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Sample records for model real-life situations

  1. Rasch modelling of Mathematics and Science teachers’ preferences of real-life situations to be used in Mathematical Literacy

    Directory of Open Access Journals (Sweden)

    Cyril Julie

    2011-10-01

    Full Text Available In order to ascertain the real-life situations that teachers, as stakeholders, would find suitable and appropriate to deal with in Mathematical Literacy (a compulsory subject for students who are not doing Mathematics at the Further Education and Training level of the South African education system, we embarked on a study known as the Relevance of School Mathematics Education (ROSME. The principle underpinning this article is that there are times when it is necessary to assess the functionality and quality of questionnaires used to ascertain affective domain issues. The study provides an analysis technique which is not affected by the sample of individuals completing a questionnaire, provided that the instrument meets particular requirements. It thus improves the rigour of measurement. Various statistics obtained in this study showed that the instrument used to determine the real-life situations which teachers prefer for Mathematical Literacy reasonably identifies this variable. However, it is cautioned that much more care needs to be exercised in construction of such instruments. The results also indicated the real-life situations which teachers most and least preferred to be included in Mathematical Literacy, providing useful information for policy-makers and textbook authors on contextual situations to be included in learning materials.

  2. Rasch modeling to assess Albanian and South African learners' preferences for real-life situations to be used in mathematics: a pilot study.

    Science.gov (United States)

    Kacerja, Suela; Julie, Cyril; Hadjerrouit, Said

    2013-01-01

    This paper reports on an investigation on the real-life situations students in grades 8 and 9 in South Africa and Albania prefer to use in Mathematics. The functioning of the instrument used to assess the order of preference learners from both countries have for contextual situations is assessed using Rasch modeling techniques. For both the cohorts, the data fit the Rasch model. The differential item functioning (DIF) analysis rendered 3 items operating differentially for the two cohorts. Explanations for these differences are provided in terms of differences in experiences learners in the two countries have related to some of the contextual situations. Implications for interpretation of international comparative tests are offered, as are the possibilities for the cross-country development of curriculum materials related to contexts that learners prefer to use in Mathematics.

  3. Modelling in Action. Examining How Students Approach Modelling Real Life Situations. Three Case Studies. Model of the Movement of an Elevator

    Science.gov (United States)

    Rivas, Eugenia Marmolejo

    2015-01-01

    By means of three case studies, we will present two mathematical modelling activities that are suitable for students enrolled in senior high school and the first year of mathematics at university level. The activities have been designed to enrich the learning process and promote the formation of vital modelling skills. In case studies one and two,…

  4. Metacognition in Real Life Situations and Study Skills and Habits: Two Types of Processes

    Science.gov (United States)

    Al-Hilawani, Yasser A.

    2016-01-01

    The relationship between metacognition in real life situations and study skills and habits was examined using a sample of college students. Results showed no significant relationship between these two variables nor was there a significant relationship between study skills and reaction time as measured on the metacognitive test. However, there was…

  5. Thai nursing students' experiences when attending real life situations involving cardiac life support: A Phenomenological study.

    Science.gov (United States)

    Matchim, Yaowarat; Kongsuwan, Waraporn

    2015-12-01

    During the last few years, manikin simulations have been used for cardiac life support training procedures in medical and nursing education. However, some nursing students have experienced attending real events involving cardiac life support during their clinical practice. This study aims to describe the meaning of experience of Thai nursing students when attending real situations of cardiac life support. A hermeneutic phenomenological study was used. Third and fourth year bachelor of nursing students at a university in the southern region of Thailand who had the experience of attending real situation of cardiac life support were purposely selected as the informants. The data were generated from individual in-depth interviews with eighteen nursing students. Van Manen's approach was used to analyze the data. Trustworthiness was established using the criteria set out by Lincoln and Guba. Essential themes situated in the context of the four existential grounds of body, time, space, and relation emerged. These were: being worried and fearful while desiring to participate in cardiac life support procedures; enhancing self value; knowing each moment is meaningful for one's life; having time to understand the reality of life; being in a small corner; appreciating such opportunities and the encouragement given by nurses and the healthcare team; and feeling empathy. Besides learning in classrooms and practicing in labs, experiencing real situations is beneficial for nursing students in learning cardiac life support. This study provides information that can be used for clinical teaching management in the topics relating to cardiac life support. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Use of oral antineoplastic in special situations in a third level hospital: real life results

    Directory of Open Access Journals (Sweden)

    José Miguel Ferrari-Piquero

    2018-01-01

    Full Text Available Objective: To analyse the effectiveness and safety of oral antineoplastic drugs (ANEOs that are authorized in special situations in a third-level hospital and to compare the results obtained with the clinical evidence used for this authorization. Method: Descriptive observational and retrospective study. We included all adult patients who started treatment with ANEO in special situations during the year 2016. We collected demographic, treatment-related and clinical variables (overall survival (OS, progression-free survival (PFS. Adverse reactions and detected interactions were collected. An unadjusted comparison was made between the results of the available evidence and those of the study patients. Results: 34 patients were treated, 50% were men, the median age was 58 years (38-80 and they presented ECOG 1 in 64.7%. Most of the treated patients were diagnosed with advanced colorectal cancer, treated with trifluridine-tipiracil, followed by palbociclib in breast cancer, obtaining results similar to those of the evidence. The median PFS was 2.8 months (95% CI 0.8- 4.8 and the 8-month SG (95% CI 3.4-12.5 for all patients. 26% of patients required dose reduction because of treatment toxicity. We found 13 interactions, which affected 15 patients, only two of category X. Conclusions: The effectiveness of ANEO in special situations in our center is similar to that of available evidence. The impact on survival is low and adverse effects are common.

  7. Productive criticism, Part 2: A new environment for criticism. Performance appraisals and other real-life situations.

    Science.gov (United States)

    Weisinger, H D

    1996-01-01

    Criticism affects almost all aspects of your job: the quality of work you do, how you feel about it, and your relationships with your boss, coworkers, and subordinates. Used productively, criticism is a powerful tool that helps you improve your work, enhance your working relationships, increase your job satisfaction, and achieve better overall results. Improperly used, it impedes performance, demoralizes you, discourages you from wanting to try again, and creates friction in the workplace. In short, the ability to give and take criticism significantly determines how well you do on the job. In Part 1, we explained how to use productive criticism as an opportunity for the growth and education of subordinates. In Part 2, we will examine how you can productively criticize superiors and peers. We will also offer new performance appraisal technics and examine real-life criticism situations.

  8. Can You Tell Me Something about Yourself?: Self-Presentation in Children and Adolescents with High Functioning Autism Spectrum Disorder in Hypothetical and Real Life Situations

    Science.gov (United States)

    Scheeren, Anke M.; Begeer, Sander; Banerjee, Robin; Terwogt, Mark Meerum; Koot, Hans M.

    2010-01-01

    The self-presentation skills of children and adolescents with high-functioning autistic spectrum disorder (HFASD) and typically developing (TD) controls were compared, in response to both hypothetical and real life situations. In both situations, 26 HFASD and 26 TD participants were prompted to describe themselves twice, first in a baseline…

  9. Mangling the models: Real-life experiences in voluntary siting

    International Nuclear Information System (INIS)

    Roche, C.S.

    1993-01-01

    Social scientists are accumulating a growing body of research to guide the development of communications models for siting controversial facilities. The models emphasize building consensus by involving all stakeholders, including opponents, in the decision-making process from its earliest stages. Communications should focus on issues and concerns that are most relevant to the people in the involved community. Finally, trust must be built through local control of the decision-making process. This paper presents experiences in the voluntary siting process for the Monitored Retrievable Storage (MRS) facility for spent nuclear fuel in three locations: Grant County, North Dakota, Fremont County, Wyoming, and the Mescalero Apache nation in New Mexico

  10. Waterpipe effects on pulmonary function and cardiovascular indices: a comparison to cigarette smoking in real life situation.

    Science.gov (United States)

    Layoun, Nelly; Saleh, Nadine; Barbour, Bernadette; Awada, Sanaa; Rachidi, Samar; Al-Hajje, Amal; Bawab, Wafaa; Waked, Mirna; Salameh, Pascale

    2014-08-01

    Smoking is known to have physiological effects on biological systems. The purpose of this study is to evaluate acute and chronic effects on pulmonary functions and cardiovascular indices of waterpipe (WP) smoking in real life circumstances. Three groups were included in the study: non-smokers (N = 42), WP smokers (N = 42) and cigarette smokers (N = 48). A questionnaire was completed for each participant, in addition to pulmonary function [forced expiratory volume at 1 s (FEV1), 6 s (FEV6), percentage of FEV1/FEV6], and cardiovascular [diastolic blood pressure (DBP), systolic blood pressure (SBP) and heart rate (HR)] measures, taken before and after smoking. Mean values of FEV1, FEV6, FEV1/FEV6, DBP and SBP in WP and cigarette smokers were very close. However, WP smoking significantly increased HR compared to cigarette smokers (p = 0.007); duration of smoking, age at first WP and quantity of smoking affected pulmonary function and cardiovascular values. In the subgroup of WP smokers, DBP was acutely increased by a larger WP size (p = 0.011), while the FEV6 was acutely increased by a smaller WP size (p = 0.045). WP smoking affected the cardiovascular system more than cigarette smoking, while it had similar effects on pulmonary function.

  11. Issues of Application of Machine Learning Models for Virtual and Real-Life Buildings

    Directory of Open Access Journals (Sweden)

    Young Min Kim

    2016-06-01

    Full Text Available The current Building Energy Performance Simulation (BEPS tools are based on first principles. For the correct use of BEPS tools, simulationists should have an in-depth understanding of building physics, numerical methods, control logics of building systems, etc. However, it takes significant time and effort to develop a first principles-based simulation model for existing buildings—mainly due to the laborious process of data gathering, uncertain inputs, model calibration, etc. Rather than resorting to an expert’s effort, a data-driven approach (so-called “inverse” approach has received growing attention for the simulation of existing buildings. This paper reports a cross-comparison of three popular machine learning models (Artificial Neural Network (ANN, Support Vector Machine (SVM, and Gaussian Process (GP for predicting a chiller’s energy consumption in a virtual and a real-life building. The predictions based on the three models are sufficiently accurate compared to the virtual and real measurements. This paper addresses the following issues for the successful development of machine learning models: reproducibility, selection of inputs, training period, outlying data obtained from the building energy management system (BEMS, and validation of the models. From the result of this comparative study, it was found that SVM has a disadvantage in computation time compared to ANN and GP. GP is the most sensitive to a training period among the three models.

  12. Get the most from your data: a propensity score model comparison on real-life data

    Directory of Open Access Journals (Sweden)

    Ferdin

    2016-05-01

    Full Text Available Dennis Ferdinand,1 Mirko Otto,2 Christel Weiss1 1Department of Biomathematics and Medical Statistics, 2Department of Surgery, University Medical Center Mannheim (UMM, University of Heidelberg, Mannheim, Germany Purpose: In the past, the propensity score has been in the middle of several discussions in terms of its abilities and limitations. With a comprehensive review and a practical example, this study examines the effect of propensity score analysis of real-life data and introduces a simple and effective clinical approach. Materials and methods: After the authors reviewed current publications, they applied their insights to the data of a nonrandomized clinical trial in bariatric surgery. This study examined weight loss in 173 patients where 127 patients received Roux-en-Y gastric bypass surgery and 46 patients sleeve gastrectomy. Both groups underwent analysis in terms of their covariate distribution using Mann–Whitney U and χ2 testing. Mean differences within excess weight loss in native data were examined with Student’s t-test. Three propensity score models were defined and matching was performed. Covariate distribution and mean differences in excess weight loss were checked with Mann–Whitney U and χ2 testing. Results: Native data implied a significant difference in excess weight loss. The propensity score models did not confirm this difference. All models proved that both surgical procedures were equal, due to their weight-loss induction. Covariate distribution improved after the matching procedure in terms of an equal distribution. Conclusion: It seemed that a practical clinical approach with outcome-related covariates as a propensity score base is the ideal midpoint between an equal distribution in covariates and an acceptable loss of data. Nevertheless, propensity score models designed with clinical intent seemed to be absolutely suitable for overcoming heterogeneity in covariate distribution. Keywords: nonrandomized clinical

  13. Get the most from your data: a propensity score model comparison on real-life data.

    Science.gov (United States)

    Ferdinand, Dennis; Otto, Mirko; Weiss, Christel

    2016-01-01

    In the past, the propensity score has been in the middle of several discussions in terms of its abilities and limitations. With a comprehensive review and a practical example, this study examines the effect of propensity score analysis of real-life data and introduces a simple and effective clinical approach. After the authors reviewed current publications, they applied their insights to the data of a nonrandomized clinical trial in bariatric surgery. This study examined weight loss in 173 patients where 127 patients received Roux-en-Y gastric bypass surgery and 46 patients sleeve gastrectomy. Both groups underwent analysis in terms of their covariate distribution using Mann-Whitney U and χ (2) testing. Mean differences within excess weight loss in native data were examined with Student's t-test. Three propensity score models were defined and matching was performed. Covariate distribution and mean differences in excess weight loss were checked with Mann-Whitney U and χ (2) testing. Native data implied a significant difference in excess weight loss. The propensity score models did not confirm this difference. All models proved that both surgical procedures were equal, due to their weight-loss induction. Covariate distribution improved after the matching procedure in terms of an equal distribution. It seemed that a practical clinical approach with outcome-related covariates as a propensity score base is the ideal midpoint between an equal distribution in covariates and an acceptable loss of data. Nevertheless, propensity score models designed with clinical intent seemed to be absolutely suitable for overcoming heterogeneity in covariate distribution.

  14. Feasibility of Functional Near-Infrared Spectroscopy (fNIRS) to Investigate the Mirror Neuron System: An Experimental Study in a Real-Life Situation.

    Science.gov (United States)

    Sun, Pei-Pei; Tan, Fu-Lun; Zhang, Zong; Jiang, Yi-Han; Zhao, Yang; Zhu, Chao-Zhe

    2018-01-01

    The mirror neuron system (MNS), mainly including the premotor cortex (PMC), inferior frontal gyrus (IFG), superior parietal lobule (SPL), and rostral inferior parietal lobule (IPL), has attracted extensive attention as a possible neural mechanism of social interaction. Owing to high ecological validity, functional near-infrared spectroscopy (fNIRS) has become an ideal approach for exploring the MNS. Unfortunately, for the feasibility of fNIRS to detect the MNS, none of the four dominant regions were found in previous studies, implying a very limited capacity of fNIRS to investigate the MNS. Here, we adopted an experimental paradigm in a real-life situation to evaluate whether the MNS activity, including four dominant regions, can be detected by using fNIRS. Specifically, 30 right-handed subjects were asked to complete a table-setting task that included action execution and action observation. A double density probe configuration covered the four regions of the MNS in the left hemisphere. We used a traditional channel-based group analysis and also a ROI-based group analysis to find which regions are activated during both action execution and action observation. The results showed that the IFG, adjacent PMC, SPL, and IPL were involved in both conditions, indicating the feasibility of fNIRS to detect the MNS. Our findings provide a foundation for future research to explore the functional role of the MNS in social interaction and various disorders using fNIRS.

  15. Feasibility of Functional Near-Infrared Spectroscopy (fNIRS to Investigate the Mirror Neuron System: An Experimental Study in a Real-Life Situation

    Directory of Open Access Journals (Sweden)

    Pei-Pei Sun

    2018-03-01

    Full Text Available The mirror neuron system (MNS, mainly including the premotor cortex (PMC, inferior frontal gyrus (IFG, superior parietal lobule (SPL, and rostral inferior parietal lobule (IPL, has attracted extensive attention as a possible neural mechanism of social interaction. Owing to high ecological validity, functional near-infrared spectroscopy (fNIRS has become an ideal approach for exploring the MNS. Unfortunately, for the feasibility of fNIRS to detect the MNS, none of the four dominant regions were found in previous studies, implying a very limited capacity of fNIRS to investigate the MNS. Here, we adopted an experimental paradigm in a real-life situation to evaluate whether the MNS activity, including four dominant regions, can be detected by using fNIRS. Specifically, 30 right-handed subjects were asked to complete a table-setting task that included action execution and action observation. A double density probe configuration covered the four regions of the MNS in the left hemisphere. We used a traditional channel-based group analysis and also a ROI-based group analysis to find which regions are activated during both action execution and action observation. The results showed that the IFG, adjacent PMC, SPL, and IPL were involved in both conditions, indicating the feasibility of fNIRS to detect the MNS. Our findings provide a foundation for future research to explore the functional role of the MNS in social interaction and various disorders using fNIRS.

  16. Feasibility of Functional Near-Infrared Spectroscopy (fNIRS) to Investigate the Mirror Neuron System: An Experimental Study in a Real-Life Situation

    Science.gov (United States)

    Sun, Pei-Pei; Tan, Fu-Lun; Zhang, Zong; Jiang, Yi-Han; Zhao, Yang; Zhu, Chao-Zhe

    2018-01-01

    The mirror neuron system (MNS), mainly including the premotor cortex (PMC), inferior frontal gyrus (IFG), superior parietal lobule (SPL), and rostral inferior parietal lobule (IPL), has attracted extensive attention as a possible neural mechanism of social interaction. Owing to high ecological validity, functional near-infrared spectroscopy (fNIRS) has become an ideal approach for exploring the MNS. Unfortunately, for the feasibility of fNIRS to detect the MNS, none of the four dominant regions were found in previous studies, implying a very limited capacity of fNIRS to investigate the MNS. Here, we adopted an experimental paradigm in a real-life situation to evaluate whether the MNS activity, including four dominant regions, can be detected by using fNIRS. Specifically, 30 right-handed subjects were asked to complete a table-setting task that included action execution and action observation. A double density probe configuration covered the four regions of the MNS in the left hemisphere. We used a traditional channel-based group analysis and also a ROI-based group analysis to find which regions are activated during both action execution and action observation. The results showed that the IFG, adjacent PMC, SPL, and IPL were involved in both conditions, indicating the feasibility of fNIRS to detect the MNS. Our findings provide a foundation for future research to explore the functional role of the MNS in social interaction and various disorders using fNIRS. PMID:29556185

  17. A Situational Maintenance Model

    DEFF Research Database (Denmark)

    Luxhoj, James T.; Thorsteinsson, Uffe; Riis, Jens Ove

    1997-01-01

    An overview of trend in maintenance management and presentation of a situational model and an analytical tools for identification of managerial efforts in maintenance.......An overview of trend in maintenance management and presentation of a situational model and an analytical tools for identification of managerial efforts in maintenance....

  18. The fragrance hand immersion study - an experimental model simulating real-life exposure for allergic contact dermatitis on the hands

    DEFF Research Database (Denmark)

    Heydorn, S; Menné, T; Andersen, Klaus Ejner

    2003-01-01

    previously diagnosed with hand eczema to explore whether immersion of fingers in a solution with or without the patch-test-positive fragrance allergen would cause or exacerbate hand eczema on the exposed finger. The study was double blinded and randomized. All participants had a positive patch test to either...... hydroxycitronellal or Lyral (hydroxyisohexyl 3-cyclohexene carboxaldehyde). Each participant immersed a finger from each hand, once a day, in a solution containing the fragrance allergen or placebo. During the first 2 weeks, the concentration of fragrance allergen in the solution was low (approximately 10 p...... meter. 3 of 15 hand eczema patients developed eczema on the finger immersed in the fragrance-containing solution, 3 of 15 on the placebo finger and 3 of 15 on both fingers. Using this experimental exposure model simulating real-life exposure, we found no association between immersion of a finger...

  19. Using an Ocean of Data, Researchers Model Real-Life Benefits of Cancer Screening

    Science.gov (United States)

    Using the results of screening trials, the NCI Cancer Intervention and Surveillance Modeling Network is trying to estimate the true benefit of cancer screening in the general population and identify the optimal way to implement screening within the health care system.

  20. Modelling of domestic refrigerators' energy consumption under real life conditions in Europe

    Energy Technology Data Exchange (ETDEWEB)

    Geppert, Jasmin

    2011-05-23

    In recent decades, energy and resource savings have become increasingly important, not only in the industrial, but also the residential sector. As one of the largest energy users in private homes, domestic refrigerators and freezers were among the first appliances to be targeted for energy efficiency improvements. With the aim of encouraging manufacturers to develop and produce more efficient appliances, the European Energy Label was introduced in the mid-nineties. However, the energy use of refrigerators does not only depend on technical components and features. Especially the using conditions in private homes are of a decisive influence. Thus, the present study has been conducted to test the sensitivity of refrigerators' energy consumption to various usage conditions within realistic ranges, which have been determined by means of two empirical studies. Key information gathered from the experiments were used as a base for the development and validation of a simplified model that allows predicting the energy consumption of refrigerators in use. The practical experiments were performed under controlled laboratory conditions with four different refrigerators with an A{sup +} or A{sup ++} energy efficiency rating (two statically cooled built-in fridge-freezers, one dynamically cooled refrigerator and one statically cooled refrigerator). The investigations revealed that the ambient temperature has the greatest impact on a refrigerator's energy consumption, followed by thermostat setting and heat load by insertion of warm items. The refrigerators' load under static conditions as well as the number of door openings have almost no impact on energy consumption. The modelling methodology follows a first-principle approach adjusted by experimental data. When compared to experimental results, model predictions show a reasonable agreement for the whole range of investigated conditions. (orig.)

  1. Situational Behavior Modeling

    Science.gov (United States)

    2009-06-30

    dealt with a notion of ``context’’, which, according to Akman and Surav [9], stands for the same concept as ``situation’’. This line of AI research...Networks of Plausible Inference. Morgan Kaufmann, 1988. 9 V. Akman and M. Surav. Steps toward formalizing context. AI Magazine, 17(3):55– 72, 1996. 10

  2. Real Life and the Classroom

    Science.gov (United States)

    Van Praagh, Shauna

    2013-01-01

    The choices teachers make about both form and content in designing their courses shape students' perceptions of the connection between "real life" and the "classroom." The choice to begin a first-year law course with stories told by residential school survivors provides an example of how to bring "real life" into the…

  3. Use of fatal real-life crashes to analyze a safe road transport system model, including the road user, the vehicle, and the road.

    Science.gov (United States)

    Stigson, Helena; Krafft, Maria; Tingvall, Claes

    2008-10-01

    To evaluate if the Swedish Road Administration (SRA) model for a safe road transport system, which includes the interaction between the road user, the vehicle, and the road, could be used to classify fatal car crashes according to some safety indicators. Also, to present a development of the model to better identify system weakness. Real-life crashes with a fatal outcome were classified according to the vehicle's safety rating by Euro NCAP (European Road Assessment Programme) and fitment of ESC (Electronic Stability Control). For each crash, the road was also classified according to EuroRAP (European Road Assessment Programme) criteria, and human behavior in terms of speeding, seat belt use, and driving under the influence of alcohol. Each crash was compared with the model criteria, to identify components that might have contributed to fatal outcome. All fatal crashes where a car occupant was killed that occurred in Sweden during 2004 were included: in all, 215 crashes with 248 fatalities. The data were collected from the in-depth fatal crash data of the Swedish Road Administration (SRA). It was possible to classify 93% of the fatal car crashes according to the SRA model. A number of shortcomings in the criteria were identified since the model did not address rear-end or animal collisions or collisions with stationary/parked vehicles or trailers (18 out of 248 cases). Using the further developed model, it was possible to identify that most of the crashes occurred when two or all three components interacted (in 85 of the total 230 cases). Noncompliance with safety criteria for the road user, the vehicle, and the road led to fatal outcome in 43, 27, and 75 cases, respectively. The SRA model was found to be useful for classifying fatal crashes but needs to be further developed to identify how the components interact and thereby identify weaknesses in the road traffic system. This developed model might be a tool to systematically identify which of the components are

  4. A Model for Situation and Threat Assessment

    National Research Council Canada - National Science Library

    Steinberg, Alan

    2006-01-01

    .... The activity relates to levels 2 and 3 of the familiar JDL data fusion model. Level 2, Situation Assessment, involves such applications as scene understanding, force structure analysis and many other types of situational analysis...

  5. The Real Life Application of Pulleys in a Competitive Environment

    Science.gov (United States)

    Tekbiyik, Ahmet

    2015-01-01

    The aim of this research was to explore students' application of theoretical knowledge in real-life situations using pulley systems in a competition designed for primary school students. The study was conducted with 24 primary school students who had completed year seven, and who volunteered to participate in a summer science camp. In groups, the…

  6. Real-life applications with membrane computing

    CERN Document Server

    Zhang, Gexiang; Gheorghe, Marian

    2017-01-01

    This book thoroughly investigates the underlying theoretical basis of membrane computing models, and reveals their latest applications. In addition, to date there have been no illustrative case studies or complex real-life applications that capitalize on the full potential of the sophisticated membrane systems computational apparatus; gaps that this book remedies. By studying various complex applications – including engineering optimization, power systems fault diagnosis, mobile robot controller design, and complex biological systems involving data modeling and process interactions – the book also extends the capabilities of membrane systems models with features such as formal verification techniques, evolutionary approaches, and fuzzy reasoning methods. As such, the book offers a comprehensive and up-to-date guide for all researchers, PhDs and undergraduate students in the fields of computer science, engineering and the bio-sciences who are interested in the applications of natural computing models.

  7. 8th Grade Student's Skill of Connecting Mathematics to Real Life

    Science.gov (United States)

    Altay, Mesture Kayhan; Yalvaç, Betül; Yeltekin, Emel

    2017-01-01

    The purpose of this study is to examine 8th grade students' skills of connecting mathematics to real life. This study uses survey design since it aims to determine existing situations regarding to students' skills of connecting mathematics to real life. The study sample consists of 176 students in total, who are studying at a state school in the…

  8. Learning Behavior Analysis of a Ubiquitous Situated Reflective Learning System with Application to Life Science and Technology Teaching

    Science.gov (United States)

    Hwang, Wu-Yuin; Chen, Hong-Ren; Chen, Nian-Shing; Lin, Li-Kai; Chen, Jin-Wen

    2018-01-01

    Education research has shown that reflective study can efficiently enhance learning, and the acquisition of knowledge and skills from real-life situations has become a focus of interest for scholars. The knowledge-learning model based on verbal instruction, used in traditional classrooms, does not make use of real-life situations that encourage…

  9. Modelling remediation options for urban contamination situations

    DEFF Research Database (Denmark)

    Thiessen, K.M.; Andersson, Kasper Grann; Charnock, T.W.

    2009-01-01

    and remedial options enables the evaluation of a variety of situations or alternative recovery strategies in contexts of preparedness or decision-making. At present a number of models and modelling approaches are available for different purposes. This paper summarizes the available modelling approaches...

  10. System dynamics modelling of situation awareness

    CSIR Research Space (South Africa)

    Oosthuizen, R

    2015-11-01

    Full Text Available . The feedback loops and delays in the Command and Control system also contribute to the complex dynamic behavior. This paper will build on existing situation awareness models to develop a System Dynamics model to support a qualitative investigation through...

  11. A improved Network Security Situation Awareness Model

    Directory of Open Access Journals (Sweden)

    Li Fangwei

    2015-08-01

    Full Text Available In order to reflect the situation of network security assessment performance fully and accurately, a new network security situation awareness model based on information fusion was proposed. Network security situation is the result of fusion three aspects evaluation. In terms of attack, to improve the accuracy of evaluation, a situation assessment method of DDoS attack based on the information of data packet was proposed. In terms of vulnerability, a improved Common Vulnerability Scoring System (CVSS was raised and maked the assessment more comprehensive. In terms of node weights, the method of calculating the combined weights and optimizing the result by Sequence Quadratic Program (SQP algorithm which reduced the uncertainty of fusion was raised. To verify the validity and necessity of the method, a testing platform was built and used to test through evaluating 2000 DAPRA data sets. Experiments show that the method can improve the accuracy of evaluation results.

  12. Modeling of Communication in a Computational Situation Assessment Model

    International Nuclear Information System (INIS)

    Lee, Hyun Chul; Seong, Poong Hyun

    2009-01-01

    Operators in nuclear power plants have to acquire information from human system interfaces (HSIs) and the environment in order to create, update, and confirm their understanding of a plant state, or situation awareness, because failures of situation assessment may result in wrong decisions for process control and finally errors of commission in nuclear power plants. Quantitative or prescriptive models to predict operator's situation assessment in a situation, the results of situation assessment, provide many benefits such as HSI design solutions, human performance data, and human reliability. Unfortunately, a few computational situation assessment models for NPP operators have been proposed and those insufficiently embed human cognitive characteristics. Thus we proposed a new computational situation assessment model of nuclear power plant operators. The proposed model incorporating significant cognitive factors uses a Bayesian belief network (BBN) as model architecture. It is believed that communication between nuclear power plant operators affects operators' situation assessment and its result, situation awareness. We tried to verify that the proposed model represent the effects of communication on situation assessment. As the result, the proposed model succeeded in representing the operators' behavior and this paper shows the details

  13. Modeling Control Situations in Power System Operations

    DEFF Research Database (Denmark)

    Saleem, Arshad; Lind, Morten; Singh, Sri Niwas

    2010-01-01

    Increased interconnection and loading of the power system along with deregulation has brought new challenges for electric power system operation, control and automation. Traditional power system models used in intelligent operation and control are highly dependent on the task purpose. Thus, a model...... of explicit principles for model construction. This paper presents a work on using explicit means-ends model based reasoning about complex control situations which results in maintaining consistent perspectives and selecting appropriate control action for goal driven agents. An example of power system...... for intelligent operation and control must represent system features, so that information from measurements can be related to possible system states and to control actions. These general modeling requirements are well understood, but it is, in general, difficult to translate them into a model because of the lack...

  14. Endangered Species: Real Life in Two Dimensions

    Science.gov (United States)

    Henderson, Lynette K.

    2012-01-01

    The focus of "Endangered Species: Real Life in Two Dimensions" is to create awareness about a critical environmental issue. There is a special urgency to this project because large numbers of animal species are currently endangered or on the brink of extinction. In addition to being enlightened about this important topic through research, students…

  15. A situated model of creative learning

    DEFF Research Database (Denmark)

    Tanggaard, Lene

    2014-01-01

    on three key concepts or learning principles which can take different forms in particular settings and social practices. These are respectively: (1) Immersion in the topic of interest, in traditions and in the subject matter, (2) Experimentation and inquiry learning and (3) Resistance from the material...... creatively leads to creative learning, suggesting that there is a need to describe the concept of creative learning and to analyse its possible constituents. Accordingly, this presentation introduces an empirically based and theoretically informed model of a creative learning community. The model is based...... of interest. As a theoretical point of departure, this presentation will outline a situated model of creativity and learning, and following this, will introduce a model of creative learning. This presentation will include several empirical examples. In the final part, the model will be discussed in relation...

  16. Contribution of modeling approaches and virtual populations in transposing the results of clinical trials into real life and in enlightening public health decisions.

    Science.gov (United States)

    Gueyffier, François; Strang, Catherine Brun; Berdeaux, Gilles; França, Lionel Riou; Blin, Patrick; Massol, Jacques

    2012-01-01

    Modeling consists in aggregating separate pieces of knowledge, according to a given structure and rules. It allows studying the behavior of more or less complex systems by simulation techniques. Modeling is used in different state-of-the-art technological domains (meteorology, aeronautics). Its use has grown for the evaluation of medicines and medical devices, from conception to prescription (marketing authorization, reimbursement, price setting and re-registrations). It follows a scientific approach and is the object of good practice recommendations. Coupling models to virtual populations allows obtaining realistic results at the population level, testing diagnostic or therapeutic strategies, as well as estimating the consequences of transposing the results of clinical trials to the population. Through examples, the participants of the Round Table analyzed the contributions of the coupling of models and realistic virtual populations, and proposed guidelines for their judicious and systematic use. © 2012 Société Française de Pharmacologie et de Thérapeutique.

  17. Macroscopic models for vehicular flows and crowd dynamics theory and applications classical and non–classical advanced mathematics for real life applications

    CERN Document Server

    Rosini, Massimiliano Daniele

    2013-01-01

    This monograph  presents a systematic treatment of the theory for hyperbolic conservation laws and their applications to vehicular traffics and crowd dynamics. In the first part of the book, the author presents very basic considerations and gradually introduces the mathematical tools necessary to describe and understand the mathematical models developed in the following parts focusing on vehicular and pedestrian traffic. The book is a self-contained valuable resource for advanced courses in mathematical modeling, physics and civil engineering. A number of examples and figures facilitate a better understanding of the underlying concepts and motivations for the students. Important new techniques are presented, in particular the wave front tracking algorithm, the operator splitting approach, the non-classical theory of conservation laws and the constrained problems. This book is the first to present a comprehensive account of these fundamental new mathematical advances.  

  18. Combined cycling and calendar capacity fade modeling of a Nickel-Manganese-Cobalt Oxide Cell with real-life profile validation

    DEFF Research Database (Denmark)

    de Hoog, Joris; Timmermans, Jean-Marc; Stroe, Daniel-Ioan

    2017-01-01

    This paper presents the development of a semi-empirical combined lifetime model for a Nickel Manganese Cobalt Oxide (NMC) cathode and a graphite anode based cell, considered as one of the most promising candidates for the automotive industry. The development of this model was based on a thorough...... understanding of the degradation behavior of a 20-A h NMC cell, based on the analysis of the results of an extensive test-matrix using 146 cells. This test-matrix was designed around four impact factors: temperature (25–45 °C), Depth-of-Discharge (100–20% DoD), middle State-of-Charge (80–20% Mid......-SoC) and current rates (C/3 to 2C). Gathering sufficient data for a mathematical model requires a huge time-investment, and the measurements gathered over the course of 2.5 years offer a unique insight in the aging behavior of the NMC cells used in this study. Experimental results for cycling aging indicated...

  19. The Educational Situation Quality Model: Recent Advances

    Science.gov (United States)

    Doménech-Betoret, Fernando

    2018-01-01

    The purpose of this work was to present an educational model developed in recent years entitled the “The Educational Situation Quality Model” (MOCSE, acronym in Spanish). MOCSE can be defined as an instructional model that simultaneously considers the teaching-learning process, where motivation plays a central role. It explains the functioning of an educational setting by organizing and relating the most important variables which, according to the literature, contribute to student learning. Besides being a conceptual framework, this model also provides a methodological procedure to guide research and to promote reflection in the classroom. It allows teachers to implement effective research-action programs to improve teacher–students satisfaction and learning outcomes in the classroom context. This work explains the model’s characteristics and functioning, recent advances, and how teachers can use it in an educational setting with a specific subject. This proposal integrates approaches from several relevant psycho-educational theories and introduces a new perspective into the existing literature that will allow researchers to make progress in studying educational setting functioning. The initial MOCSE configuration has been refined over time in accordance with the empirical results obtained from previous research, carried out within the MOCSE framework and with the subsequent reflections that derived from these results. Finally, the contribution of the model to improve learning outcomes and satisfaction, and its applicability in the classroom, are also discussed. PMID:29593623

  20. The Educational Situation Quality Model: Recent Advances

    Directory of Open Access Journals (Sweden)

    Fernando Doménech-Betoret

    2018-03-01

    Full Text Available The purpose of this work was to present an educational model developed in recent years entitled the “The Educational Situation Quality Model” (MOCSE, acronym in Spanish. MOCSE can be defined as an instructional model that simultaneously considers the teaching-learning process, where motivation plays a central role. It explains the functioning of an educational setting by organizing and relating the most important variables which, according to the literature, contribute to student learning. Besides being a conceptual framework, this model also provides a methodological procedure to guide research and to promote reflection in the classroom. It allows teachers to implement effective research-action programs to improve teacher–students satisfaction and learning outcomes in the classroom context. This work explains the model’s characteristics and functioning, recent advances, and how teachers can use it in an educational setting with a specific subject. This proposal integrates approaches from several relevant psycho-educational theories and introduces a new perspective into the existing literature that will allow researchers to make progress in studying educational setting functioning. The initial MOCSE configuration has been refined over time in accordance with the empirical results obtained from previous research, carried out within the MOCSE framework and with the subsequent reflections that derived from these results. Finally, the contribution of the model to improve learning outcomes and satisfaction, and its applicability in the classroom, are also discussed.

  1. Can virtual reality exposure therapy gains be generalized to real-life? : A meta-analysis of studies applying behavioral assessments

    NARCIS (Netherlands)

    Morina, Nexhmedin; Ijntema, Hiske; Meyerbröker, Katharina; Emmelkamp, Paul M G

    2015-01-01

    In virtual reality exposure therapy (VRET), patients are exposed to virtual environments that resemble feared real-life situations. The aim of the current study was to assess the extent to which VRET gains can be observed in real-life situations. We conducted a meta-analysis of clinical trials

  2. Multi-perspective workflow modeling for online surgical situation models.

    Science.gov (United States)

    Franke, Stefan; Meixensberger, Jürgen; Neumuth, Thomas

    2015-04-01

    Surgical workflow management is expected to enable situation-aware adaptation and intelligent systems behavior in an integrated operating room (OR). The overall aim is to unburden the surgeon and OR staff from both manual maintenance and information seeking tasks. A major step toward intelligent systems behavior is a stable classification of the surgical situation from multiple perspectives based on performed low-level tasks. The present work proposes a method for the classification of surgical situations based on multi-perspective workflow modeling. A model network that interconnects different types of surgical process models is described. Various aspects of a surgical situation description were considered: low-level tasks, high-level tasks, patient status, and the use of medical devices. A study with sixty neurosurgical interventions was conducted to evaluate the performance of our approach and its robustness against incomplete workflow recognition input. A correct classification rate of over 90% was measured for high-level tasks and patient status. The device usage models for navigation and neurophysiology classified over 95% of the situations correctly, whereas the ultrasound usage was more difficult to predict. Overall, the classification rate decreased with an increasing level of input distortion. Autonomous adaptation of medical devices and intelligent systems behavior do not currently depend solely on low-level tasks. Instead, they require a more general type of understanding of the surgical condition. The integration of various surgical process models in a network provided a comprehensive representation of the interventions and allowed for the generation of extensive situation descriptions. Multi-perspective surgical workflow modeling and online situation models will be a significant pre-requisite for reliable and intelligent systems behavior. Hence, they will contribute to a cooperative OR environment. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Ergological viewpoint in real-life study.

    Science.gov (United States)

    Sato, H

    1997-12-01

    I think that real-life studies on human work must be done, if possible, not objectively, but subjectively from an ergological viewpoint. Essentially, I consider ergology as the biology of human living and work, along German biologist Haeckel's idea. He considered ergology a field of anthropology. The instinctive (genetic) element and the learned (environmental) element constitute human behavior. It is conceivable that the adaptation by human learnability has today brought about high-tech society, and genetic human attributes (human nature) have been adapted to the living environment of hunters and gatherers, which has been long-lasting in human history. Hunters-gatherers form a band consisting of about 50 (30-100) persons and move in a more or less vaguely defined territory (1,000-3,000 km2). The unsuitableness of human nature for modern scientific civilization has caused various problems. Always keeping human nature in mind when considering human living and work is the philosophical background of human ergology. Two real-life working conditions in agriculture, the packing of leeks and promoting a system for securing employees in strawberry production, are presented.

  4. Accounting Theory: An Ethical Perspective of Real Life Scenarios

    Directory of Open Access Journals (Sweden)

    Shivneil Kumar Raj

    2016-11-01

    Full Text Available Decisions are made daily in businesses and individuals do encounter situations where they are faced with ethical issues. The subject is how one evaluates whether an act is ethical or unethical. This research article discusses real life ethical dilemmas that could be faced in accounting or business environment and applicability of various theories of ethics that were taught in accounting theory course in the undergraduate accounting program. The researcher employs a number of case studies highlighting the stories related to ethics that have been experienced in the past working life. Teleological and deontological theories are being used to explain how one could identify that a particular act is ethical or unethical. The work of accountants requires them to maintain high level of ethics to ensure integrity of the profession.

  5. Connecting Social and Mathematical Thinking: The Use of "Real Life" Contexts

    Science.gov (United States)

    Sawatzki, Carly

    2014-01-01

    This paper reports the findings of research into an educational intervention featuring open-ended mathematical problems situated in "real life" contexts and associated pedagogies. "Money and financial mathematics" is the topic in focus, with tasks termed "financial dilemmas" being trialled by 35 teachers in 16…

  6. Moral Emotions and Moral Judgments in Children's Narratives: Comparing Real-Life and Hypothetical Transgressions

    Science.gov (United States)

    Gutzwiller-Helfenfinger, Eveline; Gasser, Luciano; Malti, Tina

    2010-01-01

    How children make meaning of their own social experiences in situations involving moral issues is central to their subsequent affective and cognitive moral learning. Our study of young children's narratives describing their interpersonal conflicts shows that the emotions and judgments constructed in the course of these real-life narratives differ…

  7. A Real-Life Case Study of Audit Interactions--Resolving Messy, Complex Problems

    Science.gov (United States)

    Beattie, Vivien; Fearnley, Stella; Hines, Tony

    2012-01-01

    Real-life accounting and auditing problems are often complex and messy, requiring the synthesis of technical knowledge in addition to the application of generic skills. To help students acquire the necessary skills to deal with these problems effectively, educators have called for the use of case-based methods. Cases based on real situations (such…

  8. Applying mathematics in real-life problems: A case study of two ...

    African Journals Online (AJOL)

    The purpose of this exploratory study was to investigate the extent to which senior high school students could apply mathematics in real life situations by examining the relationship between their performance on “routine” mathematical calculations and that on a “shortwriting” task related to the application of mathematics.

  9. How Accumulated Real Life Stress Experience and Cognitive Speed Interact on Decision-Making Processes.

    Science.gov (United States)

    Friedel, Eva; Sebold, Miriam; Kuitunen-Paul, Sören; Nebe, Stephan; Veer, Ilya M; Zimmermann, Ulrich S; Schlagenhauf, Florian; Smolka, Michael N; Rapp, Michael; Walter, Henrik; Heinz, Andreas

    2017-01-01

    Rationale: Advances in neurocomputational modeling suggest that valuation systems for goal-directed (deliberative) on one side, and habitual (automatic) decision-making on the other side may rely on distinct computational strategies for reinforcement learning, namely model-free vs. model-based learning. As a key theoretical difference, the model-based system strongly demands cognitive functions to plan actions prospectively based on an internal cognitive model of the environment, whereas valuation in the model-free system relies on rather simple learning rules from operant conditioning to retrospectively associate actions with their outcomes and is thus cognitively less demanding. Acute stress reactivity is known to impair model-based but not model-free choice behavior, with higher working memory capacity protecting the model-based system from acute stress. However, it is not clear which impact accumulated real life stress has on model-free and model-based decision systems and how this influence interacts with cognitive abilities. Methods: We used a sequential decision-making task distinguishing relative contributions of both learning strategies to choice behavior, the Social Readjustment Rating Scale questionnaire to assess accumulated real life stress, and the Digit Symbol Substitution Test to test cognitive speed in 95 healthy subjects. Results: Individuals reporting high stress exposure who had low cognitive speed showed reduced model-based but increased model-free behavioral control. In contrast, subjects exposed to accumulated real life stress with high cognitive speed displayed increased model-based performance but reduced model-free control. Conclusion: These findings suggest that accumulated real life stress exposure can enhance reliance on cognitive speed for model-based computations, which may ultimately protect the model-based system from the detrimental influences of accumulated real life stress. The combination of accumulated real life stress exposure

  10. Modeling the situation awareness by the analysis of cognitive process.

    Science.gov (United States)

    Liu, Shuang; Wanyan, Xiaoru; Zhuang, Damin

    2014-01-01

    To predict changes of situation awareness (SA) for pilot operating with different display interfaces and tasks, a qualitative analysis and quantitative calculation joint SA model was proposed. Based on the situational awareness model according to the attention allocation built previously, the pilot cognitive process for the situation elements was analyzed according to the ACT-R (Adaptive Control of Thought, Rational) theory, which explained how the SA was produced. To verify the validity of this model, 28 subjects performed an instrument supervision task under different experiment conditions. Situation Awareness Global Assessment Technique (SAGAT), 10-dimensional Situational Awareness Rating Technique (10-D SART), performance measure and eye movement measure were adopted for evaluating SAs under different conditions. Statistical analysis demonstrated that the changing trend of SA calculated by this model was highly correlated with the experimental results. Therefore the situational awareness model can provide a reference for designing new cockpit display interfaces and help reducing human errors.

  11. Gamer Girls, Gold Farmers, and Activism "In Real Life"

    Science.gov (United States)

    Musgrave, Megan L.

    2016-01-01

    This essay analyzes the graphic novel "In Real Life" as an example of Cory Doctorow and Jen Wang's intention to raise young people's awareness about gender and economic disparities within the gaming industry. Broadly, "In Real Life" combats the pervasive cultural anxiety that Jane McGonigal challenges in her book "Reality…

  12. Narrative Construction, Social Perceptions, and the Situation Model.

    Science.gov (United States)

    Costabile, Kristi A

    2016-05-01

    The present investigation examined how three salient features of narrative thinking (situation model construction, linguistic concreteness, and perspective-taking) influenced the social inference process. Results of four experiments indicated that compared with those given other objectives, perceivers given narrative objectives were: (a) more likely to make situation rather than trait attributions for observed behaviors (Experiment 1), (b) less likely to make implicit trait inferences (Experiment 2), and (c) less likely to rely on behavior valence when making evaluative judgments (Experiment 4). Linguistic analyses indicated that narrative construction consistently entailed the creation of situation models of events and linguistic concreteness, but only situation model creation mediated the relationship between narrative and inferences. Experiment 3 confirmed the mediating role of situation models: Perceivers with narrative objectives made trait inferences only when behaviors were inconsistent with contextual information. The role of these core narrative features on social perceptions is discussed. © 2016 by the Society for Personality and Social Psychology, Inc.

  13. Quantitative Analysis of Situation Awareness (QASA): modelling and measuring situation awareness using signal detection theory.

    Science.gov (United States)

    Edgar, Graham K; Catherwood, Di; Baker, Steven; Sallis, Geoff; Bertels, Michael; Edgar, Helen E; Nikolla, Dritan; Buckle, Susanna; Goodwin, Charlotte; Whelan, Allana

    2017-12-29

    This paper presents a model of situation awareness (SA) that emphasises that SA is necessarily built using a subset of available information. A technique (Quantitative Analysis of Situation Awareness - QASA), based around signal detection theory, has been developed from this model that provides separate measures of actual SA (ASA) and perceived SA (PSA), together with a feature unique to QASA, a measure of bias (information acceptance). These measures allow the exploration of the relationship between actual SA, perceived SA and information acceptance. QASA can also be used for the measurement of dynamic ASA, PSA and bias. Example studies are presented and full details of the implementation of the QASA technique are provided. Practitioner Summary: This paper presents a new model of situation awareness (SA) together with an associated tool (Quantitative Analysis of Situation Awareness - QASA) that employs signal detection theory to measure several aspects of SA, including actual and perceived SA and information acceptance. Full details are given of the implementation of the tool.

  14. A Situative Space Model for Mobile Mixed-Reality Computing

    DEFF Research Database (Denmark)

    Pederson, Thomas; Janlert, Lars-Erik; Surie, Dipak

    2011-01-01

    This article proposes a situative space model that links the physical and virtual realms and sets the stage for complex human-computer interaction defined by what a human agent can see, hear, and touch, at any given point in time.......This article proposes a situative space model that links the physical and virtual realms and sets the stage for complex human-computer interaction defined by what a human agent can see, hear, and touch, at any given point in time....

