71% >50 years of age versus 60% symptoms with gluten exposure did not demonstrate any effect. Interest in medication was associated with a worse quality of life (CD-QOL 69.4 versus 80.1, p celiac disease are interested in using a medication. Interest was highest among men, older individuals, frequent restaurant customers, individuals dissatisfied with their weight or concerned with the cost of a gluten-free diet, and those with a worse quality of life. PMID:24003336

  9. Medical Students' Perspective Towards Their Future Medical Practice

    African Journals Online (AJOL)

    Objectives:To evaluate the influencing factors towards choice of the medical profession and attitude towards future medical practice. Subjects and methods: One hundred thirty four students of the Gondar College of Medical Sciences were included in the study. Data was collected by using self-administered questionnaires.

  10. Knowledge of medical ethics among Nigerian medical doctors ...

    African Journals Online (AJOL)

    Background: The knowledge of medical ethics is essential for health care practitioners worldwide. The main objective of this study was to evaluate the knowledge of medical doctors in a tertiary care hospital in Nigeria in the area of medical ethics. Materials and Methods: A cross– sectional questionnaire‑based study ...

  11. Protocol investigating the clinical utility of an objective measure of attention, impulsivity and activity (QbTest) for optimising medication management in children and young people with ADHD 'QbTest Utility for Optimising Treatment in ADHD' (QUOTA): a feasibility randomised controlled trial.

    Science.gov (United States)

    Hall, Charlotte L; James, Marilyn; Brown, Sue; Martin, Jennifer L; Brown, Nikki; Selby, Kim; Clarke, Julie; Vijayan, Hena; Guo, Boliang; Sayal, Kapil; Hollis, Chris; Groom, Madeleine J

    2018-02-15

    Attention-deficit hyperactivity disorder (ADHD) is characterised by symptoms of inattention, hyperactivity and impulsivity. To improve outcomes, the National Institute for Health and Care Excellence ADHD guidelines recommend regular monitoring of symptoms when children commence medication. However, research suggests that routine monitoring rarely happens, and clinicians often rely on subjective information such as reports from parents and teachers to ascertain improvement. These sources can be unreliable and difficult to obtain. The addition of an objective test of attention and activity (QbTest) may improve the objectivity, reliability and speed of clinical decision-making and so reduce the time to identify the optimal medication dose. This study aims to assess the feasibility and acceptability of a QbTest medication management protocol delivered in routine healthcare services for children with ADHD. This multisite feasibility randomised controlled trial (RCT) will recruit 60 young people (aged 6-17 years old), diagnosed with ADHD, and starting stimulant medication who are seen by Child and Adolescent Mental Health Services or Community Paediatric services. Participants will be randomised into one of two arms. In the experimental arm (QbTest protocol), the participant will complete a QbTest at baseline (prior to medication initiation), and two follow-up QbTests on medication (2-4 weeks and 8-10 weeks later). In the control arm, participants will receive treatment as usual, with at least two follow-up consultations. Measures of parent-, teacher- and clinician-rated symptoms and global functioning will be completed at each time point. Health economic measures will be completed. Clinicians will record treatment decision-making. Acceptability and feasibility of the protocol will be assessed alongside outcome measure completion rates. Qualitative interviews will be conducted. The findings will be used to inform the development of a fully powered RCT. The results will

  12. Reasoning about Function Objects

    Science.gov (United States)

    Nordio, Martin; Calcagno, Cristiano; Meyer, Bertrand; Müller, Peter; Tschannen, Julian

    Modern object-oriented languages support higher-order implementations through function objects such as delegates in C#, agents in Eiffel, or closures in Scala. Function objects bring a new level of abstraction to the object-oriented programming model, and require a comparable extension to specification and verification techniques. We introduce a verification methodology that extends function objects with auxiliary side-effect free (pure) methods to model logical artifacts: preconditions, postconditions and modifies clauses. These pure methods can be used to specify client code abstractly, that is, independently from specific instantiations of the function objects. To demonstrate the feasibility of our approach, we have implemented an automatic prover, which verifies several non-trivial examples.

  13. Birth of the Object: Detection of Objectness and Extraction of Object Shape through Object Action Complexes

    DEFF Research Database (Denmark)

    Kraft, Dirk; Pugeault, Nicolas; Baseski, Emre

    2008-01-01

    We describe a process in which the segmentation of objects as well as the extraction of the object shape becomes realized through active exploration of a robot vision system. In the exploration process, two behavioral modules that link robot actions to the visual and haptic perception of objects...... interact. First, by making use of an object independent grasping mechanism, physical control over potential objects can be gained. Having evaluated the initial grasping mechanism as being successful, a second behavior extracts the object shape by making use of prediction based on the motion induced...... system, knowledge about its own embodiment as well as knowledge about geometric relationships such as rigid body motion. This prior knowledge allows the extraction of representations that are semantically richer compared to many other approaches....

  14. Herbig-Haro objects

    International Nuclear Information System (INIS)

    Schwartz, R.D.

    1983-01-01

    Progress in the understanding of Herbig-Haro (HH) objects is reviewed. The results of optical studies of the proper motions and alignments, variability, and polarization of HH objects and the results of spectroscopic studies are discussed. Ground-based infrared studies and far-infrared observations are reviewed. Findings on the properties of molecular clouds associated with HH objects, on gas flows associated with HH IR stars, on maser emission, and on radio continuum observations are considered. A history of proposed excitation mechanisms for HH objects is briefly presented, and the salient shock-wave calculations aimed at synthesizing the spectra of HH objects are summarized along with hypotheses that have been advanced about the origin of the objects. 141 references

  15. Group B streptococcus serotype prevalence in reproductive-age women at a tertiary care military medical center relative to global serotype distribution

    Directory of Open Access Journals (Sweden)

    Williams Julie

    2010-11-01

    Full Text Available Abstract Background Group B Streptococcus (GBS serotype (Ia, Ib, II-IX correlates with pathogen virulence and clinical prognosis. Epidemiological studies of seroprevalence are an important metric for determining the proportion of serotypes in a given population. The purpose of this study was to evaluate the prevalence of individual GBS serotypes at Madigan Healthcare System (Madigan, the largest military tertiary healthcare facility in the Pacific Northwestern United States, and to compare seroprevalences with international locations. Methods To determine serotype distribution at Madigan, we obtained GBS isolates from standard-of-care anogenital swabs from 207 women of indeterminate gravidity between ages 18-40 during a five month interval. Serotype was determined using a recently described molecular method of polymerase chain reaction by capsular polysaccharide synthesis (cps genes associated with pathogen virulence. Results Serotypes Ia, III, and V were the most prevalent (28%, 27%, and 17%, respectively. A systematic review of global GBS seroprevalence, meta-analysis, and statistical comparison revealed strikingly similar serodistibution at Madigan relative to civilian-sector populations in Canada and the United States. Serotype Ia was the only serotype consistently higher in North American populations relative to other geographic regions (p Conclusion This study establishes PCR-based serotyping as a viable strategy for GBS epidemiological surveillance. Our results suggest that GBS seroprevalence remains stable in North America over the past two decades.

  16. Abortion - medical

    Science.gov (United States)

    Therapeutic medical abortion; Elective medical abortion; Induced abortion; Nonsurgical abortion ... A medical, or nonsurgical, abortion can be done within 7 weeks from the first day of the woman's last ...

  17. Open Issues in Object-Oriented Programming

    DEFF Research Database (Denmark)

    Madsen, Ole Lehrmann

    1995-01-01

    We discuss a number of open issues within object-oriented programming. The central mechanisms of object-oriented programming appeared with Simula, developed more than 30 years ago; these include class, subclass, virtual function, active object and the first application framework, Class Simulation....... The core parts of object-oriented programming should be well understood, but there are still a large number of issues where there is no consensus. The term object-orientation has been applied to many subjects, such as analysis, design implementation, data modeling in databases, and distribution...

  18. Object-Oriented Econometrics with Ox

    OpenAIRE

    Kulaksizoglu, Tamer

    2015-01-01

    This article reviews the object-oriented features of the Ox matrix programming language. We discuss object-oriented programming in general and give econometric examples coded in Ox. We also discuss some useful built-in classes that come with the Ox distribution.

  19. BL Lacertae objects

    International Nuclear Information System (INIS)

    Miller, J.S.