  15. Team performance modeling for HRA in dynamic situations

    International Nuclear Information System (INIS)

    Shu Yufei; Furuta, Kazuo; Kondo, Shunsuke

    2002-01-01

    This paper proposes a team behavior network model that can simulate and analyze response of an operator team to an incident in a dynamic and context-sensitive situation. The model is composed of four sub-models, which describe the context of team performance. They are task model, event model, team model and human-machine interface model. Each operator demonstrates aspects of his/her specific cognitive behavior and interacts with other operators and the environment in order to deal with an incident. Individual human factors, which determine the basis of communication and interaction between individuals, and cognitive process of an operator, such as information acquisition, state-recognition, decision-making and action execution during development of an event scenario are modeled. A case of feed and bleed operation in pressurized water reactor under an emergency situation was studied and the result was compared with an experiment to check the validity of the proposed model

  16. Recognition of risk situations based on endoscopic instrument tracking and knowledge based situation modeling

    Science.gov (United States)

    Speidel, Stefanie; Sudra, Gunther; Senemaud, Julien; Drentschew, Maximilian; Müller-Stich, Beat Peter; Gutt, Carsten; Dillmann, Rüdiger

    2008-03-01

    Minimally invasive surgery has gained significantly in importance over the last decade due to the numerous advantages on patient-side. The surgeon has to adapt special operation-techniques and deal with difficulties like the complex hand-eye coordination, limited field of view and restricted mobility. To alleviate these constraints we propose to enhance the surgeon's capabilities by providing a context-aware assistance using augmented reality (AR) techniques. In order to generate a context-aware assistance it is necessary to recognize the current state of the intervention using intraoperatively gained sensor data and a model of the surgical intervention. In this paper we present the recognition of risk situations, the system warns the surgeon if an instrument gets too close to a risk structure. The context-aware assistance system starts with an image-based analysis to retrieve information from the endoscopic images. This information is classified and a semantic description is generated. The description is used to recognize the current state and launch an appropriate AR visualization. In detail we present an automatic vision-based instrument tracking to obtain the positions of the instruments. Situation recognition is performed using a knowledge representation based on a description logic system. Two augmented reality visualization programs are realized to warn the surgeon if a risk situation occurs.

  17. Modelling situation awareness relations in a multiagent system

    NARCIS (Netherlands)

    Blom, H.A.P.; Sharpanskykh, A.

    2015-01-01

    There is broad consensus that situation awareness (SA) plays a key role in agent-based modelling of complex sociotechnical systems. However in the social sciences and human factors literature there are different views on what SA is and how it could be modelled. More specifically, one school of

  18. How Accumulated Real Life Stress Experience and Cognitive Speed Interact on Decision-Making Processes

    Directory of Open Access Journals (Sweden)

    Eva Friedel

    2017-06-01

    Full Text Available Rationale: Advances in neurocomputational modeling suggest that valuation systems for goal-directed (deliberative on one side, and habitual (automatic decision-making on the other side may rely on distinct computational strategies for reinforcement learning, namely model-free vs. model-based learning. As a key theoretical difference, the model-based system strongly demands cognitive functions to plan actions prospectively based on an internal cognitive model of the environment, whereas valuation in the model-free system relies on rather simple learning rules from operant conditioning to retrospectively associate actions with their outcomes and is thus cognitively less demanding. Acute stress reactivity is known to impair model-based but not model-free choice behavior, with higher working memory capacity protecting the model-based system from acute stress. However, it is not clear which impact accumulated real life stress has on model-free and model-based decision systems and how this influence interacts with cognitive abilities.Methods: We used a sequential decision-making task distinguishing relative contributions of both learning strategies to choice behavior, the Social Readjustment Rating Scale questionnaire to assess accumulated real life stress, and the Digit Symbol Substitution Test to test cognitive speed in 95 healthy subjects.Results: Individuals reporting high stress exposure who had low cognitive speed showed reduced model-based but increased model-free behavioral control. In contrast, subjects exposed to accumulated real life stress with high cognitive speed displayed increased model-based performance but reduced model-free control.Conclusion: These findings suggest that accumulated real life stress exposure can enhance reliance on cognitive speed for model-based computations, which may ultimately protect the model-based system from the detrimental influences of accumulated real life stress. The combination of accumulated real life

  19. Is fear in your head? A comparison of instructed and real-life expressions of emotion in the face and body.

    Science.gov (United States)

    Abramson, Lior; Marom, Inbal; Petranker, Rotem; Aviezer, Hillel

    2017-04-01

    The majority of emotion perception studies utilize instructed and stereotypical expressions of faces or bodies. While such stimuli are highly standardized and well-recognized, their resemblance to real-life expressions of emotion remains unknown. Here we examined facial and body expressions of fear and anger during real-life situations and compared their recognition to that of instructed expressions of the same emotions. In order to examine the source of the affective signal, expressions of emotion were presented as faces alone, bodies alone, and naturally, as faces with bodies. The results demonstrated striking deviations between recognition of instructed and real-life stimuli, which differed as a function of the emotion expressed. In real-life fearful expressions of emotion, bodies were far better recognized than faces, a pattern not found with instructed expressions of emotion. Anger reactions were better recognized from the body than from the face in both real-life and instructed stimuli. However, the real-life stimuli were overall better recognized than their instructed counterparts. These results indicate that differences between instructed and real-life expressions of emotion are prevalent and raise caution against an overreliance of researchers on instructed affective stimuli. The findings also demonstrate that in real life, facial expression perception may rely heavily on information from the contextualizing body. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  20. Virtual shopping: A viable alternative to direct assessment of real life function?

    Science.gov (United States)

    Greenwood, Kathryn E; Morris, Robin; Smith, Vanessa; Jones, Anna-Marie; Pearman, Douglas; Wykes, Til

    2016-04-01

    Real-life function is markedly impaired in schizophrenia and is an important outcome for interventions, but direct assessment is time consuming and resource intensive. Virtual reality (VR) enables assessment using simulation, akin to real life (RL), but allowing greater experimental control, reliability, and a more timely assessment. This study explores whether VR simulation predicts RL performance in supermarket shopping and how both relate to underlying cognitive abilities. Forty three people with DSM-IV schizophrenia were included in the study. Participants were required to shop for items using a self-directed search in both RL and VR. In each task, accuracy (number of correct items) and efficiency (time taken and number of aisles entered) were measured. IQ, executive function, working memory, spatial memory and social cognition were also assessed. Specific correlations were found between RL accuracy and VR accuracy, and between RL and VR efficiency measures. Multiple regression analyses indicated that VR efficiency measures contributed significant unique variance to RL efficiency outcomes, in addition to that explained by background cognitive measures, with a final model predicting 58% of variance in RL efficiency. VR functional shopping measures may enhance predictions of real life performance, over and above existing cognitive test procedures, and provide a more time-efficient method for evaluating real life outcomes. Copyright © 2016 Elsevier B.V. All rights reserved.

  1. A Novel Study: A Situation Model Analysis of Reading Times

    Science.gov (United States)

    McNerney, M. Windy; Goodwin, Kerri A.; Radvansky, Gabriel A.

    2011-01-01

    One of the basic findings on situation models and language comprehension is that reading times are affected by the changing event structure in a text. However, many studies have traditionally used multiple, relatively short texts, in which there is little event consistency across the texts. It is unclear to what extent such changes will be…

  2. A Situated Model of Creative Learning - Keynote at EERA, Istanbul

    DEFF Research Database (Denmark)

    Tanggaard, Lene

    This presentation puts forward a situated model of creative learning. Most educational studies on creativity tend to concentrate on explaining the relation between teaching and creativity while keeping learning as a secondary concept (Torrance, 1972; Hennessey & Amabile, 1987; De Bono, 1992; Fasko...

  3. An adaptation framework for turning real life events into games

    DEFF Research Database (Denmark)

    Therkildsen, Sacha Kjærhus; Bunkenborg, Nanna Cassøe; Larsen, Lasse Juel

    2017-01-01

    Many games are inspired by real life events. The presented adaptation framework is based on the design of a board game with a companion app that addresses the Syrian refugee crisis. The aim of the game is to allow players to simulate the experience of being a Syrian refugee traveling through Europe....... We applied an agile development method and participatory design to achieve our ambition. In conclusion we found that turning real life events into board games can be advanced by the following game design adaptation framework, which balances four interrelated layers: (1) real life events (game fiction......), (2) game system (formal game elements), (3) movement system (game mechanisms), and (4) meaning (player choice) which prioritise game over story....

  4. Efficient and Flexible KNN Query Processing in Real-Life Road Networks

    DEFF Research Database (Denmark)

    Lu, Yang; Bui, Bin; Zhao, Jiakui

    2008-01-01

    Along with the developments of mobile services, effectively modeling road networks and efficiently indexing and querying network constrained objects has become a challenging problem. In this paper, we first introduce a road network model which captures real-life road networks better than previous...... models. Then, based on the proposed model, we propose a novel index named the RNG (Road Network Grid) index for accelerating KNN queries and continuous KNN queries over road network constrained data points. In contrast to conventional methods, speed limitations and blocking information of roads...... are included into the RNG index, which enables the index to support both distance-based and time-based KNN queries and continuous KNN queries. Our work extends previous ones by taking into account more practical scenarios, such as complexities in real-life road networks and time-based KNN queries. Extensive...

  5. A Simulation and Modeling Framework for Space Situational Awareness

    Science.gov (United States)

    Olivier, S.

    This paper describes the development and initial demonstration of a new, integrated modeling and simulation framework, encompassing the space situational awareness enterprise, for quantitatively assessing the benefit of specific sensor systems, technologies and data analysis techniques. This framework includes detailed models for threat scenarios, signatures, sensors, observables and knowledge extraction algorithms. The framework is based on a flexible, scalable architecture to enable efficient simulation of the current SSA enterprise, and to accommodate future advancements in SSA systems. In particular, the code is designed to take advantage of massively parallel computer systems available, for example, at Lawrence Livermore National Laboratory. We will describe the details of the modeling and simulation framework, including hydrodynamic models of satellite intercept and debris generation, orbital propagation algorithms, radar cross section calculations, optical and infra-red brightness calculations, generic radar system models, generic optical and infra-red system models, specific Space Surveillance Network models, object detection algorithms, orbit determination algorithms, and visualization tools. The specific modeling of the Space Surveillance Network is performed in collaboration with the Air Force Space Command Space Control Group. We will demonstrate the use of this integrated simulation and modeling framework on specific threat scenarios, including space debris and satellite maneuvers, and we will examine the results of case studies involving the addition of new sensor systems, used in conjunction with the Space Surveillance Network, for improving space situational awareness.

  6. A mathematical model for efficient emergency transportation in a disaster situation.

    Science.gov (United States)

    Tlili, Takwa; Abidi, Sofiene; Krichen, Saoussen

    2018-01-29

    This work focuses on a real-life patient transportation problem derived from emergency medical services (EMS), whereby providing ambulatory service for emergency requests during disaster situations. Transportation of patients in congested traffic compounds already time sensitive treatment. An urgent situation is defined as individuals with major or minor injuries requiring EMS assistance simultaneously. Patients are either (1) slightly injured and treated on site or (2) are seriously injured and require transfer to points of care (PoCs). This paper will discuss enhancing the response-time of EMS providers by improving the ambulance routing problem (ARP). A genetic based algorithm is proposed to efficiently guide the ARP while simultaneously solving two scenarios. Copyright © 2018. Published by Elsevier Inc.

  7. Clinical and economic impact of etanercept in real-life

    DEFF Research Database (Denmark)

    Larsen, Christian Grønhøj; Andersen, Peter Hundevadt; Lorentzen, Henrik

    2013-01-01

    BACKGROUND: Real-life data on the therapeutic effectiveness and costs of etanercept are scarce. Objectives: To assess the clinical and economic impact of etanercept in patients with psoriasis in Denmark and Norway. MATERIAL & METHODS: This prospective, non-interventional study in a private dermat...

  8. Learning about Real-Life Heroes: Forest Rangers.

    Science.gov (United States)

    Afflerbach, Susan; Fonville, Beth

    1995-01-01

    Suggests that when children show interest in television superheroes, build on that interest in the classroom by introducing them to real-life heroes in the community. Using forest rangers as an example, offers a variety of activities, books, and resources that can introduce children to forest rangers and the work they do to protect forest…

  9. Improvisation of Real-Life Scenarios through Intercultural Competence

    Science.gov (United States)

    Okten, Celile Eren; Griffin, Banu Ozer

    2016-01-01

    This paper describes tasks based on real-life scenarios, which triggered reflective thinking, verbalization, and writing, leading to the creation of natural dialogues rather than artificial, dull monologues. One of the main aims of this approach is to engage students in a dynamic process of both learning about multicultural participants and…

  10. Competence and Quality in Real-Life Decision Making

    Science.gov (United States)

    2015-01-01

    What distinguishes a competent decision maker and how should the issue of decision quality be approached in a real-life context? These questions were explored in three studies. In Study 1, using a web-based questionnaire and targeting a community sample, we investigated the relationships between objective and subjective indicators of real-life decision-making success. In Study 2 and 3, targeting two different samples of professionals, we explored if the prevalent cognitively oriented definition of decision-making competence could be beneficially expanded by adding aspects of competence in terms of social skills and time-approach. The predictive power for each of these three aspects of decision-making competence was explored for different indicators of real-life decision-making success. Overall, our results suggest that research on decision-making competence would benefit by expanding the definition of competence, by including decision-related abilities in terms of social skills and time-approach. Finally, the results also indicate that individual differences in real-life decision-making success profitably can be approached and measured by different criteria. PMID:26545239

  11. Using Real Life Examples to Teach Abstract Statistical Concepts

    Science.gov (United States)

    Mvududu, Nyaradzo; Kanyongo, Gibbs Y.

    2011-01-01

    This article provides real life examples that can be used to explain statistical concepts. It does not attempt to be exhaustive, but rather, provide a few examples for selected concepts based on what students should know after taking a statistics course. (Contains 2 tables.)

  12. Real-life treatment paradigms show infliximab is cost-effective for management of ulcerative colitis.

    Science.gov (United States)

    Ung, Victoria; Thanh, Nguyen Xuan; Wong, Karen; Kroeker, Karen I; Lee, Thomas; Wang, Haili; Ohinmaa, Arto; Jacobs, Philip; Fedorak, Richard N

    2014-11-01

    Infliximab is effective for induction and maintenance of response in patients with moderate to moderately severe ulcerative colitis. Previous cost analyses of infliximab treatment for ulcerative colitis used models of colectomy vs infliximab and response rates derived from early clinical trials. In real life, therapeutic options are more complex; patients frequently choose to remain in an unwell state rather than undergo colectomy, and rates of response to infliximab are generally higher than those reported from clinical trials. We evaluate the real-life cost-effectiveness of infliximab for treatment of ulcerative colitis where infliximab was readily available compared with not available, causing patients to remain in unwell states. We constructed a Markov model to simulate disease progression of patients with moderate or moderately severe ulcerative colitis who depended on corticosteroids and/or did not respond to thiopurine therapy. Utility scores and transition probabilities between health states were determined by using data from randomized controlled trials and real-life rates published by expert inflammatory bowel disease centers. Health care costs were obtained from the Ontario Case Costing Initiative and the Alberta Health Schedule of Medical Benefits documents. The incremental cost-effectiveness ratios for infliximab treatment of ulcerative colitis were $79,000 and $64,000 per quality-adjusted life year, compared with ongoing medical therapy, at 5-year and 10-year treatment time horizons, respectively. By using real-life response rates and patients' preference to avoid colectomy, infliximab therapy is a cost-effective strategy at a willingness-to-pay threshold of $80,000 for treatment of ulcerative colitis. Copyright © 2014 AGA Institute. Published by Elsevier Inc. All rights reserved.

  13. Situated modelling in the drawing workshop for bobbin lace.

    Science.gov (United States)

    Saldanhar, Maria Christine Werba; de Almeida, Juliana Donato

    2012-01-01

    The current article presents the process of situated modeling in the drawing workshop for bobbin lace developed and implemented in the Núcleo de Produção Artesanal Rendeiras da Vila, in Ponta Negra, Natal-Brasil. The workshop aimed to rescue the domain over the product in the production of bobbin lace through capacitation of both experienced and novice craftswomen. The modeling of the drawing workshop was grounded on the sociotechnical construction and in the concepts of anthropotechnology and also social technology. The modelling required an intense process of social construction involving the members of GREPE-UFRN (Group of extension and Research in Ergonomics) and the lacemakers od the community. The domain of drawing the lace has enabled the expression of the craftswomen creativity, increasing the amount of works and the sustainable development,thus reducing the risks of extinction of such art in the Village of Ponta Negra.

  14. Application of the SAROTA index in real-life scenario

    Science.gov (United States)

    Rojatkar, A.; Monebhurrun, V.

    2014-10-01

    A unique parameter referred to as the SAROTA index which accounts for both the specific absorption rate (SAR) and the over-the-air (OTA) performance of a mobile phone was previously proposed to characterize the real-life exposure. The applicability of the SAROTA index was confirmed using SAR and total radiated power (TRP) data obtained under laboratory conditions wherein the power control (PC) enforced on the mobile phone was implemented artificially. Herein the investigation is extended to measurements conducted for the speech mode of operation in real-life scenarios. Based on the actual PC implemented during the communication with the base station, the instantaneous and average real-life exposure experienced by the mobile phone user is analyzed and compared to the predicted SAROTA index. To capture the PC in real-time, a set of hardware modified phones with embedded network monitoring software are used. The instantaneous uplink transmit power level (TX_LEV) along with various downlink parameters such as the receive signal level (RX_LEV) and received signal quality (RX_QUAL) of the communication link are thus available for performing a comprehensive RF exposure analysis.

  15. Trajectories of experience of real life events. A semiotic approach to the dynamics of positioning.

    Science.gov (United States)

    Rosa, Alberto; González, Fernanda

    2013-12-01

    This paper is devoted to the study of experience as a semiotic process of constructing the personal meaning of the situation lived. Its main purpose is to devise a semiotic methodology capable of describing and explaining the dynamics of positioning when facing personal lived experiences in real life contexts. Twenty four young adults were exposed to a simulated conflict and then asked to write a narrative of their understanding of the incident and a self-report of their personal experiences. Results show how narratives and trajectories of experience present different forms in each participant, which could be related to: a) the understanding of the situation lived and the position taken regarding the conflict; and b) the position each participant takes regarding the reports they had to produce for the researchers. The incorporation of reflexivity into the applied method allows identification of how the dynamics of double positioning leave traces in the records produced.

  16. Real-Life Stories About Addiction Struggles | NIH MedlinePlus the Magazine

    Science.gov (United States)

    ... on. Feature: Preventing Drug Abuse and Addiction Real-Life Stories About Addiction Struggles Past Issues / Fall 2011 ... TO PLAY THE VIDEO NIHSeniorHealth Videos Offer Real-Life Stories About Addiction Struggles—and Much More Many ...

  17. In Patients With Cirrhosis, Driving Simulator Performance Is Associated With Real-life Driving.

    Science.gov (United States)

    Lauridsen, Mette M; Thacker, Leroy R; White, Melanie B; Unser, Ariel; Sterling, Richard K; Stravitz, Richard T; Matherly, Scott; Puri, Puneet; Sanyal, Arun J; Gavis, Edith A; Luketic, Velimir; Siddiqui, Muhammad S; Heuman, Douglas M; Fuchs, Michael; Bajaj, Jasmohan S

    2016-05-01

    Minimal hepatic encephalopathy (MHE) has been linked to higher real-life rates of automobile crashes and poor performance in driving simulation studies, but the link between driving simulator performance and real-life automobile crashes has not been clearly established. Furthermore, not all patients with MHE are unsafe drivers, but it is unclear how to distinguish them from unsafe drivers. We investigated the link between performance on driving simulators and real-life automobile accidents and traffic violations. We also aimed to identify features of unsafe drivers with cirrhosis and evaluated changes in simulated driving skills and MHE status after 1 year. We performed a study of outpatients with cirrhosis (n = 205; median 55 years old; median model for end-stage liver disease score, 9.5; none with overt hepatic encephalopathy or alcohol or illicit drug use within previous 6 months) seen at the Virginia Commonwealth University and McGuire Veterans Administration Medical Center, from November 2008 through April 2014. All participants were given paper-pencil tests to diagnose MHE (98 had MHE; 48%), and 163 patients completed a standardized driving simulation. Data were collected on traffic violations and automobile accidents from the Virginia Department of Motor Vehicles and from participants' self-assessments when they entered the study, and from 73 participants 1 year later. Participants also completed a questionnaire about alcohol use and cessation patterns. The driving simulator measured crashes, run-time, road center and edge excursions, and illegal turns during navigation; before and after each driving simulation session, patients were asked to rate their overall driving skills. Drivers were classified as safe or unsafe based on crashes and violations reported on official driving records; simulation results were compared with real-life driving records. Multivariable regression analyses of real-life crashes and violations was performed using data on

  18. Online Game Player Personality and Real-life Need Fulfillment

    Directory of Open Access Journals (Sweden)

    Ching-I Teng

    2009-12-01

    Full Text Available This study investigates the relationship between personality and real-life need fulfillment of 114 online game adolescent players, who had an average of 14.86 years in age and a standard deviation of 1.40 years. Of the sample, 73.7% were male and 88.8% had a monthly income below US $90. Results indicate that openness negatively correlated to fulfillment of needs for achievement and affiliation. Conscientiousness positively correlated to fulfillment of needs for achievement, affiliation, autonomy, and dominance. Extraversion positively correlated to fulfillment of needs for affiliation and dominance.

  19. Control of asthma in real life: still a valuable goal?

    Directory of Open Access Journals (Sweden)

    Andriana I. Papaioannou

    2015-06-01

    Full Text Available Although studies show that control of asthma can be achieved in the majority of patients, surveys repeatedly show that this is not the case in real life. Important measures to implement in order to achieve asthma control are trained healthcare professionals, a good patient–doctor relationship, patient education, avoidance of exposure to triggers, personalised management and adherence to treatment. These measures help the majority of asthma patients but have not yet been widely implemented and there should be a concerted action for their implementation. Moreover, further and focused research is needed in severe/refractory asthma.

  20. Images of eyes enhance investments in a real-life public good.

    Directory of Open Access Journals (Sweden)

    Damien Francey

    Full Text Available A key issue in cooperation research is to determine the conditions under which individuals invest in a public good. Here, we tested whether cues of being watched increase investments in an anonymous public good situation in real life. We examined whether individuals would invest more by removing experimentally placed garbage (paper and plastic bottles from bus stop benches in Geneva in the presence of images of eyes compared to controls (images of flowers. We provided separate bins for each of both types of garbage to investigate whether individuals would deposit more items into the appropriate bin in the presence of eyes. The treatment had no effect on the likelihood that individuals present at the bus stop would remove garbage. However, those individuals that engaged in garbage clearing, and were thus likely affected by the treatment, invested more time to do so in the presence of eyes. Images of eyes had a direct effect on behaviour, rather than merely enhancing attention towards a symbolic sign requesting removal of garbage. These findings show that simple images of eyes can trigger reputational effects that significantly enhance on non-monetary investments in anonymous public goods under real life conditions. We discuss our results in the light of previous findings and suggest that human social behaviour may often be shaped by relatively simple and potentially unconscious mechanisms instead of very complex cognitive capacities.

  1. A Review of Quantitative Situation Assessment Models for Nuclear Power Plant Operators

    International Nuclear Information System (INIS)

    Lee, Hyun Chul; Seong, Poong Hyun

    2009-01-01

    Situation assessment is the process of developing situation awareness and situation awareness is defined as 'the perception of the elements in the environment within a volume of time and space, the comprehension of their meaning and the projection of their status in the near future.' Situation awareness is an important element influencing human actions because human decision making is based on the result of situation assessment or situation awareness. There are many models for situation awareness and those models can be categorized into qualitative or quantitative. As the effects of some input factors on situation awareness can be investigated through the quantitative models, the quantitative models are more useful for the design of operator interfaces, automation strategies, training program, and so on, than the qualitative models. This study presents the review of two quantitative models of situation assessment (SA) for nuclear power plant operators

  2. Speed Biases With Real-Life Video Clips

    Directory of Open Access Journals (Sweden)

    Federica Rossi

    2018-03-01

    Full Text Available We live almost literally immersed in an artificial visual world, especially motion pictures. In this exploratory study, we asked whether the best speed for reproducing a video is its original, shooting speed. By using adjustment and double staircase methods, we examined speed biases in viewing real-life video clips in three experiments, and assessed their robustness by manipulating visual and auditory factors. With the tested stimuli (short clips of human motion, mixed human-physical motion, physical motion and ego-motion, speed underestimation was the rule rather than the exception, although it depended largely on clip content, ranging on average from 2% (ego-motion to 32% (physical motion. Manipulating display size or adding arbitrary soundtracks did not modify these speed biases. Estimated speed was not correlated with estimated duration of these same video clips. These results indicate that the sense of speed for real-life video clips can be systematically biased, independently of the impression of elapsed time. Measuring subjective visual tempo may integrate traditional methods that assess time perception: speed biases may be exploited to develop a simple, objective test of reality flow, to be used for example in clinical and developmental contexts. From the perspective of video media, measuring speed biases may help to optimize video reproduction speed and validate “natural” video compression techniques based on sub-threshold temporal squeezing.

  3. APPLICATION OF GIS AND MATHEMATICAL MODELING IN MARITIME CRISIS SITUATIONS

    Directory of Open Access Journals (Sweden)

    Nenad Mladineo

    2010-12-01

    Full Text Available This paper aims to propose a decision support system for maritime crisis situation, due to fact that Croatia has decided to implement Directive 2002/59/EC to define places of refuge for ships in need of assistance off their coasts, or to develop techniques for providing assistance to such ships. In order to fulfill this Directive it is necessary to build an effective Decision Support System (DSS based on GIS and mathematical modeling. The basic module of the proposed system is GIS, for all levels of DSS, that comprise information subsystems about spatial and other data and serves the other modules with data and information. Starting points for analysis are shipping corridors, and 380 potential locations for places of refuge designated in the official navigational pilot book. Multicriteria analysis, with GIS-generated input data, has been used to establish "worthiness" of a place of refuge for each ship category, taking into account kinds of accident. Proposed mathematical models facilitate optimal usage of "available intervention resources".

  4. The Latent Class Model as a Measurement Model for Situational Judgment Tests

    Directory of Open Access Journals (Sweden)

    Frank Rijmen

    2011-11-01

    Full Text Available In a situational judgment test, it is often debatable what constitutes a correct answer to a situation. There is currently a multitude of scoring procedures. Establishing a measurement model can guide the selection of a scoring rule. It is argued that the latent class model is a good candidate for a measurement model. Two latent class models are applied to the Managing Emotions subtest of the Mayer, Salovey, Caruso Emotional Intelligence Test: a plain-vanilla latent class model, and a second-order latent class model that takes into account the clustering of several possible reactions within each hypothetical scenario of the situational judgment test. The results for both models indicated that there were three subgroups characterised by the degree to which differentiation occurred between possible reactions in terms of perceived effectiveness. Furthermore, the results for the second-order model indicated a moderate cluster effect.

  5. Temporal compression in episodic memory for real-life events.

    Science.gov (United States)

    Jeunehomme, Olivier; Folville, Adrien; Stawarczyk, David; Van der Linden, Martial; D'Argembeau, Arnaud

    2017-11-25

    Remembering an event typically takes less time than experiencing it, suggesting that episodic memory represents past experience in a temporally compressed way. Little is known, however, about how the continuous flow of real-life events is summarised in memory. Here we investigated the nature and determinants of temporal compression by directly comparing memory contents with the objective timing of events as measured by a wearable camera. We found that episodic memories consist of a succession of moments of prior experience that represent events with varying compression rates, such that the density of retrieved information is modulated by goal processing and perceptual changes. Furthermore, the results showed that temporal compression rates remain relatively stable over one week and increase after a one-month delay, particularly for goal-related events. These data shed new light on temporal compression in episodic memory and suggest that compression rates are adaptively modulated to maintain current goal-relevant information.

  6. Detection measures in real-life criminal guilty knowledge tests.

    Science.gov (United States)

    Elaad, E; Ginton, A; Jungman, N

    1992-10-01

    The present study provides a first attempt to compare the validity of the respiration line length (RLL) and skin resistance response (SRR) amplitude in real-life criminal guilty knowledge tests (GKTs). GKT records of 40 innocent and 40 guilty Ss, for whom actual truth was established by confession, were assessed for their accuracy. When a predefined decision rule was used and inconclusive decisions were excluded, 97.4% of the innocent Ss and 53.3% of the guilty Ss were correctly classified with the SRR measure. For the RLL measure, the respective results were 97.2% and 53.1%. The combination of both measures improved detection of guilty Ss to 75.8% and decreased detection of innocent Ss to 94.1%. The combined measure seems to be a more useful means of identifying guilty suspects than each physiological measure alone. The results elaborate and extend those obtained in a previous field study conducted by Elaad (1990).

  7. Children's eyewitness memory for multiple real-life events.

    Science.gov (United States)

    Odegard, Timothy N; Cooper, Crystal M; Lampinen, James M; Reyna, Valerie F; Brainerd, Charles J

    2009-01-01

    The present research examined the influence of prior knowledge on children's free recall, cued recall, recognition memory, and source memory judgments for a series of similar real-life events. Forty children (5-12 years old) attended 4 thematic birthday parties and were later interviewed about the events that transpired during the parties using the National Institute of Child Health and Human Development protocol. Of the events, half were generic in that they could have occurred at any birthday party, and half were specific to the theme of the party. Older children demonstrated more evidence of using gist-based information to guide their memory performance than did younger children. However, younger children were able to use global gist to inform their source memory judgments, qualifying past word-learning research.

  8. Treatment of hepatitis C: Results in real life.

    Science.gov (United States)

    Hézode, Christophe

    2018-02-01

    Direct-acting antivirals (DAAs) have transformed traditional treatment options for hepatitis C virus (HCV) infection. DAA combinations have been shown to be highly effective in reducing the burden of chronic HCV infection in clinical trials and have been recommended by the European Association for the Study of the Liver (EASL) treatment guidelines. This review examines the results of second-generation DAA combinations in real-life clinical practice in patients with genotypes 1-3 and in those co-infected with HIV (real-world data in genotypes 4-6 are rare). Second generation DAAs (sofosbuvir plus daclatasvir, sofosbuvir/ledipasvir, ombitasvir/paritaprevir/ritonavir plus dasabuvir, sofosbuvir plus velpatasvir, glecaprevir plus pibrentasvir, grazoprevir plus elbasvir) have very high SVR rates and good safety profiles, higher resistance barriers and are more convenient. Real-world data in all 3 genotypes generally support the EASL guidelines and high overall sustained virological response rates are reported with recommended regimens. However, real-world data are only available for sofosbuvir plus daclatasvir, sofosbuvir/ledipasvir, ombitasvir/paritaprevir/ritonavir plus dasabuvir. Furthermore, because of the existing level of evidence, it is difficult to define optimal regimens based on real-world data (ie, treatment duration, when to include ribavirin and options for patients with cirrhosis). The real-life challenges of managing HIV-coinfected patients are also discussed showing the additional burden of avoiding drug-drug interactions between DAAs and antiretrovirals. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  9. Intriguingly Real Life of the Queen of Crime

    Directory of Open Access Journals (Sweden)

    Branka Kovačević

    2016-12-01

    Full Text Available This December it will be ninety years since Agatha Christie disappeared for eleven days and despite the fact that there are many biographical books about her life and work, nobody knows for sure what provoked her to vanish, sending shockwaves in British society in 1926. Whatever the cause may be, this disappearance has remained a mystery and inspired French authors Anne Martinetti and Guillaume Lebeau, along with the illustrator Alexandre Franc, to create a graphic novel: Agatha: The Real Life of Agatha Christie. Marinetti has also written a cookbook inspired by Agatha Christie, entitled Creams and Punishments, while together with Lebeau, she has co-authored the encyclopedia Agatha Christie from A to Z.Agatha: The Real Life of Agatha Christie was originally released in 2014 as a French-language Kindle edition and was first published in English in May, 2016 by the UK press SelfMadeHero, which specializes in graphic novels and manga adaptations of classic literature, like those of Shakespeare, Poe and Kafka. The story is told through 112 illustrated pages and concludes with a thorough timeline of key events in Agatha Christie’s life, as well as a complete bibliography. It is noticeable that novels and story collections featuring Hercule Poirot take up the greater part of her bibliography. The authors of this biography assume a similar approach in showing the significance of this fictional character in Christie's career (and life, representing Poirot throughout the text as her companion and advisor without using any graphic techniques to stress the fictionality of his character. The authors make strong attempts to convey the close relationship that Christie built with her most prominent character, one who always seems to appear in this biography during her moments of extreme loneliness, and one to whom Christie owed a great deal – as she admited herself when she decided to buy the Greenway House in December 1938 (Martinetti, Lebeau, and Franc

  10. Something to talk about: Gossip increases oxytocin levels in a near real-life situation.

    Science.gov (United States)

    Brondino, Natascia; Fusar-Poli, Laura; Politi, Pierluigi

    2017-03-01

    Gossip is a pervasive social behavior. Its evolutionary survival seems related to its social functions, such as establishing group rules, punishing trespassers, exercising social influence through reputational systems, and developing and strengthening social bonds. We aimed at evaluating the effect of gossip on hormones (oxytocin and cortisol) and at identifying potential mediators of hormonal response to gossip. Twenty-two female students were randomly assigned to a gossip conversation or to an emotional non-gossip conversation. Additionally, all participants underwent a neutral conversation on the second day of the study. Salivary oxytocin and cortisol levels were measured. Oxytocin increased significantly in the gossip compared to the emotional non-gossip conversation. A decrease in cortisol levels was observed in all three conditions (gossip, emotional non-gossip, neutral). Change in cortisol levels was similar across conditions. Psychological characteristics (e.g. empathy, autistic traits, perceived stress, envy) did not affect oxytocin rise in the gossip condition. Our findings suggest that oxytocin may represent a potential hormonal correlate of gossip behavior. Copyright © 2017 Elsevier Ltd. All rights reserved.

  11. Holistic Mathematics Instruction: Interactive Problem Solving and Real Life Situations Help Learners Understand Math Concepts.

    Science.gov (United States)

    Archambeault, Betty

    1993-01-01

    Holistic math focuses on problem solving with numbers and concepts. Whole math activities for adults include shopping for groceries, eating in restaurants, buying gas, taking medicine, measuring a room, estimating servings, and compiling a family cookbook. (SK)

  12. The Stability of Learners' Choices for Real-Life Situations to Be Used in Mathematics

    Science.gov (United States)

    Julie, Cyril

    2013-01-01

    One of the efforts to improve and enhance the performance and achievement in mathematics of learners is the incorporation of life-related contexts in mathematics teaching and assessments. These contexts are normally, with good reasons, decided upon by curriculum makers, textbook authors, teachers and constructors of examinations and tests.…

  13. Appraisal of and Coping with a Real-Life Stressful Situation: The Contribution of Attachment Styles.

    Science.gov (United States)

    Mikulincer, Mario; Florian, Victor

    1995-01-01

    Assessed ways attachment styles affect young adults' reactions to stressors associated with four-month combat training. Results show that, compared with secure trainees, ambivalent trainees reported more emotion-focused coping, appraised the training in more threatening terms, and considered themselves less capable of coping with the training.…

  14. Case studies in food safety and authenticity: Lessons from real-life situations

    DEFF Research Database (Denmark)

    The identification and control of food contaminants rely on careful investigation and implementation of appropriate management strategies. Using a wide range of worldwide examples, this book provides a vital insight into the practical application of strategies for control and prevention. The cont......The identification and control of food contaminants rely on careful investigation and implementation of appropriate management strategies. Using a wide range of worldwide examples, this book provides a vital insight into the practical application of strategies for control and prevention....... The contents are divided into six parts, covering outbreak investigations, source tracing, crisis management, farm-level interventions, safe food production and food adulteration and authenticity. Each chapter is organized as an independent story/case study that has evolved over a certain period of time....... Although each is related to a specific problem, the authors provide a broader view by explaining the regulatory, financial and consumer relevance of the story. The chapters end with a personal reflection of the authors' own experience with the case and lines up with a number of questions to stimulate...

  15. Critical Care Nurses Inadequately Assess SAPS II Scores of Very Ill Patients in Real Life

    Directory of Open Access Journals (Sweden)

    Andreas Perren

    2012-01-01

    Full Text Available Background. Reliable ICU severity scores have been achieved by various healthcare workers but nothing is known regarding the accuracy in real life of severity scores registered by untrained nurses. Methods. In this retrospective multicentre audit, three reviewers independently reassessed 120 SAPS II scores. Correlation and agreement of the sum-scores/variables among reviewers and between nurses and the reviewers’ gold standard were assessed globally and for tertiles. Bland and Altman (gold standard—nurses of sum scores and regression of the difference were determined. A logistic regression model identifying risk factors for erroneous assessments was calculated. Results. Correlation for sum scores among reviewers was almost perfect (mean ICC = 0.985. The mean (±SD nurse-registered SAPS II sum score was 40.3±20.2 versus 44.2±24.9 of the gold standard (32 points scores. The lowest agreement was found in high SAPS II tertiles for haemodynamics (k = 0.45–0.51. Conclusions. In real life, nurse-registered SAPS II scores of very ill patients are inaccurate. Accuracy of scores was not associated with nurses’ characteristics.

  16. Emotional and Physiological Desensitization to Real-Life and Movie Violence

    OpenAIRE

    Mrug, Sylvie; Madan, Anjana; Cook, Edwin W.; Wright, Rex A.

    2014-01-01

    Youth are exposed to large amounts of violence in real life and media, which may lead to desensitization. Given evidence of curvilinear associations between exposure to violence and emotional distress, we examined linear and curvilinear associations of exposure to real-life and movie violence with PTSD symptoms, empathy, and physiological arousal, as well emotional and physiological reactivity to movie violence. College students (N=209; mean age=18.74) reported on their exposure to real-life ...

  17. Solving Real-Life Problems: Future Mobile Technology Sophistication

    Directory of Open Access Journals (Sweden)

    FARHAN SHAFIQ

    2016-07-01

    Full Text Available Almost all the human being real life concerned domains are taking advantage of latest technologies for enhancing their process, procedures and operations. This integration of technological innovations provides ease of access, flexibility, transparency, reliability and speed for the concerned process and procedures. Rapid growth of ICT (Information and Communication Technology and MT (Mobile Technology provides opportunity to redesign and reengineered the human routines? life activities process and procedures. Technology integration and adoption in routine life activities may serves compensatory mechanism to assist the population in different manner such as monitoring older adults and children at homes, provides security assistance, monitoring and recording patients vital signs automatically, controlling and monitoring equipments and devices, providing assistance in shopping, banking and education as well. Disasters happened suddenly, destroy everything indiscriminately. Adoption and integration of latest technologies including ICT and MT can enhance the current disaster management process, procedures and operations. This research study focuses the impacts of latest and emerging technology trends in routine life activities and surrounds their potential strength to improve and enhance disaster management activities. MT is providing a promising platform for facilitating people to enhance their routine life activities. This research argue that integration and adoption of mobile computing in disaster management domain can enhance disaster management activities with promising minimizing error, quick information assembling, quick response based on technology manipulation and prioritizing action.

  18. [Chronic obstructive pulmonary disease in real life. LEONPOC study].

    Science.gov (United States)

    García García, Silvia; Carazo Fernández, Luis; Juan García, Javier; Naveiro Rilo, José Cesáreo

    2017-12-01

    The purpose of this study was to evaluate different characteristics of COPD patients according to phenotypes and GOLD guidelines.according to GesEPOC phenotypes and GOLD 2011 ABCD guidelines and pharmacological treatment agreement. Cross-sectional survey. COPD patients aged 40-85 from León were randomly selected from Primary Care database, MEDORA. 5222 eligible COPD patients were collected from MEDORA database. We calculated a sample size of 734 patients and finally studied 577 of them. Patientś clinical, functional and health related quality of life information were collected. Spirometry and postbroncodilator test were performed. A total of 577 patients were included in this study. 28.7% of them did not have a spirometry recorded in their files. 123 patients had a normal or non-obstructive spirometry pattern, so they were excluded from a COPD diagnostic. With regard to treatments, there was an overprescribing of inhaled steroids in patients from GOLD A and B groups, and also in patients with the called exacerbator phenotype (GesEPOC). Although there have been several published guidelines, management of COPD patients in real life should be improved. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  19. Dynamics and Ultradian Structure of Human Sleep in Real Life.

    Science.gov (United States)

    Winnebeck, Eva Charlotte; Fischer, Dorothee; Leise, Tanya; Roenneberg, Till

    2018-01-08

    The temporal dynamics that characterize sleep are difficult to capture outside the sleep laboratory. Therefore, longitudinal studies and big-data approaches assessing sleep dynamics are lacking. Here, we present the first large-scale analysis of human sleep dynamics in real life by making use of longitudinal wrist movement recordings of >16,000 sleep bouts from 573 subjects. Through non-linear conversion of locomotor activity to "Locomotor Inactivity During Sleep" (LIDS), movement patterns are exposed that directly reflect ultradian sleep cycles and replicate the dynamics of laboratory sleep parameters. Our current analyses indicate no sex differences in LIDS-derived sleep dynamics, whereas especially age but also shift work have pronounced effects, specifically on decline rates and ultradian amplitude. In contrast, ultradian period and phase emerged as remarkably stable across the tested variables. Our approach and results provide the necessary quantitative sleep phenotypes for large field studies and outcome assessments in clinical trials. Copyright © 2017 Elsevier Ltd. All rights reserved.

  20. Safety and efficacy of venom immunotherapy: a real life study.

    Science.gov (United States)

    Kołaczek, Agnieszka; Skorupa, Dawid; Antczak-Marczak, Monika; Kuna, Piotr; Kupczyk, Maciej

    2017-04-01

    Venom immunotherapy (VIT) is recommended as the first-line treatment for patients allergic to Hymenoptera venom. To analyze the safety and efficacy of VIT in a real life setting. One hundred and eighty patients undergoing VIT were studied to evaluate the safety, efficacy, incidence and nature of symptoms after field stings and adverse reactions to VIT. Significantly more patients were allergic to wasp than bee venom (146 vs. 34, p bees, and were not associated with angiotensin convertase inhibitors (ACEi) or β-adrenergic antagonists use. Systemic reactions were observed in 4 individuals on wasp VIT (2.7%) and in 6 patients allergic to bees (17.65%). The VIT was efficacious as most patients reported no reactions (50%) or reported only mild local reactions (43.75%) to field stings. The decrease in sIgE at completion of VIT correlated with the dose of vaccine received ( r = 0.53, p = 0.004). Beekeeping (RR = 29.54, p venom allergy. Venom immunotherapy is highly efficacious and safe as most of the adverse events during the induction and maintenance phase are mild and local. Side effects of VIT are more common in subjects on bee VIT. Beekeeping and female sex are associated with a higher risk of allergy to Hymenoptera venom.

  1. Solving real-life problems: future mobile technology sophistication

    International Nuclear Information System (INIS)

    Shafiq, F.; Ahsan, K.; Nadeem, A.

    2016-01-01

    Almost all the human being real life concerned domains are taking advantage of latest technologies for enhancing their process, procedures and operations. This integration of technological innovations provides ease of access, flexibility, transparency, reliability and speed for the concerned process and procedures. Rapid growth of ICT (Information and Communication Technology) and MT (Mobile Technology) provides opportunity to redesign and re-engineered the human routines life activities process and procedures. Technology integration and adoption in routine life activities may serves compensatory mechanism to assist the population in different manner such as monitoring older adults and children at homes, provides security assistance, monitoring and recording patients vital signs automatically, controlling and monitoring equipments and devices, providing assistance in shopping, banking and education as well. Disasters happened suddenly, destroy everything indiscriminately. Adoption and integration of latest technologies including ICT and MT can enhance the current disaster management process, procedures and operations. This research study focuses the impacts of latest and emerging technology trends in routine life activities and surrounds their potential strength to improve and enhance disaster management activities. MT is providing a promising platform for facilitating people to enhance their routine life activities. This research argue that integration and adoption of mobile computing in disaster management domain can enhance disaster management activities with promising minimizing error, quick information assembling, quick response based on technology manipulation and prioritizing action. (author)

  2. Assessment of cognitive flexibility in real life using virtual reality: a comparison of healthy individuals and schizophrenia patients.

    Science.gov (United States)

    Han, Kiwan; Young Kim, In; Kim, Jae-Jin

    2012-08-01

    To date, cognitive flexibility has been measured only using neuropsychological tasks, and has not been tested using more ecologically valid task due to methodological limitations. In this study, a virtual reality task was developed to evaluate cognitive flexibility in a real life situation and performance on this task was compared between 30 healthy individuals and 30 schizophrenia patients. Compared to healthy controls, a greater number of schizophrenia patients made concrete decisions, and their decision-making times were negatively correlated with the severity of their negative symptoms. These findings indicate that virtual reality can be an ecologically valid measurement of cognitive flexibility. Copyright © 2012 Elsevier Ltd. All rights reserved.

  3. Awareness Through Agility: Teenagers as a Model for Terrorist Development of Situational Awareness

    National Research Council Canada - National Science Library

    Sheffer, Matthew J

    2006-01-01

    .... Alternatively, the teenage communications model provides an evolutionary concept of operations for Allied forces to develop a highly flexible tactical situational awareness in urban environments...

  4. Overvoltage Protection of Large Power Transformers - A Real-Life Study Case

    DEFF Research Database (Denmark)

    Bak, Claus Leth; Einarsdottir, K. E.; Andresson, E.

    2008-01-01

    This paper demonstrates the results from a detailed study of the overvoltage protection of a particular 400/150-kV 400-MVA power transformer. The work presented here is based on a real-life power system substation design and data and initiated by Danish TSO Energinet.dk as a consequence of serious...... transformer overvoltage damage. A simulation model for the entire system consisting of overhead line, transformer, surge arrester, and earth grid has been created in PSCAD/EMTDC. The main focus has been put on the earth grid, which has been submodeled in detail in MATLAB using an electromagnetic transient...... approach based on the thin-wire program made by J. H. Richmond for NASA in 1974. The earth grid model is verified with excellent agreement compared to already published results. The overvoltage performance of the particular case is analyzed, and it shows that the transformers LIWL have probably been...

  5. Violence Exposure in Real-Life, Video Games, Television, Movies, and the Internet: Is There Desensitization?

    Science.gov (United States)

    Funk, Jeanne B.; Baldacci, Heidi Bechtoldt; Pasold; Tracie; Baumgardner, Jennifer

    2004-01-01

    It is believed that repeated exposure to real-life and to entertainment violence may alter cognitive, affective, and behavioral processes, possibly leading to desensitization. The goal of the present study was to determine if there are relationships between real-life and media violence exposure and desensitization as reflected in related…

  6. Maritime piracy situation modelling with dynamic Bayesian networks

    CSIR Research Space (South Africa)

    Dabrowski, James M

    2015-05-01

    Full Text Available A generative model for modelling maritime vessel behaviour is proposed. The model is a novel variant of the dynamic Bayesian network (DBN). The proposed DBN is in the form of a switching linear dynamic system (SLDS) that has been extended into a...

  7. Assessing Children's Mathematical Thinking in Practical Modelling Situations.

    Science.gov (United States)

    Tanner, Howard; Jones, Sonia

    2002-01-01

    Investigates the use of mathematical modeling tasks in 11- and 12-year-old students and the development of mathematical thinking skills using practical modeling activities. Analyzes the development of students' mathematical thinking with interviews of a form of dynamic assessment. Reports that some students proved to be naturally mindful and…

  8. Real life testing of a Hybrid PEM Fuel Cell Bus

    Science.gov (United States)

    Folkesson, Anders; Andersson, Christian; Alvfors, Per; Alaküla, Mats; Overgaard, Lars

    Fuel cells produce low quantities of local emissions, if any, and are therefore one of the most promising alternatives to internal combustion engines as the main power source in future vehicles. It is likely that urban buses will be among the first commercial applications for fuel cells in vehicles. This is due to the fact that urban buses are highly visible for the public, they contribute significantly to air pollution in urban areas, they have small limitations in weight and volume and fuelling is handled via a centralised infrastructure. Results and experiences from real life measurements of energy flows in a Scania Hybrid PEM Fuel Cell Concept Bus are presented in this paper. The tests consist of measurements during several standard duty cycles. The efficiency of the fuel cell system and of the complete vehicle are presented and discussed. The net efficiency of the fuel cell system was approximately 40% and the fuel consumption of the concept bus is between 42 and 48% lower compared to a standard Scania bus. Energy recovery by regenerative braking saves up 28% energy. Bus subsystems such as the pneumatic system for door opening, suspension and brakes, the hydraulic power steering, the 24 V grid, the water pump and the cooling fans consume approximately 7% of the energy in the fuel input or 17% of the net power output from the fuel cell system. The bus was built by a number of companies in a project partly financed by the European Commission's Joule programme. The comprehensive testing is partly financed by the Swedish programme "Den Gröna Bilen" (The Green Car). A 50 kW el fuel cell system is the power source and a high voltage battery pack works as an energy buffer and power booster. The fuel, compressed hydrogen, is stored in two high-pressure stainless steel vessels mounted on the roof of the bus. The bus has a series hybrid electric driveline with wheel hub motors with a maximum power of 100 kW. Hybrid Fuel Cell Buses have a big potential, but there are

  9. Data retrieval systems and models of information situations

    International Nuclear Information System (INIS)

    Jankowski, L.

    1984-01-01

    Demands placed on data retrieval systems and their basic parameters are given. According to the stage of development of data collection and processing, data retrieval systems may be divided into systems for the simple recording and provision of data, systems for recording and providing data with integrated statistical functions, and logical information systems. The structure is characterized of the said information systems as are methods of processing and representation of facts. The notion is defined of ''artificial intelligence'' in the development of logical information systems. The structure of representing knowledge in diverse forms of the model is decisive in logical information systems related to nuclear research. The main model elements are the characteristics of data, forms of representation and program. In dependence on the structure of data, the structure of the preparatory and transformation algorithms and on the aim of the system it is possible to classify data retrieval systems related to nuclear research and technology into five logical information models: linear, identification, advisory, theory-experiment models and problem solving models. The characteristics are given of the said models and examples of data retrieval systems for the individual models. (E.S.)

  10. Assessing physician leadership styles: application of the situational leadership model to transitions in patient acuity.

    Science.gov (United States)

    Skog, Alexander; Peyre, Sarah E; Pozner, Charles N; Thorndike, Mary; Hicks, Gloria; Dellaripa, Paul F

    2012-01-01

    The situational leadership model suggests that an effective leader adapts leadership style depending on the followers' level of competency. We assessed the applicability and reliability of the situational leadership model when observing residents in simulated hospital floor-based scenarios. Resident teams engaged in clinical simulated scenarios. Video recordings were divided into clips based on Emergency Severity Index v4 acuity scores. Situational leadership styles were identified in clips by two physicians. Interrater reliability was determined through descriptive statistical data analysis. There were 114 participants recorded in 20 sessions, and 109 clips were reviewed and scored. There was a high level of interrater reliability (weighted kappa r = .81) supporting situational leadership model's applicability to medical teams. A suggestive correlation was found between frequency of changes in leadership style and the ability to effectively lead a medical team. The situational leadership model represents a unique tool to assess medical leadership performance in the context of acuity changes.

  11. META-SITUATIONAL MODELING IN DESCRIPTION OF SOCIAL AND ECONOMIC PROCESSES IN EDUCATION

    Directory of Open Access Journals (Sweden)

    K. A. Konev

    2014-05-01

    Full Text Available The paper deals with the development of meta-situational modeling concept in the field of formalized description of nondeterministic socio-economic processes in relation to education. The goal of the paper is to increase the efficiency and optimization of decision-making procedure, in general, and informational support for formalized processes, in particular. To achieve this goal, it is proposed to introduce the concept and methodology of modeling as meta-situational integration situation (event and ontological (semantic approaches. It is assumed that the two-level description of the situation (at declarative and descriptive levels will give the possibility for varying levels of abstraction in relation to process and get access to data and knowledge about it at that stage, when it is objectively necessary. Another obvious advantage of the proposed approach is simplicity of implementation due to a widespread situation and ontological approaches and, consequently, their formalization methods (mathematical apparatus and instrumental software implementation (programming languages, display formats, etc.. To verify the efficiency of the proposed meta-situational approach, a typical example of weakly formalized situations is considered - one of the options assessment tools traditionally used in education. Both components of the process are described in detail: situational one, specifying stepwise development procedures and ontological, characterizing taxonomic aspect of the process. The order of a formalized description for meta-situational model structure based on data representation formats similar to XML (category "Semantic Web" is determined.

  12. Can the response to Omalizumab be influenced by treatment duration? A real-life study.

    Science.gov (United States)

    Sposato, Bruno; Scalese, Marco; Latorre, Manuela; Novelli, Federica; Scichilone, Nicola; Milanese, Manlio; Olivieri, Carmela; Perrella, Antonio; Paggiaro, Pierluigi

    2017-06-01

    It is unknown whether Omalizumab effectiveness changes over the course of time. Our retrospective real-life study tried to analyze whether Omalizumab response may be influenced by treatment duration. 340 severe asthmatics treated with Omalizumab for different periods of time were recruited. They were subdivided into 4 groups according to the Omalizumab treatment length: 60 months. Omalizumab treatment results (FEV 1 , exacerbations, ACT, SABA use, asthma control levels, medications used e and ICS doses) were compared. ACT, exacerbations, GINA control levels, ICS doses and SABA use were similar in all groups with different Omalizumab treatment durations. Using a linear regression model, corrected for all confounding variables, a higher significant positive increase in FEV 1 % in subjects treated for 12-24 (β = 9.49; p = 0.034) or 24-60 months (β = 8.56; p = 0.043) was found when compared with subjects treated for a shorter period. Treatment duration was positively associated with a step down of the other associated therapies (OR: 1.013; p = 0.019). This association was more relevant (OR: 4.167; p = 0.005) when we considered Omalizumab treatment duration >60 months compared to the shorter therapy. In particular, the percentage of subjects that were taking Montelukast, LABAs and oral corticosteroids was lower in the group treated with Omalizumab for a longer period of time. In real-life, the positive Omalizumab response remained stable for over 60 months. Long term Omalizumab treatment may lead to a discontinuation of some associated medications and to a slowing down of FEV 1 decline. Copyright © 2017 Elsevier Ltd. All rights reserved.

  13. Real-life compliance and persistence among users of subcutaneous and sublingual allergen immunotherapy.

    Science.gov (United States)

    Kiel, Menno A; Röder, Esther; Gerth van Wijk, Roy; Al, Maiwenn J; Hop, Wim C J; Rutten-van Mölken, Maureen P M H

    2013-08-01

    Subcutaneous allergen immunotherapy (SCIT) and sublingual allergen immunotherapy (SLIT) are safe and effective treatments of allergic rhinitis, but high levels of compliance and persistence are crucial to achieving the desired clinical effects. Our objective was to assess levels and predictors of compliance and persistence among grass pollen, tree pollen, and house dust mite immunotherapy users in real life and to estimate the costs of premature discontinuation. We performed a retrospective analysis of a community pharmacy database from The Netherlands containing data from 6486 patients starting immunotherapy for 1 or more of the allergens of interest between 1994 and 2009. Two thousand seven hundred ninety-six patients received SCIT, and 3690 received SLIT. Time to treatment discontinuation was analyzed and included Cox proportional hazard models with time-dependent covariates, where appropriate. Overall, only 18% of users reached the minimally required duration of treatment of 3 years (SCIT, 23%; SLIT, 7%). Median durations for SCIT and SLIT users were 1.7 and 0.6 years, respectively (P < .001). Other independent predictors of premature discontinuation were prescriber, with patients of general practitioners demonstrating longer persistence than those of allergologists and other medical specialists; single-allergen immunotherapy, lower socioeconomic status; and younger age. Of the persistent patients, 56% were never late in picking up their medication from the pharmacy. Direct medication costs per nonpersistent patient discontinuing in the third year of treatment were €3800, an amount that was largely misspent. Real-life persistence is better in SCIT users than in SLIT users, although it is low overall. There is an urgent need for further identification of potential barriers and measures that will enhance persistence and compliance. Copyright © 2013 American Academy of Allergy, Asthma & Immunology. Published by Mosby, Inc. All rights reserved.

  14. Making Risk Models Operational for Situational Awareness and Decision Support

    International Nuclear Information System (INIS)

    Paulson, P.R.; Coles, G.; Shoemaker, S.

    2012-01-01

    We present CARIM, a decision support tool to aid in the evaluation of plans for converting control systems to digital instruments. The model provides the capability to optimize planning and resource allocation to reduce risk from multiple safety and economic perspectives. (author)

  15. Rehabilitation of Executive Functions in a Real-Life Setting: Goal Management Training Applied to a Person with Schizophrenia

    Directory of Open Access Journals (Sweden)

    M.-N. Levaux

    2012-01-01

    Full Text Available The aim was to assess the efficacy of a modified version of Goal Management Training (GMT in a person with schizophrenia who had difficulties in attaining the final goal for new and multitasking daily-life situations. GMT is designed to improve abilities in establishing goal-directed plans and carrying them out effectively. Beneficial effects of GMT were measured for several clinical questionnaires, laboratory tasks, and three real-life situations: meal preparation (trained, familiar; washing (nontrained, familiar; meeting preparation (nontrained, unfamiliar. The results revealed improvement in planning and on trained laboratory and meal preparation tasks and a generalization of GMT effects on nontrained laboratory and everyday tasks. Self-esteem also improved. Finally, a two-year followup indicated the durability of the beneficial effects.

  16. Series: Pragmatic trials and real world evidence: Paper 5. Usual care and real life comparators.

    Science.gov (United States)

    Zuidgeest, Mira G P; Welsing, Paco M J; van Thiel, Ghislaine J M W; Ciaglia, Antonio; Alfonso-Cristancho, Rafael; Eckert, Laurent; Eijkemans, Marinus J C; Egger, Matthias

    2017-10-01

    Pragmatic trials may deliver real-world evidence on the added value of new medications compared with usual care and inform decision making earlier in development. This fifth paper in a series on pragmatic trials in the Journal discusses usual care as a comparator and the allocation of treatment strategies. The allocation and implementation of treatment strategies should resemble clinical practice as closely as possible. Randomization at the level of the site, as opposed to at the individual level, may be preferred. Data analysis according to the intention-to-treat principle is recommended, and crossover between treatment arms and strong treatment preferences may be accounted for in the study design in specific situations. Although usual care is the comparator of choice, this may differ substantially between centers and countries complicating comparator choice. Using clinical guidelines to define usual care can be helpful in standardizing comparator treatments; however, this may decrease the applicability of the results to real-life settings. Conversely, using multiple usual-care treatment arms will increase the complexity of the study. The specific objectives of the trial and design choices should be discussed with all stakeholders to realize the full potential of the pragmatic trial. Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.

  17. An Integrated Agent Model Addressing Situation Awareness and Functional State in Decision Making

    NARCIS (Netherlands)

    Hoogendoorn, M.; van Lambalgen, R.M.; Treur, J.

    2011-01-01

    In this paper, an integrated agent model is introduced addressing mutually interacting Situation Awareness and Functional State dynamics in decision making. This shows how a human's functional state, more specific a human's exhaustion and power, can influence a human's situation awareness, and in

  18. Making Organisms Model Human Behavior: Situated Models in North-American Alcohol Research, 1950-onwards

    Science.gov (United States)

    Leonelli, Sabina; Ankeny, Rachel A.; Nelson, Nicole C.; Ramsden, Edmund

    2014-01-01

    Argument We examine the criteria used to validate the use of nonhuman organisms in North-American alcohol addiction research from the 1950s to the present day. We argue that this field, where the similarities between behaviors in humans and non-humans are particularly difficult to assess, has addressed questions of model validity by transforming the situatedness of non-human organisms into an experimental tool. We demonstrate that model validity does not hinge on the standardization of one type of organism in isolation, as often the case with genetic model organisms. Rather, organisms are viewed as necessarily situated: they cannot be understood as a model for human behavior in isolation from their environmental conditions. Hence the environment itself is standardized as part of the modeling process; and model validity is assessed with reference to the environmental conditions under which organisms are studied. PMID:25233743

  19. Making organisms model human behavior: situated models in North-American alcohol research, since 1950.

    Science.gov (United States)

    Ankeny, Rachel A; Leonelli, Sabina; Nelson, Nicole C; Ramsden, Edmund

    2014-09-01

    We examine the criteria used to validate the use of nonhuman organisms in North-American alcohol addiction research from the 1950s to the present day. We argue that this field, where the similarities between behaviors in humans and non-humans are particularly difficult to assess, has addressed questions of model validity by transforming the situatedness of non-human organisms into an experimental tool. We demonstrate that model validity does not hinge on the standardization of one type of organism in isolation, as often the case with genetic model organisms. Rather, organisms are viewed as necessarily situated: they cannot be understood as a model for human behavior in isolation from their environmental conditions. Hence the environment itself is standardized as part of the modeling process; and model validity is assessed with reference to the environmental conditions under which organisms are studied.

  20. Models of political public relations: Testing the situation in Catalonia

    Directory of Open Access Journals (Sweden)

    Dr. Jordi Xifra Triadú

    2008-01-01

    Full Text Available The idea that political communication strategies are an application of marketing strategies to political field is today commonly shared by specialists. For them public relations is viewed like a set of techniques that serves political parties and other actors of the political scene, concentrated on media relations. This instrumental perspective is not in keeping with structural dimension of public relations in political activity and communication of his actors: political parties, pressure groups and political leaders. In this point of view, during managing periods of governance or opposition and during electoral campaigns, the most applied communication form by political parties is structured in accordance with the major public relations models: press agent model, public information model, two way asymmetrical model, and two way symmetrical model. This research prove hypothesis in Catalonia according the results of a quantitative survey focused on inside professionals who provide services for the seven main political parties in this Spanish Autonomous Community.RESUMEN:La idea de que las estrategias de comunicación política constituyen una aplicación de las estrategias del marketing al ámbito político es hoy comúnmente compartida por los analistas. Para éstos, las relaciones públicas son percibidas como un conjunto de técnicas al servicio de los partidos políticos y de otros actores de la escena política concentradas en las relaciones con la prensa. Esta perspectiva instrumental no concuerda con la dimensión estructural de las relaciones públicas en la actividad política y comunicativa de sus actores: partidos políticos, grupos de presión y líderes. Desde este punto de vista, tanto en los periodos de gestión u oposición como en los electorales, la forma comunicativa más aplicada por los partidos políticos se estructura de acuerdo con los modelos tradicionales de las relaciones públicas: agente de prensa, información p

  1. A model of human decision making in multiple process monitoring situations

    Science.gov (United States)

    Greenstein, J. S.; Rouse, W. B.

    1982-01-01

    Human decision making in multiple process monitoring situations is considered. It is proposed that human decision making in many multiple process monitoring situations can be modeled in terms of the human's detection of process related events and his allocation of attention among processes once he feels event have occurred. A mathematical model of human event detection and attention allocation performance in multiple process monitoring situations is developed. An assumption made in developing the model is that, in attempting to detect events, the human generates estimates of the probabilities that events have occurred. An elementary pattern recognition technique, discriminant analysis, is used to model the human's generation of these probability estimates. The performance of the model is compared to that of four subjects in a multiple process monitoring situation requiring allocation of attention among processes.

  2. Making Risk Models Operational for Situational Awareness and Decision Support

    Energy Technology Data Exchange (ETDEWEB)

    Paulson, Patrick R.; Coles, Garill A.; Shoemaker, Steven V.

    2012-06-12

    Modernization of nuclear power operations control systems, in particular the move to digital control systems, creates an opportunity to modernize existing legacy infrastructure and extend plant life. We describe here decision support tools that allow the assessment of different facets of risk and support the optimization of available resources to reduce risk as plants are upgraded and maintained. This methodology could become an integrated part of the design review process and a part of the operations management systems. The methodology can be applied to the design of new reactors such as small nuclear reactors (SMR), and be helpful in assessing the risks of different configurations of the reactors. Our tool provides a low cost evaluation of alternative configurations and provides an expanded safety analysis by considering scenarios while early in the implementation cycle where cost impacts can be minimized. The effects of failures can be modeled and thoroughly vetted to understand their potential impact on risk. The process and tools presented here allow for an integrated assessment of risk by supporting traditional defense in depth approaches while taking into consideration the insertion of new digital instrument and control systems.

  3. LEADERSHIP MODELS AND EFFICIENCY IN DECISION CRISIS SITUATIONS, DURING DISASTERS

    Directory of Open Access Journals (Sweden)

    JAIME RIQUELME CASTAÑEDA

    2017-09-01

    Full Text Available This article explains how an effective leadership is made on a team during an emergency, during a decision crisis in the context of a disaster. From the approach of the process, we analyze some variables such as flexibility, value congruence, rationality, politicization, and quality of design. To achieve that, we made a fi eld work with the information obtained from the three Emergency headquarters deployed by the Chilean Armed Forces, due to the effects of the 8.8 earthquake on February 27th 2010. The data is analyzed through econometric technics. The results suggested that the original ideas and the rigorous analysis are the keys to secure the quality of the decision. It also, made possible to unveil the fact, that to have efficiency in operations in a disaster, it requires a big presence of a vision, mission, and inspiration about a solid and pre-existing base of goals and motivations. Finally, we can fi nd the support to the relationship between kinds of leadership and efficiency on crisis decision-making process of the disaster and opens a space to build a decision making theoretic model.

  4. Similarity of models of the observed navigational situation as multicriteria objects with probabilistic priorities

    Directory of Open Access Journals (Sweden)

    Popov Yu.A.

    2015-03-01

    Full Text Available The variant of calculation of relation of similarity of two models of navigational situation as multicriteria objects with probabilistic priorities has been considered. The priorities have been received with the help of the vessel system of observation

  5. Applying a Dynamic Model of Situated Cognition to the Investigation of Mishaps

    National Research Council Canada - National Science Library

    Miller, Nita L; Shattuck, Lawrence G

    2005-01-01

    ... by the confluence of technological, situational, individual, and organizational factors. Several models and theories of human error have been proposed over the years and are reviewed in this paper...

  6. Predictability of locomotion: Effects on updating of spatial situation models during narrative comprehension

    NARCIS (Netherlands)

    Dutke, S.; Rinck, M.

    2006-01-01

    We investigated how the updating of spatial situation models during narrative comprehension depends on the interaction of cognitive abilities and text characteristics. Participants with low verbal and visuospatial abilities and participants with high abilities read narratives in which the

  7. Cervical and facial infections - a real life threat

    Science.gov (United States)

    Rosu, S.; Fratila, M.

    2014-03-01

    Cervicofacial infections of dental origin are a difficult and complex issue of oral and maxillofacial surgery. Recognizing in due time the situations which are likely to develop a life-threatening condition and medical surgical prompt interventions significantly reduce the rate of the complications. Between January 2009 and March 2013, at the Clinic of Oral and Maxillofacial Surgery of the University of Medicine and Pharmacy "Victor Babes" Timisoara, 17 patients with severe cervicofacial infections were admitted in the emergency department as they needed a complex medical surgical treatment in accordance with protocol established together with the intensive-care department. Assessing the situations, we noticed a difficult, prolonged time of the recovery process which needed a hospitalization period of around 20 days. It recorded two deceased because of cervical necrotizing fasciitis and oral floor phlegmon, the most severe forms of the cervicofacial infections. The severity of the condition of the patients with cervicofacial infections must be figured and as quickly as possible an energetic therapeutic attitude must be adopted. The experience shows a frequent resistance to antibiotics like ampicillin, penicillin and oxacillin. The patients must be guided in due time to a clinic which has an intensive care department, where the surgical treatment must be administrated together with an intensive treatment for supporting the general condition. The reduction of the vital risk of the cervicofacial infections of dental origin will be done through an attentive assessment of the general and local condition (status) of the outpatients, before the dental extraction. The absence of a treatment adapted to the situation and to the clinic development, meaningfully increases the rate of the complications and the length of the hospitalization, the lethal evolution being not excluded.

  8. Cervical and facial infections – a real life threat

    International Nuclear Information System (INIS)

    Victor Babeş Timişoara, Piaţa Eftimie Murgu No. 2, 300041 (Romania))" data-affiliation=" (Maxillo-facial surgeon University of Medicine and Pharmacy Victor Babeş Timişoara, Piaţa Eftimie Murgu No. 2, 300041 (Romania))" >Rosu, S; Victor Babeş Timişoara, Piaţa Eftimie Murgu No. 2, 300041 (Romania))" data-affiliation=" (Maxillo-facial surgeon University of Medicine and Pharmacy Victor Babeş Timişoara, Piaţa Eftimie Murgu No. 2, 300041 (Romania))" >Fratila, M

    2014-01-01

    Cervicofacial infections of dental origin are a difficult and complex issue of oral and maxillofacial surgery. Recognizing in due time the situations which are likely to develop a life-threatening condition and medical surgical prompt interventions significantly reduce the rate of the complications. Between January 2009 and March 2013, at the Clinic of Oral and Maxillofacial Surgery of the University of Medicine and Pharmacy ''Victor Babes'' Timisoara, 17 patients with severe cervicofacial infections were admitted in the emergency department as they needed a complex medical surgical treatment in accordance with protocol established together with the intensive-care department. Assessing the situations, we noticed a difficult, prolonged time of the recovery process which needed a hospitalization period of around 20 days. It recorded two deceased because of cervical necrotizing fasciitis and oral floor phlegmon, the most severe forms of the cervicofacial infections. The severity of the condition of the patients with cervicofacial infections must be figured and as quickly as possible an energetic therapeutic attitude must be adopted. The experience shows a frequent resistance to antibiotics like ampicillin, penicillin and oxacillin. The patients must be guided in due time to a clinic which has an intensive care department, where the surgical treatment must be administrated together with an intensive treatment for supporting the general condition. The reduction of the vital risk of the cervicofacial infections of dental origin will be done through an attentive assessment of the general and local condition (status) of the outpatients, before the dental extraction. The absence of a treatment adapted to the situation and to the clinic development, meaningfully increases the rate of the complications and the length of the hospitalization, the lethal evolution being not excluded

  9. Social Anxiety in Online and Real-Life Interaction and Their Associated Factors

    OpenAIRE

    Yen, Ju-Yu; Yen, Cheng-Fang; Chen, Cheng-Sheng; Wang, Peng-Wei; Chang, Yi-Hsin; Ko, Chih-Hung

    2012-01-01

    Social anxiety was compared between online and real-life interaction in a sample of 2,348 college students. Severity of social anxiety in both real-life and online interaction was tested for associations with depression, Internet addiction, Internet activity type (gaming versus chatting), and scores on Behavioral Inhibition System (BIS)/Behavioral Activation System (BAS) scales. The results showed that social anxiety was lower when interacting online than when interacting offline. Depression,...

  10. Real life safety benefits of increasing brake deceleration in car-to-pedestrian accidents: Simulation of Vacuum Emergency Braking.

    Science.gov (United States)

    Jeppsson, Hanna; Östling, Martin; Lubbe, Nils

    2018-02-01

    The objective of this study is to predict the real-life benefits, namely the number of injuries avoided rather than the reduction in impact speed, offered by a Vacuum Emergency Brake (VEB) added to a pedestrian automated emergency braking (AEB) system. We achieve this through the virtual simulation of simplified mathematical models of a system which incorporates expected future advances in technology, such as a wide sensor field of view, and reductions in the time needed for detection, classification, and brake pressure build up. The German In-Depth Accident Study database and the related Pre Crash Matrix, both released in the beginning of 2016, were used for this study and resulted in a final sample of 526 collisions between passenger car fronts and pedestrians. Weight factors were calculated for both simulation model and injury risk curves to make the data representative of Germany as a whole. The accident data was used with a hypothetical AEB system in a simulation model, and injury risk was calculated from the new impact speed using injury risk curves to generate new situations using real accidents. Adding a VEB to a car with pedestrian AEB decreased pedestrian casualties by an additional 8-22%, depending on system setting and injury level, over the AEB-only system. The overall decrease in fatalities was 80-87%, an improvement of 8%. Collision avoidance was improved by 14-28%. VEB with a maximum deceleration in the middle of the modelled performance range has an effectiveness similar to that of an "early activation" system, where the AEB is triggered as early as 2 s before collision. VEB may therefore offer a substantial increase in performance without increasing false positive rates, which earlier AEB activation does. Most collisions and injuries can be avoided when AEB is supplemented by the high performance VEB; remaining cases are characterised by high pedestrian walking speed and late visibility due to view obstructions. VEB is effective in all analysed

  11. Implementing the Standards: Incorporating Mathematical Modeling into the Curriculum.

    Science.gov (United States)

    Swetz, Frank

    1991-01-01

    Following a brief historical review of the mechanism of mathematical modeling, examples are included that associate a mathematical model with given data (changes in sea level) and that model a real-life situation (process of parallel parking). Also provided is the rationale for the curricular implementation of mathematical modeling. (JJK)

  12. From situation modelling to a distributed rule-based platform for situation awareness : an ontological framework for disaster management applications

    NARCIS (Netherlands)

    Moreira, João

    2015-01-01

    Situation-aware (SA) applications are particularly useful for disaster management. The complex nature of emergency scenarios presents challenges to the development of collaborative and distributed SA solutions. These challenges concern the whole lifecycle, from specification to implementation

  13. Finite element modelling of fire situations in UF6 transport containers

    International Nuclear Information System (INIS)

    Basombrio, F.G.

    1996-01-01

    In this report we describe some runs made with the code FASES2. They concern different situations associated to fires originated by accidents in the transport of containers filled with UF6. Such situations have been inspired in cases taken from the current literature, and related to numerical modelling or experiments. We aim to consign the most relevant aspects of such runs, with the future purpose of comparing them with the predictions made with simpler lumped models. In such a way, it will be possible to calibrate the simple models with the results coming from detailed models. (author). 6 refs., 12 figs

  14. Modeling and simulating command and control for organizations under extreme situations

    CERN Document Server

    Moon, Il-Chul; Kim, Tag Gon

    2013-01-01

    Commanding and controlling organizations in extreme situations is a challenging task in military, intelligence, and disaster management. Such command and control must be quick, effective, and considerate when dealing with the changing, complex, and risky conditions of the situation. To enable optimal command and control under extremes, robust structures and efficient operations are required of organizations. This work discusses how to design and conduct virtual experiments on resilient organizational structures and operational practices using modeling and simulation. The work illustrates key a

  15. When real life wind speed exceeds design wind assumptions

    Energy Technology Data Exchange (ETDEWEB)

    Winther-Jensen, M.; Joergensen, E.R. [Risoe National Lab., Roskilde (Denmark)

    1999-03-01

    Most modern wind turbines are designed according to a standard or a set of standards to withstand the design loads with a defined survival probability. Mainly the loads are given by the wind conditions on the site defining the `design wind speeds`, normally including extreme wind speeds given as an average and a peak value. The extreme wind speeds are normally (e.g. in the upcoming IEC standard for wind turbine safety) defined as having a 50-year recurrence period. But what happens when the 100 or 10,000 year wind situation hits a wind turbine? Results on wind turbines of wind speeds higher than the extreme design wind speeds are presented based on experiences especially from the State of Gujarat in India. A description of the normal approach of designing wind turbines in accordance with the standards in briefly given in this paper with special focus on limitations and built-in safety levels. Based on that, other possibilities than just accepting damages on wind turbines exposed for higher than design wind speeds are mentioned and discussed. The presentation does not intend to give the final answer to this problem but is meant as an input to further investigations and discussions. (au)

  16. Embracing the role of real life studies in the management of rare cancers

    Directory of Open Access Journals (Sweden)

    Omar Abdel-Rahman

    2016-10-01

    Full Text Available For commonly occurring cancers, as well as situations or conditions that are frequently encountered in oncological setting, plenty of prospective data are available to oncologists or medical practitioners to facilitate the decision making process. However, for rare cancers and atypical scenarios, there are limited references in the current literature. Understandably, this is attributed to the difficulty in recruiting enough patients to systematically study such rare manifestations. Under these circumstances, the importance of real life data that are collected via population-based studies, case series, and case reports is especially significant. In the current issue of AMOR, the journal features three case reports that describe distinctly uncommon oncological scenarios. In one report, Vafaii and Shao highlighted the stepwise development of classical Hodgkin lymphoma (cHL from diffuse large B cell lymphoma (DLBCL via precursor Reed-Sternberg/Hodgkin cells, as confirmed via multiple biopsies. They suggested that cHL and DLBCL can be clonally related, even when developing metachronously in the same patient, based on the presence of a hybrid intermediate stage. Meanwhile, Xian and colleagues reported the surgical management of brachial plexus pain that is caused by Pancoast tumor. According to them, the condition closely resembles the symptoms of brachial plexus injury and thus, the underlying cause is easily misdiagnosed. Finally, Coehlo and co-workers presented a report on the prolonged disease control of esthesioneuroblastoma using a multimodality approach, combining surgery, radiotherapy, and chemotherapy to derive an effective treatment strategy. It is noteworthy that despite an initial distant metastasis setback, the patient responded positively to palliative chemotherapy, thus proving the value of the much debated approach.In short, these case reports are an invaluable addition to existing medical literature concerning the diagnoses and

  17. Features of microscopic pedestrian movement in a panic situation based on cellular automata model

    Science.gov (United States)

    Ibrahim, Najihah; Hassan, Fadratul Hafinaz

    2017-10-01

    Pedestrian movement is the one of the subset for the crowd management under simulation objective. During panic situation, pedestrian usually will create a microscopic movement that lead towards the self-organization. During self-organizing, the behavioral and physical factors had caused the mass effect on the pedestrian movement. The basic CA model will create a movement path for each pedestrian over a time step. However, due to the factors immerge, the CA model needs some enhancement that will establish a real simulation state. Hence, this concept paper will discuss on the enhanced features of CA model for microscopic pedestrian movement during panic situation for a better pedestrian simulation.

  18. Computer Games versus Maps before Reading Stories: Priming Readers' Spatial Situation Models

    Science.gov (United States)

    Smith, Glenn Gordon; Majchrzak, Dan; Hayes, Shelley; Drobisz, Jack

    2011-01-01

    The current study investigated how computer games and maps compare as preparation for readers to comprehend and retain spatial relations in text narratives. Readers create situation models of five dimensions: spatial, temporal, causal, goal, and protagonist (Zwaan, Langston, & Graesser 1995). Of these five, readers mentally model the spatial…

  19. A queueing model of pilot decision making in a multi-task flight management situation

    Science.gov (United States)

    Walden, R. S.; Rouse, W. B.

    1977-01-01

    Allocation of decision making responsibility between pilot and computer is considered and a flight management task, designed for the study of pilot-computer interaction, is discussed. A queueing theory model of pilot decision making in this multi-task, control and monitoring situation is presented. An experimental investigation of pilot decision making and the resulting model parameters are discussed.

  20. The Analysis of a Real Life Declarative Process

    DEFF Research Database (Denmark)

    Debois, Søren; Slaats, Tijs

    2015-01-01

    This paper reports on a qualitative study of the use of declarative process notations used in a commercial setting. Specifically, we investigate the actual use of a system implemented in terms of DCR graphs for the Danish "Dreyer Foundation" by our industry partner Exformatics A/S. The study is p....... For (2), we find no such model. We leave as a challenge to the community the construction of a flow-based model adequately representing the business constraints and supporting all observed behaviour by the users, whether by hand or by mining....

  1. Situational Leadership

    OpenAIRE

    Süttö, Marián

    2016-01-01

    This thesis is focused on field of leadership, particularly situational leadership model by Hersey and Blanchard. Thesis is mostly theoretical framework aimed to offer the possibility for reader to get overview in leadership issues. Theoretical framework of the thesis is focused on leadership definition, the most important leadership theories in the past, and especially to situational leadership approach. The focus of this thesis is to get detailed insight in this model and therefore offer in...

  2. Social norms and cooperation in real-life social dilemmas

    DEFF Research Database (Denmark)

    Thøgersen, John

    2008-01-01

    The hypothesis that injunctive and descriptive norms interact positively or synergistically to promote cooperation in social dilemmas is tested in the context of a survey study focusing on environmentally responsible behaviour. Measurement error and strong and positive correlations between the two...... types of normative beliefs make it difficult to test the interaction hypothesis. By using structural equation modelling with residual centering these problems are overcome and the interaction hypothesis is confirmed. The result is stable across three replications spanning a two-year period....

  3. Emotional and physiological desensitization to real-life and movie violence.

    Science.gov (United States)

    Mrug, Sylvie; Madan, Anjana; Cook, Edwin W; Wright, Rex A

    2015-05-01

    Youth are exposed to large amounts of violence in real life and media, which may lead to desensitization. Given evidence of curvilinear associations between exposure to violence and emotional distress, we examined linear and curvilinear associations of exposure to real-life and movie violence with PTSD symptoms, empathy, and physiological arousal, as well emotional and physiological reactivity to movie violence. College students (N = 209; mean age = 18.74) reported on their exposure to real-life and televised violence, PTSD symptoms, and empathy. Then, students were randomly assigned to view a series of violent or nonviolent high-action movie scenes, providing ratings of emotional distress after each clip. Blood pressure was measured at rest and during video viewing. Results showed that with increasing exposure to real-life violence, youth reported more PTSD symptoms and greater identification with fictional characters. Cognitive and emotional empathy increased from low to medium levels of exposure to violence, but declined at higher levels. For males, exposure to higher levels of real-life violence was associated with diminishing (vs. increasing) emotional distress when viewing violent videos. Exposure to televised violence was generally unrelated to emotional functioning. However, those with medium levels of exposure to TV/movie violence experienced lower elevations of blood pressure when viewing violent videos compared to those with low exposure, and those with higher levels of exposure evidenced rapid increase in blood pressure that quickly declined over time. The results point to diminished empathy and reduced emotional reactivity to violence as key aspects of desensitization to real-life violence, and more limited evidence of physiological desensitization to movie violence among those exposed to high levels of televised violence.

  4. Emotional and Physiological Desensitization to Real-Life and Movie Violence

    Science.gov (United States)

    Mrug, Sylvie; Madan, Anjana; Cook, Edwin W.; Wright, Rex A.

    2014-01-01

    Youth are exposed to large amounts of violence in real life and media, which may lead to desensitization. Given evidence of curvilinear associations between exposure to violence and emotional distress, we examined linear and curvilinear associations of exposure to real-life and movie violence with PTSD symptoms, empathy, and physiological arousal, as well emotional and physiological reactivity to movie violence. College students (N=209; mean age=18.74) reported on their exposure to real-life and televised violence, PTSD symptoms, and empathy. Then, students were randomly assigned to view a series of violent or nonviolent high-action movie scenes, providing ratings of emotional distress after each clip. Blood pressure was measured at rest and during video viewing. Results showed that with increasing exposure to real-life violence, youth reported more PTSD symptoms and greater identification with fictional characters. Cognitive and emotional empathy increased from low to medium levels of exposure to violence, but declined at higher levels. For males, exposure to higher levels of real-life violence was associated with diminishing (vs. increasing) emotional distress when viewing violent videos. Exposure to televised violence was generally unrelated to emotional functioning. However, those with medium levels of exposure to TV/movie violence experienced lower elevations of blood pressure when viewing violent videos compared to those with low exposure, and those with higher levels of exposure evidenced rapid increase in blood pressure that quickly declined over time. The results point to diminished empathy and reduced emotional reactivity to violence as key aspects of desensitization to real-life violence, and more limited evidence of physiological desensitization to movie violence among those exposed to high levels of televised violence. PMID:25326900

  5. Training Inference Making Skills Using a Situation Model Approach Improves Reading Comprehension

    Directory of Open Access Journals (Sweden)

    Lisanne eBos

    2016-02-01

    Full Text Available This study aimed to enhance third and fourth graders’ text comprehension at the situation model level. Therefore, we tested a reading strategy training developed to target inference making skills, which are widely considered to be pivotal to situation model construction. The training was grounded in contemporary literature on situation model-based inference making and addressed the source (text-based versus knowledge-based, type (necessary versus unnecessary for (re-establishing coherence, and depth of an inference (making single lexical inferences versus combining multiple lexical inferences, as well as the type of searching strategy (forward versus backward. Results indicated that, compared to a control group (n = 51, children who followed the experimental training (n = 67 improved their inference making skills supportive to situation model construction. Importantly, our training also resulted in increased levels of general reading comprehension and motivation. In sum, this study showed that a ‘level of text representation’-approach can provide a useful framework to teach inference making skills to third and fourth graders.

  6. Situational effects of the school factors included in the dynamic model of educational effectiveness

    NARCIS (Netherlands)

    Creerners, Bert; Kyriakides, Leonidas

    We present results of a longitudinal study in which 50 schools, 113 classes and 2,542 Cypriot primary students participated. We tested the validity of the dynamic model of educational effectiveness and especially its assumption that the impact of school factors depends on the current situation of

  7. Tests of control in the Audit Risk Model : Effective? Efficient?

    NARCIS (Netherlands)

    Blokdijk, J.H. (Hans)

    2004-01-01

    Lately, the Audit Risk Model has been subject to criticism. To gauge its validity, this paper confronts the Audit Risk Model as incorporated in International Standard on Auditing No. 400, with the real life situations faced by auditors in auditing financial statements. This confrontation exposes

  8. Transition from Model to Proof: Example of Water Treatment Plant

    Science.gov (United States)

    Güler, Gürsel

    2016-01-01

    The aim of this study was to research the prospective mathematics teachers' ability to construct a mathematical model for a real life problem and to prove these models by generalizing them to use in similar situations. The study was conducted with 129 prospective teachers determined on a volunteering basis. The data were obtained with the help of…

  9. MODELLING OF DECISION MAKING OF UNMANNED AERIAL VEHICLE'S OPERATOR IN EMERGENCY SITUATIONS

    Directory of Open Access Journals (Sweden)

    Volodymyr Kharchenko

    2017-03-01

    Full Text Available Purpose: lack of recommendation action algorithm of UAV operator in emergency situations; decomposition of the process of decision making (DM by UAV’s Operator in emergency situations; development of the structure of distributed decision support system (DDSS for remotely piloted aircraft; development of a database of local decision support system (DSS operators Remotely Piloted Aircraft Systems (RPAS; working-out of models DM by UAV’s Operator. Methods: Algoritm of actions of UAV operator by Wald criterion, Laplace criterion, Hurwitz criterion. Results: The program "UAV_AS" that gives to UAV operator recommendations on how to act in case of emergency. Discussion: The article deals with the problem of Unmanned Aerial Vehicles (UAV flights for decision of different tasks in emergency situation. Based on statistical data it was analyzing the types of emergencies for unmanned aircraft. Defined sequence of actions UAV operator and in case of emergencies.

  10. Real-Life Treatment Paradigms Show Adalimumab Is Cost-Effective for the Management of Ulcerative Colitis.

    Science.gov (United States)

    Beilman, Candace L; Thanh, Nguyen Xuan; Ung, Victoria; Ma, Christopher; Wong, Karen; Kroeker, Karen I; Lee, Thomas; Wang, Haili; Ohinmaa, Arto; Jacobs, Phil; Halloran, Brendan P; Fedorak, Richard N

    2016-01-01

    Background . Adalimumab is effective for the maintenance of remission in patients with moderate-to-severe ulcerative colitis (UC). Currently, biologic therapies are used in cases where patients fail conventional medical therapies. If biologic therapies are not available, patients often choose to remain in an unwell state rather than undergo colectomy. Objective . The aim of the study was to evaluate the cost-effectiveness of adalimumab in patients with UC where adalimumab was readily available compared to not available. Methods . A previously validated Markov model was used to simulate disease progression of patients with UC who are corticosteroid-dependent and/or did not respond to thiopurine therapy. Utility scores and transition probabilities between health states were determined by using data from randomized controlled trials and real-life observational studies. Costs were obtained from the Ontario Case Costing Initiative and the Alberta Health Schedule of Medical Benefits. Results . The incremental cost-effectiveness ratios for readily available adalimumab treatment of UC were $40,000 and $59,000 per quality-adjusted life year, compared with ongoing medical therapy in an unwell state, at 5-year and 10-year treatment time horizons, respectively. Conclusion . Considering real-life patient preferences to avoid colectomy, adalimumab is cost-effective according to a willingness-to-pay threshold of $80,000 for treatment of UC.

  11. Real-Life Treatment Paradigms Show Adalimumab Is Cost-Effective for the Management of Ulcerative Colitis

    Directory of Open Access Journals (Sweden)

    Candace L. Beilman

    2016-01-01

    Full Text Available Background. Adalimumab is effective for the maintenance of remission in patients with moderate-to-severe ulcerative colitis (UC. Currently, biologic therapies are used in cases where patients fail conventional medical therapies. If biologic therapies are not available, patients often choose to remain in an unwell state rather than undergo colectomy. Objective. The aim of the study was to evaluate the cost-effectiveness of adalimumab in patients with UC where adalimumab was readily available compared to not available. Methods. A previously validated Markov model was used to simulate disease progression of patients with UC who are corticosteroid-dependent and/or did not respond to thiopurine therapy. Utility scores and transition probabilities between health states were determined by using data from randomized controlled trials and real-life observational studies. Costs were obtained from the Ontario Case Costing Initiative and the Alberta Health Schedule of Medical Benefits. Results. The incremental cost-effectiveness ratios for readily available adalimumab treatment of UC were $40,000 and $59,000 per quality-adjusted life year, compared with ongoing medical therapy in an unwell state, at 5-year and 10-year treatment time horizons, respectively. Conclusion. Considering real-life patient preferences to avoid colectomy, adalimumab is cost-effective according to a willingness-to-pay threshold of $80,000 for treatment of UC.

  12. Personal attitudes toward time: The relationship between temporal focus, space-time mappings and real life experiences.

    Science.gov (United States)

    Li, Heng; Cao, Yu

    2017-06-01

    What influences how people implicitly associate "past" and "future" with "front" and "back?" Whereas previous research has shown that cultural attitudes toward time play a role in modulating space-time mappings in people's mental models (de la Fuente, Santiago, Román, Dumitrache & Casasanto, 2014), we investigated real life experiences as potential additional influences on these implicit associations. Participants within the same single culture, who are engaged in different intermediate-term educational experiences (Study 1), long-term living experiences (Study 2), and short-term visiting experiences (Study 3), showed their distinct differences in temporal focus, thereby influencing their implicit spatializations of time. Results across samples suggest that personal attitudes toward time related to real life experiences may influence people's space-time mappings. The findings we report on shed further light on the high flexibility of human conceptualization system. While culture may exert an important influence on temporal focus, a person's conceptualization of time may be attributed to a culmination of factors. © 2017 Scandinavian Psychological Associations and John Wiley & Sons Ltd.

  13. Cross-Situational Learning with Bayesian Generative Models for Multimodal Category and Word Learning in Robots

    Directory of Open Access Journals (Sweden)

    Akira Taniguchi

    2017-12-01

    Full Text Available In this paper, we propose a Bayesian generative model that can form multiple categories based on each sensory-channel and can associate words with any of the four sensory-channels (action, position, object, and color. This paper focuses on cross-situational learning using the co-occurrence between words and information of sensory-channels in complex situations rather than conventional situations of cross-situational learning. We conducted a learning scenario using a simulator and a real humanoid iCub robot. In the scenario, a human tutor provided a sentence that describes an object of visual attention and an accompanying action to the robot. The scenario was set as follows: the number of words per sensory-channel was three or four, and the number of trials for learning was 20 and 40 for the simulator and 25 and 40 for the real robot. The experimental results showed that the proposed method was able to estimate the multiple categorizations and to learn the relationships between multiple sensory-channels and words accurately. In addition, we conducted an action generation task and an action description task based on word meanings learned in the cross-situational learning scenario. The experimental results showed that the robot could successfully use the word meanings learned by using the proposed method.

  14. Situated University, Situated Writing

    Science.gov (United States)

    Feldman, Ann M.

    2009-01-01

    This article argues that teaching as a situated, civic activity must be a core intellectual activity in the engaged metropolitan university. Situated writing provides the key pedagogy for the Chicago Civic Leadership Certificate Program at the University of Illinois at Chicago, an engaged public research university. The role of writing, or…

  15. Emotional Creativity and Real-Life Involvement in Different Types of Creative Leisure Activities

    Science.gov (United States)

    Trnka, Radek; Zahradnik, Martin; Kuška, Martin

    2016-01-01

    The role of emotional creativity in practicing creative leisure activities and in the preference of college majors remains unknown. This study aims to explore how emotional creativity measured by the Emotional Creativity Inventory (ECI; Averill, 1999) is interrelated with the real-life involvement in different types of specific creative leisure…

  16. Engineers and the Web: An analysis of real life gaps in information usage

    NARCIS (Netherlands)

    Kraaijenbrink, Jeroen

    2007-01-01

    Engineers face a wide range of gaps when trying to identify, acquire, and utilize information from the Web. To be able to avoid creating such gaps, it is essential to understand them in detail. This paper reports the results of a study of the real life gaps in information usage processes of 17

  17. The Design of a Mathematics Problem Using Real-Life Context for Young Children

    Science.gov (United States)

    Cheng, Lu Pien

    2013-01-01

    In this paper the teachers' learning journey on designing a mathematics problem that involves a real-life context is reported. This is part of a larger project undertaken in a primary school in Singapore where the teachers were engaged in planning, observing and critiquing mathematics lessons to investigate teaching and learning. These unique…

  18. Creating Machinima (3D) and Real Life Videos in an ESP Classroom

    Science.gov (United States)

    Ochoa Alpala, Carol Anne; Ortíz García, William Ricardo

    2018-01-01

    This research paper reports on the development of oral presentation skills in a 3D virtual world called "Moviestorm" machinima, in contrast with real-life videos. In this way, the implementation of both types of videos sought to promote the improvement of oral communication skills, specifically oral presentations in a foreign language,…

  19. Genetic influence on blood pressure measured in the office, under laboratory stress and during real life

    NARCIS (Netherlands)

    Wang, Xiaoling; Ding, Xiuhua; Su, Shaoyong; Harshfield, Gregory; Treiber, Frank; Snieder, Harold

    To determine to what extent the genetic influences on blood pressure (BP) measured in the office, under psychologically stressful conditions in the laboratory and during real life are different from each other. Office BP, BP during a video game challenge and a social stressor interview, and 24-h

  20. A Real-Life Based Evaluation Method of Deployable Vulnerable Road User Protection Systems

    NARCIS (Netherlands)

    Fredriksson, R.; Dahlgren, M.; Schijndel-de Nooij, M. van; Hair-Buijssen, S.H.H.M. de; Montfort, S. van

    2014-01-01

    Objective: The aim of this study was to develop a real-life-based evaluation method, incorporating vulnerable road user (VRU) full-body loading to a vehicle with a deployable protection system in relevant test setups, and use this method to evaluate a prototype pedestrian and cyclist protection

  1. Ambiguity and risk measures in the lab and students’ real-life borrowing behavior

    NARCIS (Netherlands)

    Fairley, Kim; Weitzel, Utz

    This study analyzes the external validity of experimentally elicited ambiguity aversion, likelihood insensitivity and risk aversion on real-life decision-making in the field of student loans. Our main finding is that ambiguity aversion, likelihood insensitivity and risk aversion are not related to

  2. Ambiguity and risk measures in the lab and students’ real-life borrowing behavior

    NARCIS (Netherlands)

    Fairley, K.; Weitzel, G.U.