    1978-01-01

    An overview is given of the principal characteristics and problems associated with the prototype BL Lacertae. The most important characteristics of this group and its relevance, the consideration of a few particular objects in moderate detail, the relation between these objects QSOs, and normal galaxies, and finally the possible physical nature of BL Lac objects and the important questions they raise are treated. 15 references

  20. Objective-C

    CERN Document Server

    DeVoe, Jiva

    2011-01-01

    A soup-to-nuts guide on the Objective-C programming language. Objective-C is the language behind Cocoa and Cocoa Touch, which is the Framework of applications written for the Macintosh, iPod touch, iPhone, and iPad platforms. Part of the Developer Reference series covering the hottest Apple topics, this book covers everything from the basics of the C language to advanced aspects of Apple development. You'll examine Objective-C and high-level subjects of frameworks, threading, networking, and much more.: Covers the basics of the C language and then quickly moves onto Objective-C and more advanc

  1. Abstract Objects of Verbs

    DEFF Research Database (Denmark)

    2014-01-01

    Verbs do often take arguments of quite different types. In an orthodox type-theoretic framework this results in an extreme polysemy of many verbs. In this article, it is shown that this unwanted consequence can be avoided when a theory of "abstract objects" is adopted according to which...... these objects represent non-objectual entities in contexts from which they are excluded by type restrictions. Thus these objects are "abstract'' in a functional rather than in an ontological sense: they function as representatives of other entities but they are otherwise quite normal objects. Three examples...

  2. Medical design anthropology

    DEFF Research Database (Denmark)

    Ventura, Jonathan; Gunn, Wendy

    Barnard and Spencer define medical anthropology in the Encyclopedia of Social and Cultural Anthropology as "Medical anthropology is, as the phrase implies, unavoidably concerned with the paradigm of modern Western medicine, whether implicitly or explicitly" (2002: 541). Recently there is a new...... focus in medical sociology and anthropology, which is patient's practices and influence on wider global health environment (see for example vol. 36(2) of Sociology of Health & Illness). While various social science theoreticians have written about agentic abilities of objects, there is a gap...... in literature concerning various levels of socio-cultural influence of the medical environment through medical products. In our research we have outlined the importance of medical design anthropology (MDA) to the practice and theory of design (Ventura and Gunn, 2016). In this paper, we study the ways in which...

  3. Distributional Replication

    OpenAIRE

    Beare, Brendan K.

    2009-01-01

    Suppose that X and Y are random variables. We define a replicating function to be a function f such that f(X) and Y have the same distribution. In general, the set of replicating functions for a given pair of random variables may be infinite. Suppose we have some objective function, or cost function, defined over the set of replicating functions, and we seek to estimate the replicating function with the lowest cost. We develop an approach to estimating the cheapest replicating function that i...

  4. Tablet technology in medical education in South Africa: a mixed methods study

    OpenAIRE

    Lazarus, L; Sookrajh, R; Satyapal, K S

    2017-01-01

    Objective The purpose of this study was to establish the use of mobile devices by learners at a selected medical school. Distribution of mobile devices was an inaugural initiative implemented by our college. Design A mixed methodology design using a questionnaire comprising both open-ended and close-ended questions was analysed from 179 (60 male; 119 female) second year medical students registered for the Anatomy course. Open-ended questions were analysed using a thematic approach by identify...

  5. PARENTAL ATTITUDES TOWARD THE PRESCRIPTION OF PSYCHOTROPIC MEDICATIONS FOR THEIR CHILDREN

    OpenAIRE

    Al-Haidar, Fatima A.

    2008-01-01

    Objective: To explore parental attitudes towards the prescription of psychotropic medication for their children. Method: A questionnaire built to collect socio-demographic data of parents and their attitudes was distributed among parents. Results: One thousand and ten questionnaires were filled by parents. Fathers who completed the questionnaire were double the number of mothers. Eight hundred and eighteen parents (84.3%) agreed to the dispensing psychotropic medication to their child...