    2017-01-01

    This study analyzes the external validity of experimentally elicited ambiguity aversion, likelihood insensitivity and risk aversion on real-life decision-making in the field of student loans. Our main finding is that ambiguity aversion, likelihood insensitivity and risk aversion are not related to

  3. The Use of a Real Life Simulated Problem Based Learning Activity in a Corporate Environment

    Science.gov (United States)

    Laurent, Mark A.

    2013-01-01

    This narrative study examines using a real life simulated problem base learning activity during education of clinical staff, which is expected to design and develop clinically correct electronic charting systems. Expertise in healthcare does not readily transcend to the realm of manipulating software to collect patient data that is pertinent to…

  4. Consumer Responses to the Carbon Labelling of Food: A Real Life Experiment in a Canteen Practice

    NARCIS (Netherlands)

    Spaargaren, G.; Koppen, van C.S.A.; Janssen, A.M.; Hendriksen, A.; Kolfschoten, C.J.

    2013-01-01

    The emerging debate on the climate impact of food is expected to result in the carbon labelling of food in the future. As yet, consumer responses to carbon labels are not well researched. A real life experiment was developed to study consumer responses to new carbon labels for food. A ‘light’ and a

  5. Contextualizing Performances: Comparing Performances during TOEFL iBT™ and Real-Life Academic Speaking Activities

    Science.gov (United States)

    Brooks, Lindsay; Swain, Merrill

    2014-01-01

    In this study we compare test takers' performance on the Speaking section of the TOEFL iBT™and their performances during their real-life academic studies. Thirty international graduate students from mixed language backgrounds in two different disciplines (Sciences and Social Sciences) responded to two independent and four integrated speaking tasks…

  6. Students' Conception about the Relation of Mathematics to Real-Life

    Directory of Open Access Journals (Sweden)

    Shirin Soltani Salout

    2013-05-01

    Full Text Available Present paper has studied the conceptions of high school students about mathematical relations to the real life in the three strands; mathematics, experimental science and humanities. Regard to this research, research methodology was survey. Consequently 780 girl high school students are chosen via multi-steps cluster sampling method randomly. Questionnaire forms are applied in four parts as research instrumentation. Data are analyzed thereby descriptive and inferential statistics for further analysis as a result of the process that is demonstrated via one-sample sign test in order to collect and analyze of students' responses regard to self-conception about mathematics in real-life. Accord to the findings and results, it seems that students believed that the generalization of mathematics to the real life is surprisingly insufficiency. These views and responses are indicated that it necessaries to modify the textbooks and curriculums in terms of mathematics development and students' needs in real-life. Also teachers have to spend the special courses for this important.

  7. A novel dataset for real-life evaluation of facial expression recognition methodologies

    NARCIS (Netherlands)

    Siddiqi, Muhammad Hameed; Ali, Maqbool; Idris, Muhammad; Banos Legran, Oresti; Lee, Sungyoung; Choo, Hyunseung

    2016-01-01

    One limitation seen among most of the previous methods is that they were evaluated under settings that are far from real-life scenarios. The reason is that the existing facial expression recognition (FER) datasets are mostly pose-based and assume a predefined setup. The expressions in these datasets

  8. Development of a diagnostic decision tree for obstructive pulmonary diseases based on real-life data

    NARCIS (Netherlands)

    Metting, Esther I; In 't Veen, Johannes C C M; Dekhuijzen, P N Richard; van Heijst, Ellen; Kocks, Janwillem W H; Muilwijk-Kroes, Jacqueline B; Chavannes, Niels H; van der Molen, Thys

    2016-01-01

    The aim of this study was to develop and explore the diagnostic accuracy of a decision tree derived from a large real-life primary care population. Data from 9297 primary care patients (45% male, mean age 53±17 years) with suspicion of an obstructive pulmonary disease was derived from an

  9. Development of a diagnostic decision tree for obstructive pulmonary diseases based on real-life data

    NARCIS (Netherlands)

    Metting, E.I.; Veen, J.C. In 't; Dekhuijzen, P.N.R.; Heijst, E. van; Kocks, J.W.; Muilwijk-Kroes, J.B.; Chavannes, N.H.; Molen, T. van der

    2016-01-01

    The aim of this study was to develop and explore the diagnostic accuracy of a decision tree derived from a large real-life primary care population. Data from 9297 primary care patients (45% male, mean age 53+/-17 years) with suspicion of an obstructive pulmonary disease was derived from an

  10. [The influences of interaction during online gaming on sociability and aggression in real life].

    Science.gov (United States)

    Fuji, Kei; Yoshida, Fujio

    2010-02-01

    This study examined the influences of online gaming on sociability and aggression in real life. It was hypothesized that the effects of online gaming would differ depending on the interaction style of the online-gamers. Online-gamers in Japan (n = 1 477) were asked to respond to questionnaires that measured interaction style during online gaming, the effects of sociability and aggression, as well as social and individual orientation in real life. Factor analysis of the scores for interaction style extracted five factors. Covariance structure analysis indicated that sociable interactions such as "Broadening relations" and "Feeling of belonging" promoted sociability in real life. In addition, "Release from daily hassles" promoted sociability and decreased aggression. In contrast, non-sociable and aggressive interactions decreased sociability and increased aggression. The results also suggested that a social orientation in real life promoted sociable interactions during game playing, while an individual orientation promoted non-sociable and aggressive interactions. These results supported the hypotheses and suggested that online gaming resulted in positive outcomes for those who are socially, but negative outcomes for those who are not.

  11. Motion Pictures and Real-Life Violence; What the Research Says.

    Science.gov (United States)

    Schramm, Wilbur

    There is evidence that violence in motion pictures viewed by children on screen or television can contribute to violence in real life, although the movies can rarely be blamed as the sole cause of anti-social conduct. Clinical reports cite instances of the effect on "susceptible" youngsters; e.g., emotionally disturbed individuals. Long-term…

  12. Social Media Use And Real-life Social Relationships: (A Study of ...

    African Journals Online (AJOL)

    The study recommends that government and policy makers should set up machinery that will encourage and supervise social media network service providers to monitor the adequacy of content generated and shared on their social media networking sites. Key Words: Social Media, Real-Life Social Relationships, Social ...

  13. Communication patterns and satisfaction levels in three-dimensional versus real-life intimate relationships.

    Science.gov (United States)

    Gilbert, Richard L; Murphy, Nora A; Ávalos, M Clementina

    2011-10-01

    The present study compared communication patterns and satisfaction levels between three-dimensional (3D) and real-life intimate relationships using a sample of 71 participants who were concurrently involved in an intimate relationship within Second Life and a separate real-life romantic relationship. Participants indicated that the quality of their communication was significantly better in their Second-Life relationship and that they experienced higher levels of satisfaction with their virtual partners. The more positive or idealized view of the 3D relationships may have been due to higher levels of focused interaction and reduced stressors in the virtual world and the greater length, and associated problems, in participant's real-life relationships. In addition, the presence of a concurrent relationship within Second Life could have negatively affected participant's judgments of their real-life relationships. These data offer the first detailed assessment of communication patterns and satisfaction levels in intimate relationships across the real and 3D virtual realms as the number of users and romantic partners in immersive virtual environments continue to grow.

  14. AVEC 2017 - Real-life depression, and affect recognition workshop and challenge

    NARCIS (Netherlands)

    Ringeval, Fabien; Schuller, Bjorn; Valstar, Michel; Gratch, Jonathan; Cowie, Roddy; Scherer, Stefan; Mozgai, Sharon; Cummins, Nicholas; Schmitt, Maximilian; Pantic, Maja

    2017-01-01

    The Audio/Visual Emotion Challenge and Workshop (AVEC 2017) "Real-life depression, and affect" will be the seventh competition event aimed at comparison of multimedia processing and machine learning methods for automatic audiovisual depression and emotion analysis, with all participants competing

  15. Teaching Third Graders about Real-Life Mathematical Problem Solving: A Randomized Controlled Study

    Science.gov (United States)

    Fuchs, Lynn S.; Fuchs, Douglas; Finelli, Robin; Courey, Susan J.; Hamlett, Carol L.; Sones, Estelle M.; Hope, Susan K.

    2006-01-01

    The purpose of this study was to assess the effects of schema-broadening instruction (SBI), with and without explicit instruction in strategies for tackling the complexities involved in real-life (RL) math problems, on the math problem solving of third-grade students. Teachers (n = 30) were assigned randomly to 3 16-week conditions: control, SBI,…

  16. Opportunities for real-life respiratory research in Korea: The HIRA database and beyond

    NARCIS (Netherlands)

    Van Boven, Job F.M.; Rhee, Chin-Kook; Park, Hae-Yun; Yoo, Kwang H.; Kim, Dong-Kyu; Soriano, Joan; Ming, Simon Wan Yau; Price, David; Park, Hae Sim

    2016-01-01

    Background: To date, most real-life respiratory research has been conducted using databases from Europe and North America. However, over half of the World population suffering from asthma or chronic obstructive pulmonary disease (COPD) are living outside these areas, limiting generalizability of

  17. Center for Real Life Kitchen Design open house to showcase latest in residential kitchens

    OpenAIRE

    Elliott, Jean

    2007-01-01

    Virginia Tech will unveil its newly refurbished Center for Real Life Kitchen Design at an open house set for Monday, April 2. The 1,500-square foot center, located in 247 Wallace Hall, features six fully functional residential kitchen designs that reflect a variety of price levels, lifestyles, and use of space for today's homeowner.

  18. Reperfusion Treatment for STEMI in Age Over 75 Years: Unsatisfactory Real-Life Practice

    Czech Academy of Sciences Publication Activity Database

    Monhart, Z.; Grünfeldová, H.; Zvárová, Jana; Janský, P.

    2010-01-01

    Roč. 122, č. 2 (2010), e69 ISSN 0009-7322. [World Congress of Cardiology . 16.06.2010-19.06.2010, Beijing] Institutional research plan: CEZ:AV0Z10300504 Keywords : cardiology * reperfusion treatment * real-life practice Subject RIV: FA - Cardiovascular Diseases incl. Cardiotharic Surgery

  19. Conceptual Model of Business Situation of Attraction and Reproduction of Temporary Personnel of the Event Service

    Directory of Open Access Journals (Sweden)

    Donets Oleksiy S.

    2014-01-01

    Full Text Available The article considers importance of formation of the acting system of personnel management, since personnel determines the competitive potential and competitive advantages of an organisation. It develops a cognitive model of a business situation, which helps to present the process of attraction and reproduction of temporary personnel at enterprises, which deal with organisation of large-scale events, and influence of the factors upon each other. It builds a conceptual model of a business situation of attraction and reproduction of temporary personnel of the event service and, on its basis, offers a model of decision making with the use of elements of fuzzy logic on selection of a specialist for a specific position. It allocates main characteristics of employees, which are taken into account when forming decisions regarding taking on a candidate.

  20. The correlation between pedestrian injury severity in real-life crashes and Euro NCAP pedestrian test results.

    Science.gov (United States)

    Strandroth, Johan; Rizzi, Matteo; Sternlund, Simon; Lie, Anders; Tingvall, Claes

    2011-12-01

    The aim of the present study was to estimate the correlation between Euro NCAP pedestrian rating scores and injury outcome in real-life car-to-pedestrian crashes, with special focus on long-term disability. Another aim was to determine whether brake assist (BA) systems affect the injury outcome in real-life car-to-pedestrian crashes and to estimate the combined effects in injury reduction of a high Euro NCAP ranking score and BA. In the current study, the Euro NCAP pedestrian scoring was compared with the real-life outcome in pedestrian crashes that occurred in Sweden during 2003 to 2010. The real-life crash data were obtained from the data acquisition system Swedish Traffic Accident Data Acquisition (STRADA), which combines police records and hospital admission data. The medical data consisted of International Classification of Diseases (ICD) diagnoses and Abbreviated Injury Scale (AIS) scoring. In all, approximately 500 pedestrians submitted to hospital were included in the study. Each car model was coded according to Euro NCAP pedestrian scores. In addition, the presence or absence of BA was coded for each car involved. Cars were grouped according to their scoring. Injury outcomes were analyzed with AIS and, at the victim level, with permanent medical impairment. This was done by translating the injury scores for each individual to the risk of serious consequences (RSC) at 1, 5, and 10 percent risk of disability level. This indicates the total risk of a medical disability for each victim, given the severity and location of injuries. The mean RSC (mRSC) was then calculated for each car group and t-tests were conducted to falsify the null hypothesis at p ≤ .05 that the mRSC within the groups was equal. The results showed a significant reduction of injury severity for cars with better pedestrian scoring, although cars with a high score could not be studied due to lack of cases. The reduction in RSC for medium-performing cars in comparison with low-performing cars

  1. Power requirements and environmental impact of a pedelec. A case study based on real-life applications

    International Nuclear Information System (INIS)

    Abagnale, Carmelina; Cardone, Massimo; Iodice, Paolo; Strano, Salvatore; Terzo, Mario; Vorraro, Giovanni

    2015-01-01

    This paper describes the methodologies to appraise the power requests and environmental analysis of an electrically assisted bicycle under real driving conditions, also containing regulations and technical-science-related aspects. For this purpose, in this study, the on-road test program of an electrically assisted bicycle was executed in the urban area of Naples on different test tracks, so a general assessment about its driving behavior under several driving conditions was performed. The power requirements in different typical riding situations were estimated by a procedure based on the experimental kinematic parameters that characterize the driving dynamics collected during the real-life applications. An environmental analysis was also performed, with a methodology that takes into account the environmental assessment of a moped by measuring the experimental moped exhaust emissions of the regulated pollutants. Starting from the results acquired during the different test samples, besides, an assessment of the electric traction offered by this pedelec on the driving comfort was evaluated for different riding situations. - Highlights: • The power requirements of a pedelec in typical riding conditions were identified. • The estimated electricity consumption for battery recharging was defined. • An environmental valuation of the tested pedelec and of a moped was performed. • Emissions that could be saved utilizing a pedelec instead of a moped were derived

  2. Power requirements and environmental impact of a pedelec. A case study based on real-life applications

    Energy Technology Data Exchange (ETDEWEB)

    Abagnale, Carmelina, E-mail: c.abagnale@unina.it; Cardone, Massimo, E-mail: massimo.cardone@unina.it; Iodice, Paolo, E-mail: paolo.iodice@unina.it; Strano, Salvatore, E-mail: salvatore.strano@unina.it; Terzo, Mario, E-mail: m.terzo@unina.it; Vorraro, Giovanni, E-mail: giovanni.vorraro@unina.it

    2015-07-15

    This paper describes the methodologies to appraise the power requests and environmental analysis of an electrically assisted bicycle under real driving conditions, also containing regulations and technical-science-related aspects. For this purpose, in this study, the on-road test program of an electrically assisted bicycle was executed in the urban area of Naples on different test tracks, so a general assessment about its driving behavior under several driving conditions was performed. The power requirements in different typical riding situations were estimated by a procedure based on the experimental kinematic parameters that characterize the driving dynamics collected during the real-life applications. An environmental analysis was also performed, with a methodology that takes into account the environmental assessment of a moped by measuring the experimental moped exhaust emissions of the regulated pollutants. Starting from the results acquired during the different test samples, besides, an assessment of the electric traction offered by this pedelec on the driving comfort was evaluated for different riding situations. - Highlights: • The power requirements of a pedelec in typical riding conditions were identified. • The estimated electricity consumption for battery recharging was defined. • An environmental valuation of the tested pedelec and of a moped was performed. • Emissions that could be saved utilizing a pedelec instead of a moped were derived.

  3. Is the person-situation debate important for agent-based modeling and vice-versa?

    Directory of Open Access Journals (Sweden)

    Katarzyna Sznajd-Weron

    Full Text Available Agent-based models (ABM are believed to be a very powerful tool in the social sciences, sometimes even treated as a substitute for social experiments. When building an ABM we have to define the agents and the rules governing the artificial society. Given the complexity and our limited understanding of the human nature, we face the problem of assuming that either personal traits, the situation or both have impact on the social behavior of agents. However, as the long-standing person-situation debate in psychology shows, there is no consensus as to the underlying psychological mechanism and the important question that arises is whether the modeling assumptions we make will have a substantial influence on the simulated behavior of the system as a whole or not.Studying two variants of the same agent-based model of opinion formation, we show that the decision to choose either personal traits or the situation as the primary factor driving social interactions is of critical importance. Using Monte Carlo simulations (for Barabasi-Albert networks and analytic calculations (for a complete graph we provide evidence that assuming a person-specific response to social influence at the microscopic level generally leads to a completely different and less realistic aggregate or macroscopic behavior than an assumption of a situation-specific response; a result that has been reported by social psychologists for a range of experimental setups, but has been downplayed or ignored in the opinion dynamics literature.This sensitivity to modeling assumptions has far reaching consequences also beyond opinion dynamics, since agent-based models are becoming a popular tool among economists and policy makers and are often used as substitutes of real social experiments.

  4. Study on dynamic team performance evaluation methodology based on team situation awareness model

    International Nuclear Information System (INIS)

    Kim, Suk Chul

    2005-02-01

    The purpose of this thesis is to provide a theoretical framework and its evaluation methodology of team dynamic task performance of operating team at nuclear power plant under the dynamic and tactical environment such as radiological accident. This thesis suggested a team dynamic task performance evaluation model so called team crystallization model stemmed from Endsely's situation awareness model being comprised of four elements: state, information, organization, and orientation and its quantification methods using system dynamics approach and a communication process model based on a receding horizon control approach. The team crystallization model is a holistic approach for evaluating the team dynamic task performance in conjunction with team situation awareness considering physical system dynamics and team behavioral dynamics for a tactical and dynamic task at nuclear power plant. This model provides a systematic measure to evaluate time-dependent team effectiveness or performance affected by multi-agents such as plant states, communication quality in terms of transferring situation-specific information and strategies for achieving the team task goal at given time, and organizational factors. To demonstrate the applicability of the proposed model and its quantification method, the case study was carried out using the data obtained from a full-scope power plant simulator for 1,000MWe pressurized water reactors with four on-the-job operating groups and one expert group who knows accident sequences. Simulated results team dynamic task performance with reference key plant parameters behavior and team-specific organizational center of gravity and cue-and-response matrix illustrated good symmetry with observed value. The team crystallization model will be useful and effective tool for evaluating team effectiveness in terms of recruiting new operating team for new plant as cost-benefit manner. Also, this model can be utilized as a systematic analysis tool for

  5. Why does placing the question before an arithmetic word problem improve performance? A situation model account.

    Science.gov (United States)

    Thevenot, Catherine; Devidal, Michel; Barrouillet, Pierre; Fayol, Michel

    2007-01-01

    The aim of this paper is to investigate the controversial issue of the nature of the representation constructed by individuals to solve arithmetic word problems. More precisely, we consider the relevance of two different theories: the situation or mental model theory (Johnson-Laird, 1983; Reusser, 1989) and the schema theory (Kintsch & Greeno, 1985; Riley, Greeno, & Heller, 1983). Fourth-graders who differed in their mathematical skills were presented with problems that varied in difficulty and with the question either before or after the text. We obtained the classic effect of the position of the question, with better performance when the question was presented prior to the text. In addition, this effect was more marked in the case of children who had poorer mathematical skills and in the case of more difficult problems. We argue that this pattern of results is compatible only with the situation or mental model theory, and not with the schema theory.

  6. Pragmatically Framed Cross-Situational Noun Learning Using Computational Reinforcement Models

    Science.gov (United States)

    Najnin, Shamima; Banerjee, Bonny

    2018-01-01

    Cross-situational learning and social pragmatic theories are prominent mechanisms for learning word meanings (i.e., word-object pairs). In this paper, the role of reinforcement is investigated for early word-learning by an artificial agent. When exposed to a group of speakers, the agent comes to understand an initial set of vocabulary items belonging to the language used by the group. Both cross-situational learning and social pragmatic theory are taken into account. As social cues, joint attention and prosodic cues in caregiver's speech are considered. During agent-caregiver interaction, the agent selects a word from the caregiver's utterance and learns the relations between that word and the objects in its visual environment. The “novel words to novel objects” language-specific constraint is assumed for computing rewards. The models are learned by maximizing the expected reward using reinforcement learning algorithms [i.e., table-based algorithms: Q-learning, SARSA, SARSA-λ, and neural network-based algorithms: Q-learning for neural network (Q-NN), neural-fitted Q-network (NFQ), and deep Q-network (DQN)]. Neural network-based reinforcement learning models are chosen over table-based models for better generalization and quicker convergence. Simulations are carried out using mother-infant interaction CHILDES dataset for learning word-object pairings. Reinforcement is modeled in two cross-situational learning cases: (1) with joint attention (Attentional models), and (2) with joint attention and prosodic cues (Attentional-prosodic models). Attentional-prosodic models manifest superior performance to Attentional ones for the task of word-learning. The Attentional-prosodic DQN outperforms existing word-learning models for the same task. PMID:29441027

  7. Pragmatically Framed Cross-Situational Noun Learning Using Computational Reinforcement Models.

    Science.gov (United States)

    Najnin, Shamima; Banerjee, Bonny

    2018-01-01

    Cross-situational learning and social pragmatic theories are prominent mechanisms for learning word meanings (i.e., word-object pairs). In this paper, the role of reinforcement is investigated for early word-learning by an artificial agent. When exposed to a group of speakers, the agent comes to understand an initial set of vocabulary items belonging to the language used by the group. Both cross-situational learning and social pragmatic theory are taken into account. As social cues, joint attention and prosodic cues in caregiver's speech are considered. During agent-caregiver interaction, the agent selects a word from the caregiver's utterance and learns the relations between that word and the objects in its visual environment. The "novel words to novel objects" language-specific constraint is assumed for computing rewards. The models are learned by maximizing the expected reward using reinforcement learning algorithms [i.e., table-based algorithms: Q-learning, SARSA, SARSA-λ, and neural network-based algorithms: Q-learning for neural network (Q-NN), neural-fitted Q-network (NFQ), and deep Q-network (DQN)]. Neural network-based reinforcement learning models are chosen over table-based models for better generalization and quicker convergence. Simulations are carried out using mother-infant interaction CHILDES dataset for learning word-object pairings. Reinforcement is modeled in two cross-situational learning cases: (1) with joint attention (Attentional models), and (2) with joint attention and prosodic cues (Attentional-prosodic models). Attentional-prosodic models manifest superior performance to Attentional ones for the task of word-learning. The Attentional-prosodic DQN outperforms existing word-learning models for the same task.

  8. Pragmatically Framed Cross-Situational Noun Learning Using Computational Reinforcement Models

    Directory of Open Access Journals (Sweden)

    Shamima Najnin

    2018-01-01

    Full Text Available Cross-situational learning and social pragmatic theories are prominent mechanisms for learning word meanings (i.e., word-object pairs. In this paper, the role of reinforcement is investigated for early word-learning by an artificial agent. When exposed to a group of speakers, the agent comes to understand an initial set of vocabulary items belonging to the language used by the group. Both cross-situational learning and social pragmatic theory are taken into account. As social cues, joint attention and prosodic cues in caregiver's speech are considered. During agent-caregiver interaction, the agent selects a word from the caregiver's utterance and learns the relations between that word and the objects in its visual environment. The “novel words to novel objects” language-specific constraint is assumed for computing rewards. The models are learned by maximizing the expected reward using reinforcement learning algorithms [i.e., table-based algorithms: Q-learning, SARSA, SARSA-λ, and neural network-based algorithms: Q-learning for neural network (Q-NN, neural-fitted Q-network (NFQ, and deep Q-network (DQN]. Neural network-based reinforcement learning models are chosen over table-based models for better generalization and quicker convergence. Simulations are carried out using mother-infant interaction CHILDES dataset for learning word-object pairings. Reinforcement is modeled in two cross-situational learning cases: (1 with joint attention (Attentional models, and (2 with joint attention and prosodic cues (Attentional-prosodic models. Attentional-prosodic models manifest superior performance to Attentional ones for the task of word-learning. The Attentional-prosodic DQN outperforms existing word-learning models for the same task.

  9. Evolutionistic or revolutionary paths? A PACS maturity model for strategic situational planning.

    OpenAIRE

    Wetering, R. van de; Batenburg, R.; Lederman, R.

    2010-01-01

    PURPOSE: While many hospitals are re-evaluating their current Picture Archiving and Communication System (PACS), few have a mature strategy for PACS deployment. Furthermore, strategies for implementation, strategic and situational planning methods for the evolution of PACS maturity are scarce in the scientific literature. Consequently, in this paper we propose a strategic planning method for PACS deployment. This method builds upon a PACS maturity model (PMM), based on the elaboration of the ...

  10. A network security situation prediction model based on wavelet neural network with optimized parameters

    Directory of Open Access Journals (Sweden)

    Haibo Zhang

    2016-08-01

    Full Text Available The security incidents ion networks are sudden and uncertain, it is very hard to precisely predict the network security situation by traditional methods. In order to improve the prediction accuracy of the network security situation, we build a network security situation prediction model based on Wavelet Neural Network (WNN with optimized parameters by the Improved Niche Genetic Algorithm (INGA. The proposed model adopts WNN which has strong nonlinear ability and fault-tolerance performance. Also, the parameters for WNN are optimized through the adaptive genetic algorithm (GA so that WNN searches more effectively. Considering the problem that the adaptive GA converges slowly and easily turns to the premature problem, we introduce a novel niche technology with a dynamic fuzzy clustering and elimination mechanism to solve the premature convergence of the GA. Our final simulation results show that the proposed INGA-WNN prediction model is more reliable and effective, and it achieves faster convergence-speed and higher prediction accuracy than the Genetic Algorithm-Wavelet Neural Network (GA-WNN, Genetic Algorithm-Back Propagation Neural Network (GA-BPNN and WNN.

  11. Agent Based Modeling and Simulation of Pedestrian Crowds In Panic Situations

    KAUST Repository

    Alrashed, Mohammed

    2016-11-01

    The increasing occurrence of panic stampedes during mass events has motivated studying the impact of panic on crowd dynamics and the simulation of pedestrian flows in panic situations. The lack of understanding of panic stampedes still causes hundreds of fatalities each year, not to mention the scarce methodical studies of panic behavior capable of envisaging such crowd dynamics. Under those circumstances, there are thousands of fatalities and twice that many of injuries every year caused be crowd stampede worldwide, despite the tremendous efforts of crowd control and massive numbers of safekeeping forces. Pedestrian crowd dynamics are generally predictable in high-density crowds where pedestrians cannot move freely and thus gives rise to self-propelling interactions between pedestrians. Although every pedestrian has personal preferences, the motion dynamics can be modeled as a social force in such crowds. These forces are representations of internal preferences and objectives to perform certain actions or movements. The corresponding forces can be controlled for each individual to represent a different variety of behaviors that can be associated with panic situations such as escaping danger, clustering, and pushing. In this thesis, we use an agent-based model of pedestrian behavior in panic situations to predict the collective human behavior in such crowd dynamics. The proposed simulations suggests a practical way to alleviate fatalities and minimize the evacuation time in panic situations. Moreover, we introduce contagious panic and pushing behavior, resulting in a more realistic crowd dynamics model. The proposed methodology describes the intensity and spread of panic for each individual as a function of distances between pedestrians.

  12. Golf performance enhancement by means of ‘real-life neurofeedback’ training based on personalized event-locked EEG profiles

    NARCIS (Netherlands)

    Arns, M.W.; Kleinnijenhuis, D.H.; Fallahpour, K.; Breteler, M.H.M.

    2008-01-01

    Background. This study reports on a new method for golf performance enhancement employing personalized real-life neurofeedback during golf putting. Method. Participants (n = 6) received an assessment and three real-life neurofeedback training sessions. In the assessment, a personal event-locked

  13. The application of transportation models in emergency situations: Example of a hypothetical city

    Directory of Open Access Journals (Sweden)

    Antić Jovana Z.

    2015-01-01

    Full Text Available Emergency situations, where mass evacuation of people is present, are serious problem that is difficult to resolve. Such events have become more frequent in recent years. The transportation network is a key part of the infrastructure when it comes to events with disastrous consequences, because a large population of people must be effectively evacuated from densely populated urban areas. Therefore, requirements during an evacuation process are made in a relatively short period of time, and available capacity of the road network has become the main resource to be efficiently utilized in order to shorten the time required for evacuation. By using transportation model, the paper presents the simulation of the traffic in a situation when there is a need to evacuate large numbers of people, in order to propose measures that could be efficiently used.

  14. A robust optimization model for blood supply chain in emergency situations

    Directory of Open Access Journals (Sweden)

    Meysam Fereiduni

    2016-09-01

    Full Text Available In this paper, a multi-period model for blood supply chain in emergency situation is presented to optimize decisions related to locate blood facilities and distribute blood products after natural disasters. In disastrous situations, uncertainty is an inseparable part of humanitarian logistics and blood supply chain as well. This paper proposes a robust network to capture the uncertain nature of blood supply chain during and after disasters. This study considers donor points, blood facilities, processing and testing labs, and hospitals as the components of blood supply chain. In addition, this paper makes location and allocation decisions for multiple post disaster periods through real data. The study compares the performances of “p-robust optimization” approach and “robust optimization” approach and the results are discussed.

  15. Structural equation model testing the situation-specific theory of heart failure self-care.

    Science.gov (United States)

    Vellone, Ercole; Riegel, Barbara; D'Agostino, Fabio; Fida, Roberta; Rocco, Gennaro; Cocchieri, Antonello; Alvaro, Rosaria

    2013-11-01

    To test the situation-specific theory of heart failure self-care with structural equation modelling. Several authors have proposed theories on heart failure self-care, but only the situation-specific theory of heart failure self-care by Riegel and Dickson is focused on the process that patients use to perform self-care. This theory has never been tested with structural equation modelling. A secondary analysis of data from a cross-sectional study. Patients with heart failure were recruited in 21 cardiovascular centres across Italy during 2011. Data were collected with a sociodemographic questionnaire, chart abstraction for clinical data and the Self-Care of Heart Failure Index v.6.2. A sample of 417 participants was enrolled in the study (59% males, mean age 72 years). The following propositions were tested and supported: Symptom monitoring correlates with treatment adherence; symptom monitoring and treatment adherence have a direct, positive relationship with symptom recognition and evaluation that in turn have a direct, positive relationship with treatment implementation; treatment implementation has a direct, positive relationship with treatment evaluation. In addition, the following three relationships were found: Symptom monitoring has a direct, positive relationship with treatment implementation; symptom recognition and evaluation have direct, positive relationships with treatment evaluation and symptom monitoring correlates with treatment evaluation. [Correction added on 9th April 2013, after first online publication: '…symptom monitoring correlates with treatment implementation.' has been corrected to read '…symptom monitoring correlates with treatment evaluation.'] The data support the situation-specific theory of heart failure self-care with the addition of three new relationships that emerged from the analysis. Results of this study lend further support to the use of the situation-specific theory of heart failure self-care in research and practice.

  16. Assessing the Value of Real-life Brands in Virtual Worlds

    DEFF Research Database (Denmark)

    Mattsson, Jan; Barnes, Stuart; Hartley, Nicole

    2015-01-01

    World. A key finding is the difficulty in creating emotional brand value in Second Life which has serious implications for the sustainability of current real-life brands in Virtual Worlds. The paper rounds off with conclusions and implications for future research and practice in this very new area.......Virtual Worlds are a significant new market environment for brand-building through experiential customer service interactions. Using value theory, this paper aims to assess the experiential brand value of real-life brands that have moved to the Virtual World of Second Life. A key premise...... is that current brand offerings in Virtual Worlds do not offer consumers adequate experiential value. The results demonstrate both the validity of an axiological approach to examining brand value, and highlight significant problems in consumer perceptions of the experiential value of brands within the Virtual...

  17. Social Anxiety in Online and Real-Life Interaction and Their Associated Factors

    Science.gov (United States)

    Yen, Ju-Yu; Yen, Cheng-Fang; Chen, Cheng-Sheng; Wang, Peng-Wei; Chang, Yi-Hsin

    2012-01-01

    Abstract Social anxiety was compared between online and real-life interaction in a sample of 2,348 college students. Severity of social anxiety in both real-life and online interaction was tested for associations with depression, Internet addiction, Internet activity type (gaming versus chatting), and scores on Behavioral Inhibition System (BIS)/Behavioral Activation System (BAS) scales. The results showed that social anxiety was lower when interacting online than when interacting offline. Depression, Internet addiction, and high BIS and BAS scores were associated with high social anxiety. The social anxiety decreased more in online interaction among subjects with high social anxiety, depression, BIS, and BAS. This result suggests that the Internet has good potential as an alternative medium for delivering interventions for social anxiety. Further, the effect of BIS on social anxiety is decreased in online interaction. More attention should be paid for BIS when the treatment for social anxiety is delivered online. PMID:22175853

  18. High correlation between performance on a virtual-reality simulator and real-life cataract surgery

    DEFF Research Database (Denmark)

    Thomsen, Ann Sofia Skou; Smith, Phillip; Subhi, Yousif

    2017-01-01

    PURPOSE: To investigate the correlation in performance of cataract surgery between a virtual-reality simulator and real-life surgery using two objective assessment tools with evidence of validity. METHODS: Cataract surgeons with varying levels of experience were included in the study. All...... participants performed and videorecorded three standard cataract surgeries before completing a proficiency-based test on the EyeSi virtual-reality simulator. Standard cataract surgeries were defined as: (1) surgery performed under local anaesthesia, (2) patient age >60 years, and (3) visual acuity >1....../60 preoperatively. A motion-tracking score was calculated by multiplying average path length and average number of movements from the three real-life surgical videos of full procedures. The EyeSi test consisted of five abstract and two procedural modules: intracapsular navigation, antitremor training, intracapsular...

  19. Social anxiety in online and real-life interaction and their associated factors.

    Science.gov (United States)

    Yen, Ju-Yu; Yen, Cheng-Fang; Chen, Cheng-Sheng; Wang, Peng-Wei; Chang, Yi-Hsin; Ko, Chih-Hung

    2012-01-01

    Social anxiety was compared between online and real-life interaction in a sample of 2,348 college students. Severity of social anxiety in both real-life and online interaction was tested for associations with depression, Internet addiction, Internet activity type (gaming versus chatting), and scores on Behavioral Inhibition System (BIS)/Behavioral Activation System (BAS) scales. The results showed that social anxiety was lower when interacting online than when interacting offline. Depression, Internet addiction, and high BIS and BAS scores were associated with high social anxiety. The social anxiety decreased more in online interaction among subjects with high social anxiety, depression, BIS, and BAS. This result suggests that the Internet has good potential as an alternative medium for delivering interventions for social anxiety. Further, the effect of BIS on social anxiety is decreased in online interaction. More attention should be paid for BIS when the treatment for social anxiety is delivered online.

  20. 3D printed simulation models based on real patient situations for hands-on practice.

    Science.gov (United States)

    Kröger, E; Dekiff, M; Dirksen, D

    2017-11-01

    During the last few years, the curriculum of many dentistry schools in Germany has been reorganised. Two key aspects of the applied changes are the integration of up-to-date teaching methods and the promotion of interdisciplinarity. To support these efforts, an approach to fabricating individualised simulation models for hands-on courses employing 3D printing is presented. The models are based on real patients, thus providing students a more realistic preparation for real clinical situations. As a wide variety of dental procedures can be implemented, the simulation models can also contribute to a more interdisciplinary dental education. The data used for the construction of the models were acquired by 3D surface scanning. The data were further processed with 3D modelling software. Afterwards, the models were fabricated by 3D printing with the PolyJet technique. Three models serve as examples: a prosthodontic model for training veneer preparation, a conservative model for practicing dental bonding and an interdisciplinary model featuring carious teeth and an insufficient crown. The third model was evaluated in a hands-on course with 22 fourth-year dental students. The students answered a questionnaire and gave their personal opinion. Whilst the concept of the model received very positive feedback, some aspects of the implementation were criticised. We discuss these observations and suggest ways for further improvement. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  1. Framing Mass Shootings: Fictional Depictions of Real-life Gun Massacres in American Cinema

    OpenAIRE

    Tryggeseid, Ane Johannessen

    2017-01-01

    This thesis examines the concept of real-life mass shootings and its depiction in American fictional cinema. The issue of mass shootings is a highly controversial subject of discussion, both within the public and political sphere, as it necessarily touches upon rigid perceptions of civil liberties – specifically those of the Second Amendment – which further permeates the field of fictional cinema. As opposed to assessing the issue of mass shootings as a product of a prevailing culture of guns...

  2. Virginia Tech's Center For Real Life Kitchen Design Is A Success!

    OpenAIRE

    Todd, Jane Anne

    2003-01-01

    Explore Your Dream Kitchen, a two-day workshop offered in Virginia Tech's Center for Real Life Kitchen Design, will be offered twice in May to participants who want to learn about planning and designing a kitchen that really meets their needs. Attendees explore and experience kitchens with a wide variety of designs, products, materials, and technologies during this fun and interactive course. Participants are asked to bring plans, ideas, and questions about their homes and kitchens as everyon...

  3. Creating Machinima (3D) and Real Life Videos in an ESP Classroom

    OpenAIRE

    Carol Anne Ochoa Alpala; William Ricardo Ortíz García

    2018-01-01

    This research paper reports on the development of oral presentation skills in a 3D virtual world called Moviestorm machinima, in contrast with real-life videos. In this way, the implementation of both types of videos sought to promote the improvement of oral communication skills, specifically oral presentations in a foreign language, as well as promoting collaborative work. The study involved 60 students from different semesters of a private Colombian university from the schools of electronic...

  4. Acoustic Coordinated Reset Neuromodulation in a Real Life Patient Population with Chronic Tonal Tinnitus

    Science.gov (United States)

    Hauptmann, Christian; Ströbel, Armin; Williams, Mark; Patel, Nitesh; Wurzer, Hannes; von Stackelberg, Tatjana; Brinkmann, Uwe; Langguth, Berthold; Tass, Peter A.

    2015-01-01

    Purpose. Primary tinnitus has a severe negative influence on the quality of life of a significant portion of the general population. Acoustic coordinated reset neuromodulation is designed to induce a long-lasting reduction of tinnitus symptoms. To test acoustic coordinated reset neuromodulation as a treatment for chronic, tonal tinnitus under real life conditions, an outpatient study “RESET Real Life” was commissioned by ANM GmbH. Herein we present the results of this study. Methods. In a prospective, open-label, nonrandomized, noncontrolled multicenter clinical study with 200 chronic tinnitus patients, tinnitus questionnaire TBF-12 and Global Clinical Improvement-Impression Scale (CGI-I7) are used to study the safety and efficacy of acoustic coordinated reset neuromodulation. 189 patients completed the last 12-month visit, 11 patients dropped out (8 because of nontreatment related reasons; 2 because tinnitus did not change; and 1 because tinnitus got louder). Results. Acoustic coordinated reset neuromodulation caused a statistically and clinically significant decrease in TBF-12 scores as well as in CGI-I7 after 12 months of therapy under real life conditions. There were no persistent adverse events reported that were related to the therapy. Conclusion. The field study “RESET Real Life” provides evidence for safety and efficacy of acoustic coordinated reset neuromodulation in a prospective, open-label, real life setting. PMID:26568958

  5. Idiopathic pulmonary fibrosis: from clinical trials to real-life experiences

    Directory of Open Access Journals (Sweden)

    Sergio Harari

    2015-09-01

    Full Text Available Randomised controlled clinical trials are fundamental in medicine to develop new effective drugs and new therapeutic regimens and are the strength of evidence-based medicine. These studies allow us to avoid the repetition of misleading experiences that have been reported in the past, where drugs or associations were utilised without compelling evidence and ultimately proven to be ineffective. In recent years, randomised clinical trials have been conducted and concluded for many rare diseases, including idiopathic pulmonary fibrosis. However, clinical trials do not always reflect the real-life scenario. Patients selected for clinical trials present fewer comorbidities, they fall between certain age limits, and the severity of their disease is defined; therefore, they do not always reflect the whole of the population affected by a specific disease. These are the reasons why we also need data that mirror real-life experience. The limitations that these kind of studies present are always several and the studies should be interpreted with caution, although they can fill the important gap between efficacy and effectiveness. In this article, we will review the existing clinical data on real-life treatment of idiopathic pulmonary fibrosis.

  6. Development of a diagnostic decision tree for obstructive pulmonary diseases based on real-life data

    Directory of Open Access Journals (Sweden)

    Esther I. Metting

    2016-01-01

    Full Text Available The aim of this study was to develop and explore the diagnostic accuracy of a decision tree derived from a large real-life primary care population. Data from 9297 primary care patients (45% male, mean age 53±17 years with suspicion of an obstructive pulmonary disease was derived from an asthma/chronic obstructive pulmonary disease (COPD service where patients were assessed using spirometry, the Asthma Control Questionnaire, the Clinical COPD Questionnaire, history data and medication use. All patients were diagnosed through the Internet by a pulmonologist. The Chi-squared Automatic Interaction Detection method was used to build the decision tree. The tree was externally validated in another real-life primary care population (n=3215. Our tree correctly diagnosed 79% of the asthma patients, 85% of the COPD patients and 32% of the asthma–COPD overlap syndrome (ACOS patients. External validation showed a comparable pattern (correct: asthma 78%, COPD 83%, ACOS 24%. Our decision tree is considered to be promising because it was based on real-life primary care patients with a specialist's diagnosis. In most patients the diagnosis could be correctly predicted. Predicting ACOS, however, remained a challenge. The total decision tree can be implemented in computer-assisted diagnostic systems for individual patients. A simplified version of this tree can be used in daily clinical practice as a desk tool.

  7. Influence of menu labeling on food choices in real-life settings: a systematic review.

    Science.gov (United States)

    Fernandes, Ana C; Oliveira, Renata C; Proença, Rossana P C; Curioni, Cintia C; Rodrigues, Vanessa M; Fiates, Giovanna M R

    2016-08-01

    Evidence that menu labeling influences food choices in real-life settings is lacking. Reviews usually focus on calorie counts without addressing broader issues related to healthy eating. This systematic review assessed the influence of diverse menu-labeling formats on food choices in real-life settings. Several databases were searched: Cochrane Library, Scopus, MEDLINE, Web of Science, Food Science and Technology Abstracts, Biological Abstracts, CAB Abstracts, EconLit, SciELO, and LILACS. Articles reporting experiments, quasi-experiments, and observational studies using control or preintervention groups were selected blindly by two reviewers. Data was extracted using a standard form. Analyses differentiated between foodservice types. The quality of the 38 included studies was assessed blindly by two reviewers. The results were mixed, but a partial influence of menu labeling on food choices was more frequent than an overall influence or no influence. Menu labeling was more effective in cafeterias than in restaurants. Qualitative information, such as healthy-food symbols and traffic-light labeling, was most effective in promoting healthy eating. In general, the studies were of moderate quality and did not use control groups. Calorie labeling in menus is not effective to promote healthier food choices. Further research in real-life settings with control groups should test diverse qualitative information in menu labeling. © The Author(s) 2016. Published by Oxford University Press on behalf of the International Life Sciences Institute. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  8. Does a 20-week aerobic exercise training programme increase our capabilities to buffer real-life stressors? A randomized, controlled trial using ambulatory assessment.

    Science.gov (United States)

    von Haaren, Birte; Ottenbacher, Joerg; Muenz, Julia; Neumann, Rainer; Boes, Klaus; Ebner-Priemer, Ulrich

    2016-02-01

    The cross-stressor adaptation hypothesis suggests that regular exercise leads to adaptations in the stress response systems that induce decreased physiological responses to psychological stressors. Even though an exercise intervention to buffer the detrimental effects of psychological stressors on health might be of utmost importance, empirical evidence is mixed. This may be explained by the use of cross-sectional designs and non-personally relevant stressors. Using a randomized controlled trial, we hypothesized that a 20-week aerobic exercise training does reduce physiological stress responses to psychological real-life stressors in sedentary students. Sixty-one students were randomized to either a control group or an exercise training group. The academic examination period (end of the semester) served as a real-life stressor. We used ambulatory assessment methods to assess physiological stress reactivity of the autonomic nervous system (heart rate variability: LF/HF, RMSSD), physical activity and perceived stress during 2 days of everyday life and multilevel models for data analyses. Aerobic capacity (VO2max) was assessed pre- and post-intervention via cardiopulmonary exercise testing to analyze the effectiveness of the intervention. During real-life stressors, the exercise training group showed significantly reduced LF/HF (β = -0.15, t = -2.59, p = .01) and increased RMSSD (β = 0.15, t = 2.34, p = .02) compared to the control group. Using a randomized controlled trial and a real-life stressor, we could show that exercise appears to be a useful preventive strategy to buffer the effects of stress on the autonomic nervous system, which might result into detrimental health outcomes.

  9. A real-life based evaluation method of deployable vulnerable road user protection systems.

    Science.gov (United States)

    Fredriksson, Rikard; Dahlgren, Mikael; van Schijndel, Margriet; de Hair, Stefanie; van Montfort, Sjef

    2014-01-01

    The aim of this study was to develop a real-life-based evaluation method, incorporating vulnerable road user (VRU) full-body loading to a vehicle with a deployable protection system in relevant test setups, and use this method to evaluate a prototype pedestrian and cyclist protection system. Based on accident data from severe crashes, the most common scenarios were selected and developed into 5 test setups, 2 for pedestrians and 3 for bicyclists. The Polar II pedestrian anthropomorphic test device was used, either standing or on a standard bicycle. These test setups could then be used to evaluate real-life performance of a prototype protection system, regarding both positioning and protection, for vulnerable road users. The protection system consisted of an active hood and a windshield airbag and was mounted on a large passenger car with a conventional hood-type front end. Injury evaluation criteria were selected for head, neck, and chest loading derived from occupant frontal and side impact test methods. The protection system managed to be fully deployed, obtaining the intended position in time-that is, before VRU body contact-in all test setups, and head protection potential was not negatively influenced by the preceding thoracic impact. Head loading resulted in head injury criterion (HIC) values ranging up to 4400 for the standard car, and all HIC values were below 650 with the protection system. The risk of severe (Abbreviated Injury Scale [AIS] 3+) head injury decreased from 85% to 100% in 3 test setups (mainly to the windscreen frame), to less than a 20% risk in all setups. In general, there were larger differences between structures impacted than between the pedestrian and cyclist setup. Neck loading was maintained at an acceptable level or was slightly decreased by the protection system, and chest loading was decreased from high values in 2 test setups in which the cyclist was impacted laterally with chest impact mainly to the hood area. A test method was

  10. The Situation Awareness Weighted Network (SAWN) model and method: Theory and application.

    Science.gov (United States)

    Kalloniatis, Alexander; Ali, Irena; Neville, Timothy; La, Phuong; Macleod, Iain; Zuparic, Mathew; Kohn, Elizabeth

    2017-05-01

    We introduce a novel model and associated data collection method to examine how a distributed organisation of military staff who feed a Common Operating Picture (COP) generates Situation Awareness (SA), a critical component in organisational performance. The proposed empirically derived Situation Awareness Weighted Network (SAWN) model draws on two scientific models of SA, by Endsley involving perception, comprehension and projection, and by Stanton et al. positing that SA exists across a social and semantic network of people and information objects in activities connected across a set of tasks. The output of SAWN is a representation as a weighted semi-bipartite network of the interaction between people ('human nodes') and information artefacts such as documents and system displays ('product nodes'); link weights represent the Endsley levels of SA that individuals acquire from or provide to information objects and other individuals. The SAWN method is illustrated with aggregated empirical data from a case study of Australian military staff undertaking their work during two very different scenarios, during steady-state operations and in a crisis threat context. A key outcome of analysis of the weighted networks is that we are able to quantify flow of SA through an organisation as staff seek to "value-add" in the conduct of their work. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  11. Situational effects of the school factors included in the dynamic model of educational effectiveness

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    Bert Creemers

    2009-08-01

    Full Text Available We present results of a longitudinal study in which 50 schools, 113 classes and 2,542 Cypriot primary students participated. We tested the validity of the dynamic model of educational effectiveness and especially its assumption that the impact of school factors depends on the current situation of the school and on the type of problems/difficulties the school is facing. Reference is made to the methods used to test this assumption of the dynamic model by measuring school effectiveness in mathematics, Greek language, and religious education over two consecutive school years. The main findings are as follows. School factors were found to have situational effects. Specifically, the development of a school policy for teaching and the school evaluation of policy for teaching were found to have stronger effects in schools where the quality of teaching at classroom level was low. Moreover, time stability in the effectiveness status of schools was identified and thereby changes in the functioning of schools were found not to have a significant impact on changes in the effectiveness status of schools. Implications of the findings for the development of the dynamic model and suggestions for further research are presented.