  6. Exploration Medical Capability - Technology Watch

    Science.gov (United States)

    Krihak, Michael; Watkins, Sharmila; Barr, Yael; Barsten, Kristina; Fung, Paul; Baumann, David

    2011-01-01

    The objectives of the Technology Watch process are to identify emerging, high-impact technologies that augment current ExMC development efforts, and to work with academia, industry, and other government agencies to accelerate the development of medical care and research capabilities for the mitigation of potential health issues that could occur during space exploration missions. The establishment of collaborations with these entities is beneficial to technology development, assessment and/or insertion. Such collaborations also further NASA s goal to provide a safe and healthy environment for human exploration. The Tech Watch project addresses requirements and capabilities identified by knowledge and technology gaps that are derived from a discrete set of medical conditions that are most likely to occur on exploration missions. These gaps are addressed through technology readiness level assessments, market surveys, collaborations and distributed innovation opportunities. Ultimately, these gaps need to be closed with respect to exploration missions, and may be achieved through technology development projects. Information management is a key aspect to this process where Tech Watch related meetings, research articles, collaborations and partnerships are tracked by the HRP s Exploration Medical Capabilities (ExMC) Element. In 2011, ExMC will be introducing the Tech Watch external website and evidence wiki that will provide access to ExMC technology and knowledge gaps, technology needs and requirements documents.

  7. Programs as Data Objects

    DEFF Research Database (Denmark)

    This book constitutes the refereed proceedings of the Second Symposium on Programs as Data Objects, PADO 2001, held in Aarhus, Denmark, in May 2001. The 14 revised full papers presented were carefully reviewed and selected from 30 submissions. Various aspects of looking at programs as data objects...... are covered from the point of view of program analysis, program transformation, computational complexity, etc....

  8. Exhibiting Epistemic Objects

    DEFF Research Database (Denmark)

    Tybjerg, Karin

    2017-01-01

    of exhibiting epistemic objects that utilize their knowledge-generating potential and allow them to continue to stimulate curiosity and generate knowledge in the exhibition. The epistemic potential of the objects can then be made to work together with the function of the exhibition as a knowledge-generating set...

  9. Object permanence in lemurs.

    Science.gov (United States)

    Deppe, Anja M; Wright, Patricia C; Szelistowski, William A

    2009-03-01

    Object permanence, the ability to mentally represent objects that have disappeared from view, should be advantageous to animals in their interaction with the natural world. The objective of this study was to examine whether lemurs possess object permanence. Thirteen adult subjects representing four species of diurnal lemur (Eulemur fulvus rufus, Eulemur mongoz, Lemur catta and Hapalemur griseus) were presented with seven standard Piagetian visible and invisible object displacement tests, plus one single visible test where the subject had to wait predetermined times before allowed to search, and two invisible tests where each hiding place was made visually unique. In all visible tests lemurs were able to find an object that had been in clear view before being hidden. However, when lemurs were not allowed to search for up to 25-s, performance declined with increasing time-delay. Subjects did not outperform chance on any invisible displacements regardless of whether hiding places were visually uniform or unique, therefore the upper limit of object permanence observed was Stage 5b. Lemur species in this study eat stationary foods and are not subject to stalking predators, thus Stage 5 object permanence is probably sufficient to solve most problems encountered in the wild.

  10. Investigating Music Information Objects

    Science.gov (United States)

    Weissenberger, Lynnsey K.

    2016-01-01

    This dissertation, titled "Investigating Music Information Objects," is a study of the nature, description, representations, and ideas related to music information objects (MIOs). This research study investigates how music practitioners from various traditions describe and conceptualize MIOs, using a theoretical framework to classify…

  11. Gamifying Video Object Segmentation.

    Science.gov (United States)

    Spampinato, Concetto; Palazzo, Simone; Giordano, Daniela

    2017-10-01

    Video object segmentation can be considered as one of the most challenging computer vision problems. Indeed, so far, no existing solution is able to effectively deal with the peculiarities of real-world videos, especially in cases of articulated motion and object occlusions; limitations that appear more evident when we compare the performance of automated methods with the human one. However, manually segmenting objects in videos is largely impractical as it requires a lot of time and concentration. To address this problem, in this paper we propose an interactive video object segmentation method, which exploits, on one hand, the capability of humans to identify correctly objects in visual scenes, and on the other hand, the collective human brainpower to solve challenging and large-scale tasks. In particular, our method relies on a game with a purpose to collect human inputs on object locations, followed by an accurate segmentation phase achieved by optimizing an energy function encoding spatial and temporal constraints between object regions as well as human-provided location priors. Performance analysis carried out on complex video benchmarks, and exploiting data provided by over 60 users, demonstrated that our method shows a better trade-off between annotation times and segmentation accuracy than interactive video annotation and automated video object segmentation approaches.