  12. Switched Cooperative Driving Model towards Human Vehicle Copiloting Situation: A Cyberphysical Perspective

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    Yang Li

    2018-01-01

    Full Text Available Development of highly automated and intelligent vehicles can lead to the reduction of driver workload. However, it also causes the out-of-the-loop problem to drivers, which leaves drivers handicapped in their ability to take over manual operations in emergency situations. This contribution puts forth a new switched driving strategy to avoid some of the negative consequences associated with out-of-the-loop performance by having drivers assume manual control at periodic intervals. To minimize the impact of the transitions between automated and manual driving on traffic operations, a switched cooperative driving model towards human vehicle copiloting situation is proposed by considering the vehicle dynamics and the realistic intervehicle communication in a cyberphysical view. The design method of the switching signal for the switched cooperative driving model is given based on the Lyapunov stability theory with the comprehensive consideration of platoon stability and human factors. The good agreement between simulation results and theoretical analysis illustrates the effectiveness of the proposed methods.

  13. Modelling of the site scale hydrogeological situation at Beberg using NAMMU

    International Nuclear Information System (INIS)

    Marsic, N.; Gylling, B.; Grundfelt, B.; Hartley, L.

    2000-02-01

    The purpose of the present study is to perform modelling of the site scale hydrogeological situation at Beberg using the finite element code NAMMU and compare the results with those from HYDRASTAR reported in SR 97. NAMMU was used in the large scale regional hydrogeological modelling at Beberg. The hypothetical repository layout at Beberg is based on geological data from the Finnsjoen site. Four model variants were created in this study. Two variants were compared with the deterministic freshwater case in the HYDRASTAR modelling. The other two variants were created to study the effect of a regionally distributed permeability anisotropy and variable density groundwater on the groundwater flow pattern. These processes are not considered in HYDRASTAR. The NAMMU results, including the pathline patterns, agree with those from the HYDRASTAR modelling. The effect of anisotropy and saline groundwater is found significant for the pathlines. The difference in canister flux between the NAMMU and the HYDRASTAR models is small, while the difference in travel time is more significant. The discrepancies between the results from the NAMMU and the HYDRASTAR simulations can be ascribed to the different numerical discretisation, i.e. different representation of the permeability, and the different pathline algorithms used in the two models

  14. Modelling of the site scale hydrogeological situation at Beberg using NAMMU

    Energy Technology Data Exchange (ETDEWEB)

    Marsic, N.; Gylling, B.; Grundfelt, B. [Kemakta Konsult AB, Stockholm (Sweden); Hartley, L. [AEA Technology, Harwell (United Kingdom)

    2000-02-01

    The purpose of the present study is to perform modelling of the site scale hydrogeological situation at Beberg using the finite element code NAMMU and compare the results with those from HYDRASTAR reported in SR 97. NAMMU was used in the large scale regional hydrogeological modelling at Beberg. The hypothetical repository layout at Beberg is based on geological data from the Finnsjoen site. Four model variants were created in this study. Two variants were compared with the deterministic freshwater case in the HYDRASTAR modelling. The other two variants were created to study the effect of a regionally distributed permeability anisotropy and variable density groundwater on the groundwater flow pattern. These processes are not considered in HYDRASTAR. The NAMMU results, including the pathline patterns, agree with those from the HYDRASTAR modelling. The effect of anisotropy and saline groundwater is found significant for the pathlines. The difference in canister flux between the NAMMU and the HYDRASTAR models is small, while the difference in travel time is more significant. The discrepancies between the results from the NAMMU and the HYDRASTAR simulations can be ascribed to the different numerical discretisation, i.e. different representation of the permeability, and the different pathline algorithms used in the two models.

  15. Mathematical model and algorithm of operation scheduling for monitoring situation in local waters

    Directory of Open Access Journals (Sweden)

    Sokolov Boris

    2017-01-01

    Full Text Available A multiple-model approach to description and investigation of control processes in regional maritime security system is presented. The processes considered in this paper were qualified as control processes of computing operations providing monitoring of the situation adding in the local water area and connected to relocation of different ships classes (further the active mobile objects (AMO. Previously developed concept of active moving object (AMO is used. The models describe operation of AMO automated monitoring and control system (AMCS elements as well as their interaction with objects-in-service that are sources or recipients of information being processed. The unified description of various control processes allows synthesizing simultaneously both technical and functional structures of AMO AMCS. The algorithm for solving the scheduling problem is described in terms of the classical theory of optimal automatic control.

  16. Estimation of muscle response using three-dimensional musculoskeletal models before impact situation: a simulation study.

    Science.gov (United States)

    Bae, Tae Soo; Loan, Peter; Choi, Kuiwon; Hong, Daehie; Mun, Mu Seong

    2010-12-01

    When car crash experiments are performed using cadavers or dummies, the active muscles' reaction on crash situations cannot be observed. The aim of this study is to estimate muscles' response of the major muscle groups using three-dimensional musculoskeletal model by dynamic simulations of low-speed sled-impact. The three-dimensional musculoskeletal models of eight subjects were developed, including 241 degrees of freedom and 86 muscles. The muscle parameters considering limb lengths and the force-generating properties of the muscles were redefined by optimization to fit for each subject. Kinematic data and external forces measured by motion tracking system and dynamometer were then input as boundary conditions. Through a least-squares optimization algorithm, active muscles' responses were calculated during inverse dynamic analysis tracking the motion of each subject. Electromyography for major muscles at elbow, knee, and ankle joints was measured to validate each model. For low-speed sled-impact crash, experiment and simulation with optimized and unoptimized muscle parameters were performed at 9.4 m/h and 10 m/h and muscle activities were compared among them. The muscle activities with optimized parameters were closer to experimental measurements than the results without optimization. In addition, the extensor muscle activities at knee, ankle, and elbow joint were found considerably at impact time, unlike previous studies using cadaver or dummies. This study demonstrated the need to optimize the muscle parameters to predict impact situation correctly in computational studies using musculoskeletal models. And to improve accuracy of analysis for car crash injury using humanlike dummies, muscle reflex function, major extensor muscles' response at elbow, knee, and ankle joints, should be considered.

  17. The construction of visual-spatial situation models in children's reading and their relation to reading comprehension.

    Science.gov (United States)

    Barnes, Marcia A; Raghubar, Kimberly P; Faulkner, Heather; Denton, Carolyn A

    2014-03-01

    Readers construct mental models of situations described by text to comprehend what they read, updating these situation models based on explicitly described and inferred information about causal, temporal, and spatial relations. Fluent adult readers update their situation models while reading narrative text based in part on spatial location information that is consistent with the perspective of the protagonist. The current study investigated whether children update spatial situation models in a similar way, whether there are age-related changes in children's formation of spatial situation models during reading, and whether measures of the ability to construct and update spatial situation models are predictive of reading comprehension. Typically developing children from 9 to 16 years of age (N=81) were familiarized with a physical model of a marketplace. Then the model was covered, and children read stories that described the movement of a protagonist through the marketplace and were administered items requiring memory for both explicitly stated and inferred information about the character's movements. Accuracy of responses and response times were evaluated. Results indicated that (a) location and object information during reading appeared to be activated and updated not simply from explicit text-based information but from a mental model of the real-world situation described by the text; (b) this pattern showed no age-related differences; and (c) the ability to update the situation model of the text based on inferred information, but not explicitly stated information, was uniquely predictive of reading comprehension after accounting for word decoding. Copyright © 2013 Elsevier Inc. All rights reserved.

  18. Responding to adverse situations within exchange relationships: The cross-cultural validity of a circumplex model

    NARCIS (Netherlands)

    Furrer, O.; Tjemkes, B.V.; Adolfs, K.; Ulgen Aydinlik, A.

    2012-01-01

    When faced with adverse situations in exchange relationships, the people involved are required to respond. Response strategies are reactions to such adverse situations and represent cognitive schemata organized in an integrated structure forming a mental map. Extant response strategy research

  19. REAL-LIFE ACTIVITIES: BOOSTING MY STUDENTS’ AWARENESS OF HONESTY IN CREATING GENRE

    Directory of Open Access Journals (Sweden)

    Rr. Dewi Wahyu Mustikasari

    2017-04-01

    Full Text Available My students was strugled to write genre without copypasting sentences or texts from the internet. On the other hand, it was a huge challange for me to teach five big writing classes. Each class consisted of 25-30 students who tended (mostly collecting unoriginal writing works. This paper discusses the real-life activities that can be used to enhance my students’ aweareness of honesty in creating genre. My students must write some genres namely recount, descriptive (optional, spoof (optional, procedure, hortatory (optional and analytical exposition (optional text. I also took some benefits of ICT to equip the learning process. Browsing and experiencing the menu of premierskills.britishcouncil.org were the real-life activities that explore their personal memories to be told as the recount text. Then they defined the feature of one of the menu of the previous website to be informed as the descriptive text. Furthermore, they wrote their personal funny experiences which were related to the Indonesian culture as the spoof text. The procedure text can be produced by exploring the daily activities in the pictures such as how to make a cup of tea/coffee, cook a sunny side-up egg, insert sim card into mobile phone, etc. Next, my students visited the tourism and public places in Salatiga, and they observed the strength and weekness of those places as the production of hortatory or analytical exposition text. The real-life activities were able to foster my students’ awareness of honesty. It was fantastic that my students were able to create the genre honestly.

  20. Rehabilitation in the real-life environment of a shopping mall.

    Science.gov (United States)

    Labbé, Delphine; Poldma, Tiiu; Fichten, Catherine; Havel, Alice; Kehayia, Eva; Mazer, Barbara; McKinley, Patricia; Rochette, Annie; Swaine, Bonnie

    2018-04-01

    The aim of this study was to explore how shopping malls could be used during rehabilitation and to identify the facilitators and barriers to their use. Two focus groups, conducted with 15 rehabilitation professionals from various disciplines and working with people with disabilities of all ages were structured around two topics: (i) The usage of malls for rehabilitation and (ii) Factors that facilitate or limit rehabilitation professionals' use of the mall as an environment for clinical assessment and/or intervention. The thematic analysis revealed that shopping malls were used to achieve several rehabilitation goals targeting physical and cognitive skills, psychological health and socialization. This real-life environment is motivating and helps foster independence and normalization. Factors affecting mall use during rehabilitation included personal factors (e.g. clients' personality and level of readiness) and environmental factors (e.g. clinical context, accessibility of the mall and social attitudes of store owners). Shopping malls may be a relevant rehabilitation assessment and treatment environment that could contribute to optimizing community integration of people with disabilities. Implications for rehabilitation To ensure successful community reintegration, clients could be trained at some point during their rehabilitation, to perform activities in real-life settings, such as a shopping mall. Shopping malls appear to enable the attainment of rehabilitation goals targeting a variety of skills. This real-life environment appears to be motivating and helps foster independence and normalization. Factors felt to affect mall use during rehabilitation include personal factors (e.g. clients' personality and level of readiness) and environmental factors (e.g. clinical context, accessibility of the mall and social attitudes of store owners). The shopping mall may be an untapped resource as it appears to be a relevant rehabilitation assessment and treatment

  1. Real/Life: New British Art and the Reception of Contemporary British Art in Japan

    Directory of Open Access Journals (Sweden)

    Kajiya Kenji

    2016-07-01

    Full Text Available This essay explores the ways in which the exhibition Real/Life: New British Art was conceived and received in Japan, where contemporary British art has been shown since the 1960s. Taking place at five museums in the country between 1998 and 1999, the exhibition aimed to showhow British artists in the 1990s struggled with realities, internal and external, but its response was not as satisfactory as was expected. The essay examines the exhibition as a turning point for the transformation of exhibition culture in Japan from nationally themed exhibitions to showcases of contemporary art in the global context.

  2. MULTIPLE HUMAN TRACKING IN COMPLEX SITUATION BY DATA ASSIMILATION WITH PEDESTRIAN BEHAVIOR MODEL

    Directory of Open Access Journals (Sweden)

    W. Nakanishi

    2012-07-01

    Full Text Available A new method of multiple human tracking is proposed. The key concept is that to assume a tracking process as a data assimilation process. Despite the importance of understanding pedestrian behavior in public space with regard to achieving more sophisticated space design and flow control, automatic human tracking in complex situation is still challenging when people move close to each other or are occluded by others. For this difficulty, we stochastically combine existing tracking method by image processing with simulation models of walking behavior. We describe a system in a form of general state space model and define the components of the model according to the review on related works. Then we apply the proposed method to the data acquired at the ticket gate of the railway station. We show the high performance of the method, as well as compare the result with other model to present the advantage of integrating the behavior model to the tracking method. We also show the method's ability to acquire passenger flow information such as ticket gate choice and OD data automatically from the tracking result.

  3. Radiation Belt Specification and Situational Awareness using Data Assimilation Based Modeling

    Science.gov (United States)

    Reeves, G. D.; Koller, J.; Chen, Y.; Friedel, R. H.; Cayton, T. E.

    2006-12-01

    For a number of years now the operational limitations of the standard radiation belt models have been widely discussed. Doses from specific parts of the spectrum can be over- or under-estimated. The averaging procedures used do not give statistical distributions or worst case fluences. And, critically, the models are not time-dependent or real time. Here we present a new approach to radiation belt specification that provides fluxes, fluences, or dose rates for any arbitrary orbit and for any arbitrary mission duration up to and including real time. DREAM ( the Dynamic Radiation Environment Assimilation Model) uses data assimilation techniques to combine measurements from geosynchronous and GPS satellites along with a physics-based model to derive optimal state specification of the full radiation belts. The physical equations are solved by evolving phase space density at fixed adiabatic invariants. Once the underlying physical equations are solved and optimized with the current measured state (based on the observations), the phase space density representation is inverted back to physical space and physical fluxes. We show initial results for 6-months in 2002 and compare the orbital dose rates predicted by DREAM with those measured by HEO satellites. We also discuss how this model could be implemented with real time data to provide space situational awareness and short term radiation belt forecasts.

  4. Modeling Learner Situation Awareness in Collaborative Mobile Web 2.0 Learning

    Science.gov (United States)

    Norman, Helmi; Nordin, Norazah; Din, Rosseni; Ally, Mohamed

    2016-01-01

    The concept of situation awareness is essential in enhancing collaborative learning. Learners require information from different awareness aspects to deduce a learning situation for decision-making. Designing learning environments that assist learners to understand situation awareness via monitoring actions and reaction of other learners has been…

  5. Sexual self-disclosure in Cyberspace among Taiwanese adolescents: gender differences and the interplay of Cyberspace and real life.

    Science.gov (United States)

    Chiou, Wen-Bin; Wan, Chin-Sheng

    2006-02-01

    This study explored adolescents' sexual self-disclosure in real life and cyberspace, as well as gender differences of sexual self-disclosure in cyberspace. There were 115 male and 92 female adolescents who participated in this pretest and posttest survey. In general, the depth of sexual self-disclosure in real life was greater than in cyberspace, but the breadth of sexual selfdisclosure in both real life and cyberspace was equivalent. The cross-lagged panel analysis indicated that adolescents who were willing to self-disclose sexual topics in real life also selfdisclosed them more in cyberspace, and vice versa. Furthermore, sexual self-disclosure in both disclosing environments was mutually predicted by each other. The findings also indicated that cyberspace might not be a substitute channel of compensatory gratification for sexual self-disclosure in real life. As for gender differences, the breadth and depth of sexual self-disclosure in male adolescents were greater than in female adolescents, in both real life and cyberspace. Male adolescents tend to be more active in Internet sexuality than females. However, female adolescents' sexual emancipation in cyberspace is not evident in Taiwan. Possible reasons, implications, and limitations of the findings are discussed.

  6. Real-life closeness of social media contacts and depressive symptoms among university students.

    Science.gov (United States)

    Shensa, Ariel; Sidani, Jaime E; Escobar-Viera, César G; Chu, Kar-Hai; Bowman, Nicholas D; Knight, Jennifer M; Primack, Brian A

    2018-02-16

    To examine the association between degree of real-life closeness of social media (SM) contacts and depressive symptoms. Students ages 18-30 (N = 1124) were recruited in August 2016. Participants completed an online survey assessing SM use and depression. We used multivariable logistic regression to assess associations between real-life closeness of SM contacts and depressive symptoms. After controlling for covariates, each 10% increase in the proportion of SM friends with whom participants had no face-to-face relationship was associated with a 9% increase in odds of depressive symptoms (AOR = 1.09; 95% CI = 1.05-1.13). However, each 10% increase in the proportion of SM friends with whom participants had a close face-to-face relationship was associated with a 7% decrease in depressive symptoms (AOR = 0.93; 95% CI = 0.89-0.97). Having no in-person relationship with SM contacts is associated with increased depressive symptoms; however, having close in-person relationships with SM contacts is associated with decreased depressive symptoms.

  7. Desiderio e scrittura in "The Real Life of Sebastian Knight" di Vladimir Nabokov

    Directory of Open Access Journals (Sweden)

    Valeria Invernizzi

    2014-12-01

    This paper examines, from a psychoanalytic standpoint, the intersection between identity and writing in the novel The Real Life of Sebastian Knight (1941 by Vladimir Nabokov. In particular, in the wake of Freud and Lacan, the following contribution will take the notions of desire, signifier, and the process of sublimation involved in artistic creation as interpretative devices. The main focus of the analysis will be the relationship between the two half-brothers of the novel, V (the narrator and Sebastian. First, I will show that Sebastian Knight holds the role of the object of desire for the characters who have established a close relationship with him and, in particular, for V. Secondly, the paper will be devoted to the analysis of the trauma experienced by the characters because of Sebastian's death, with a particular focus on the narrator's mourning through writing (the fictional biography we read in the novel; in the end, I will give evidence of the so-called signifier’s fallacy, crucial episodes in which the narrator can experience an insight into the truth of desire. Because of the not negligible question of the fictional paternity of The Real Life and the equally essential matter of V’s ‘stylistic touch’, metaliterary aspects of the novel will also be part of the following reading of the text.

  8. A joint model of word segmentation and meaning acquisition through cross-situational learning.

    Science.gov (United States)

    Räsänen, Okko; Rasilo, Heikki

    2015-10-01

    Human infants learn meanings for spoken words in complex interactions with other people, but the exact learning mechanisms are unknown. Among researchers, a widely studied learning mechanism is called cross-situational learning (XSL). In XSL, word meanings are learned when learners accumulate statistical information between spoken words and co-occurring objects or events, allowing the learner to overcome referential uncertainty after having sufficient experience with individually ambiguous scenarios. Existing models in this area have mainly assumed that the learner is capable of segmenting words from speech before grounding them to their referential meaning, while segmentation itself has been treated relatively independently of the meaning acquisition. In this article, we argue that XSL is not just a mechanism for word-to-meaning mapping, but that it provides strong cues for proto-lexical word segmentation. If a learner directly solves the correspondence problem between continuous speech input and the contextual referents being talked about, segmentation of the input into word-like units emerges as a by-product of the learning. We present a theoretical model for joint acquisition of proto-lexical segments and their meanings without assuming a priori knowledge of the language. We also investigate the behavior of the model using a computational implementation, making use of transition probability-based statistical learning. Results from simulations show that the model is not only capable of replicating behavioral data on word learning in artificial languages, but also shows effective learning of word segments and their meanings from continuous speech. Moreover, when augmented with a simple familiarity preference during learning, the model shows a good fit to human behavioral data in XSL tasks. These results support the idea of simultaneous segmentation and meaning acquisition and show that comprehensive models of early word segmentation should take referential word

  9. The Nordic Model in a Global Company Situated in Norway. Challenging Institutional Orders?

    Directory of Open Access Journals (Sweden)

    Elin Kvande

    2012-11-01

    Full Text Available In this article, we explore the impact of internationalization as organizational processes where institutional actors meet in local contexts and negotiate the institutional order. The internationalization of working life implies that different traditions and practices meet and challenge each other. The focus is on how important elements of the Nordic micro model like cooperation between employees and employers and regulation of working hours are implemented in a global company situated in Norway. In general, it seems that employees and employers cooperate in line with this tradition in the Nordic micro model. Norwegian manager’s practices are described to be in accordance with Scandinavian management traditions, while managers from the United States appear to practice management consistent with the liberal working life model. The findings show a tension-filled clash between two different management practices, which indicates that the Nordic micro model in this field might be under pressure. Manager’s recommendation to the employees was not to become members of the trade union. The absence of trade unions in the organization implies that employees and employers are not cooperating on a collective level. This means that only parts of the regulatory arrangement related to participation and cooperation are implemented. Findings concerning working time and the relation to the institutional order represented by the Norwegian Work Environment Act indicate a clear tension between different institutional traditions in the organization. The company does not respect the Norwegian in working time regulations. These regulations are seen as counterproductive for a company that competes in the international market. This devaluation of the regulations in the Nordic model implies that the institutional order represented in the Nordic micro model is challenged.

  10. An Instructional Model for Guiding Reflection and Research in the Classroom: The Educational Situation Quality Model

    Science.gov (United States)

    Domenech-Betoret, Fernando

    2013-01-01

    The purpose of this work is to present an instructional model entitled the "Modelo de Calidad de Situacion Educativa" (MCSE) and how teachers can use it to reflect and investigate in a formal educational setting. It is a theoretical framework which treat to explain the functioning of an educational setting by organizing and relating the…

  11. A transactional framework for pediatric rehabilitation: shifting the focus to situated contexts, transactional processes, and adaptive developmental outcomes.

    Science.gov (United States)

    King, Gillian; Imms, Christine; Stewart, Debra; Freeman, Matt; Nguyen, Tram

    2017-04-11

    A paradigm shift is taking place in pediatric rehabilitation research, practice, and policy - a shift towards the real-life contexts of clients rather than requiring clients to navigate the world of pediatric rehabilitation. This article proposes a conceptual framework to bring about a broader awareness of clients' lives and transactional processes of change over the life course. The framework draws attention to transactional processes by which individuals, situated in life contexts, change and adapt over the life course and, in turn, influence their contextual settings and broader environments. This framework is based on (a) basic tenets derived from foundational theories taking a life course perspective to change, and (b) transactional processes identified from relevant pediatric rehabilitation models that bring these foundational theories into the pediatric rehabilitation sphere. The framework identifies three types of transactional processes relevant to pediatric rehabilitation: facilitative, resiliency, and socialization processes. These processes describe how contexts and people mutually influence each other via opportunities and situated experiences, thus facilitating capacity, adaptation to adversity, and socialization to new roles and life transitions. The utility of the framework is considered for research, practice, service organizations, and policy. Implications for Rehabilitation The framework supports practitioners going beyond person and environment as separate entities, to provide services to the "situated person" in real-life contexts The framework shifts the focus from "body structures/functions" and "person in activity" to "person in changing and challenging life contexts" Working from a transactional perspective, practitioner-client conversations will change; practitioners will view client situations through a lens of opportunities and experiences, assess client experiences in real-life contexts, and strive to create context-based therapy

  12. Qualitative research building real-life interventions: user-involving development of a mindfulness-based lifestyle change support program for overweight citizens.

    Science.gov (United States)

    Hansen, N V; Brændgaard, P; Hjørnholm, C; la Cour, S

    2014-10-01

    This study is an experiment of putting social sciences to work in developing a support intervention for healthy lifestyle changes that would be attractive and manageable in real-life settings. Starting with a hypothesis that a class of intervention methods based on an unconventional 'low-tension' strategy may offer an effective support of stable, long-term changes well integrated in everyday life, difficult to maintain with conventional dieting and self-control approaches, this study focuses on designing and optimizing an intervention model combining several low-tension methods: mindfulness, small steps and group support. In three consecutive 'action research' cycles, the intervention was run in practice with groups of 20 overweight or obese citizens. Qualitative data, mainly in the form of recorded group sessions and individual interviews with group participants and group leaders, were systematically collected and analyzed, using a framework of social psychological theory to focus on difficulties, resources and meanings connected with habits and everyday life. This information was recycled into the design process for the next version of the intervention. We describe the user-involving development processes toward a more attractive and manageable intervention model. The model now exists as a well-articulated package whose effectiveness is being tested in a randomized controlled trial study. Social science can be put to work in systematically integrating real-life experience in a development process. It answers a very different kind of question than clinical trials-filling another place in an overall research program to create useful knowledge of what helps-in complex, everyday, real life.

  13. Evolving Model for the Complex Traffic and Transportation Network Considering Self-Growth Situation

    Directory of Open Access Journals (Sweden)

    Wei Zhang

    2012-01-01

    Full Text Available It has been approved that the scale-free feature exists in various complex networks, such as the internet, the cell or the biological networks. In order to analyze the influence of the self-growth phenomenon during the growth on the structure of traffic and transportation network, we formulated an evolving model. Based on the evolving model, we prove in mathematics that, even that the self-growth situation happened, the traffic and transportation network owns the scale-free feature due to that the node degree follows a power-law distribution. A real traffic and transportation network, China domestic airline network is tested to consolidate our conclusions. We find that the airline network has a node degree distribution equivalent to the power-law of which the estimated scaling parameter is about 3.0. Moreover the standard error of the estimated scaling parameter changes according to the self-growth probability. Our findings could provide useful information for determining the optimal structure or status of the traffic and transportation network.

  14. The Impact of Bottom-Up Parking Information Provision in a Real-Life Context: The Case of Antwerp

    Directory of Open Access Journals (Sweden)

    Geert Tasseron

    2017-01-01

    Full Text Available A number of studies have analyzed the possible impacts of bottom-up parking information or parking reservation systems on parking dynamics in abstract simulation environments. In this paper, we take these efforts one step further by investigating the impacts of these systems in a real-life context: the center of the city of Antwerp, Belgium. In our simulation, we assume that all on-street and off-street parking places are equipped with technology able to transmit their occupancy status to so-called smart cars, which can receive information and reserve a parking place. We employ PARKAGENT, an agent-based simulation model, to simulate the behavior of smart and regular cars. We obtain detailed data on parking demand from FEATHERS, an activity-based transport model. The simulation results show that parking information and reservation hardly impact search time but do reduce walking distance for smart cars, leading to a reduction in total parking time, that is, the sum of search time and walking time. Reductions in search time occur only in zones with high occupancy rates, while a drop in walking distance is especially observed in low occupancy areas. Societal benefits of parking information and reservation are limited, because of the low impact on search time and the possible negative health effects of reduced walking distance.

  15. 'Real-life' study of imatinib therapy in chronic phase-chronic myeloid leukemia: A novel retrospective observational longitudinal analysis.

    Science.gov (United States)

    Merante, Serena; Ferretti, Virginia; Elena, Chiara; Calvello, Celeste; Rocca, Barbara; Zappatore, Rita; Cavigliano, Paola; Orlandi, Ester

    2017-01-01

    Imatinib is a cornerstone of treatment of chronic myeloid leukemia. It remains unclear whether transient treatment discontinuation or dose changes affect outcome and this approach has not yet been approved for use outside clinical trials. We conducted a retrospective single-institution observational study to evaluate factors affecting response in 'real-life' clinical practice in 138 chronic myeloid leukemia patients in chronic phase treated with imatinib. We used a novel longitudinal data analytical model, with a generalized estimating equation model, to study BCR-ABL variation according to continuous standard dose, change in dose or discontinuation; BCR-ABL transcript levels were recorded. Treatment history was subdivided into time periods for which treatment was given at constant dosage (total 483 time periods). Molecular and cytogenetic complete response was observed after 154 (32%) and 358 (74%) time periods, respectively. After adjusting for length of time period, no association between dose and cytogenetic complete response rate was observed. There was a significantly lower molecular complete response rate after time periods at a high imatinib dosage. This statistical approach can identify individual patient variation in longitudinal data collected over time and suggests that changes in dose or discontinuation of therapy could be considered in patients with appropriate biological characteristics.

  16. Epidemic classification of phytosanitary situations on cereal crops using mathematical modeling

    Science.gov (United States)

    Most plant protection researchers and experts divide emerging phytosanitary situations into three classes: epidemic, moderate development of disease, and yield depression. The known principles and methods for estimating these situations (Van der Plank J.E., Kranz J. et al.) do not fully describe th...

  17. Real life Dosages and Costs of TNFα inhibitor therapy for RA patients in Denmark

    DEFF Research Database (Denmark)

    Hostenkamp, Gisela; Sørensen, Jan; Hetland, Merete Lund

    2009-01-01

    about the true long run cost. Taking the actual medication practice into account is important for the evaluation of the costs and optimal sequencing of new and existing biological treatments. Objectives: To investigate the drug cost of TNF-inhibitors in the treatment of RA using real-life data from...... of treatment. Cost estimates based on short term observational data or on instruction leaflets from manufacturers may provide wrong cost assessments of TNF-alpha therapy. It is important to take the long term cost structure into account to arrive at unbiased treatment cost estimates.......Background: When estimating the cost of biological treatment many analyses rely on cross sectional data or standard consumption patterns indicated in the manufacturers' instruction leaflet. Unless such consumption patterns truly reflect routine clinical practice they may result in wrong assumptions...

  18. Cyberbullying in Germany – an exploration of prevalence, overlapping with real life bullying and coping strategies

    Directory of Open Access Journals (Sweden)

    JULIA RIEBEL

    2009-09-01

    Full Text Available A new phenomenon of violence among pupils has been spreading over Europe in the last few years: Cyberbullying, the repeated and intended hurting of weaker schoolmates via modern communication technologies. This study shows (based on a sample of 1987 pupils, that cyberbullying exists in Germany, although the number of incidents is still rather small. It could also be shown, that the pupils who act as cyberbullies are the same as those who bully others in real life. The same overlap was found to be true for the victims. Cyberbullying can therefore be considered a subcategory of ordinary bullying instead of being considered a whole new phenomenon. The exploration of coping strategies showed, that a common factor structure underlies physical, verbal and cyberbullying. Considering the fact that the findings of the study are based on an online questionnaire with restricted representativeness, the results should however be interpreted carefully.

  19. In Patients with Cirrhosis, Driving Simulator Performance is Associated With Real-life Driving

    DEFF Research Database (Denmark)

    Lauridsen, Mette Enok Munk; Thacker, Leroy R; White, Melanie B

    2016-01-01

    , not all patients with MHE are unsafe drivers, but it is unclear how to distinguish them from unsafe drivers. We investigated the link between performance on driving simulators and real-life automobile accidents and traffic violations. We also aimed to identify features of unsafe drivers with cirrhosis...... collected on traffic violations and automobile accidents from the Virginia Department of Motor Vehicles and from participants' self-assessments when they entered the study, and from 73 participants 1 year later. Participants also completed a questionnaire about alcohol use and cessation patterns....... The driving simulator measured crashes, run-time, road center and edge excursions, and illegal turns during navigation; before and after each driving simulation session, patients were asked to rate their overall driving skills. Drivers were classified as safe or unsafe based on crashes and violations reported...

  20. Evaluation of RPL-compliant routing solutions in real-life WSNs

    Directory of Open Access Journals (Sweden)

    Zahariadis Theodore

    2016-01-01

    Full Text Available Wireless Sensor Networks (WSN applications continue to expand and already cover almost all our daily activities improving from security and environmental efficiency to gaming experience. The diverse applications running on top of WSNs have led to the design of an immense number of routing protocols. Few years ago, the IETF standardized the IPv6 routing protocol for low-power and lossy networks (RPL which is based on routing metrics to build communication paths between a source and the destination node. While significant efforts have focused on the design of routing metrics that satisfy the various applications, limited work has been reported on validating their performance using real-life motes. In this paper, we focus on validating the simulation results (obtained through the JSim simulator using TelosB motes for a set of routing metrics that have been proposed in our previous articles.

  1. Real life anticoagulation treatment of patients with atrial fibrillation in Germany

    DEFF Research Database (Denmark)

    Wilke, Thomas; Groth, Antje; Pfannkuche, Matthias

    2015-01-01

    -risk dependent OAC utilization profile of German AF patients and possible causes of OAC under-use. Our claims-based data set was derived from two German statutory health insurance funds for the years 2007-2010. All prevalent AF-patients in the period 2007-2009 were included. The OAC-need in 2010 was assumed.......633) were the most important factors increasing the risk of OAC under-use. Patients who had consulted a cardiologist had a lower risk of being under-treated with OAC (OR 0.459). OAC under-use still seems to be one of the major challenges in the real-life treatment of AF patients. Our study confirms...

  2. Real life experimental determination of platinum group metals content in automotive catalytic converters

    Science.gov (United States)

    Yakoumis, I.; Moschovi, A. M.; Giannopoulou, I.; Panias, D.

    2018-03-01

    The real life experimental protocol for the preparation of spent automobile catalyst samples for elemental analysis is thoroughly described in the following study. Collection, sorting and dismantling, homogenization and sample preparation for X-Ray fluorescence spectroscopy and Atomic Adsorption Spectroscopy combined with Inductive coupled plasma mass spectrometry are discussed in detail for both ceramic and metallic spent catalysts. The concentrations of Platinum Group Metals (PGMs) in spent catalytic converters are presented based on typical consignments of recycled converters (more than 45,000 pieces) from the Greek Market. The conclusions clearly denoted commercial metallic catalytic foil contains higher PGMs loading than ceramic honeycombs. On the other hand, the total PGMs loading in spent ceramic catalytic converters has been found higher than the corresponding value for the metallic ones.

  3. Real life narratives enhance learning about the 'art and science' of midwifery practice.

    Science.gov (United States)

    Gilkison, Andrea; Giddings, Lynne; Smythe, Liz

    2016-03-01

    Health professional educators have long grappled with how to teach the more elusive art of practice alongside the science (a term that encompasses the sort of professional knowledge that can be directly passed on). A competent practitioner is one who knows when, how and for whom to apply knowledge and skills, thereby making the links between theory and practice. They combine art and science in such a way that integrates knowledge with insight. This participatory hermeneutic study explored the experience of teachers and students of implementing a narrative-centred curriculum in undergraduate midwifery education. It revealed that when real life narratives were central to the learning environment, students' learning about the art of midwifery practice was enhanced as they learned about midwifery decisions, reflected on their own values and beliefs and felt an emotional connection with the narrator. Further, art and science became melded together in the context specific wisdom of practice (phronesis).

  4. Guidelines versus real life practice: the case of colonoscopy in acromegaly.

    Science.gov (United States)

    Parolin, M; Dassie, F; Russo, L; Mazzocut, S; Ferrata, M; De Carlo, E; Mioni, R; Fallo, F; Vettor, R; Martini, C; Maffei, P

    2018-02-01

    The aim of this study is to investigate guideline application and colonoscopy findings in real-life practice in acromegaly. We conducted a retrospective observational non-interventional and cross-sectional analysis on 146 patients with acromegaly (ACRO) referred to our clinic. We evaluated colonoscopy data, focusing on the correlation between colonoscopy findings and hormonal/metabolic values. The total number of colonoscopies performed in ACRO patients increased from 6 in the period 1990-1994 to 57 in the period 2010-2014. Colonoscopy procedures were performed according to guidelines in 25% of ACRO patients at diagnosis, 51% at follow-up and 11% globally (both at diagnosis and follow-up). Among the 146 ACRO patients, 68% were subjected to at least one colonoscopy and in 32% of the cases a polyp was detected during the procedure. The presence of polyps was significantly associated with mean levels of growth hormone (GH), insulin-like growth factor 1 (IGF-1), fasting glucose and insulin levels (p < 0.05). Polyps were detected in 48% of untreated patients and in 26% of patients under treatment for acromegaly (p = 0.04). The general risk of polyps and adenomatous polyps in ACRO patients was higher compared to the control population of Veneto Region, Italy (odds ratio 1.33 and 1.16, respectively). No cancerous polyps were detected in our analysis. In real-life practice, adherence to ACRO colonoscopy clinical guidelines was lower than expected. Among patients who underwent colonoscopy, the prevalence of colon polyps was higher for ACRO patients, suggesting the need for new strategies to ensure adherence to colonoscopy guidelines.

  5. Real Life Active Gaming Practices of 7-11-Year-Old Children.

    Science.gov (United States)

    Allsop, Susan; Rumbold, Penny Louise Sheena; Debuse, Dorothée; Dodd-Reynolds, Caroline

    2013-12-01

    In the laboratory, active gaming has been shown to increase physical activity levels in children compared with seated media activities. The information is sparse, however, about children's real life active gaming practices, and the laboratory protocols used thus far might not be representative. The purpose of the present study was to establish the sociodemographic characteristics, real life active gaming practices, and reasons for gameplay, to later inform intervention studies. An "Active Gaming Questionnaire" was purposely developed and distributed to 44 7-11-year-old children and their parents. Forty questionnaires were completed and returned. Analysis found 95 percent of the children had access to active gaming consoles "at home." The favorite console was the Nintendo (Kyoto, Japan) Wii™, and the favorite game was Nintendo "Wii Sports." The majority of children frequently played active games against other people. The average reported gameplay time was 81 minutes on 1-2 days per week, usually on a Saturday. More than half of the children (52.5 percent) consumed foods and/or drinks during play, which was significantly associated (P=0.000) with an extended average gameplay time (increased by 25 minutes). The majority of participants (65 percent) considered active gaming to be an alternative form of exercise, and main reasons for active videogame play included for entertainment, health benefits, and the environment. In conclusion, children 9.3±1.4 years old typically play Nintendo "Wii Sports," once or twice per week for 81 minutes. Reported active gameplay time is extended by 25 minutes when food and/or drinks are consumed.

  6. The bidirectional relationships between online victimization and psychosocial problems in adolescents: a comparison with real-life victimization.

    Science.gov (United States)

    van den Eijnden, Regina; Vermulst, Ad; van Rooij, Antonius J; Scholte, Ron; van de Mheen, Dike

    2014-05-01

    Although peer victimization is of major concern and adolescents spend increasing amounts of time on the Internet, relatively little is known about the psychosocial antecedents and consequences of online victimization. The main aim of this study was to compare the psychosocial antecedents and consequences of online versus real-life victimization. More specifically, the bidirectional relationship between online and real-life victimization on the one hand and psychosocial problems (i.e., loneliness and social anxiety) on the other was examined. In addition, the moderating role of online aggression in the relationship between online victimization and subsequent psychosocial problems was studied. This prospective study, consisting of three annual measurements, was conducted among a sample of 831 adolescents (50.3 % girls) aged 11-15, of which most (80.2 %) had a Dutch ethnic background. The results indicate a unidirectional relationship whereby loneliness and social anxiety predict an increase in latter online victimization rather than the reverse. A bidirectional relationship was found for real-life victimization: loneliness (but not social anxiety) predicted an increase in latter real-life victimization, which in turn predicted an increase in subsequent social anxiety (but not loneliness). No moderating effects of online aggression were found. The findings of the present study suggest that negative online and in real life peer interactions have a differential meaning for, and impact on adolescents' well-being.

  7. Situation awareness for UAV equipped with image/video understanding system based on network-symbolic models

    Science.gov (United States)

    Kuvich, Gary

    2004-09-01

    Situation awareness is an important factor in the effectiveness of aerial missions. One of the major problems with the UAV is that human operators lack situation awareness. Limited bandwidth does not allow telepresence to a degree, which gives the same level of situation awareness that pilots of regular airplanes have. The best solution would be to equip UAV with a "situation awareness" system that in the real time provides operators with the information necessary for effective mission control and decision making, and allows effective supervisory control of the UAV. Vision in advanced creatures is a component of situation awareness, navigation and planning systems. Fast information processing and decision making requires reduction of informational and computational complexities. The brain achieves this goal using implicit symbolic coding, hierarchical compression, and selective processing of visual information. The Network-Symbolic representation, in which both systematic structural/logical methods and neural/statistical methods are the parts of a single mechanism, converts visual information into relational Network-Symbolic knowledge models, effectively resolving ambiguity and uncertainty in the visual information, and avoiding artificial precise computations of 3-dimensional models. The UAV equipped with such smart vision, will have a situation awareness system that gives operators better control over aircraft and significantly improves surveillance and reconnaissance capabilities.

  8. Application of a computational situation assessment model to human system interface design and experimental validation of its effectiveness

    International Nuclear Information System (INIS)

    Lee, Hyun-Chul; Koh, Kwang-Yong; Seong, Poong-Hyun

    2013-01-01

    Highlights: ► We validate the effectiveness of a proposed procedure thru an experiment. ► The proposed procedure addresses the salient coding of the key information. ► It was found that salience coding affects operators’ attention significantly. ► The first observation to the key information quickly guided to the correct situation awareness. ► It was validated the proposed procedure is effective for better situation awareness. - Abstract: To evaluate the effects of human cognitive characteristics on situation awareness, a computational situation assessment model of nuclear power plant operators has been developed, as well as a procedure to apply the developed model to the design of human system interfaces (HSIs). The concept of the proposed procedure is to identify the key information source, which is expected to guarantee fast and accurate diagnosis when operators attend to it. The developed computational model is used to search the diagnostic paths and the key information source. In this study, an experiment with twelve trained participants was executed to validate the effectiveness of the proposed procedure. Eighteen scenarios covering various accidents were administered twice for each subject, and experimental data were collected and analyzed. As a result of the data analysis, it was validated that the salience level of information sources significantly influences the attention of operators, and the first observation of the key information sources leads operators to a quick and correct situation assessment. Therefore, we conclude that the proposed procedure for applying the developed model to HSI design is effective

  9. A Human Sensor Network Framework in Support of Near Real Time Situational Geophysical Modeling

    Science.gov (United States)

    Aulov, O.; Price, A.; Smith, J. A.; Halem, M.

    2013-12-01

    The area of Disaster Management is well established among Federal Agencies such as FEMA, EPA, NOAA and NASA. These agencies have well formulated frameworks for response and mitigation based on near real time satellite and conventional observing networks for assimilation into geophysical models. Forecasts from these models are used to communicate with emergency responders and the general public. More recently, agencies have started using social media to broadcast warnings and alerts to potentially affected communities. In this presentation, we demonstrate the added benefits of mining and assimilating the vast amounts of social media data available from heterogeneous hand held devices and social networks into established operational geophysical modeling frameworks as they apply to the five cornerstones of disaster management - Prevention, Mitigation, Preparedness, Response and Recovery. Often, in situations of extreme events, social media provide the earliest notification of adverse extreme events. However, various forms of social media data also can provide useful geolocated and time stamped in situ observations, complementary to directly sensed conventional observations. We use the concept of a Human Sensor Network where one views social media users as carrying field deployed "sensors" whose posts are the remotely "sensed instrument measurements.' These measurements can act as 'station data' providing the resolution and coverage needed for extreme event specific modeling and validation. Here, we explore the use of social media through the use of a Human Sensor Network (HSN) approach as another data input source for assimilation into geophysical models. Employing the HSN paradigm can provide useful feedback in near real-time, but presents software challenges for rapid access, quality filtering and transforming massive social media data into formats consistent with the operational models. As a use case scenario, we demonstrate the value of HSN for disaster management

  10. A Comparison of Online Social Networks and Real-Life Social Networks: A Study of Sina Microblogging

    Directory of Open Access Journals (Sweden)

    Dayong Zhang

    2014-01-01

    Full Text Available Online social networks appear to enrich our social life, which raises the question whether they remove cognitive constraints on human communication and improve human social capabilities. In this paper, we analyze the users' following and followed relationships based on the data of Sina Microblogging and reveal several structural properties of Sina Microblogging. Compared with real-life social networks, our results confirm some similar features. However, Sina Microblogging also shows its own specialties, such as hierarchical structure and degree disassortativity, which all mark a deviation from real-life social networks. The low cost of the online network forms a broader perspective, and the one-way link relationships make it easy to spread information, but the online social network does not make too much difference in the creation of strong interpersonal relationships. Finally, we describe the mechanisms for the formation of these characteristics and discuss the implications of these structural properties for the real-life social networks.

  11. Long-term Course of Alzheimer Disease in Patients Treated According to the Dutch Dementia Guideline at a Memory Clinic: A "Real-Life" Study.

    Science.gov (United States)

    Droogsma, Erika; van Asselt, Dieneke; van Steijn, Jolanda; Diekhuis, Marjolein; Veeger, Nic; De Deyn, Peter P

    2016-01-01

    There is little knowledge of the long-term course of Alzheimer disease (AD) in light of current pharmacological and nonpharmacological interventions provided in a "real-life" setting. The Frisian Alzheimer's Disease Cohort study is a "real-life" study of the course of AD in patients (n=576) treated with pharmacological (ie, cholinesterase inhibitors) and nonpharmacological (ie, case management, respite care) interventions. Disease course was described by changes in cognition (Mini Mental State Examination, clock-drawing test) and number of types of professional care applying a repeated-measures analysis using a marginal model (population-based average model). In addition, behavioral and psychological symptoms, and proportions of nursing home admissions and deaths were investigated. During 3.5 years, the average Mini Mental State Examination decreased from 22.24 to 18.91, the clock-drawing test score increased from 3.38 to 4.05, the number of types of professional care increased from 0.85 to 2.64, and the patients with behavioral and psychological symptoms increased from 29.0% to 70.2%. The proportion of patients admitted to a nursing home was 40.8% and 41.0% died. Cognition and behaviour of AD patients deteriorated accompanied with an increase in care-dependency during 3.5 years. Nevertheless, compared with the precholinesterase inhibitor era, current pharmacological and nonpharmacological interventions appear to slow cognitive decline, which emphasizes that they seem to have a favorable effect.

  12. A Closed-Loop Model of Operator Visual Attention, Situation Awareness, and Performance Across Automation Mode Transitions.

    Science.gov (United States)

    Johnson, Aaron W; Duda, Kevin R; Sheridan, Thomas B; Oman, Charles M

    2017-03-01

    This article describes a closed-loop, integrated human-vehicle model designed to help understand the underlying cognitive processes that influenced changes in subject visual attention, mental workload, and situation awareness across control mode transitions in a simulated human-in-the-loop lunar landing experiment. Control mode transitions from autopilot to manual flight may cause total attentional demands to exceed operator capacity. Attentional resources must be reallocated and reprioritized, which can increase the average uncertainty in the operator's estimates of low-priority system states. We define this increase in uncertainty as a reduction in situation awareness. We present a model built upon the optimal control model for state estimation, the crossover model for manual control, and the SEEV (salience, effort, expectancy, value) model for visual attention. We modify the SEEV attention executive to direct visual attention based, in part, on the uncertainty in the operator's estimates of system states. The model was validated using the simulated lunar landing experimental data, demonstrating an average difference in the percentage of attention ≤3.6% for all simulator instruments. The model's predictions of mental workload and situation awareness, measured by task performance and system state uncertainty, also mimicked the experimental data. Our model supports the hypothesis that visual attention is influenced by the uncertainty in system state estimates. Conceptualizing situation awareness around the metric of system state uncertainty is a valuable way for system designers to understand and predict how reallocations in the operator's visual attention during control mode transitions can produce reallocations in situation awareness of certain states.

  13. Long-term treatment of ADHD with stimulants: A large observational study of real-life patients

    DEFF Research Database (Denmark)

    Powell, Shelagh G.; Thomsen, Per Hove; Frydenberg, Morten

    2011-01-01

    Objective: To evaluate 410 real-life patients treated with stimulants and assessed systematically over several years. Method: Naturalistic observational study. A database was compiled on the basis of a review of the medical charts of patients attending a specialized ADHD clinic. Results: The dive......Objective: To evaluate 410 real-life patients treated with stimulants and assessed systematically over several years. Method: Naturalistic observational study. A database was compiled on the basis of a review of the medical charts of patients attending a specialized ADHD clinic. Results...

  14. Development of the Real Time Situation Identification Model for Adaptive Service Support in Vehicular Communication Networks Domain

    Directory of Open Access Journals (Sweden)

    Mindaugas Kurmis

    2013-01-01

    Full Text Available The article discusses analyses and assesses the key proposals how to deal with the situation identification for the heterogeneous service support in vehicular cooperation environment. This is one of the most important topics of the pervasive computing. Without the solution it is impossible to adequately respond to the user's needs and to provide needed services in the right place at the right moment and in the right way. In this work we present our developed real time situation identification model for adaptive service support in vehicular communication networks domain. Our solution is different from the others as it uses additional virtual context information source - information from other vehicles which for our knowledge is not addressed in the past. The simulation results show the promising context exchange rate between vehicles. The other vehicles provided additional context source in our developed model helps to increase situations identification level.

  15. Modeling Air Traffic Situation Complexity with a Dynamic Weighted Network Approach

    Directory of Open Access Journals (Sweden)

    Hongyong Wang

    2018-01-01

    Full Text Available In order to address the flight delays and risks associated with the forecasted increase in air traffic, there is a need to increase the capacity of air traffic management systems. This should be based on objective measurements of traffic situation complexity. In current air traffic complexity research, no simple means is available to integrate airspace and traffic flow characteristics. In this paper, we propose a new approach for the measurement of air traffic situation complexity. This approach considers the effects of both airspace and traffic flow and objectively quantifies air traffic situation complexity. Considering the aircraft, waypoints, and airways as nodes, and the complexity relationships among these nodes as edges, a dynamic weighted network is constructed. Air traffic situation complexity is defined as the sum of the weights of all edges in the network, and the relationships of complexity with some commonly used indices are statistically analyzed. The results indicate that the new complexity index is more accurate than traffic count and reflects the number of trajectory changes as well as the high-risk situations. Additionally, analysis of potential applications reveals that this new index contributes to achieving complexity-based management, which represents an efficient method for increasing airspace system capacity.

  16. The effect of a low-speed automatic brake system estimated from real life data.

    Science.gov (United States)

    Isaksson-Hellman, Irene; Lindman, Magdalena

    2012-01-01

    A substantial part of all traffic accidents involving passenger cars are rear-end collisions and most of them occur at low speed. Auto Brake is a feature that has been launched in several passenger car models during the last few years. City Safety is a technology designed to help the driver mitigate, and in certain situations avoid, rear-end collisions at low speed by automatically braking the vehicle.Studies have been presented that predict promising benefits from these kinds of systems, but few attempts have been made to show the actual effect of Auto Brake. In this study, the effect of City Safety, a standard feature on the Volvo XC60 model, is calculated based on insurance claims data from cars in real traffic crashes in Sweden. The estimated claim frequency of rear-end frontal collisions measured in claims per 1,000 insured vehicle years was 23% lower for the City Safety equipped XC60 model than for other Volvo models without the system.

  17. The Effect of a Low-Speed Automatic Brake System Estimated From Real Life Data

    Science.gov (United States)

    Isaksson-Hellman, Irene; Lindman, Magdalena

    2012-01-01

    A substantial part of all traffic accidents involving passenger cars are rear-end collisions and most of them occur at low speed. Auto Brake is a feature that has been launched in several passenger car models during the last few years. City Safety is a technology designed to help the driver mitigate, and in certain situations avoid, rear-end collisions at low speed by automatically braking the vehicle. Studies have been presented that predict promising benefits from these kinds of systems, but few attempts have been made to show the actual effect of Auto Brake. In this study, the effect of City Safety, a standard feature on the Volvo XC60 model, is calculated based on insurance claims data from cars in real traffic crashes in Sweden. The estimated claim frequency of rear-end frontal collisions measured in claims per 1,000 insured vehicle years was 23% lower for the City Safety equipped XC60 model than for other Volvo models without the system. PMID:23169133

  18. A computational model for evaluating the effects of cognitive factors on situation assessment of nuclear power plant operators

    International Nuclear Information System (INIS)

    Lee, Hyun Chul

    2010-02-01

    Operators in nuclear power plants have to acquire information from human system interfaces (HSIs) and the environment in order to create, update, and confirm their understanding of a plant state, as failures of situation assessment may cause wrong decisions for process control and finally errors of commission in nuclear power plants. A few computational models that can be used to predict and quantify the situation awareness of operators have been suggested. However, these models do not sufficiently consider human characteristics for nuclear power plant operators. In this thesis, a computational model for situation assessment of nuclear power plant operators using a Bayesian network is proposed. This model incorporates human factors significantly affecting operators' situation assessment, such as attention, working memory decay, and mental model. It is assumed that both the salience level and the information value of information sources are the most significant factors that decide which information sources operators heed. The perception index (PI) is defined as the geometric mean of the salience level and the information value of information sources in this study. The attention allocation rule in the proposed model is defined to direct the operator's attention to the information source with the largest PI value at that moment. There are two approaches for incorporating a mental model of nuclear power plant operators into a Bayesian network: the deterministic rules and the probabilistic rules. The proposed model adopted the probabilistic rules because the deterministic rules are a special case of the probabilistic rules and the probabilistic rules can describe various skill levels of operators. Two working memory decay mechanisms have been suggested: a power law and an exponential law. The proposed model assumes that the situation awareness stored in the working memory decays exponentially because the exponential decay formulas are more popular and require just one

  19. Exploring English Language Learners (ELL) experiences with scientific language and inquiry within a real life context

    Science.gov (United States)

    Algee, Lisa M.

    English Language Learners (ELL) are often at a distinct disadvantage from receiving authentic science learning opportunites. This study explored English Language Learners (ELL) learning experiences with scientific language and inquiry within a real life context. This research was theoretically informed by sociocultural theory and literature on student learning and science teaching for ELL. A qualitative, case study was used to explore students' learning experiences. Data from multiple sources was collected: student interviews, science letters, an assessment in another context, field-notes, student presentations, inquiry assessment, instructional group conversations, parent interviews, parent letters, parent homework, teacher-researcher evaluation, teacher-researcher reflective journal, and student ratings of learning activities. These data sources informed the following research questions: (1) Does participation in an out-of-school contextualized inquiry science project increase ELL use of scientific language? (2) Does participation in an out-of-school contextualized inquiry science project increase ELL understanding of scientific inquiry and their motivation to learn? (3) What are parents' funds of knowledge about the local ecology and does this inform students' experiences in the science project? All data sources concerning students were analyzed for similar patterns and trends and triangulation was sought through the use of these data sources. The remaining data sources concerning the teacher-researcher were used to inform and assess whether the pedagogical and research practices were in alignment with the proposed theoretical framework. Data sources concerning parental participation accessed funds of knowledge, which informed the curriculum in order to create continuity and connections between home and school. To ensure accuracy in the researchers' interpretations of student and parent responses during interviews, member checking was employed. The findings

  20. Generalisation of the Clark and Wells Cognitive Model of Social Anxiety to Children's Athletic and Sporting Situations

    Science.gov (United States)

    Vassilopoulos, Stephanos P.; Brouzos, Andreas; Moberly, Nicholas J.; Tsorbatzoudis, Haralambos; Tziouma, Olga

    2017-01-01

    Research has shown that social anxiety generalises to sporting and athletic situations. The present study explored the applicability of the Clark and Wells model of social anxiety--and its metacognitive extension--to sport anxiety. Participants were 290 students aged 11-13 years, who completed measures of sport anxiety, social anxiety, depression…

  1. A Test of Three Basic Assumptions of Situational Leadership® II Model and Their Implications for HRD Practitioners

    Science.gov (United States)

    Zigarmi, Drea; Roberts, Taylor Peyton

    2017-01-01

    Purpose: This study aims to test the following three assertions underlying the Situational Leadership® II (SLII) Model: all four leadership styles are received by followers; all four leadership styles are needed by followers; and if there is a fit between the leadership style a follower receives and needs, that follower will demonstrate favorable…

  2. Emotional and temporal aspects of situation model processing during text comprehension: An event-related fMRI study

    NARCIS (Netherlands)

    Ferstl, E.C.; Rinck, M.; Cramon, D.Y. von

    2005-01-01

    Language comprehension in everyday life requires the continuous integration of prior discourse context and general world knowledge with the current utterance or sentence. In the neurolinguistic literature, these so-called situation model building processes have been ascribed to the prefrontal cortex

  3. Real-life use of underwear treated with fabric softeners improves skin dryness by decreasing the friction of fabrics against the skin.

    Science.gov (United States)

    Fujimura, T; Takagi, Y; Sugano, I; Sano, Y; Yamaguchi, N; Kitahara, T; Takema, Y; Rizer, R L

    2011-12-01

    Scientific evaluation of fabric softener use on the friction of fabrics and on dry skin in real life is very limited. The coefficient of friction of fabrics was measured with a surface tester using model skin and cotton fabrics. The effects and safety of fabric softener-treated T-shirts on subjects with dry skin were evaluated in real-life conditions in the cold and arid environment. Twenty male volunteers with dry skin used T-shirts without softener for 1 week before day 0 and then wore softener-treated T-shirts for 14 days. Effects were evaluated by clinical grading, subjective symptoms, stratum corneum water content (SCWC) and transepidermal water loss (TEWL). A significant decrease in the coefficient of friction of fabrics was detected. A significant improvement in SCWC was observed on the torso, waist and shoulder, but no improvement was found on the inner forearm. There was a slight change in TEWL. The visual grading of dryness improved significantly at all sites, but no significant change was found in subjective symptoms. Our results suggest that fabric softener provides benefits to individuals with dry skin because of the decreased friction of the garments against the skin. It is possible that the softener treatment of fabrics contributes to the state of moisturization of the skin and may work in collaboration with the application of moisturizers. © 2011 The Authors. ICS © 2011 Society of Cosmetic Scientists and the Société Française de Cosmétologie.

  4. A Model of Distraction in an Audio-on-Audio Interference Situation with Music Program Material

    DEFF Research Database (Denmark)

    Francombe, J.; Mason, R.; Dewhirst, M.

    2015-01-01

    by a qualitative analysis of subject responses. Distraction ratings were collected for one hundred randomly created audio-on-audio interference situations with music target and interferer programs. The selected features were related to the overall loudness, loudness ratio, perceptual evaluation of audio source...

  5. The Role of the Situation Model for Rereading Benefits in Korean-German Bilinguals

    Science.gov (United States)

    Shin, Hong Im; Wippich, Werner

    2016-01-01

    This study examines whether rereading effects transfer across two different languages at the passage level. Fluent Korean-German bilinguals read passages twice either in the same language or a different language, and passages shared either words or situations. The dependent measure was the overall reading time for the second passage reading.…

  6. Evolutionistic or revolutionary paths? A PACS maturity model for strategic situational planning.

    NARCIS (Netherlands)

    Wetering, R. van de; Batenburg, R.; Lederman, R.

    2010-01-01

    PURPOSE: While many hospitals are re-evaluating their current Picture Archiving and Communication System (PACS), few have a mature strategy for PACS deployment. Furthermore, strategies for implementation, strategic and situational planning methods for the evolution of PACS maturity are scarce in the

  7. Temporal aspects of user experience : Models and methods beyond a single use situation

    NARCIS (Netherlands)

    Kujala, S.; Minge, M.; Pohlmeyer, A.E.; Vogel, M.

    2012-01-01

    User Experience (UX) is an ongoing process and should not be limited to a single use situation. However, this is unfortunately often the case in HCI research. The goal of this workshop is to deepen and expand available knowledge with respect to temporal dynamics of UX. Relevant aspects will be the

  8. Application of new methods based on ECMWF ensemble model for predicting severe convective weather situations

    Science.gov (United States)

    Lazar, Dora; Ihasz, Istvan

    2013-04-01

    The short and medium range operational forecasts, warning and alarm of the severe weather are one of the most important activities of the Hungarian Meteorological Service. Our study provides comprehensive summary of newly developed methods based on ECMWF ensemble forecasts to assist successful prediction of the convective weather situations. . In the first part of the study a brief overview is given about the components of atmospheric convection, which are the atmospheric lifting force, convergence and vertical wind shear. The atmospheric instability is often used to characterize the so-called instability index; one of the most popular and often used indexes is the convective available potential energy. Heavy convective events, like intensive storms, supercells and tornadoes are needed the vertical instability, adequate moisture and vertical wind shear. As a first step statistical studies of these three parameters are based on nine years time series of 51-member ensemble forecasting model based on convective summer time period, various statistical analyses were performed. Relationship of the rate of the convective and total precipitation and above three parameters was studied by different statistical methods. Four new visualization methods were applied for supporting successful forecasts of severe weathers. Two of the four visualization methods the ensemble meteogram and the ensemble vertical profiles had been available at the beginning of our work. Both methods show probability of the meteorological parameters for the selected location. Additionally two new methods have been developed. First method provides probability map of the event exceeding predefined values, so the incident of the spatial uncertainty is well-defined. The convective weather events are characterized by the incident of space often rhapsodic occurs rather have expected the event area can be selected so that the ensemble forecasts give very good support. Another new visualization tool shows time

  9. Grating-based guided-mode resonance devices and degradation of their performance in real-life conditions

    DEFF Research Database (Denmark)

    Ivinskaya, Aliaksandra; Bergmann, René; Kafka, Jan Robert

    2014-01-01

    of an infinite periodic structure illuminated by a plane wave. To see how grating-based components can perform in real life we take into account two critical factors: the finite size of the grating and the Gaussian shape of the light source replacing a plane wave. These factors can significantly change...

  10. Blue Tigers, Black Tapirs, & the Pied Raven of the Faroe Islands: Teaching Genetic Drift Using Real-Life Animal Examples

    Science.gov (United States)

    Robischon, Marcel

    2015-01-01

    Genetic drift is a concept of population genetics that is central to understanding evolutionary processes and aspects of conservation biology. It is frequently taught using rather abstract representations. I introduce three real-life zoological examples, based on historical and recent color morphs of tigers, tapirs, and ravens, that can complement…

  11. The use of questionnaires in colour research in real-life settings : In search of validity and methodological pitfalls

    NARCIS (Netherlands)

    Bakker, I.C.; van der Voordt, Theo; Vink, P.; de Boon, J

    2014-01-01

    This research discusses the validity of applying questionnaires in colour research in real life settings.
    In the literature the conclusions concerning the influences of colours on human performance and well-being are often conflicting. This can be caused by the artificial setting of the test

  12. Exploring sustainability transitions in households: insights from real-life experiments

    Science.gov (United States)

    Baedeker, Carolin; Buhl, Johannes; Greiff, Kathrin; Hasselkuß, Marco; Liedtke, Christa; Lukas, Melanie

    2016-04-01

    Societal transformation towards sustainable consumption and production, especially in urban areas, is a key challenge. The design and implementation of sustainable product service systems (PSS) might be the initial point, in which private households play a major role. The Sustainable LivingLab research infrastructure was developed as an experimental setting for investigating consumption and production patterns in private households, especially to explore socio-technical innovations which are helpful to guide sustainability transitions. The suggested presentation describes results of several real-life experiments conducted in German households, e.g. the project SusLabNRW (North-Rhine Westphalia as part of the European SusLabNWE-Project), the EnerTransRuhr project as well as the PATHWAYS project that explore patterns of action, time use, social practices and the related resource use in private households. The presentation gives an overview of the employed methods and analysed data (qualitative interviews, social network analysis, survey on household activities and inventories and a sustainability assessment (resource profiles - MIPS household analysis). Households' resource consumption was calculated in all fields of activity to analyse social practices' impact. The presentation illustrates how aggregated data can inform scenario analysis and concludes with an outlook onto transition pathways at household level and socio-technical innovations in the fields of housing, nutrition and mobility.

  13. The impact of real life treatment strategies for Candida peritonitis-A retrospective analysis.

    Science.gov (United States)

    Dubler, S; Laun, M; Koch, C; Hecker, A; Weiterer, S; Siegler, B H; Röhrig, R; Weigand, M A; Lichtenstern, C

    2017-07-01

    Candida species are commonly detected isolates from abdominal foci. The question remains as to who would benefit from early empiric treatment in cases of Candida peritonitis. This study collected real-life data on critically ill patients with Candida peritonitis to estimate the relevance of the chosen treatment strategy on the outcome of these patients. One hundred and thirty-seven surgical intensive care unit (ICU) patients with intra-abdominal invasive Candidiasis were included in the study. Fifty-six patients did not get any antifungal agent. Twenty-nine patients were empirically treated, and 52 patients were specifically treated. In the group without, with empiric and with specific antifungal treatment, the 30-day mortality rate was 33.9, 48.3 and 44.2 respectively. Candida albicans was the most frequently found species. Seven patients in the specific treatment group and one patient in the empiric treatment group emerged with candidaemia. Age, leucocyte count, APACHE II Score and acute liver failure were independent predictors of 30-day mortality in patients with Candida peritonitis. Not all patients with Candida peritonitis received antifungal treatment in real clinical practice. Patients with higher morbidity more often got antifungals. Early empirical therapy has not been associated with a better 30-day mortality. © 2017 Blackwell Verlag GmbH.

  14. 'Real-life' effectiveness studies of omalizumab in adult patients with severe allergic asthma: systematic review.

    Science.gov (United States)

    Abraham, I; Alhossan, A; Lee, C S; Kutbi, H; MacDonald, K

    2016-05-01

    We reviewed 24 'real-life' effectiveness studies of omalizumab in the treatment of severe allergic asthma that included 4117 unique patients from 32 countries with significant heterogeneity in patients, clinicians and settings. The evidence underscores the short- and long-term benefit of anti-IgE therapy in terms of the following: improving lung function; achieving asthma control and reducing symptomatology, severe exacerbations and associated work/school days lost; reducing healthcare resource utilizations, in particular hospitalizations, hospital lengths of stay and accident specialist or emergency department visits; reducing or discontinuing other asthma medications; and improving quality of life - thus confirming, complementing and extending evidence from randomized trials. Thus, omalizumab therapy is associated with signal improvements across the full objective and subjective burden of illness chain of severe allergic asthma. Benefits of omalizumab may extend up to 2-4 years, and the majority of omalizumab-treated patients may benefit for many years. Omalizumab has positive short- and long-term safety profiles similar to what is known from randomized clinical trials. Initiated patients should be monitored for treatment response at 16 weeks. Those showing positive response at that time are highly likely to show sustained treatment response and benefit in terms of clinical, quality of life and health resource utilization outcomes. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  15. Five years' real-life experience with raltegravir in a large HIV centre.

    Science.gov (United States)

    van Halsema, Clare; Whitfield, Thomas; Lin, Naomi; Ashton, Kathryn; Torkington, Adele; Ustianowski, Andrew

    2016-04-01

    Raltegravir was the first licensed integrase inhibitor. Real-life experience is informative and complements trial data. We therefore evaluated raltegravir use in adults in a large HIV treatment centre. From pharmacy and departmental HIV database records, we identified all adults taking ≥1 dose of raltegravir from first availability to the end of November 2012. Data were collected using a standardised case report form. Two hundred and fifteen individuals provided 502 patient-years (median 2.6 years/person) of raltegravir use. Of 215 individuals, 166 (77%) were male, median age 43 years; 189 (88%) were antiretroviral therapy (ART)-experienced and 26 (12%) ART-naive, with median baseline CD4 counts of 324 and 54 cells/µL, respectively. Of ten individuals using once-daily raltegravir, four, with good adherence remained virologically suppressed after a median 28 months, four stopped against medical advice, one stopped to simplify and one failed virologically. In hepatitis co-infection, 35 individuals (92 patient-years) took raltegravir without evidence of hepatotoxicity. Six women started raltegravir during pregnancy for intensification (5/6) or switch for tolerability without complications. Of ten individuals stopping raltegravir after virological failure, 2/4 with successful sequencing showed resistance. Raltegravir appears safe and effective, without evidence of toxicity above that in published trials, including in pregnancy and co-infections. Once-daily dosing seems effective where adherence is good. © The Author(s) 2015.

  16. External validity of the ARISTOTLE trial in real-life atrial fibrillation patients.

    Science.gov (United States)

    Hägg, Lovisa; Johansson, Cecilia; Jansson, Jan-Håkan; Johansson, Lars

    2014-10-01

    Our primary objective was to determine the proportion of patients with atrial fibrillation (AF) eligible for enrollment in a randomized controlled trial for a novel oral anticoagulant, the ARISTOTLE trial. A secondary objective was to describe the reasons for trial ineligibility. We performed a cross-sectional study of an unselected population including 2274 patients in Skellefteå, Sweden with at least one verified episode of AF on or before December 31, 2010. Patients were classified as suitable or unsuitable for anticoagulant treatment according to current guidelines. The enrollment criteria from the ARISTOTLE trial were extracted from the original publication and applied to the population. Among all patients with AF, 1579 were classified as suitable for anticoagulant treatment. Of these, only 658 patients (42%) were eligible for participation in the ARISTOTLE trial. Among the 921 patients ineligible for participation, 498 did not meet the ECG criteria, 272 had psychosocial problems, and in addition, 78 patients were excluded due to both of these criteria. Our study shows that a majority of the patients in an unselected population with AF suitable for anticoagulant treatment were ineligible for participation in the ARISTOTLE trial. The applicability of the ARISTOTLE trial is therefore unknown for a considerable proportion of patients with AF in real life. © 2014 John Wiley & Sons Ltd.

  17. Regorafenib in the Real-Life Clinical Practice: Data from the Czech Registry.

    Science.gov (United States)

    Kopeckova, Katerina; Buchler, Tomas; Bortlicek, Zbynek; Hejduk, Karel; Chloupkova, Renata; Melichar, Bohuslav; Pokorna, Petra; Tomasek, Jiri; Linke, Zdenek; Petruzelka, Lubos; Kiss, Igor; Prausova, Jana

    2017-02-01

    To describe the use of regorafenib for the treatment of metastatic colorectal cancer (mCRC) in clinical practice in the Czech Republic, and to describe the clinical outcomes of patients in terms of safety and survival. The data of patients treated with regorafenib were extracted from the national CORECT registry. The CORECT registry is a non-interventional post-marketing database, gathering information about patients with CRC and treated with targeted agents. Twenty oncology centres in the Czech Republic contributed to this registry. Collected data included patients' characteristics, disease history, cancer treatments, response to treatments and safety. A total of 148 patients treated with regorafenib in clinical practice were analysed. At regorafenib initiation, almost all patients were fully active or slightly restricted in physical activity. Regorafenib was not administered as first-line treatment in any patient. Median progression-free survival was 3.5 months and median overall survival was 9.3 months. One-year survival rate was 44.6 %. Four partial responses were observed and 51 stable diseases. Progression was observed in 66 patients (44.6 %). The main reported adverse events were skin toxicity (5.4 %) and fatigue (2.0 %). Regorafenib is a well-established treatment for pretreated patients with mCRC, however real-life data are scarce. Our results demonstrated slightly better efficacy of regorafenib and better safety profile in patients with mCRC compared to the randomised trials.

  18. Attribute Selection via a Novel Interval Based Evaluation Algorithm: Applied on Real life data sets

    Directory of Open Access Journals (Sweden)

    Salama Mostafa A.

    2016-01-01

    Full Text Available Real life problems handled by machine learning deals with various forms of values in the data set attributes, like the continuous and discrete form. Discretization is an important step in the pre-processing stage as most of the attribute selection techniques assume the discreetness of the input values. This step could change the internal structure of the input attribute values with respect to the classification problem, and thus the quality of this step directly impact the quality of the selected features. This work discusses the problems existing in the current discretization techniques and proposes an attribute evaluation and selection technique to avoid these problems. Attributes are evaluated in its continuous form directly without biasing its internal structure and enhances the computational complexity by eliminating the discretization step. The basic insight of the proposed approach relies on the inverse relationship between class label distribution overlap and the relative information content of a given attribute. In order to estimate the validity of this assumption, a series of data sets were examined using several standard approaches including our own implementation, and the approaches ranked with respect to the overall classification accuracy. The results, at least with respect to the testing data sets deployed in this study, indicate that the proposed approach outperformed other methods selected for evaluation in this study. These results will be examined over a wider range of continuous attribute data sets from nonmedical domains in order to investigate the robustness of these results.

  19. A real life clinical practice of neurologists in the ambulatory setting in Thailand: a pragmatic study

    Directory of Open Access Journals (Sweden)

    Kannikar Kongbunkiat

    2015-06-01

    Full Text Available The burden of neurological disorders is high in developing countries. Real life data from neurologists as to how they practice in Thailand are limited in literature. Practices of neurologists in a university hospital clinical setting in Thailand were studied. A prospective study was performed at the ambulatory neurology clinic, Khon Kaen University Hospital, between 1 February and 31 October 2009. The following data were recorded: numbers of patients, characteristics of patients, consultation notes, and time spent for each patient. There were three neurologists, each of whom ran one afternoon clinic, once a week. There were 6137 visits during the 9 months, with an average of 681 visits per month. The total number of patients was 2834. The three most common diseases were cerebrovascular diseases (33%, epilepsy (16%, and movement disorders (non-Parkinson’s disease, 12%. Neurologists spent an average of 6.34 minutes per patient. In conclusion, neurologists in medical schools have limited time to take care of each patient. Several strategies are needed in medical education and neurology training to improve the quality of care.

  20. The modeling of understanding and sense’s generation processes in different architectural environmental situations of socio-cultural interaction

    OpenAIRE

    Марія Юріївна Блінова

    2015-01-01

    The article is an attempt to modeling of understanding and sense’s generation processes in different architectural environmental situations of socio-cultural interaction. Methodologically interpretation of the subject sociocultural interaction offered to make from the standpoint of modern social theories, the entity that is the social role, understood as a model of human behavior objectively given social position of the individual in the system of social relations

  1. EDITORIAL Wireless sensor networks: design for real-life deployment and deployment experiences Wireless sensor networks: design for real-life deployment and deployment experiences

    Science.gov (United States)

    Gaura, Elena; Roedig, Utz; Brusey, James

    2010-12-01

    modalities and (iv) system solutions with high end-user added value and cost benefits. The common thread is deployment and deployment evaluation. In particular, satisfaction of application requirements, involvement of the end-user in the design and deployment process, satisfactory system performance and user acceptance are concerns addressed in many of the contributions. The contributions form a valuable set, which help to identify the priorities for research in this burgeoning area: Robust, reliable and efficient data collection in embedded wireless multi-hop networks are essential elements in creating a true deploy-and-forget user experience. Maintaining full connectivity within a WSN, in a real world environment populated by other WSNs, WiFi networks or Bluetooth devices that constitute sources of interference is a key element in any application, but more so for those that are safety-critical, such as disaster response. Awareness of the effects of wireless channel, physical position and line-of-sight on received signal strength in real-world, outdoor environments will shape the design of many outdoor applications. Thus, the quantification of such effects is valuable knowledge for designers. Sensors' failure detection, scalability and commercialization are common challenges in many long-term monitoring applications; transferable solutions are evidenced here in the context of pollutant detection and water quality. Innovative, alternative thinking is often needed to achieve the desired long-lived networks when power-hungry sensors are foreseen components; in some instances, the very problems of wireless technology, such as RF irregularity, can be transformed into advantages. The importance of an iterative design and evaluation methodology—from analysis to simulation to real-life deployment—should be well understood by all WSN developers. The value of this is highlighted in the context of a challenging WPAN video-surveillance application based on a novel Nomadic Access

  2. Mathematical and Numerical Analysis of Model Equations on Interactions of the HIV/AIDS Virus and the Immune System

    Science.gov (United States)

    Parumasur, N.; Willie, R.

    2008-09-01

    We consider a simple HIV/AIDs finite dimensional mathematical model on interactions of the blood cells, the HIV/AIDs virus and the immune system for consistence of the equations to the real biomedical situation that they model. A better understanding to a cure solution to the illness modeled by the finite dimensional equations is given. This is accomplished through rigorous mathematical analysis and is reinforced by numerical analysis of models developed for real life cases.

  3. An Anomalous Noise Events Detector for Dynamic Road Traffic Noise Mapping in Real-Life Urban and Suburban Environments

    Directory of Open Access Journals (Sweden)

    Joan Claudi Socoró

    2017-10-01

    Full Text Available One of the main aspects affecting the quality of life of people living in urban and suburban areas is their continued exposure to high Road Traffic Noise (RTN levels. Until now, noise measurements in cities have been performed by professionals, recording data in certain locations to build a noise map afterwards. However, the deployment of Wireless Acoustic Sensor Networks (WASN has enabled automatic noise mapping in smart cities. In order to obtain a reliable picture of the RTN levels affecting citizens, Anomalous Noise Events (ANE unrelated to road traffic should be removed from the noise map computation. To this aim, this paper introduces an Anomalous Noise Event Detector (ANED designed to differentiate between RTN and ANE in real time within a predefined interval running on the distributed low-cost acoustic sensors of a WASN. The proposed ANED follows a two-class audio event detection and classification approach, instead of multi-class or one-class classification schemes, taking advantage of the collection of representative acoustic data in real-life environments. The experiments conducted within the DYNAMAP project, implemented on ARM-based acoustic sensors, show the feasibility of the proposal both in terms of computational cost and classification performance using standard Mel cepstral coefficients and Gaussian Mixture Models (GMM. The two-class GMM core classifier relatively improves the baseline universal GMM one-class classifier F1 measure by 18.7% and 31.8% for suburban and urban environments, respectively, within the 1-s integration interval. Nevertheless, according to the results, the classification performance of the current ANED implementation still has room for improvement.

  4. Task modelling for ambient intelligent environments: design support for situated task executions

    OpenAIRE

    LUYTEN, Kris; VANDERVELPEN, Chris; CONINX, Karin

    2005-01-01

    The design of interactive systems for an ambient intelligent environment poses many challenges because of the great diversity in devices the user has control of and the user's situation imposed by the environment. Although task-centered interface design is an established approach for traditional form-based and even for multi-device user interfaces, this design approach is, in its current form, not ready for the design of user interfaces for ambient intelligent environments. In this paper we p...

  5. A Two-Dimensional Gridded Solar Forecasting System using Situation-Dependent Blending of Multiple Weather Models

    Science.gov (United States)

    Lu, S.; Hwang, Y.; Shao, X.; Hamann, H.

    2015-12-01

    Previously, we reported the application of a "weather situation" dependent multi-model blending approach to improve the forecast accuracy of solar irradiance and other atmospheric parameters. The approach uses machine-learning techniques to classify "weather situations" by a set of atmospheric parameters. The "weather situation" classification is location-dependent and each "weather situation" has characteristic forecast errors from a set of individual input numerical weather prediction (NWP) models. The input models are thus corrected or combined differently for different "weather situations" to minimize the overall forecast error. While the original implementation of the model-blending is applicable to only point-like locations having historical data of both measurements and forecasts, here we extend the approach to provide two-dimensional (2D) gridded forecasts. An experimental 2D forecasting system has been set up to provide gridded forecasts of solar irradiance (global horizontal irradiance), temperature, wind speed, and humidity for the contiguous United States (CONUS). Validation results show around 30% enhancement of 0 to 48 hour ahead solar irradiance forecast accuracy compared to the best input NWP model. The forecasting system may be leveraged by other site- or region-specific solar energy forecast products. To enable the 2D forecasting system, historical solar irradiance measurements from around 1,600 selected sites of the remote automated weather stations (RAWS) network have been employed. The CONUS was divided into smaller sub-regions, each containing a group of 10 to 20 RAWS sites. A group of sites, as classified by statistical analysis, have similar "weather patterns", i.e. the NWPs have similar "weather situation" dependent forecast errors for all sites in a group. The model-blending trained by the historical data from a group of sites is then applied for all locations in the corresponding sub-region. We discuss some key techniques developed for

  6. Shared Mental Models of Challenging Maritime Situations: Comparisons of Ship and Shore Personnel in the Straits of Malacca and Singapore

    Directory of Open Access Journals (Sweden)

    Marius Imset

    2017-06-01

    Full Text Available Shared mental models, measured as similar perceptions and understandings of the components of a work task or an operative environment, is a key characteristic for high performing teams. Identifying and addressing differences in mental models may help enhance teamwork, and can serve as a frame for the improvement of human-centered information and communication systems. This paper has been written as part of the SESAME Straits project, a testbed within the e-Navigation framework. It examines similarities and differences in mental models between Deck Officers working aboard ships and Vessel Traffic Service Officers working ashore. Data was compared the participants´ perception of 12 challenging traffic situations in the Straits of Malacca and Singapore. A total of 189 respondents participated by means of an electronic survey. Findings show that Deck and Vessel Traffic Officers do have a large degree of shared mental models, but that there also are significant differences. In particular, there are large ship-shore differences in perceptions of the impact on local ship traffic on safety and efficiency. The second and third situation of large difference was delayed or reduced availability of port services, and challenging weather conditions. Implications are that future development of ship-shore collaborative systems should specifically explore and address the issue of local ship traffic, and to find ways to integrate information about availability and timing of port services and of difficult weather situations.

  7. Comparison of Selegiline and Rasagiline Therapies in Parkinson Disease: A Real-life Study.

    Science.gov (United States)

    Peretz, Chava; Segev, Hagar; Rozani, Violet; Gurevich, Tanya; El-Ad, Baruch; Tsamir, Judith; Giladi, Nir

    2016-01-01

    We aimed to compare indicators of Parkinson disease (PD) progression between patients first prescribed either selegiline or rasagiline as their antiparkinsonian drugs (APDs) on the basis of real-life data. Pharmacy data on members of a large Israeli health maintenance organization, treated as patients with PD during 2001-2012 and prescribed selegiline or rasagiline as their first APD, were analyzed. The first APD was selegiline for 349 patients (2001-2006) and rasagiline for 485 patients (2007-2012). Time from monoamine oxidase type B inhibitor prescription until initiating treatment with dopamine agonists (DAs) or levodopa was compared between the groups using Cox regression adjusted to sex and age at initiation of APD. The selegiline group was significantly older at first monoamine oxidase type B inhibitor purchase. In a similar follow-up time (3.0 [1.7] year for selegiline group, 3.1 y [1.4] for rasagiline group), the time to initiation of levodopa treatment did not differ between the 2 groups (adjusted hazard ratio [HR], 1.06; 95% confidence interval [CI], 0.86-1.31). The time to initiation of DA treatment was longer in the selegiline group (adjusted HR, 1.93; 95% CI, 1.49-2.53). For those who were treated with DA before levodopa (n = 276), the time to initiation of levodopa treatment was longer in the rasagiline group (adjusted HR, 0.77; 95% CI, 0.56-1.07). The similarity in time to levodopa in both groups suggests no differences between selegiline and rasagiline in their effect on the natural history of PD. A possible interaction effect between rasagiline and DA might exist. A better symptomatic profile of selegiline more than that of rasagiline in the earlier stages of PD may explain the difference between the 2 groups in time to DA initiation.

  8. Effects of omalizumab in severe asthmatics across ages: A real life Italian experience.

    Science.gov (United States)

    Sposato, B; Scalese, M; Latorre, M; Scichilone, N; Matucci, A; Milanese, M; Masieri, S; Rolla, G; Steinhilber, G; Rosati, Y; Vultaggio, A; Folletti, I; Baglioni, S; Bargagli, E; Di Tomassi, M; Pio, R; Pio, A; Maccari, U; Maggiorelli, C; Migliorini, M G; Vignale, L; Pulerà, N; Carpagnano, G E; Foschino Barbaro, M P; Perrella, A; Paggiaro, P L

    2016-10-01

    This retrospective study aimed at evaluating long-term effects of Omalizumab in elderly asthmatics in a real-life setting. 105 consecutive severe asthmatics (GINA step 4-5; mean FEV 1 % predicted:66 ± 15.7) treated with Omalizumab for at least 1 year (treatment mean duration 35.1 ± 21.7 months) were divided into 3 groups according to their age at Omalizumab treatment onset: 18-39, 40-64 and ≥ 65 years. Comorbidities, number of overweight/obese subjects and patients with late-onset asthma were more frequent among older people. A similar reduction of inhaled corticosteroids dosage and SABA on-demand therapy was observed in all groups during Omalizumab treatment; a similar FEV 1 increased was also observed. Asthma Control Test (ACT) improved significantly (p Omalizumab but the percentage of exacerbation-free patients was higher in younger people (76.9%) compared to middle aged patients (49.2%) and the elderly (29%) (p = 0.049). After Omalizumab treatment, the risk for exacerbations was lower in subjects aged 40-64 (OR = 0.284 [CI95% = 0.098-0.826], p = 0.021) and 18-39 (OR = 0.133 [CI95% = 0.026-0.678], p = 0.015), compared to elderly asthmatics. Also, a significantly reduced ACT improvement (β = -1.070; p = 0.046) passing from each age class was observed. Omalizumab improves all asthma outcomes independently of age, although the magnitude of the effects observed in the elderly seems to be lower than in the other age groups. Copyright © 2016 Elsevier Ltd. All rights reserved.

  9. Local contextual processing of abstract and meaningful real-life images in professional athletes.

    Science.gov (United States)

    Fogelson, Noa; Fernandez-Del-Olmo, Miguel; Acero, Rafael Martín

    2012-05-01

    We investigated the effect of abstract versus real-life meaningful images from sports on local contextual processing in two groups of professional athletes. Local context was defined as the occurrence of a short predictive series of stimuli occurring before delivery of a target event. EEG was recorded in 10 professional basketball players and 9 professional athletes of individual sports during three sessions. In each session, a different set of visual stimuli were presented: triangles facing left, up, right, or down; four images of a basketball player throwing a ball; four images of a baseball player pitching a baseball. Stimuli consisted of 15 % targets and 85 % of equal numbers of three types of standards. Recording blocks consisted of targets preceded by randomized sequences of standards and by sequences including a predictive sequence signaling the occurrence of a subsequent target event. Subjects pressed a button in response to targets. In all three sessions, reaction times and peak P3b latencies were shorter for predicted targets compared with random targets, the last most informative stimulus of the predictive sequence induced a robust P3b, and N2 amplitude was larger for random targets compared with predicted targets. P3b and N2 peak amplitudes were larger in the professional basketball group in comparison with professional athletes of individual sports, across the three sessions. The findings of this study suggest that local contextual information is processed similarly for abstract and for meaningful images and that professional basketball players seem to allocate more attentional resources in the processing of these visual stimuli.

  10. Body mass index and quality of bowel preparation: Real life vs. clinical trials.

    Science.gov (United States)

    Sharara, Ala I; Harb, Ali H; Sarkis, Fayez S; Chalhoub, Jean M; Habib, Robert H

    2016-03-01

    Obesity is a recognised risk factor for poor bowel preparation in retrospective studies whilst corresponding data in prospective trials are marginally reported. Aims are to evaluate the relation between body mass index (BMI) and preparation quality in retrospective and interventional prospective settings and within a single centre. Data from a recent colorectal cancer screening registry were retrospectively analysed for the relation between BMI and adequacy of preparation. Patients were categorised as underweight (BMI30kg/m(2)). Data from a recent prospective colon preparation trial were similarly analysed. 541 registry patients were included. Multivariate analysis showed BMI to be an independent risk factor for inadequate preparation. Obesity was associated with odds ratio (OR) of 5.3 [95% confidence interval (CI) 1.4-19.8; p=0.01] compared to normal BMI. A significant difference was also noted in underweight but otherwise healthy individuals (OR=11.1, 95% CI 2-60; p=0.005). In the prospective study of 195 patients, obese patients had comparable rates of inadequate preparation to normal-weight individuals (OR=0.7, 95% CI 1.1-3.96; p=0.68). Underweight patients had a significantly worse preparation compared to normal BMI individuals (OR=8, 95% CI 1.1-58; p=0.04). In real life, bowel preparations in obese individuals have a lower quality in comparison to normal individuals. This finding is not replicated in clinical trials. This discrepancy is likely the result of focused patient education suggesting that this is primarily a dietary compliance phenomenon. Underweight individuals appear to have worse quality of preparation independent of study design or setting. Copyright © 2016 Arab Journal of Gastroenterology. Published by Elsevier B.V. All rights reserved.

  11. Patients with asthma and comorbid allergic rhinitis: is optimal quality of life achievable in real life?

    Directory of Open Access Journals (Sweden)

    Fulvio Braido

    Full Text Available OBJECTIVES: Asthma trials suggest that patients reaching total disease control have an optimal Health Related Quality of Life (HRQoL. Moreover, rhinitis is present in almost 80% of asthmatics and impacts asthma control and patient HRQoL. We explored whether optimal HRQoL was reachable in a real-life setting, and evaluated the disease and patient related patterns associated to optimal HRQoL achievement. METHODS AND FINDINGS: Asthma and rhinitis HRQoL, illness perception, mood profiles, rhinitis symptoms and asthma control were assessed by means of validated tools in patients classified according to GINA and ARIA guidelines. Optimal HRQoL, identified by a Rhinasthma Global Summary (GS score ≤20 (score ranging from 0 to 100, where 100 represents the worst possible HRQoL, was reached by 78/209 (37.32%. With the exception of age, no associations were found between clinical and demographic characteristics and optimal HRQoL achievement. Patients reaching an optimal HRQoL differed in disease perception and mood compared to those not reaching an optimal HRQoL. Asthma control was significantly associated with optimal HRQoL (χ(2 = 49.599; p<0.001 and well-controlled and totally controlled patients significantly differed in achieving optimal HRQoL (χ(2 = 7.617; p<0.006. CONCLUSION: Approximately one third of the patients in our survey were found to have an optimal HRQoL. While unsatisfactory disease control was the primary reason why the remainder failed to attain optimal HRQoL, it is clear that illness perception and mood also played parts. Therefore, therapeutic plans should be directed not only toward achieving the best possible clinical control of asthma and comorbid rhinitis, but also to incorporating individualized elements according to patient-related characteristics.

  12. 'Real-life' information on pulmonary arterial hypertension: the iPHnet Project.

    Science.gov (United States)

    Poscia, Roberto; Ghio, Stefano; D'Alto, Michele; Vitulo, Patrizio; Mulè, Massimilano; Albera, Carlo; Parisi, Francesco; Badagliacca, Roberto; Fedele, Francesco; Vizza, Carmine Dario

    2014-12-01

    Over the last two decades the development and analysis of a number of registries have enhanced the knowledge of the epidemiology, presentation, natural history, and pathophysiology of pulmonary arterial hypertension (PAH). The understanding of the effectiveness of available treatments has also been greatly improved. However, most of the registries present some methodological issues, such as differences in the classification of patients and presence of confounding factors or missing values, that can impact on the generalizability of the results. The aim of this study is to present the Italian Pulmonary Hypertension Network (iPHnet) Project, a database used to collect health records on patients with PAH that can also be used for research purposes to retrieve ad hoc information. iPHnet presents various characteristics such as facilitated access, data sharing and interoperability, update, patient's anonymity and data integrity. The system also enables the creation of patients' electronic health records (EHRs), the exportation and personalization of data and the possibility to design clinical report forms (CRFs) and collect information usable in clinical trials. In addition, it is possible to analyze the information present in the registry, creating graphs or other immediately available charts to evaluate the trends of a specific data and perform therapeutic or clinic adjustments. Treatment of data in the iPHnet database complies with FDA requirements, backup and disaster recovery policies and patients' privacy. iPHnet is a flexible tool that integrates the capabilities of an EHR for PAH patients with those of a PAH registry. The ability to retrieve relevant information - although with all the limitations of any registry-based analysis - and to create appropriate CRFs will facilitate the development of prospective and retrospective trials aimed at providing new 'real-life' evidence on PAH.

  13. Chronic Hepatitis C Treatment with Direct-Acting Antiviral Agents in a Real-Life Setting.

    Science.gov (United States)

    Chirino-Sprung, Ruby Ann; Dehesa, Margarita; Wolpert, Enrique; Corona-Lau, Clara; García-Juarez, Ignacio; Sánchez-Ávila, José Francisco; Moctezuma-Velázquez, Carlos; Kershenobich, David

    2016-01-01

    In clinical trials, new oral direct-acting antiviral agent therapies have demonstrated a high sustained virological response rate in patients with hepatitis C virus infection. We aimed to analyze the efficacy and safety data from direct-acting antiviral agent interferon-free therapy in hepatitis C virus infection in a study performed in five different clinical settings in Mexico City; four private practice sites and one academic medical center in a real-world scenario. Eighty-one patients were treated with seven different direct-acting antiviral agent regimens, in which the end of treatment, sustained virological response at 12 weeks post-treatment, and adverse effects were evaluated. At their discretion, attending physicians selected the treatment regimens and durations. In total, 70.4% of the patients were female and the mean age was 60.7 years; 74.1% had blood transfusion as a risk factor. The most common genotype was 1b (70.4%). The fibrosis stage was F3 or F4 in 55.5% of patients; liver cirrhosis was present in 44%. The overall end of treatment response was 98.8%, and the rate of sustained virological response was 96%, independent of the regimen. Three patients did not achieve sustained virological response; they had cirrhosis and were treatment-experienced, and two had hepatocarcinoma. Non-significant adverse effects during treatment were documented. In this real-life setting in Mexico, a rate of 96% of sustained virological response to direct-acting antiviral agents was achieved in an older population of patients with advanced fibrosis. This study provides data that may be useful in guiding health professionals and authorities in the development of health policies.

  14. Emergency situations

    International Nuclear Information System (INIS)

    2007-01-01

    The nuclear activities are exercised so as to prevent the accidents. They are subjected to a rule whom application is controlled by the Asn. The risk of grave accident is so limited to a very low level of probability. He cannot be however completely pushed aside. The expression ' radiological emergency situation ' indicates a situation which ensues from an incident or of an accident risking to lead to an emission of radioactive materials or a level of radioactivity susceptible to strike a blow at the public health. The term ' nuclear crisis ' is used for the events which can lead to a radiological emergency situation on a nuclear basic installation or during a transport of radioactive materials. The preparation and the management of emergency situations, that they are of natural, accidental or terrorist origin, became a major concern of our society. We propose you of to know more about it in this file. (N.C.)