  12. Objects of Desire.

    Science.gov (United States)

    Zielinski, Dave

    2000-01-01

    Describes learning objects, also known as granules, chunks, or information nuggets, and likens them to help screens. Discusses concerns about how they can go wrong: (1) faulty pretest questions; (2) missing links in the learning object chain; (3) poor frames of reference; and (4) lack of customization. (JOW)

  13. Per Object statistical analysis

    DEFF Research Database (Denmark)

    2008-01-01

    of a specific class in turn, and uses as pair of PPO stages to derive the statistics and then assign them to the objects' Object Variables. It may be that this could all be done in some other, simply way, but several other ways that were tried did not succeed. The procedure ouptut has been tested against...

  14. On Objects and Events

    DEFF Research Database (Denmark)

    Eugster, Patrick Thomas; Guerraoui, Rachid; Damm, Christian Heide

    2001-01-01

    This paper presents linguistic primitives for publish/subscribe programming using events and objects. We integrate our primitives into a strongly typed object-oriented language through four mechanisms: (1) serialization, (2) multiple sub typing, (3) closures, and (4) deferred code evaluation. We...

  15. Stability of multihypernuclear objects

    International Nuclear Information System (INIS)

    Ikram, M.; Rather, Asloob A.; Usmani, A.A.; Patra, S.K.

    2016-01-01

    In present work, we analyze the stability of multi-hypernuclear objects having higher content of strangeness. The aim of this work is to test the stability of such objects which might be produced in heavy-ion reactions. Studies of such type of systems might have great implication to nuclear-astrophysics

  16. Cultivating objects in interaction

    DEFF Research Database (Denmark)

    Hazel, Spencer

    2014-01-01

    is chapter explores patterns of repeated orientations to physical objects in interactants’ visuo-spatial and haptic surround. A number of examples are presented from advice-giving activities in various institutional settings, where participants-in-interaction initially draw on material objects...

  17. Piles of objects

    KAUST Repository

    Hsu, Shu-Wei; Keyser, John

    2010-01-01

    We present a method for directly modeling piles of objects in multi-body simulations. Piles of objects represent some of the more interesting, but also most time-consuming portion of simulation. We propose a method for reducing computation in many

  18. Object oriented programming

    International Nuclear Information System (INIS)

    Kunz, P.F.

    1990-01-01

    This paper is an introduction to object oriented programming techniques. It tries to explain the concepts by using analogies with traditional programming. The object oriented approach not inherently difficult, but most programmers find a relatively high threshold in learning it. Thus, this paper will attempt to convey the concepts with examples rather than explain the formal theory

  19. Beginning Objective-C

    CERN Document Server

    Dovey, James

    2012-01-01

    Objective-C is today's fastest growing programming language, at least in part due to the popularity of Apple's Mac, iPhone and iPad. Beginning Objective-C is for you if you have some programming experience, but you're new to the Objective-C programming language and you want a modern-and fast-way forwards to your own coding projects. Beginning Objective-C offers you a modern programmer's perspective on Objective-C courtesy of two of the best iOS and Mac developers in the field today, and gets you programming to the best of your ability in this important language.  It gets you rolling fast into

  20. Hardware Objects for Java

    DEFF Research Database (Denmark)

    Schoeberl, Martin; Thalinger, Christian; Korsholm, Stephan

    2008-01-01

    Java, as a safe and platform independent language, avoids access to low-level I/O devices or direct memory access. In standard Java, low-level I/O it not a concern; it is handled by the operating system. However, in the embedded domain resources are scarce and a Java virtual machine (JVM) without...... an underlying middleware is an attractive architecture. When running the JVM on bare metal, we need access to I/O devices from Java; therefore we investigate a safe and efficient mechanism to represent I/O devices as first class Java objects, where device registers are represented by object fields. Access...... to those registers is safe as Java’s type system regulates it. The access is also fast as it is directly performed by the bytecodes getfield and putfield. Hardware objects thus provide an object-oriented abstraction of low-level hardware devices. As a proof of concept, we have implemented hardware objects...