  15. Situated Transgressiveness

    DEFF Research Database (Denmark)

    Muhr, Sara Louise; Sullivan, Katie Rose; Rich, Craig

    2016-01-01

    This study investigates the lived experience of one transwoman, Claire, a public advocate and a manager with client services responsibilities. We examine Claire's story in order to discuss how situated contexts, such as different roles, locales and interactions, shape the way she experiences...... and perceives her trans body and gender identity. In particular, our analysis centres on how Claire's lived experience of personal and professional life shift across three different situated contexts, each enabling and constraining opportunities for political transgression. Our findings contribute to existing...... conversations within queer theory, transgender and organization studies by highlighting how situated contexts mediate the political potential of queer bodies at work. By developing the concept ‘situated transgressiveness’, this article challenges notions of transgender as a stable, ideal disruptive category...

  16. Situating Engagement

    DEFF Research Database (Denmark)

    Korn, Matthias

    Our mobile phone is with us at all times. Habitually, we pick it up in the morning and carry it around on our daily routes and routines. Increasingly, we use it to locate ourselves and the things and people around us. With ubiquitous computing, technology is moving into the very fabric of our...... through design’ approach is applied across four participatory design experiments to explore how to design for situated engagement in land use planning. A notion of a situated engagement infrastructure made up of mobile, stationary, ubiquitous, and remote systems frames the design experiments suggesting....... First, situationally appropriate forms of engagement that align well with citizens’ own conceptions are necessary in order to provide relevance and meaning of issues in the moment. Second, situated engagement requires a technological setup which facilitates the co-location of people, place...

  17. Toward an engineering model for the aerodynamic forces acting on wind turbine blades in quasisteady standstill and blade installation situations

    DEFF Research Database (Denmark)

    Gaunaa, Mac; Heinz, Joachim Christian; Skrzypinski, Witold Robert

    2016-01-01

    The crossflow principle is one of the key elements used in engineering models for prediction of the aerodynamic loads on wind turbine blades in standstill or blade installation situations, where the flow direction relative to the wind turbine blade has a component in the direction of the blade span...... direction. In the present work, the performance of the crossflow principle is assessed on the DTU 10MW reference blade using extensive 3D CFD calculations. Analysis of the computational results shows that there is only a relatively narrow region in which the crossflow principle describes the aerodynamic...... for the key aerodynamic loads in crossflow situations. The general validity of this model for other blade shapes should be investigated in subsequent works....

  18. Decreasing Damaging Effects of Stress-Bound Situations: Toward a New Model of Leadership Under Stress

    Science.gov (United States)

    1990-07-01

    a social environment already familiar to then, they would not antecipate new sources of stress and coping. Situations such as this one require a...Management Journal, 1984, 27, 2, 330-350. PEREIRA, O.G.: cHomens em guerra: I - Estudo psiquAtrico, Revista Poriugusa de Medicina Militar. 22, 2 139-154...1974. PEREIRA, O.G.: ’Homens em Guerra: II - Estudo psicossocial de campop Revista Portuguesa de Medicina Mili- tar22, 2, 139-154 1974a. PEREIRA, O.G

  19. Long-term Course of Alzheimer Disease in Patients Treated According to the Dutch Dementia Guideline at a Memory Clinic A "Real-Life" Study

    NARCIS (Netherlands)

    Droogsma, Erika; van Asselt, Dieneke; van Steijn, Jolanda; Diekhuis, Marjolein; Veeger, Nic; De Deyn, Peter P.

    2016-01-01

    Introduction:There is little knowledge of the long-term course of Alzheimer disease (AD) in light of current pharmacological and nonpharmacological interventions provided in a real-life setting.Methods:The Frisian Alzheimer's Disease Cohort study is a real-life study of the course of AD in patients

  20. Hip and Ankle Kinematics in Noncontact Anterior Cruciate Ligament Injury Situations: Video Analysis Using Model-Based Image Matching.

    Science.gov (United States)

    Koga, Hideyuki; Nakamae, Atsuo; Shima, Yosuke; Bahr, Roald; Krosshaug, Tron

    2018-02-01

    Detailed kinematic descriptions of real anterior cruciate ligament (ACL) injury situations are limited to the knee only. To describe hip and ankle kinematics as well as foot position relative to the center of mass (COM) in ACL injury situations through use of a model-based image-matching (MBIM) technique. The distance between the projection of the COM on the ground and the base of support (BOS) (COM_BOS) normalized to the femur length was also evaluated. Descriptive laboratory study. Ten ACL injury video sequences from women's handball and basketball were analyzed. Hip and ankle joint kinematic values were obtained by use of MBIM. The mean hip flexion angle was 51° (95% CI, 41° to 63°) at initial contact and remained constant over the next 40 milliseconds. The hip was internally rotated 29° (95% CI, 18° to 39°) at initial contact and remained unchanged for the next 40 milliseconds. All of the injured patients landed with a heel strike with a mean dorsiflexion angle of 2° (95% CI, -9° to 14°), before reaching a flatfooted position 20 milliseconds later. The foot position was anterior and lateral to the COM in all cases. However, none of the results showed larger COM_BOS than 1.2, which has been suggested as a criterion for ACL injury risk. Hip kinematic values were consistent among the 10 ACL injury situations analyzed; the hip joint remained unchanged in a flexed and internally rotated position in the phase leading up to injury, suggesting that limited energy absorption took place at the hip. In all cases, the foot contacted the ground with the heel strike. However, relatively small COM_BOS distances were found, indicating that the anterior and lateral foot placement in ACL injury situations was not different from what can be expected in noninjury game situations.

  1. Sofosbuvir based treatment of chronic hepatitis C genotype 3 infections-A Scandinavian real-life study

    DEFF Research Database (Denmark)

    Dalgard, Olav; Weiland, Ola; Noraberg, Geir

    2017-01-01

    BACKGROUND AND AIMS: Chronic hepatitis C virus (HCV) genotype 3 infection with advanced liver disease has emerged as the most challenging to treat. We retrospectively assessed the treatment outcome of sofosbuvir (SOF) based regimes for treatment of HCV genotype 3 infections in a real life setting...... was similar for all treatment regimens, but lower in men (p = 0.042), and in patients with decompensated liver disease (p = 0.004). CONCLUSION: We found that sofosbuvir based treatment in a real-life setting could offer SVR rates exceeding 90% in patients with HCV genotype 3 infection and advanced liver...... in Scandinavia. METHODS: Consecutive patients with chronic HCV genotype 3 infection were enrolled at 16 treatment centers in Denmark, Sweden, Norway and Finland. Patients who had received a SOF containing regimen were included. The fibrosis stage was evaluated by liver biopsy or transient liver elastography...

  2. Absent yet Present: On the Paradoxical Nature of Characters in Nabokov’s The Real Life of Sebastian Knight

    Directory of Open Access Journals (Sweden)

    Irina Marchesini

    2016-11-01

    Full Text Available The present research is focused on the theme of absence, an area of inquiry that might seem dominant in the field of Nabokov Studies. The analysis, which concentrates in particular on the key figures of the novel The Real Life of Sebastian Knight (1941, notably the narrator V. and the poet Sebastian Knight, interprets the characters’ construction through the paradigm of absence. Arguably, the construction of characters in The Real Life of Sebastian Knight is paradoxical: absence constitutes their essence at a core level, as it often happens in the context of the self-conscious genre. Moreover, absence plays a key role in characters’ design, linking them to all Nabokovian novels. However, despite their innermost ‘flatness’, to use Edward M. Forster’s terminology, they still appear to be ‘round’, i.e. plausible, mimetic figures.

  3. The importance of shared mental models and shared situation awareness for transforming robots from tools to teammates

    Science.gov (United States)

    Ososky, Scott; Schuster, David; Jentsch, Florian; Fiore, Stephen; Shumaker, Randall; Lebiere, Christian; Kurup, Unmesh; Oh, Jean; Stentz, Anthony

    2012-06-01

    Current ground robots are largely employed via tele-operation and provide their operators with useful tools to extend reach, improve sensing, and avoid dangers. To move from robots that are useful as tools to truly synergistic human-robot teaming, however, will require not only greater technical capabilities among robots, but also a better understanding of the ways in which the principles of teamwork can be applied from exclusively human teams to mixed teams of humans and robots. In this respect, a core characteristic that enables successful human teams to coordinate shared tasks is their ability to create, maintain, and act on a shared understanding of the world and the roles of the team and its members in it. The team performance literature clearly points towards two important cornerstones for shared understanding of team members: mental models and situation awareness. These constructs have been investigated as products of teams as well; amongst teams, they are shared mental models and shared situation awareness. Consequently, we are studying how these two constructs can be measured and instantiated in human-robot teams. In this paper, we report results from three related efforts that are investigating process and performance outcomes for human robot teams. Our investigations include: (a) how human mental models of tasks and teams change whether a teammate is human, a service animal, or an advanced automated system; (b) how computer modeling can lead to mental models being instantiated and used in robots; (c) how we can simulate the interactions between human and future robotic teammates on the basis of changes in shared mental models and situation assessment.

  4. Using art as a self-regulating tool in a war situation: a model for social workers.

    Science.gov (United States)

    Huss, Ephrat; Sarid, Orly; Cwikel, Julie

    2010-08-01

    War poses a challenge for social workers, adding exposure to direct risk of personal harm to the general stress of social work practice. Artworks are frequently used in health care settings with people in high distress. This study had three goals: (1) to characterize the stressors of social workers living in a war zone, (2) to teach social workers in crisis situations to identify stress and resilience factors in their artworks, and (3) to develop a general self-care model for arts intervention for professionals in these situations. Common stressors experienced by participants were anxiety and fear as a result of bombs, sirens, worry over loved ones, and overexposure to media. These were layered onto professional stressors, including constant work communication on cell phones during war and dilemmas related to work-family conflicts. Allowing social workers to name and identity the sources of their stress and then change their artwork to enhance resilience helped them to gain a sense of control over diffuse sources of anxiety. The authors propose this method as an effective intervention model with social workers in high-stress situations.

  5. Benchmark of nonlocal transport models against Vlasov-Fokker-Planck codes in situations of immediate relevance to ICF

    Science.gov (United States)

    Del Sorbo, Dario; Brodrick, Jonathan P.; Read, Martin P.; Holec, Milan; Debayle, Arnaud; Loiseau, Pascal; Kingham, Robert J.; Nicolai, Philippe; Feugeas, Jean-Luc; Tikhonchuk, Vladimir T.; Ridgers, Christopher P.

    2017-10-01

    Hydrodynamics simulations relevant to inertial confinement fusion require a detailed description of energy transport, in particular by electrons. This may be nonlocal if, as is commonly the case, the plasma is not in local thermodynamic equilibrium (i.e. if the electron mean free path is long compared to the temperature scale-length). In this case, a kinetic model of electron thermal transport is required. Some of the most successful approaches to nonlocal transport (SNB & M1 models) are systematically compared against Vlasov-Foker-Planck & Particle-in-Cell codes, extending benchmarking beyond the 1D unmagnetized case and studying situations of immediate relevance to ICF.

  6. Measurement of Walking Ground Reactions in Real-Life Environments: A Systematic Review of Techniques and Technologies.

    Science.gov (United States)

    Shahabpoor, Erfan; Pavic, Aleksandar

    2017-09-12

    Monitoring natural human gait in real-life environments is essential in many applications, including quantification of disease progression, monitoring the effects of treatment, and monitoring alteration of performance biomarkers in professional sports. Nevertheless, developing reliable and practical techniques and technologies necessary for continuous real-life monitoring of gait is still an open challenge. A systematic review of English-language articles from scientific databases including Scopus, ScienceDirect, Pubmed, IEEE Xplore, EBSCO and MEDLINE were carried out to analyse the 'accuracy' and 'practicality' of the current techniques and technologies for quantitative measurement of the tri-axial walking ground reactions outside the laboratory environment, and to highlight their strengths and shortcomings. In total, 679 relevant abstracts were identified, 54 full-text papers were included in the paper and the quantitative results of 17 papers were used for meta-analysis and comparison. Three classes of methods were reviewed: (1) methods based on measured kinematic data; (2) methods based on measured plantar pressure; and (3) methods based on direct measurement of ground reactions. It was found that all three classes of methods have competitive accuracy levels with methods based on direct measurement of the ground reactions showing highest accuracy while being least practical for long-term real-life measurement. On the other hand, methods that estimate ground reactions using measured body kinematics show highest practicality of the three classes of methods reviewed. Among the most prominent technical and technological challenges are: (1) reducing the size and price of tri-axial load-cells; (2) improving the accuracy of orientation measurement using IMUs; (3) minimizing the number and optimizing the location of required IMUs for kinematic measurement; (4) increasing the durability of pressure insole sensors, and (5) enhancing the robustness and versatility of the

  7. Measurement of Walking Ground Reactions in Real-Life Environments: A Systematic Review of Techniques and Technologies

    Directory of Open Access Journals (Sweden)

    Erfan Shahabpoor

    2017-09-01

    Full Text Available Monitoring natural human gait in real-life environments is essential in many applications, including quantification of disease progression, monitoring the effects of treatment, and monitoring alteration of performance biomarkers in professional sports. Nevertheless, developing reliable and practical techniques and technologies necessary for continuous real-life monitoring of gait is still an open challenge. A systematic review of English-language articles from scientific databases including Scopus, ScienceDirect, Pubmed, IEEE Xplore, EBSCO and MEDLINE were carried out to analyse the ‘accuracy’ and ‘practicality’ of the current techniques and technologies for quantitative measurement of the tri-axial walking ground reactions outside the laboratory environment, and to highlight their strengths and shortcomings. In total, 679 relevant abstracts were identified, 54 full-text papers were included in the paper and the quantitative results of 17 papers were used for meta-analysis and comparison. Three classes of methods were reviewed: (1 methods based on measured kinematic data; (2 methods based on measured plantar pressure; and (3 methods based on direct measurement of ground reactions. It was found that all three classes of methods have competitive accuracy levels with methods based on direct measurement of the ground reactions showing highest accuracy while being least practical for long-term real-life measurement. On the other hand, methods that estimate ground reactions using measured body kinematics show highest practicality of the three classes of methods reviewed. Among the most prominent technical and technological challenges are: (1 reducing the size and price of tri-axial load-cells; (2 improving the accuracy of orientation measurement using IMUs; (3 minimizing the number and optimizing the location of required IMUs for kinematic measurement; (4 increasing the durability of pressure insole sensors, and (5 enhancing the robustness and

  8. The Other Side of the Screen - Simultaneously maintaining social relationships in real life and on social media

    OpenAIRE

    Gruenke, Solveig Wiland

    2017-01-01

    Social media as a social concept is becoming a prominent fixture in social life and is taking on a significant increase in social relevance, both academically and in popular discourse. The academic research is often focused on either the online content itself or the macro societal implications, more than the real-life social aspect of social media. People using social media are now simultaneously producing content about their life online, whilst they are, in fact, living it. The new social fe...

  9. Real-life efficacy and safety of omalizumab in Portuguese patients with persistent uncontrolled asthma.

    Science.gov (United States)

    Pereira Barbosa, M; Bugalho de Almeida, A; Pereira, C; Chen, C-W; Georgiou, P; Peachey, G

    2015-01-01

    The real life effectiveness, safety and the use of omalizumab for Portuguese patients with uncontrolled persistent allergic asthma are not sufficiently well known. The objective of this report was to make an evaluation, in a post-marketing, non-interventional, observational registry, of the Portuguese population included in the eXpeRience study. The methods used in this report are the same as the global eXpeRience ones, applied to a Portuguese sub-population. Patients with uncontrolled allergic asthma who had started omalizumab within the previous 15 weeks were enrolled and received omalizumab add-on therapy for 24 months. The physicians' global evaluation of treatment effectiveness (GETE), asthma symptoms and control (ACT score), quality of life (mini-AQLQ score), exacerbations, and serious adverse events (SAE) were reported. Of the 943 patients recruited in the eXpeRience registry, 62 patients were from Portugal. 62.1% of them were observed to be responders with good/excellent GETE assessment at Week 16. Clinically meaningful improvements in asthma control (ACT score) and quality of life (mini-AQLQ score) were observed with omalizumab therapy at Months 12 (mean change: +7.7 [n=35]; +2.1 [n=20], respectively) and 24 (mean change: +7.0 [n=26]; +2.7 [n=13], respectively). Asthma symptoms and rescue medication usage were reduced to ≤1 day/week at Month 24 from a baseline of ≥3.5 days/week. The proportion of patients with no clinically significant exacerbations increased from 6.5% during pre-treatment (n=62) to 50% at Month 12 (n=54) and 60% at Month 24 (n=45). The findings from the Portugal subpopulation of eXpeRience registry confirm that omalizumab add-on therapy is efficacious and well tolerated in the management of uncontrolled persistent allergic asthma. Another pertinent issue is the fact that the Portuguese subpopulation response is similar to the international population average of the study. Copyright © 2014 Sociedade Portuguesa de Pneumologia

  10. Takotsubo cardiomyopathy: real life management in the intensive coronary care unit.

    Science.gov (United States)

    Pullara, A; Chinaglia, A; Giammaria, M; Bequaraj, F; Orlando, F; Coda, L; Lucciola, M T; Forno, D; Ravera, L; Cecchi, E; Gaita, F; Belli, R

    2013-10-01

    Takotsubo cardiomyopathy is a cardiac syndrome characterized by reversible left ventricular dysfunction, ischemic changes on electrocardiogram, elevation of cardiac biomarkers, absence of obstructive coronary artery disease in the setting of various stressing conditions. To date, little is known on best clinical management of this syndrome in coronary care units. Whe thus aimed to present our experience in a real life takotsubo population. We identified all patients with Takotsubo cardiomyopathy at our center Maria Vittoria Hospital, Turin, between October 2006 and February 2012. Patients where considered to have Takotsubo syndrome if they presented chest pain on admission, new elettrocardiographic changes suggestive of myocardial ischemia, evidence of apical balloning with hyperkinesis of basal segments on echocardiography, rise in troponin I and, after coronary angiography, no coronary artery disease. We adjudicated the following clinical events: death and recurrence of ischemic events; we also made a detailed analysis of the stressing conditions leading to clinical syndrome. A total of 26 patients were included, 4 (15%) males and 22 (85%) females; mean age was 71±13. After more than 1 year median follow-up the incidence of death was 7.7% (2 deaths), with all deaths, due to cardiogenic shock, occurring in the first 10 days of hospitalization; 2 patients (8%) experienced recurrence of ischemic event. Leading cause of Takostubo was major depressive episode (16%), followed by mourning (12%), falling down with difficulties in standing up (12%), vomiting (8%) and pulmonary infection (8%). In the coronary care unit major complications of patients with Takotsubo syndrome were acute hearth failure (62%), cardiogenic shock (27%), sepsis (31%), pulmonary aedema (27%) and anemia (12%). Two patients needed non-invasive ventilation support and one intra-aortic balloon conterpulasation. In addition one patient developed rabdomyolysis and one left heart thrombus. Cornerstone

  11. Nonlinear Heart Rate Variability features for real-life stress detection. Case study: students under stress due to university examination.

    Science.gov (United States)

    Melillo, Paolo; Bracale, Marcello; Pecchia, Leandro

    2011-11-07

    This study investigates the variations of Heart Rate Variability (HRV) due to a real-life stressor and proposes a classifier based on nonlinear features of HRV for automatic stress detection. 42 students volunteered to participate to the study about HRV and stress. For each student, two recordings were performed: one during an on-going university examination, assumed as a real-life stressor, and one after holidays. Nonlinear analysis of HRV was performed by using Poincaré Plot, Approximate Entropy, Correlation dimension, Detrended Fluctuation Analysis, Recurrence Plot. For statistical comparison, we adopted the Wilcoxon Signed Rank test and for development of a classifier we adopted the Linear Discriminant Analysis (LDA). Almost all HRV features measuring heart rate complexity were significantly decreased in the stress session. LDA generated a simple classifier based on the two Poincaré Plot parameters and Approximate Entropy, which enables stress detection with a total classification accuracy, a sensitivity and a specificity rate of 90%, 86%, and 95% respectively. The results of the current study suggest that nonlinear HRV analysis using short term ECG recording could be effective in automatically detecting real-life stress condition, such as a university examination.

  12. Self-disclosure through weblogs and perceptions of online and "real-life" friendships among female bloggers.

    Science.gov (United States)

    Bane, Cynthia M H; Cornish, Marilyn; Erspamer, Nicole; Kampman, Lia

    2010-04-01

    The current study examined female bloggers' perceptions of online and "real-life" same-sex friendships and examined relationships between self-disclosure through blogs and perceptions of the two types of friendships. Three hundred seven female bloggers (M age = 34.56 years) completed an online survey regarding friendship satisfaction and perceptions of intimacy-promoting interaction patterns in friendships. One hundred respondents' weblogs were analyzed for self-disclosure. Self-reported self-disclosure was positively correlated with number of online friendships and satisfaction with online friendships. Although participants reported having close online friends, they perceived real-life friendships as more likely than online friendships to possess intimacy-promoting interaction patterns. These perceptions did not differ as a function of self-disclosure through blogging, although bloggers who were categorized as higher in disclosure were more satisfied with online friendships than were bloggers who were categorized as lower in disclosure. These results suggest a relationship between self-disclosure through blogging and online relationship satisfaction among women in middle adulthood but that these women perceive real-life friendships as more likely to offer interaction patterns that foster intimacy.

  13. Drop-out rate among patients treated with omalizumab for severe asthma: Literature review and real-life experience.

    Science.gov (United States)

    Caminati, M; Senna, G; Stefanizzi, G; Bellamoli, R; Longhi, S; Chieco-Bianchi, F; Guarnieri, G; Tognella, S; Olivieri, M; Micheletto, C; Festi, G; Bertocco, E; Mazza, M; Rossi, A; Vianello, A

    2016-08-25

    In patients with asthma, particularly severe asthma, poor adherence to inhaled drugs negatively affects the achievement of disease control. A better adherence rate is expected in the case of injected drugs, such as omalizumab, as they are administered only in a hospital setting. However, adherence to omalizumab has never been systematically investigated. The aim of this study was to review the omalizumab drop-out rate in randomized controlled trials (RCTs) and real-life studies. A comparative analysis was performed between published data and the Italian North East Omalizumab Network (NEONet) database. In RCTs the drop-out rate ranged from 7.1 to 19.4 %. Although the reasons for withdrawal were only occasionally reported, patient decision and adverse events were the most frequently reported causes. In real-life studies the drop-out rate ranged from 0 to 45.5 %. In most cases lack of efficacy was responsible for treatment discontinuation. According to NEONet data, 32 % of treated patients dropped out, with an increasing number of drop outs observed over time. Patient decision and lack of efficacy accounted for most treatment withdrawals. Treatment adherence is particularly crucial in patients with severe asthma considering the clinical impact of the disease and the cost of non-adherence. The risk of treatment discontinuation has to be carefully considered both in the experimental and real-life settings. Increased knowledge regarding the main reasons for patient withdrawal is important to improve adherence in clinical practice.

  14. A Delphi Study to Detect Deficiencies and Propose Actions in Real Life Treatment of Neovascular Age-Related Macular Degeneration

    Directory of Open Access Journals (Sweden)

    Alfredo García-Layana

    2014-01-01

    Full Text Available Purpose. Spanish retina specialists were surveyed in order to propose actions to decrease deficiencies in real-life neovascular age macular degeneration treatment (nv-AMD. Methods. One hundred experts, members of the Spanish Vitreoretinal Society (SERV, were invited to complete an online survey of 52 statements about nv-AMD management with a modified Delphi methodology. Four rounds were performed using a 5-point Linkert scale. Recommendations were developed after analyzing the differences between the results and the SERV guidelines recommendations. Results. Eighty-seven specialists completed all the Delphi rounds. Once major potential deficiencies in real-life nv-AMD treatment were identified, 15 recommendations were developed with a high level of agreement. Consensus statements to reduce the burden of the disease included the use of treat and extend regimen and to reduce the amount of diagnostic tests during the loading phase and training technical staff to perform these tests and reduce the time between relapse detection and reinjection, as well as establishing patient referral protocols to outside general ophthalmology clinics. Conclusion. The level of agreement with the final recommendations for nv-AMD treatment among Spanish retinal specialist was high indicating that some actions could be applied in order to reduce the deficiencies in real-life nv-AMD treatment.

  15. Real-Life Solutions to Real-Life Problems: Collaborating with a Non-Profit Foundation to Engage Honors Students in Applied Research

    Science.gov (United States)

    Stark, Emily

    2013-01-01

    Colleges and universities have long emphasized undergraduate research experiences as valuable activities for students. Collegiate honors programs in particular have embraced the role of student research as an integral experience for high-ability students, leading the way in developing the thesis-based model of undergraduate research that is…

  16. Exploring a Model of Situated Professional Development: Impact on Classroom Practice

    Science.gov (United States)

    Singer, Jonathan; Lotter, Christine; Feller, Robert; Gates, Harry

    2011-04-01

    A hallmark of current science education reform involves teaching through inquiry. However, the widespread use of inquiry-based instruction in many classrooms has not occurred (Roehrig and Luft in Int J Sci Educ 26:3-24, 2004; Schneider et al. in J Res Sci Teach 42:283-312, 2005). The purpose of this study was to investigate the impact of a professional development program on middle school science teachers' ability to enact inquiry-based pedagogical practices. Data were generated through evaluation of teacher practice using the Reformed Teaching Observation Protocol (RTOP) (Sawada et al. in School Sci Math 102:245-253, 2002) at three distinct junctures, before, during, and after the professional development treatment. Analysis of teacher-participant post-institute reflections was then utilized to determine the perceived role of the various institute components. Statistical significant changes in RTOP scores indicated that the teachers were able to successfully transfer the enactment of the inquiry-based practices into their classrooms. The subsequent discussion provides connection between these pedagogical changes with use of professional development strategies that provide a situated learning environment.

  17. A multiaxial constitutive model for concrete in the fire situation: Theoretical formulation

    International Nuclear Information System (INIS)

    Gernay, Thomas; Millard, Alain; Franssen, Jean-Marc

    2013-01-01

    This paper aims to develop a multiaxial concrete model for implementation in finite element software dedicated to the analysis of structures in fire. The need for proper concrete model remains a challenging task in structural fire engineering because of the complexity of the concrete mechanical behavior characterization and the severe requirements for the material models raised by the development of performance- based design. A fully three-dimensional model is developed based on the combination of elasto-plasticity and damage theories. The state of damage in concrete, assumed isotropic, is modeled by means of a fourth order damage tensor to capture the unilateral effect. The concrete model comprises a limited number of parameters that can be identified by three simple tests at ambient temperature. At high temperatures, a generic transient creep model is included to take into account explicitly the effect of transient creep strain. The numerical implementation of the concrete model in a finite element software is presented and a series of numerical simulations are conducted for validation. The concrete behavior is accurately captured in a large range of temperature and stress states. A limitation appears when modeling the concrete post-peak behavior in highly confined stress states, due to the coupling assumption between damage and plasticity, but the considered levels of triaxial confinement are unusual stress states in structural concrete. (authors)

  18. Using the Dynamic Model of Situated Cognition to Assess Network Centric Warfare in Field Settings

    National Research Council Canada - National Science Library

    Shattuck, Lawrence G; Miller, Nita L; Miller, Gregory A

    2007-01-01

    ...: modeling individual performance, military C2, naval operations, human error in military mishaps, team behaviors in complex organizations and, most recently serving as an aid to system designers...

  19. Situating Power Potentials and Dynamics of Learners and Tutors within Self-Assessment Models

    Science.gov (United States)

    Taras, Maddalena

    2016-01-01

    Many twenty-first century educational discourses focus on including and empowering independent learners. Within the context of five self-assessment models, this article evaluates how these practices relate to the realities of student involvement, empowerment and voice. A proposed new classification of these self-assessment models is presented and…

  20. A Model of Situational Willingness to Communicate (WTC) in the Study Abroad Context

    Science.gov (United States)

    Robson, Graham

    2015-01-01

    The use of structural modeling has helped to explain constructs leading to Willingness to Communicate (WTC) in L1 and L2 contexts. When WTC was conceptualized as a trait in the L1, more personality variables were used in models. When WTC moved into the realm of second language, researchers still used trait measurements to explain the construct,…

  1. A heuristic finite-state model of the human driver in a car-following situation

    Science.gov (United States)

    Burnham, G. O.; Bekey, G. A.

    1976-01-01

    An approach to modeling human driver behavior in single-lane car following which is based on a finite-state decision structure is considered. The specific strategy at each point in the decision tree was obtained from observations of typical driver behavior. The synthesis of the decision logic is based on position and velocity thresholds and four states defined by regions in the phase plane. The performance of the resulting assumed intuitively logical model was compared with actual freeway data. The match of the model to the data was optimized by adapting the model parameters using a modified PARTAN algorithm. The results indicate that the heuristic model behavior matches actual car-following performance better during deceleration and constant velocity phases than during acceleration periods.

  2. How does a collision warning system shape driver's brake response time? The influence of expectancy and automation complacency on real-life emergency braking.

    Science.gov (United States)

    Ruscio, Daniele; Ciceri, Maria Rita; Biassoni, Federica

    2015-04-01

    Brake Reaction Time (BRT) is an important parameter for road safety. Previous research has shown that drivers' expectations can impact RT when facing hazardous situations, but driving with advanced driver assistance systems, can change the way BRT are considered. The interaction with a collision warning system can help faster more efficient responses, but at the same time can require a monitoring task and evaluation process that may lead to automation complacency. The aims of the present study are to test in a real-life setting whether automation compliancy can be generated by a collision warning system and what component of expectancy can impact the different tasks involved in an assisted BRT process. More specifically four component of expectancy were investigated: presence/absence of anticipatory information, previous direct experience, reliability of the device, and predictability of the hazard determined by repeated use of the warning system. Results supply indication on perception time and mental elaboration of the collision warning system alerts. In particular reliable warning quickened the decision making process, misleading warnings generated automation complacency slowing visual search for hazard detection, lack of directed experienced slowed the overall response while unexpected failure of the device lead to inattentional blindness and potential pseudo-accidents with surprise obstacle intrusion. Copyright © 2015 Elsevier Ltd. All rights reserved.

  3. Ultra-Rapid Categorization of Meaningful Real-Life Scenes in Adults with and without ASD

    Science.gov (United States)

    Vanmarcke, Steven; Van Der Hallen, Ruth; Evers, Kris; Noens, Ilse; Steyaert, Jean; Wagemans, Johan

    2016-01-01

    In comparison to typically developing (TD) individuals, people with autism spectrum disorder (ASD) appear to be worse in the fast extraction of the global meaning of a situation or picture. Ultra-rapid categorization [paradigm developed by Thorpe et al. ("Nature" 381:520-522, 1996)] involves such global information processing. We…

  4. Cyber situation awareness: modeling detection of cyber attacks with instance-based learning theory.

    Science.gov (United States)

    Dutt, Varun; Ahn, Young-Suk; Gonzalez, Cleotilde

    2013-06-01

    To determine the effects of an adversary's behavior on the defender's accurate and timely detection of network threats. Cyber attacks cause major work disruption. It is important to understand how a defender's behavior (experience and tolerance to threats), as well as adversarial behavior (attack strategy), might impact the detection of threats. In this article, we use cognitive modeling to make predictions regarding these factors. Different model types representing a defender, based on Instance-Based Learning Theory (IBLT), faced different adversarial behaviors. A defender's model was defined by experience of threats: threat-prone (90% threats and 10% nonthreats) and nonthreat-prone (10% threats and 90% nonthreats); and different tolerance levels to threats: risk-averse (model declares a cyber attack after perceiving one threat out of eight total) and risk-seeking (model declares a cyber attack after perceiving seven threats out of eight total). Adversarial behavior is simulated by considering different attack strategies: patient (threats occur late) and impatient (threats occur early). For an impatient strategy, risk-averse models with threat-prone experiences show improved detection compared with risk-seeking models with nonthreat-prone experiences; however, the same is not true for a patient strategy. Based upon model predictions, a defender's prior threat experiences and his or her tolerance to threats are likely to predict detection accuracy; but considering the nature of adversarial behavior is also important. Decision-support tools that consider the role of a defender's experience and tolerance to threats along with the nature of adversarial behavior are likely to improve a defender's overall threat detection.

  5. Situation Songs

    DEFF Research Database (Denmark)

    Kolar-Borsky, Agnes; Holck, Ulla

    2014-01-01

    The aim of this study was to survey the various therapeutic intentions behind the use of one particular improvisation method applied in pediatric music therapy, called the situation song (from the German term “Situationslied”- Plahl & Koch-Temming, 2008, p. 180). According to Plahl & Koch...... the therapeutic relationship; to enhance experience and development in the fields of emotion, behavior, expression and social skills; to express messages in language and to give structure to the child. The overall aim behind the use of situation songs is to offer essential experiences to the child in order...... to support his or her development. This study attempts to give an impulse to more international exchange of clinical terms applied in music therapy. The study was submitted as the first author’s master thesis in Music Therapy at the Aalborg University in Denmark. The second author supervised the process...

  6. Computational Model-Based Design of Leadership Support Based on Situational Leadership Theory

    NARCIS (Netherlands)

    Bosse, T.; Duell, R.; Memon, Z.A.; Treur, J.; van der Wal, C.N.

    2017-01-01

    This paper introduces the design of an agent-based leadership support system exploiting a computational model for development of individuals or groups. It is to be used, for example, as a basis for systems to support a group leader in the development of individual group members or a group as a

  7. An Integrative Cultural Model to better situate marginalized science students in postsecondary science education

    Science.gov (United States)

    Labouta, Hagar Ibrahim; Adams, Jennifer Dawn; Cramb, David Thomas

    2018-03-01

    In this paper we reflect on the article "I am smart enough to study postsecondary science: a critical discourse analysis of latecomers' identity construction in an online forum", by Phoebe Jackson and Gale Seiler (Cult Stud Sci Educ. https://doi.org/10.1007/s11422-017-9818-0). In their article, the authors did a significant amount of qualitative analysis of a discussion on an online forum by four latecomer students with past negative experiences in science education. The students used this online forum as an out-of-class resource to develop a cultural model based on their ability to ask questions together with solidarity as a new optimistic way to position themselves in science. In this forum, we continue by discussing the identity of marginalized science students in relation to resources available in postsecondary science classes. Recent findings on a successful case of a persistent marginalized science student in spite of prior struggles and failures are introduced. Building on their model and our results, we proposed a new cultural model, emphasizing interaction between inside and outside classroom resources which can further our understanding of the identity of marginalized science students. Exploring this cultural model could better explain drop-outs or engagement of marginalized science students to their study. We, then, used this model to reflect on both current traditional and effective teaching and learning practices truncating or re-enforcing relationships of marginalized students with the learning environment. In this way, we aim to further the discussion initiated by Jackson and Seiler and offer possible frameworks for future research on the interactions between marginalized students with past low achievements and other high and mid achieving students, as well as other interactions between resources inside and outside science postsecondary classrooms.

  8. 'Doctor' or 'darling'? Decoding the communication partner from ECoG of the anterior temporal lobe during non-experimental, real-life social interaction

    Directory of Open Access Journals (Sweden)

    Johanna eDerix

    2012-09-01

    Full Text Available Human brain processes underlying real-life social interaction in everyday situations have been difficult to study and have, until now, remained largely unknown. Here, we investigated whether electrocorticography (ECoG recorded for pre-neurosurgical diagnostics during the daily hospital life of epilepsy patients could provide a way to elucidate the neural correlates of non-experimental social interaction. We identified time periods in which patients were involved in conversations with either their respective life partners (Condition 1; C1 or attending physicians (Condition 2; C2. These two conditions can be expected to differentially involve subfunctions of social interaction which have been associated with activity in the anterior temporal lobe (ATL, including the temporal poles (TP. Therefore, we specifically focused on ECoG recordings from this brain region and investigated spectral power modulations in the alpha (8-12 Hz and theta (3-5 Hz frequency ranges, which have been previously assumed to play an important role in the processing of social interaction. We hypothesized that brain activity in this region might be sensitive to differences in the two interaction situations and tested whether these differences can be detected by single-trial decoding. Condition-specific effects in both theta and alpha bands were observed: the left and right TP exclusively showed increased power in C1 compared to C2, whereas more posterior parts of the ATL exhibited similar (C1 > C2 and also contrary (C2 > C1 effects. Single-trial decoding accuracies for classification of these effects were highly above chance. Our findings demonstrate that it is possible to study the neural correlates of human social interaction in non-experimental conditions. Decoding the identity of the communication partner and adjusting the speech output accordingly may be useful in the emerging field of brain- machine interfacing for restoration of expressive speech.

  9. Deceleration during 'real life' motor vehicle collisions – a sensitive predictor for the risk of sustaining a cervical spine injury?

    Directory of Open Access Journals (Sweden)

    Hartwig Erich

    2009-03-01

    Full Text Available Abstract Background The predictive value of trauma impact for the severity of whiplash injuries has mainly been investigated in sled- and crash-test studies. However, very little data exist for real-life accidents. Therefore, the predictive value of the trauma impact as assessed by the change in velocity of the car due to the collision (ΔV for the resulting cervical spine injuries were investigated in 57 cases after real-life car accidents. Methods ΔV was determined for every car and clinical findings related to the cervical spine were assessed and classified according to the Quebec Task Force (QTF. Results In our study, 32 (56% subjects did not complain about symptoms and were therefore classified as QTF grade 0; 25 (44% patients complained of neck pain: 8 (14% were classified as QTF grade I, 6 (10% as QTF grade II, and 11 (19% as QTF grade IV. Only a slight correlation (r = 0.55 was found between the reported pain and ΔV. No relevant correlation was found between ΔV and the neck disability index (r = 0.46 and between ΔV and the QTF grade (r = 0.45 for any of the collision types. There was no ΔV threshold associated with acceptable sensitivity and specificity for the prognosis of a cervical spine injury. Conclusion The results of this study indicate that ΔV is not a conclusive predictor for cervical spine injury in real-life motor vehicle accidents. This is of importance for surgeons involved in medicolegal expertise jobs as well as patients who suffer from whiplash-associated disorders (WADs after motor vehicle accidents. Trial registration The study complied with applicable German law and with the principles of the Helsinki Declaration and was approved by the institutional ethics commission.

  10. Psychosocial stress based on public speech in humans: is there a real life/laboratory setting cross-adaptation?

    Science.gov (United States)

    Jezova, D; Hlavacova, N; Dicko, I; Solarikova, P; Brezina, I

    2016-07-01

    Repeated or chronic exposure to stressors is associated with changes in neuroendocrine responses depending on the type, intensity, number and frequency of stress exposure as well as previous stress experience. The aim of the study was to test the hypothesis that salivary cortisol and cardiovascular responses to real-life psychosocial stressors related to public performance can cross-adapt with responses to psychosocial stress induced by public speech under laboratory setting. The sample consisted of 22 healthy male volunteers, which were either actors, more precisely students of dramatic arts or non-actors, students of other fields. The stress task consisted of 15 min anticipatory preparation phase and 15 min of public speech on an emotionally charged topic. The actors, who were accustomed to public speaking, responded with a rise in salivary cortisol as well as blood pressure to laboratory public speech. The values of salivary cortisol, systolic blood pressure and state anxiety were lower in actors compared to non-actors. Unlike non-actors, subjects with experience in public speaking did not show stress-induced rise in the heart rate. Evaluation of personality traits revealed that actors scored significantly higher in extraversion than the subjects in the non-actor group. In conclusion, neuroendocrine responses to real-life stressors in actors can partially cross-adapt with responses to psychosocial stress under laboratory setting. The most evident adaptation was at the level of heart rate responses. The public speech tasks may be of help in evaluation of the ability to cope with stress in real life in artists by simple laboratory testing.

  11. The application of equilibrium models to incidence situations using the example of the exposure pathway human milk

    Energy Technology Data Exchange (ETDEWEB)

    Steiner, Martin; Karcher, Klaus; Nosske, Dietmar [Bundesamt fuer Strahlenschutz, Oberschleissheim (Germany)

    2012-06-15

    The radiation exposure after a short-term release of radioactive substances is often calculated assuming equilibrium conditions. An example is that of the German Incident Calculation Bases for nuclear power plants with pressurized water reactors. Here, the contamination of human milk is calculated using transfer factors. Applying this equilibrium model to incident situations raises the question whether baby's radiation exposure is adequately assessed. This contribution shows that compliance with the relevant dose limits of paragraph 49 of the German Radiation Protection Ordinance is ensured for design basis accidents on the assumption that the hypothetical breastfeeding period starts at the beginning of the activity release. Comparative analyses were performed against the biokinetic models applied by ICRP for radiation protection purposes, taking the reference nuclides {sup 137}Cs, {sup 90}Sr, {sup 131}I, {sup 241}Am and long-lived plutonium isotopes as examples. (orig.)

  12. Building a Progressive-Situational Model of Post-Diagnosis Information Seeking for Parents of Individuals With Down Syndrome

    Science.gov (United States)

    Gibson, Amelia N.

    2016-01-01

    This grounded theory study used in-depth, semi-structured interview to examine the information-seeking behaviors of 35 parents of children with Down syndrome. Emergent themes include a progressive pattern of behavior including information overload and avoidance, passive attention, and active information seeking; varying preferences between tacit and explicit information at different stages; and selection of information channels and sources that varied based on personal and situational constraints. Based on the findings, the author proposes a progressive model of health information seeking and a framework for using this model to collect data in practice. The author also discusses the practical and theoretical implications of a responsive, progressive approach to understanding parents’ health information–seeking behavior. PMID:28462351

  13. Building a Progressive-Situational Model of Post-Diagnosis Information Seeking for Parents of Individuals With Down Syndrome.

    Science.gov (United States)

    Gibson, Amelia N

    2016-01-01

    This grounded theory study used in-depth, semi-structured interview to examine the information-seeking behaviors of 35 parents of children with Down syndrome. Emergent themes include a progressive pattern of behavior including information overload and avoidance, passive attention, and active information seeking; varying preferences between tacit and explicit information at different stages; and selection of information channels and sources that varied based on personal and situational constraints. Based on the findings, the author proposes a progressive model of health information seeking and a framework for using this model to collect data in practice. The author also discusses the practical and theoretical implications of a responsive, progressive approach to understanding parents' health information-seeking behavior.

  14. [Current situation of palliative care in Hungary. Integrated palliative care model as a breakout possibility].

    Science.gov (United States)

    Benyó, Gábor; Lukács, Miklós; Busa, Csilla; Mangel, László; Csikós, Ágnes

    2017-09-20

    Modern palliative-hospice care has gained space in Europe for more than 50 years. Since the initial empirical work of Cicely Saunders, palliative medicine has gained its place in evidence-based medicine in more and more countries. However, development, as in many other medical fields, is not uniform, there are big differences between countries in the world. There are also significant differences in development of care and the level of services within the European Union amongst Western and Eastern European countries. These differences affect the professional approach, legislative mechanisms and social acceptance. Hungarian palliative-hospice care has developed significantly over the past 15 years. For further development thoughtful strategic steps and service development is needed. The integration of palliative care into standard oncology is an international requirement, which also appears in the form of professional guidelines. Hungary has also played a role in the development of the European model of integrated palliative care of which Hungarian implementation, the "Pécs model", is discussed in detail in our paper.

  15. Healthy food choices are happy food choices : evidence from a real life sample using smartphone based assessments

    OpenAIRE

    Wahl, Deborah R.; Villinger, Karoline; König, Laura M.; Ziesemer, Katrin; Schupp, Harald T.; Renner, Britta

    2017-01-01

    Research suggests that "healthy" food choices such as eating fruits and vegetables have not only physical but also mental health benefits and might be a long-term investment in future well-being. This view contrasts with the belief that high-caloric foods taste better, make us happy, and alleviate a negative mood. To provide a more comprehensive assessment of food choice and well-being, we investigated in-the-moment eating happiness by assessing complete, real life dietary behaviour across ei...

  16. Comparison of cortical activation during Mahjong game play in a video game setting and a real-life setting

    OpenAIRE

    Fujimori, Satomi; Terasawa, Koji; Murata, Yuki; Ogawa, Kishiko; Tabuchi, Hisaaki; Yanagisawa, Hiroki; Terasawa, Saiki; Shinohara, Kikunori; Yanagisawa, Akitaka

    2015-01-01

    The purpose of this study was to compare the hemodynamic changes that occur during Mahjong game play in virtual and real-life settings. Fourteen healthy right-handed men (average age ± standard deviation; 36.7 ± 14.9 years) played: 1) a Mahjong solitaire game on a video console against virtual rivals; 2) a Mahjong game against human opponents without conversation; and 3) a Mahjong game against human opponents with conversation. We measured oxygenated hemoglobin concentration at 44 locations o...

  17. Publishing operational research from 'real life' programme data: a better form of accountability.

    Science.gov (United States)

    Rujumba, Joseph; Byamugisha, Robert

    2012-01-01

    Publishing in peer-reviewed journals especially from programme work remains very limited in low-income countries, and several arguments have been advanced to change this situation. In this viewpoint, we propose an additional argument for publishing operational research from programmes as a better form of accountability. We urge in this article that for those involved in programme design, implementation, monitoring and evaluation including donors, if you do not publish articles from your programme or research project, you have not accounted well enough. © 2011 Blackwell Publishing Ltd.

  18. From real life to real life

    DEFF Research Database (Denmark)

    Svalgaard, Lotte

    2017-01-01

    In Action Learning programmes, it is held central to work on real business challenges (task) while learning about team and self (process); staying mindful aware of the process is referred to in this paper as ‘double awareness’, and emphasises noticing and acting on process cues while working...... on the task. As business challenges within Action Learning programmes are real, pertinent, and worked with in the context of the organisation, implementation of potential solutions to the challenges is proved to be efficient. However, less is known of how individual participants manage to stay with double...... awareness upon re-entry into the organisational routines left behind. The aim of this paper is to explore when, why, and how participants manage to maintain double awareness and act on what they notice when back in organisational reality – and what characterise the moments where they struggle to do so...

  19. River water quality modelling under drought situations - the Turia River case

    Science.gov (United States)

    Paredes-Arquiola, Javier; Macián, Javier; Pedro-Monzonís, María; Belda, Edgar; Momblanch, Andrea; Andreu, Joaquín

    2016-10-01

    Drought and water shortage effects are normally exacerbated due to collateral impacts on water quality, since low streamflow affects water quality in rivers and water uses depend on it. One of the most common problems during drought conditions is maintaining a good water quality while securing the water supply to demands. This research analyses the case of the Turia River Water Resource System located in Eastern Spain. Its main water demand comes as urban demand from Valencia City, which intake is located in the final stretch of the river, where streamflow may become very low during droughts. As a result, during drought conditions concentrations of pathogens and other contaminants increase, compromising the water supply to Valencia City. In order to define possible solutions for the above-mentioned problem, we have developed an integrated model for simulating water management and water quality in the Turia River Basin to propose solutions for water quality problems under water scarcity. For this purpose, the Decision Support System Shell AQUATOOL has been used. The results demonstrate the importance of applying environmental flows as a measure of reducing pollutant's concentration depending on the evolution of a drought event and the state of the water resources system.

  20. The cardiovascular perfusionist as a model for the successful technologist in high stress situations.

    Science.gov (United States)

    Friday, P J; Mook, W J

    1991-01-01

    This study investigates the psychological profiles of highly stressed medical technologists. One hundred and four individuals representing a cross-section of the United States who function as operators of heart-lung machines during open heart surgery (perfusionists) were studied using both internal and external models based on the works of Eric Berne and Karen Horney. Daily exposure to life and death responsibilities combined with the constant pressures of maintaining current technical skills can make the profession selected for this study representative of high technology professions that require a great deal of coping. Results of this study indicate that there is a balanced psychological profile in successful technologists functioning in long-term, high-stressed occupations. Female perfusionists appear to be more aggressive and critical than their male counterparts. This is seen as an attempt by female perfusionists to compensate for what has historically been a male dominanted, highly technical and high-stressed occupation. Generalizations for candidate selections to high stressed occupations could be made as well as projections of foundations for possible progressive disillusionment (burn out).

  1. River water quality modelling under drought situations – the Turia River case

    Directory of Open Access Journals (Sweden)

    J. Paredes-Arquiola

    2016-10-01

    Full Text Available Drought and water shortage effects are normally exacerbated due to collateral impacts on water quality, since low streamflow affects water quality in rivers and water uses depend on it. One of the most common problems during drought conditions is maintaining a good water quality while securing the water supply to demands. This research analyses the case of the Turia River Water Resource System located in Eastern Spain. Its main water demand comes as urban demand from Valencia City, which intake is located in the final stretch of the river, where streamflow may become very low during droughts. As a result, during drought conditions concentrations of pathogens and other contaminants increase, compromising the water supply to Valencia City. In order to define possible solutions for the above-mentioned problem, we have developed an integrated model for simulating water management and water quality in the Turia River Basin to propose solutions for water quality problems under water scarcity. For this purpose, the Decision Support System Shell AQUATOOL has been used. The results demonstrate the importance of applying environmental flows as a measure of reducing pollutant's concentration depending on the evolution of a drought event and the state of the water resources system.

  2. Exposure to engineered nanoparticles: Model and measurements for accident situations in laboratories.

    Science.gov (United States)

    Walser, Tobias; Hellweg, Stefanie; Juraske, Ronnie; Luechinger, Norman A; Wang, Jing; Fierz, Martin

    2012-03-15

    In the life cycle of engineered nanoparticles (ENP), their manufacturing requires particular attention because of unwanted potential ENP emissions to workplaces. We simulated three scenarios of equipment failure during gas phase production of nanoparticles in a laboratory. The emission plume of nanoparticles was tracked with high spatial and temporal resolution by 10 measurement devices. While under normal production conditions, no elevated ENP concentrations were observed, worst case scenarios led to homogeneous indoor ENP concentrations of up to 10(6)cm(-3) in a 300m(3) production room after only 60s. The fast dispersal in the room was followed by an exponential decrease in number concentration after the emission event. Under conditions like those observed - rapid dispersal and good mixing - a single measurement device alone can provide valuable information for an ENP exposure assessment. A one-box model adequately reflected measured number concentrations (r(2)>0.99). The ENP emission rates to the workplace were estimated between 2.5·10(11) and 6·10(12)s(-1) for the three emission scenarios. The worst case emission rate at the production zone was also estimated at 2·10(13)s(-1) with a stoichiometric calculation based on the precursor input, density and particle size. ENP intake fractions were 3.8-5.1·10(-4) inhaled ENP per produced ENP in the investigated setting. These could only be substantially lowered by leaving the production room within a few minutes after the emission event. Copyright © 2012 Elsevier B.V. All rights reserved.

  3. Reversal of Dabigatran Using Idarucizumab in a Septic Patient with Impaired Kidney Function in Real-Life Practice

    Directory of Open Access Journals (Sweden)

    Thomas C. Sauter

    2016-01-01

    Full Text Available Background. Immediate reversal of anticoagulation is essential when facing severe bleeding or emergency surgery. Although idarucizumab is approved for the reversal of dabigatran in many countries, clinical experiences are lacking, particularly in special patient-populations such as sepsis and impaired renal function. Case Presentation. We present the case of a 67-year-old male septic patient with a multilocular facial abscess and chronic kidney disease (GFR 36.5 mL/min. Thrombin time (TT and activated partial thromboplastin time (aPTT 15 hours after the last intake of 150 mg dabigatran were both prolonged (>120 sec, resp., 61 sec, as well as unbound dabigatran concentration (119.05 ng/mL. Before immediate emergency surgery dabigatran was antagonised using idarucizumab 2 × 2.5 g. Dabigatran concentration was not detectable 10 min after idarucizumab administration (<30 ng/mL. TT and aPTT time were normalised (16.2 sec, resp., 30.2 sec. Sepsis was controlled after surgery and kidney function remained stable. In the absence of postoperative bleeding, dabigatran was restarted 36 hours after admission. Conclusion. Idarucizumab successfully reversed the effect of dabigatran in real-life practice in a patient with sepsis and renal impairment and allowed emergency surgery with normal haemostasis. Efficacy and safety in real-life practice will nevertheless require prospective registries monitoring.

  4. How Effective and Safe Is Bronchial Thermoplasty in "Real Life" Asthmatics Compared to Those Enrolled in Randomized Clinical Trials?

    Science.gov (United States)

    Arrigo, Rita; Failla, Giuseppe; Scichilone, Nicola; La Sala, Alba; Galeone, Carla; Battaglia, Salvatore; Benfante, Alida; Facciolongo, Nicola

    There is limited information on the efficacy and safety of bronchial thermoplasty (BT) in real life . We evaluated the outcomes of the randomized clinical trials for BT in severe asthmatics, in whom the exclusion criteria were not strictly controlled. A case series of seven asthmatics (M/F: 4/3; age: 54.6 ± 2.9 years) is reported. Subjects had a statistically significant improvement in AQLQ (from a mean of 3.96 ± 1.1 to 4.5 ± 1.2 and 5.5 ± 0.6 after 6 and 12 months of treatment; p = 0.0007) and in the ACQ score (from 2.77 ± 0.8 to 1.83 ± 1.2 and 1.5 ± 0.8 after 6 and 12 months; p < 0.001). In the year after BT, severe exacerbations, salbutamol use, and OCS use were significantly lower compared with the 1-yr pretreatment period ( p < 0.001). No ED visits and hospitalization occurred in the year after BT. No changes in functional parameters were recorded. Our investigation confirms the safety and efficacy of BT in severe asthmatics in real life settings.

  5. Real-life data regarding acute procedural success and 1-year clinical outcome of desolve bioresorbable scaffolds.

    Science.gov (United States)

    Gunes, Haci Murat; Gokdeniz, Tayyar; Kizilirmak Yilmaz, Filiz; Demir, Gultekin Gunhan; Guler, Ekrem; Babur Guler, Gamze; Karaca, Oğuz; Cakal, Beytullah; Omaygenç, Mehmet Onur; İbişoğlu, Ersin; Boztosun, Bilal

    2017-06-01

    We aimed to evaluate the peri-procedural success of DESolve bio-resorbable scaffolds (BRSs) and analyzed real-life data about major cardiac events during 1-year follow-up. There is little information about real-life data of DESolve BRS which is a novel stent technology offering various advantages over drug eluting stents and commonly used in daily cardiology practice. We conducted this single-center and non-randomized cross-sectional study from June 2015 through August 2016 in Medipol University Department of Cardiology and included 117 patients undergoing single or multivessel percutaneous coronary interventions (PCI) with novolimus-eluting BRS devices (152 scaffolds) (Elixir Medical Corporation). Study end points were acute device and procedural success, scaffold thrombosis and major adverse cardiac event (MACE) rates of DESolve BRS. Device success was 96.7% and procedural success was 99.3%. We detected MACE rate as 0.9% while clinical-driven target lesion revascularization was performed in one patient. None of the patients experienced scaffold thrombosis or death. Peri-procedural complications were reported in three patients. High rates of successful scaffold implantations, low rates of peri-procedural complications, and major cardiac events in long-term suggest that DESolve scaffolds can safely and effectively be used in daily intervention practice by particularly experienced operators. © 2017, Wiley Periodicals, Inc.

  6. Description of Anomalous Noise Events for Reliable Dynamic Traffic Noise Mapping in Real-Life Urban and Suburban Soundscapes

    Directory of Open Access Journals (Sweden)

    Francesc Alías

    2017-02-01

    Full Text Available Traffic noise is one of the main pollutants in urban and suburban areas. European authorities have driven several initiatives to study, prevent and reduce the effects of exposure of population to traffic. Recent technological advances have allowed the dynamic computation of noise levels by means of Wireless Acoustic Sensor Networks (WASN such as that developed within the European LIFE DYNAMAP project. Those WASN should be capable of detecting and discarding non-desired sound sources from road traffic noise, denoted as anomalous noise events (ANE, in order to generate reliable noise level maps. Due to the local, occasional and diverse nature of ANE, some works have opted to artificially build ANE databases at the cost of misrepresentation. This work presents the production and analysis of a real-life environmental audio database in two urban and suburban areas specifically conceived for anomalous noise events’ collection. A total of 9 h 8 min of labelled audio data is obtained differentiating among road traffic noise, background city noise and ANE. After delimiting their boundaries manually, the acoustic salience of the ANE samples is automatically computed as a contextual signal-to-noise ratio (SNR. The analysis of the real-life environmental database shows high diversity of ANEs in terms of occurrences, durations and SNRs, as well as confirming both the expected differences between the urban and suburban soundscapes in terms of occurrences and SNRs, and the rare nature of ANE.

  7. Linking the microscopic view of chemistry to real-life experiences: Intertextuality in a high-school science classroom

    Science.gov (United States)

    Wu, Hsin-Kai

    2003-11-01

    Chemistry learning involves establishing conceptual relationships among macroscopic, microscopic, and symbolic representations. Employing the notion of intertextuality to conceptualize these relationships, this study investigates how class members interactionally construct meanings of chemical representations by connecting them to real-life experiences and how the teachers' content knowledge shapes their ways to coconstruct intertextual links with students. Multiple sources of data were collected over 7 weeks with a participation of 25 eleventh graders, an experienced teacher, and a student teacher. An examination of classroom discourse shows that the intertextual links between the microscopic view of chemistry and students' real-life experiences could be initiated by students and instigated by the teachers. The teachers applied several discursive strategies to scaffold students building meaningful links based on their prior knowledge and experiences. Additionally, the experienced teacher with stronger content knowledge tended to present links in both dialogic and monologic discourses. Yet, the relatively limited content knowledge did not necessarily constrain the student teacher's interactions with students. The findings of this study provide a backdrop for further research to explore how chemistry is learned and taught in a class through the social constructivist lens.

  8. A Robust Epoxy Resins @ Stearic Acid-Mg(OH)2 Micronanosheet Superhydrophobic Omnipotent Protective Coating for Real-Life Applications.

    Science.gov (United States)

    Si, Yifan; Guo, Zhiguang; Liu, Weimin

    2016-06-29

    Superhydrophobic coating has extremely high application value and practicability. However, some difficult problems such as weak mechanical strength, the need for expensive toxic reagents, and a complex preparation process are all hard to avoid, and these problems have impeded the superhydrophobic coating's real-life application for a long time. Here, we demonstrate one kind of omnipotent epoxy resins @ stearic acid-Mg(OH)2 superhydrophobic coating via a simple antideposition route and one-step superhydrophobization process. The whole preparation process is facile, and expensive toxic reagents needed. This omnipotent coating can be applied on any solid substrate with great waterproof ability, excellent mechanical stability, and chemical durability, which can be stored in a realistic environment for more than 1 month. More significantly, this superhydrophobic coating also has four protective abilities, antifouling, anticorrosion, anti-icing, and flame-retardancy, to cope with a variety of possible extreme natural environments. Therefore, this omnipotent epoxy resins @ stearic acid-Mg(OH)2 superhydrophobic coating not only satisfies real-life need but also has great application potential in many respects.

  9. Disaggregating Within- and Between-Person Effects of Social Identification on Subjective and Endocrinological Stress Reactions in a Real-Life Stress Situation.

    Science.gov (United States)

    Ketturat, Charlene; Frisch, Johanna U; Ullrich, Johannes; Häusser, Jan A; van Dick, Rolf; Mojzisch, Andreas

    2016-02-01

    Several experimental and cross-sectional studies have established the stress-buffering effect of social identification, yet few longitudinal studies have been conducted within this area of research. This study is the first to make use of a multilevel approach to disaggregate between- and within-person effects of social identification on subjective and endocrinological stress reactions. Specifically, we conducted a study with 85 prospective students during their 1-day aptitude test for a university sports program. Ad hoc groups were formed, in which students completed several tests in various disciplines together. At four points in time, salivary cortisol, subjective strain, and identification with their group were measured. Results of multilevel analyses show a significant within-person effect of social identification: The more students identified with their group, the less stress they experienced and the lower their cortisol response was. Between-person effects were not significant. Advantages of using multilevel approaches within this field of research are discussed. © 2015 by the Society for Personality and Social Psychology, Inc.

  10. Texas situation

    International Nuclear Information System (INIS)

    Avant, R.V. Jr.; Bowmer, W.J.

    1986-01-01

    The Texas Low-Level Radioactive Waste Disposal Authority was formed in 1981 to address the Texas low-level radioactive waste problem consistent with the direction of P.L. 96-573. The Authority has completed technical tasks, including source term evaluations, preliminary conceptual designs, economic assessments, and long-range planning, and has work in progress on facility design, site selection, operating procedures, and licensing. Site selection has been the major technical activity and will be completed in 1987 after on-site evaluations of potential sites. The Authority expects to have its site licensed and operating in 1992. Texas has been the leader in site selection. Political concerns and the uncertainty of the national agenda led Texas policy makers to slow down the state's progress. The lessons learned through the Texas situation should be instructive to other states and compacts and may well be a prediction of events for these other groups. This paper discusses the background and status of Texas development activities, future plans, and lessons learned

  11. A SIL quantification approach based on an operating situation model for safety evaluation in complex guided transportation systems

    International Nuclear Information System (INIS)

    Beugin, J.; Renaux, D.; Cauffriez, L.

    2007-01-01

    Safety analysis in guided transportation systems is essential to avoid rare but potentially catastrophic accidents. This article presents a quantitative probabilistic model that integrates Safety Integrity Levels (SIL) for evaluating the safety of such systems. The standardized SIL indicator allows the safety requirements of each safety subsystem, function and/or piece of equipment to be specified, making SILs pivotal parameters in safety evaluation. However, different interpretations of SIL exist, and faced with the complexity of guided transportation systems, the current SIL allocation methods are inadequate for the task of safety assessment. To remedy these problems, the model developed in this paper seeks to verify, during the design phase of guided transportation system, whether or not the safety specifications established by the transport authorities allow the overall safety target to be attained (i.e., if the SIL allocated to the different safety functions are sufficient to ensure the required level of safety). To meet this objective, the model is based both on the operating situation concept and on Monte Carlo simulation. The former allows safety systems to be formalized and their dynamics to be analyzed in order to show the evolution of the system in time and space, and the latter make it possible to perform probabilistic calculations based on the scenario structure obtained

  12. Becoming popular: Interpersonal emotion regulation predicts relationship formation in real life social networks

    Directory of Open Access Journals (Sweden)

    Karen eNiven

    2015-09-01

    Full Text Available Building relationships is crucial for satisfaction and success, especially when entering new social contexts. In the present paper, we investigate whether attempting to improve others’ feelings helps people to make connections in new networks. In Study 1, a social network study following new networks of people for a twelve-week period indicated that use of interpersonal emotion regulation (IER strategies predicted growth in popularity, as indicated by other network members’ reports of spending time with the person, in work and non-work interactions. In Study 2, linguistic analysis of the tweets from over 8000 Twitter users from formation of their accounts revealed that use of IER predicted greater popularity in terms of the number of followers gained. However, not all types of IER had positive effects. Behavioral IER strategies (which use behavior to reassure or comfort in order to regulate affect were associated with greater popularity, while cognitive strategies (which change a person’s thoughts about his or her situation or feelings in order to regulate affect were negatively associated with popularity. Our findings have implications for our understanding of how new relationships are formed, highlighting the important the role played by intentional emotion regulatory processes.

  13. Newborn health benefits or financial risk protection? An ethical analysis of a real-life dilemma in a setting without universal health coverage.

    Science.gov (United States)

    Onarheim, Kristine Husøy; Norheim, Ole Frithjof; Miljeteig, Ingrid

    2018-03-30

    High healthcare costs make illness precarious for both patients and their families' economic situation. Despite the recent focus on the interconnection between health and financial risk at the systemic level, the ethical conflict between concerns for potential health benefits and financial risk protection at the household level in a low-income setting is less understood. Using a seven-step ethical analysis, we examine a real-life dilemma faced by families and health workers at the micro level in Ethiopia and analyse the acceptability of limiting treatment for an ill newborn to protect against financial risk. We assess available evidence and ethical issues at stake and discuss the dilemma with respect to three priority setting criteria: health maximisation, priority to the worse-off and financial risk protection. Giving priority to health maximisation and extra priority to the worse-off suggests, in this particular case, that limiting treatment is not acceptable even if the total well-being gain from reduced financial risk is taken into account. Our conclusion depends on the facts of the case and the relative weight assigned to these criteria. However, there are problematic aspects with the premise of this dilemma. The most affected parties-the newborn, family members and health worker-cannot make free choices about whether to limit treatment or not, and we thereby accept deprivations of people's substantive freedoms. In settings where healthcare is financed largely out-of-pocket, families and health workers face tragic trade-offs. As countries move towards universal health coverage, financial risk protection for high-priority services is necessary to promote fairness, improve health and reduce poverty. © 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.

  14. Real-life effectiveness of smoking-cessation treatments in general practice clinics in Denmark. The Escape Smoke project

    DEFF Research Database (Denmark)

    Poulsen, Peter Bo; Spillemose, Heidi; Nielsen, Gerda

    2015-01-01

    BACKGROUND: The smoking prevalence has not decreased in the last years in Denmark. General practice (GP) offers smoking cessation (SC) treatment. Studies of real-life effectiveness of daily practice SC-activities from the GP-setting opposed to efficacy results from randomized clinical trials......-clinics recruited 515 (273 females, 20% COPD) daily smokers being moderately nicotine dependent and heavy smoking (19 cigarettes/day). Receiving intensive advice, 74% did use SC-medicine paid out-of-pocket (1/3 NRT and 2/3 prescription-based). After 6 months, 187 participants had remained abstinent (36%). Adjusted......-medicine were independent significant predictors for long-term abstinence. CONCLUSIONS: Smoking cessation in Danish GP-clinics with some prior SC-activity can result in rather high long-term quit rates, especially when combining counseling and prescription-based SC-medicine. The effectiveness of prescription...

  15. The real-life experience with cardiovascular complications in the first dose of fingolimod for multiple sclerosis

    Directory of Open Access Journals (Sweden)

    Yara Dadalti Fragoso

    2014-09-01

    Full Text Available Fingolimod is a new and efficient treatment for multiple sclerosis (MS. The drug administration requires special attention to the first dose, since cardiovascular adverse events can be observed during the initial six hours of fingolimod ingestion. The present study consisted of a review of cardiovascular data on 180 patients with MS receiving the first dose of fingolimod. The rate of bradycardia in these patients was higher than that observed in clinical trials with very strict inclusion criteria for patients. There were less than 10% of cases requiring special attention, but no fatal cases. All but one patient continued the treatment after this initial dose. This is the first report on real-life administration of fingolimod to Brazilian patients with MS, and one of the few studies with these characteristics in the world.

  16. Healthy food choices are happy food choices: Evidence from a real life sample using smartphone based assessments.

    Science.gov (United States)

    Wahl, Deborah R; Villinger, Karoline; König, Laura M; Ziesemer, Katrin; Schupp, Harald T; Renner, Britta

    2017-12-06

    Research suggests that "healthy" food choices such as eating fruits and vegetables have not only physical but also mental health benefits and might be a long-term investment in future well-being. This view contrasts with the belief that high-caloric foods taste better, make us happy, and alleviate a negative mood. To provide a more comprehensive assessment of food choice and well-being, we investigated in-the-moment eating happiness by assessing complete, real life dietary behaviour across eight days using smartphone-based ecological momentary assessment. Three main findings emerged: First, of 14 different main food categories, vegetables consumption contributed the largest share to eating happiness measured across eight days. Second, sweets on average provided comparable induced eating happiness to "healthy" food choices such as fruits or vegetables. Third, dinner elicited comparable eating happiness to snacking. These findings are discussed within the "food as health" and "food as well-being" perspectives on eating behaviour.

  17. A PIC microcontroller-based system for real-life interfacing of external peripherals with a mobile robot

    Science.gov (United States)

    Singh, N. Nirmal; Chatterjee, Amitava; Rakshit, Anjan

    2010-02-01

    The present article describes the development of a peripheral interface controller (PIC) microcontroller-based system for interfacing external add-on peripherals with a real mobile robot, for real life applications. This system serves as an important building block of a complete integrated vision-based mobile robot system, integrated indigenously in our laboratory. The system is composed of the KOALA mobile robot in conjunction with a personal computer (PC) and a two-camera-based vision system where the PIC microcontroller is used to drive servo motors, in interrupt-driven mode, to control additional degrees of freedom of the vision system. The performance of the developed system is tested by checking it under the control of several user-specified commands, issued from the PC end.

  18. Real-life efficacy of pregabalin for the treatment of peripheral neuropathic pain in daily clinical practice in Denmark

    DEFF Research Database (Denmark)

    Crawford, Michael E; Poulsen, Peter Bo; Schiøttz-Christensen, Berit

    2016-01-01

    OBJECTIVE: The aim of this study was to provide evidence regarding the real-life efficacy of pregabalin in the treatment of peripheral neuropathic pain (NeP) in Denmark. METHODS: In this prospective, observational, noninterventional study, pregabalin (Lyrica(®)) was prescribed following usual...... was used to perform paired analyses, and a multivariate regression analysis investigated factors driving change in pain. RESULTS: A total of 86 of the 128 patients included were regarded as efficacy evaluable (those completing 3 months of pregabalin treatment). Patients (59 years) were long-time sufferers...... level of pain intensity was found after 3 months. The higher the pain intensity at baseline, the higher was the reduction of the pain score. Positive results were also found for pain-related sleep interference, patients' global impression of change, quality of life, and work and productivity impairment...

  19. Comparison of nocturia response to desmopressin treatment in elderly men with and without nocturnal polyuria in real-life practice.

    Science.gov (United States)

    Chen, S-L; Huang, Y-H; Hung, T-W; Ou, Y-C

    2016-05-01

    To evaluate the safety and efficacy of low-dose desmopressin in elderly men with and without nocturnal polyuria (NP) in real-life practice. Patients with lower urinary tract symptoms (LUTS)/ benign prostate hyperplasia (BPH) who were≧ 65 years old with refractory nocturia were enrolled in this study. We retrospectively analysed elderly men treated with adding desmopressin to current medications for nocturia according to category of the baseline nocturnal urine volume. The 48-h frequency volume chart (FVC), International Prostate Symptom Score (IPSS) and quality of life (QoL) were initially assessed and re-evaluated 12 weeks later. Serum sodium level was checked 1 week, 4 weeks, and 12 weeks after initiation of desmopressin therapy or suspected hyponatremia event. The mean change in numbers of nocturnal voids was evaluated for efficacy of treatment. A total of 136 patients were included with 55 in non-NP group and 81 in NP group. Hypertension was more common in NP group in regard of comorbidities. During treatment period, there were significant reductions of nocturnal voids from 4.22 ± 1.38 to 2.31 ± 0.98 (p NP group and from 4.52 ± 1.23 to 2.07 ± 0.89 (p NP group. The reduction in nocturnal voids was more significant in NP group (2.44 ± 1.15 vs. 1.91 ± 1.48, p = 0.003). The mean decrease in serum sodium levels were 3.89 ± 1.22 mmol/l (p NP group and 4.69 ± 3.5 mmol/l (p NP group at the extreme value. Long-term treatment with low-dose desmopressin is safe and effective for nocturia with or without NP in elderly patients with LUTS/BPH during real-life practice. Patients should be well informed about the disease and are closely followed. © 2016 John Wiley & Sons Ltd.

  20. The frequency and determinants of liver stiffness measurement failure: a retrospective study of "real-life" 38,464 examinations.

    Directory of Open Access Journals (Sweden)

    Dong Ji

    Full Text Available To investigate the frequency and determinants of liver stiffness measurement (LSM failure by means of FibroScan in "real-life" Chinese patients.A total of 38,464 "real-life" Chinese patients in 302 military hospital of China through the whole year of 2013, including asymptomatic carrier, chronic hepatitis B, chronic hepatitis C, liver cirrhosis (LC, alcoholic liver disease, autoimmune liver disease, hepatocellular carcinoma (HCC and other, were enrolled, their clinical and biological parameters were retrospectively investigated. Liver fibrosis was evaluated by FibroScan detection. S probe (for children with height less than 1.20 m and M probe (for adults were used. LSM failure defined as zero valid shots (unsuccessful LSM, or the ratio of the interquartile range to the median of 10 measurements (IQR/M greater than 0.30 plus median LSM greater or equal to 7.1 kPa (unreliable LSM.LSM failure occurred in 3.34% of all examinations (1286 patients out of 38,464, among them, there were 958 cases (2.49% with unsuccessful LSM, and 328 patients (0.85% with unreliable LSM. Statistical analyses showed that LSM failure was independently associated with body mass index (BMI greater than 30 kg/m(2, female sex, age greater than 50 years, intercostal spaces (IS less than 9 mm, decompensated liver cirrhosis and HCC patients. There were no significant differences among other diseases. By changing another skilled operator, success was achieved on 301 cases out of 1286, which reduced the failure rate to 2.56%, the decrease was significant (P<0.0001.The principal reasons of LSM failure are ascites, obesity and narrow of IS. The failure rates of HCC, decompensated LC, elder or female patients are higher. These results emphasize the need for adequate operator training, technological improvements and optimal criteria for specific patient subpopulations.

  1. Clinical trials with direct oral anticoagulants for stroke prevention in atrial fibrillation: how representative are they for real life patients?

    Science.gov (United States)

    Desmaele, S; Steurbaut, S; Cornu, P; Brouns, R; Dupont, A G

    2016-09-01

    To identify the proportion of real-life patients with atrial fibrillation (AF) eligible for direct oral anticoagulant (DOAC) therapy, based on the inclusion and exclusion criteria used in the clinical studies and based on the officially approved indications as mentioned in the Summary of Product Characteristics (SmPC). Data for this retrospective cross-sectional study was extracted from the UZ Brussel Stroke Registry, containing anonymized data of 2205 patients with a suspected stroke. Characteristics of patients with documented AF were compared with the patient characteristics in clinical trials and the approved indications in the SmPC. Data of 468 patients with AF was analyzed. Based on the selection criteria of the clinical trials, significantly less patients were eligible for treatment with rivaroxaban compared to dabigatran etexilate (39.3 versus 47.6 %; p = 0.010), but not compared to apixaban (45.5 %; p = 0.055). Based on the indications and contraindications in the SmPC, significantly fewer patients were eligible for apixaban compared to dabigatran etexilate and rivaroxaban (62.0 % for apixaban, 72.9 % for dabigatran etexilate, and 75.6 % for rivaroxaban; p trials (72.9 versus 47.6 %; p trials with DOACs for stroke prevention in AF, less than half of real-life patients are eligible for therapy with one of the DOACs. However, the indications mentioned in the SmPCs of these drugs are less strict.

  2. A Novel Computational Tool for Mining Real-Life Data: Application in the Metastatic Colorectal Cancer Care Setting.

    Science.gov (United States)

    Siegelmann-Danieli, Nava; Farkash, Ariel; Katzir, Itzhak; Vesterman Landes, Janet; Rotem Rabinovich, Hadas; Lomnicky, Yossef; Carmeli, Boaz; Parush-Shear-Yashuv, Naama

    2016-01-01

    Randomized clinical trials constitute the gold-standard for evaluating new anti-cancer therapies; however, real-life data are key in complementing clinically useful information. We developed a computational tool for real-life data analysis and applied it to the metastatic colorectal cancer (mCRC) setting. This tool addressed the impact of oncology/non-oncology parameters on treatment patterns and clinical outcomes. The developed tool enables extraction of any computerized information including comorbidities and use of drugs (oncological/non-oncological) per individual HMO member. The study in which we evaluated this tool was a retrospective cohort study that included Maccabi Healthcare Services members with mCRC receiving bevacizumab with fluoropyrimidines (FP), FP plus oxaliplatin (FP-O), or FP plus irinotecan (FP-I) in the first-line between 9/2006 and 12/2013. The analysis included 753 patients of whom 15.4% underwent subsequent metastasectomy (the Surgery group). For the entire cohort, median overall survival (OS) was 20.5 months; in the Surgery group, median duration of bevacizumab-containing therapy (DOT) pre-surgery was 6.1 months; median OS was not reached. In the Non-surgery group, median OS and DOT were 18.7 and 11.4 months, respectively; no significant OS differences were noted between FP-O and FP-I, whereas FP use was associated with shorter OS (12.3 month; p controlling for age and gender) identified several non-oncology parameters associated with poorer clinical outcomes including concurrent use of diuretics and proton-pump inhibitors. Our tool provided insights that confirmed/complemented information gained from randomized-clinical trials. Prospective tool implementation is warranted.

  3. Treatment Efficacy and Compliance in Patients with Diabetic Macular Edema Treated with Ranibizumab in a Real-Life Setting

    Directory of Open Access Journals (Sweden)

    Anne-Laurence Best

    2018-01-01

    Full Text Available Purpose. To assess real-life efficacy of ranibizumab and treatment compliance of patients with vision loss secondary to diabetic macular edema (DME. Methods. A retrospective study was conducted in DME patients treated with ranibizumab. Patients were monitored every 4 weeks for visual acuity (VA and central retinal thickness (CRT by SD-OCT. All patients received a loading dose of 3 monthly injections followed by retreatments on an as-needed basis. The primary endpoint was the change in VA at M12. Patient compliance to the follow-up and the correlation between the injection number and VA were also investigated. Compliance was compared to that of neovascular age-related macular degeneration (nAMD patients. Results. Seventy-two eyes of 55 consecutive DME patients were included. At baseline, the mean VA was 56.5 letters and CRT was 470 μm. At M12, the mean VA was 63.4 letters (p 70 letters, the mean VA change was +6.9 letters, and the mean CRT was 361.9 μm (p=0.0001 after a mean number of 5.33 intravitreal injections. In patients who received ≥7 injections, the VA gain and final VA were significantly higher than in patients who received <7 injections. At M12, 25.45% of DME patients were lost to follow-up versus 16.8% of nAMD patients (n=55. Discussion/Conclusion. Our study confirms the real-life efficacy of ranibizumab in DME at M12 and the need for a large number of injections to achieve better visual outcomes. We also showed a trend to a lower compliance in diabetic versus nAMD patients.

  4. Simulating Real Life: Enhancing Social Work Education on Alcohol Screening and Brief Intervention

    Science.gov (United States)

    Osborne, Victoria A.; Benner, Kalea; Sprague, Debra J.; Cleveland, Ivy N.

    2016-01-01

    Social work students typically use role play with student colleagues to practice clinical intervention skills. Practice with simulated clients (SCs) rather than classmates changes the dynamics of the role play and may improve learning. This is the first known study to employ the SC model in substance use assessment in social work education. Social…

  5. Causal attributions, real life-events and personality characteristics : a preliminary study

    NARCIS (Netherlands)

    SANDERMAN, R

    1986-01-01

    The learned-helplessness model has been given much attention recently. In this article some issues are briefly reviewed, the main purpose of this study was, however, to determine the relationship between causal attributions and personality characteristics, symptoms and feelings of well-being.

  6. Explaining Real-Life Events: How Culture and Domain Shape Attributions.

    Science.gov (United States)

    Lee, Fiona; And Others

    1996-01-01

    Research has shown that attributional styles are affected by the attributor's culture, inferential goals, and level of cognitive processing. This study compares the attributions made in sports articles and editorials of newspapers published in Hong Kong and the United States. Implications for the mixed model of social inference are discussed. (LSR)

  7. Deadhead Trip Minimization in City Bus Transportation: A Real Life Application

    Directory of Open Access Journals (Sweden)

    Efendi Nasibov

    2013-04-01

    Full Text Available The quality of public transportation services is one of the most important performance indicators of modern urban policies for both planning and implementation aspects. Therefore, along with the size of the city, the significance of appropriate cost evaluation and optimization of all related transportation activities increases as well. One of the most important cost factors for the public transport agencies is naturally the fuel consumption of the vehicles. In this study, the attention is focused on the metropolitan bus transport service. The specific aim is to minimize a significant portion of total fuel utilization that occurs due to the so called deadhead trip or dead mileage, which is defined as the idle distance covered by the vehicle between the garage and the route terminal stops without carrying any passengers. In this study, the results of four mathematical models for minimizing the total deadhead trip distance covered in city bus services of Izmir are presented. The models vary due to the inclusion of garage capacity restrictions or operator distinction for supporting both operational and strategical decisions. All models are applied to the recent bus schedule data, which consist of 293 routes, 1,424 buses and 10 garages, for obtaining the optimal route bus-garage allocations and garage capacities. The results of the Decentralized-Capacitated model, which is appropriate for quick implementation, promise a 7.8% reduction in total dead mileage. While on the other hand, if all garage capacities can be expanded and the bus service is maintained only by one operator as modelled in the Centralized-Uncapacitated case, even a 31.4% improvement is possible in the long term. The environmental gains as well as the financial benefits to be achieved when the solutions are actually implemented, justify the practical contribution of the study.

  8. Soil Moisture Data Assimilation in the NASA Land Information System for Local Modeling Applications and Improved Situational Awareness

    Science.gov (United States)

    Case, Jonathan L.; Blakenship, Clay B.; Zavodsky, Bradley T.

    2014-01-01

    As part of the NASA Soil Moisture Active Passive (SMAP) Early Adopter (EA) program, the NASA Shortterm Prediction Research and Transition (SPoRT) Center has implemented a data assimilation (DA) routine into the NASA Land Information System (LIS) for soil moisture retrievals from the European Space Agency's Soil Moisture Ocean Salinity (SMOS) satellite. The SMAP EA program promotes application-driven research to provide a fundamental understanding of how SMAP data products will be used to improve decision-making at operational agencies. SPoRT has partnered with select NOAA/NWS Weather Forecast Offices (WFOs) that use output from a real-time regional configuration of LIS, without soil moisture DA, to initialize local numerical weather prediction (NWP) models and enhance situational awareness. Improvements to local NWP with the current LIS have been demonstrated; however, a better representation of the land surface through assimilation of SMOS (and eventually SMAP) retrievals is expected to lead to further model improvement, particularly during warm-season months. SPoRT will collaborate with select WFOs to assess the impact of soil moisture DA on operational forecast situations. Assimilation of the legacy SMOS instrument data provides an opportunity to develop expertise in preparation for using SMAP data products shortly after the scheduled launch on 5 November 2014. SMOS contains a passive L-band radiometer that is used to retrieve surface soil moisture at 35-km resolution with an accuracy of 0.04 cu cm cm (exp -3). SMAP will feature a comparable passive L-band instrument in conjunction with a 3-km resolution active radar component of slightly degraded accuracy. A combined radar-radiometer product will offer unprecedented global coverage of soil moisture at high spatial resolution (9 km) for hydrometeorological applications, balancing the resolution and accuracy of the active and passive instruments, respectively. The LIS software framework manages land surface model

  9. Real-life helping behaviours in North America: A genome-wide association approach.

    Science.gov (United States)

    Primes, Georg; Fieder, Martin

    2018-01-01

    In humans, prosocial behaviour is essential for social functioning. Twin studies suggest this distinct human trait to be partly hardwired. In the last decade research on the genetics of prosocial behaviour focused on neurotransmitters and neuropeptides, such as oxytocin, dopamine, and their respective pathways. Recent trends towards large scale medical studies targeting the genetic basis of complex diseases such as Alzheimer's disease and schizophrenia pave the way for new directions also in behavioural genetics. Based on data from 10,713 participants of the American Health and Retirement Study we estimated heritability of helping behaviour-its total variance explained by 1.2 million single nucleotide polymorphisms-to be 11%. Both, fixed models and mixed linear models identified rs11697300, an intergene variant on chromosome 20, as a candidate variant moderating this particular helping behaviour. We assume that this so far undescribed area is worth further investigation in association with human prosocial behaviour.

  10. Real-life helping behaviours in North America: A genome-wide association approach.

    Directory of Open Access Journals (Sweden)

    Georg Primes

    Full Text Available In humans, prosocial behaviour is essential for social functioning. Twin studies suggest this distinct human trait to be partly hardwired. In the last decade research on the genetics of prosocial behaviour focused on neurotransmitters and neuropeptides, such as oxytocin, dopamine, and their respective pathways. Recent trends towards large scale medical studies targeting the genetic basis of complex diseases such as Alzheimer's disease and schizophrenia pave the way for new directions also in behavioural genetics. Based on data from 10,713 participants of the American Health and Retirement Study we estimated heritability of helping behaviour-its total variance explained by 1.2 million single nucleotide polymorphisms-to be 11%. Both, fixed models and mixed linear models identified rs11697300, an intergene variant on chromosome 20, as a candidate variant moderating this particular helping behaviour. We assume that this so far undescribed area is worth further investigation in association with human prosocial behaviour.

  11. A modeling approach to hospital location for effective marketing.

    Science.gov (United States)

    Cokelez, S; Peacock, E

    1993-01-01

    This paper develops a mixed integer linear programming model for locating health care facilities. The parameters of the objective function of this model are based on factor rating analysis and grid method. Subjective and objective factors representative of the real life situations are incorporated into the model in a unique way permitting a trade-off analysis of certain factors pertinent to the location of hospitals. This results in a unified approach and a single model whose credibility is further enhanced by inclusion of geographical and demographical factors.

  12. Reidentification of Persons Using Clothing Features in Real-Life Video

    Directory of Open Access Journals (Sweden)

    Guodong Zhang

    2017-01-01

    Full Text Available Person reidentification, which aims to track people across nonoverlapping cameras, is a fundamental task in automated video processing. Moving people often appear differently when viewed from different nonoverlapping cameras because of differences in illumination, pose, and camera properties. The color histogram is a global feature of an object that can be used for identification. This histogram describes the distribution of all colors on the object. However, the use of color histograms has two disadvantages. First, colors change differently under different lighting and at different angles. Second, traditional color histograms lack spatial information. We used a perception-based color space to solve the illumination problem of traditional histograms. We also used the spatial pyramid matching (SPM model to improve the image spatial information in color histograms. Finally, we used the Gaussian mixture model (GMM to show features for person reidentification, because the main color feature of GMM is more adaptable for scene changes, and improve the stability of the retrieved results for different color spaces in various scenes. Through a series of experiments, we found the relationships of different features that impact person reidentification.

  13. 3D Interactions between Virtual Worlds and Real Life in an E-Learning Community

    Directory of Open Access Journals (Sweden)

    Ulrike Lucke

    2011-01-01

    Full Text Available Virtual worlds became an appealing and fascinating component of today's internet. In particular, the number of educational providers that see a potential for E-Learning in such new platforms increases. Unfortunately, most of the environments and processes implemented up to now do not exceed a virtual modelling of real-world scenarios. In particular, this paper shows that Second Life can be more than just another learning platform. A flexible and bidirectional link between the reality and the virtual world enables synchronous and seamless interaction between users and devices across both worlds. The primary advantages of this interconnection are a spatial extension of face-to-face and online learning scenarios and a closer relationship between virtual learners and the real world.

  14. Work Practice Simulation of Complex Human-Automation Systems in Safety Critical Situations: The Brahms Generalized berlingen Model

    Science.gov (United States)

    Clancey, William J.; Linde, Charlotte; Seah, Chin; Shafto, Michael

    2013-01-01

    anomalous condition, as occurred during the accident. Brahms-GUeM thus implicitly defines a class of scenarios, which include as an instance what occurred at Überlingen. Brahms-GUeM is a modeling framework enabling "what if" analysis of alternative work system configurations and thus facilitating design of alternative operations concepts. It enables subsequent adaption (reusing simulation components) for modeling and simulating NextGen scenarios. This project demonstrates that BRAHMS provides the capacity to model the complexity of air transportation systems, going beyond idealized and simple flights to include for example the interaction of pilots and ATCOs. The research shows clearly that verification and validation must include the entire work system, on the one hand to check that mechanisms exist to handle failures of communication and alerting subsystems and/or failures of people to notice, comprehend, or communicate problematic (unsafe) situations; but also to understand how people must use their own judgment in relating fallible systems like TCAS to other sources of information and thus to evaluate how the unreliability of automation affects system safety. The simulation shows in particular that distributed agents (people and automated systems) acting without knowledge of each others' actions can create a complex, dynamic system whose interactive behavior is unexpected and is changing too quickly to comprehend and control.

  15. Numerical simulation of 3D flow past a real-life marine hydrokinetic turbine

    Science.gov (United States)

    Kang, Seokkoo; Borazjani, Iman; Colby, Jonathan A.; Sotiropoulos, Fotis

    2012-04-01

    We simulate three-dimensional, turbulent flow past an axial-flow marine hydrokinetic (MHK) turbine mounted on the bed of a rectangular open channel by adapting a computational framework developed for carrying out high-resolution large-eddy simulation (LES) in arbitrarily complex domains involving moving or stationary boundaries. The complex turbine geometry, including the rotor and all stationary components, is handled by employing the curvilinear immersed boundary (CURVIB) method [1,2]. Velocity boundary conditions near all solid surfaces are reconstructed using a wall model based on solving the simplified boundary layer equations [2]. To demonstrate the capabilities of the model we apply it to simulate the flow past a Gen4 axial flow MHK turbine developed by Verdant Power for the Roosevelt Island Tidal Energy (RITE) project in the East River in New York City, USA. We carry out systematic grid refinement studies, using grids with up to 185 million nodes, for only the turbine rotor placed in an infinite free stream to show that the computed torque converges to a grid insensitive value, which is in good agreement with field measurements. We also carry out LES for the complete turbine configuration, including the pylon, nacelle and rotor, mounted on the bed of a straight rectangular open channel. The computed results illustrate the complexity of the flow and show that the power output of the complete turbine is primarily dependent on the rotor geometry and tip speed ratio, and is not affected by the stationary components of the turbine and the presence of the channel bed. The complete turbine simulation also reveals that the downstream wake of the turbine consists of three main regions: (1) the outer layer with the spiral blade tip vortices rotating in the same direction as the blades; (2) the counter-rotating inner layer surrounded by the spiral tip vortices; and (3) the core layer co-rotating with respect to the tip vortices. This study is the first to report the

  16. Event-related potential signatures of perceived and imagined emotional and food real-life photos.

    Science.gov (United States)

    Marmolejo-Ramos, Fernando; Hellemans, Kim; Comeau, Amy; Heenan, Adam; Faulkner, Andrew; Abizaid, Alfonso; D'Angiulli, Amedeo

    2015-06-01

    Although food and affective pictures share similar emotional and motivational characteristics, the relationship between the neuronal responses to these stimuli is unclear. Particularly, it is not known whether perceiving and imagining food and affective stimuli elicit similar event-related potential (ERP) patterns. In this study, two ERP correlates, the early posterior negativity (EPN) and the late positive potential (LPP) for perceived and imagined emotional and food photographs were investigated. Thirteen healthy volunteers were exposed to a set of food photos, as well as unpleasant, pleasant, and neutral photos from the International Affective Picture System. In each trial, participants were first asked to view a photo (perception condition), and then to create a visual mental image of it and to rate its vividness (imagery condition). The results showed that during perception, brain regions corresponding to sensorimotor and parietal motivational (defensive and appetitive) systems were activated to different extents, producing a graded pattern of EPN and LPP responses specific to the photo content - more prominent for unpleasant than pleasant and food content. Also, an EPN signature occurred in both conditions for unpleasant content, suggesting that, compared to food or pleasant content, unpleasant content may be attended to more intensely during perception and may be represented more distinctly during imagery. Finally, compared to LLP activation during perception, as well as imagery and perception of all other content, LPP activation was significantly reduced during imagery of unpleasant photos, suggesting inhibition of unwanted memories. Results are framed within a neurocognitive working model of embodied emotions.

  17. Situational theory of leadership.

    Science.gov (United States)

    Waller, D J; Smith, S R; Warnock, J T

    1989-11-01

    The situational theory of leadership and the LEAD instruments for determining leadership style are explained, and the application of the situational leadership theory to the process of planning for and implementing organizational change is described. Early studies of leadership style identified two basic leadership styles: the task-oriented autocratic style and the relationship-oriented democratic style. Subsequent research found that most leaders exhibited one of four combinations of task and relationship behaviors. The situational leadership theory holds that the difference between the effectiveness and ineffectiveness of the four leadership styles is the appropriateness of the leader's behavior to the particular situation in which it is used. The task maturity of the individual or group being led must also be accounted for; follower readiness is defined in terms of the capacity to set high but attainable goals, willingness or ability to accept responsibility, and possession of the necessary education or experience for a specific task. A person's leadership style, range, and adaptability can be determined from the LEADSelf and LEADOther questionnaires. By applying the principles of the situational leadership theory and adapting their managerial styles to specific tasks and levels of follower maturity, the authors were successful in implementing 24-hour pharmacokinetic dosing services provided by staff pharmacists with little previous experience in clinical services. The situational leadership model enables a leader to identify a task, set goals, determine the task maturity of the individual or group, select an appropriate leadership style, and modify the style as change occurs. Pharmacy managers can use this model when implementing clinical pharmacy services.

  18. Lab meets real life: A laboratory assessment of spontaneous thought and its ecological validity.

    Directory of Open Access Journals (Sweden)

    Christine Kuehner

    Full Text Available People's minds frequently wander towards self-generated thoughts, which are unrelated to external stimuli or demands. These phenomena, referred to as "spontaneous thought" (ST and "mind wandering" (MW, have previously been linked with both costs and benefits. Current assessments of ST and MW have predominantly been conducted in the laboratory, whereas studies on the ecological validity of such lab-related constructs and their interrelations are rare. The current study examined the stability of ST dimensions assessed in the lab and their predictive value with respect to MW, repetitive negative thought (uncontrollable rumination, RUM, and affect in daily life. Forty-three university students were assessed with the Amsterdam Resting State Questionnaire (2nd version to assess ten ST dimensions during the resting state in two laboratory sessions, which were separated by five days of electronic ambulatory assessment (AA. During AA, individuals indicated the intensity of MW and RUM, as well as of positive and negative affect in daily life ten times a day. ST dimensions measured in the lab were moderately stable across one week. Five out of ten ST lab dimensions were predicted by mental health-related symptoms or by dispositional cognitive traits. Hierarchical linear models revealed that a number of ST lab dimensions predicted cognitive and affective states in daily life. Mediation analyses showed that RUM, but not MW per se, accounted for the relationship between specific ST lab dimensions and mood in daily life. By using a simple resting state task, we could demonstrate that a number of lab dimensions of spontaneous thought are moderately stable, are predicted by mental health symptoms and cognitive traits, and show plausible associations with categories of self-generated thought and mood in daily life.

  19. Objective measurement of function following lumbar spinal stenosis decompression reveals improved functional capacity with stagnant real-life physical activity.

    Science.gov (United States)

    Smuck, Matthew; Muaremi, Amir; Zheng, Patricia; Norden, Justin; Sinha, Aman; Hu, Richard; Tomkins-Lane, Christy

    2018-01-01

    Lumbar spinal stenosis (LSS) is a prevalent and costly condition associated with significant dysfunction. Alleviation of pain and improvement of function are the primary goals of surgical intervention. Although prior studies have measured subjective improvements in function after surgery, few have examined objective markers of functional improvement. We aimed to objectively measure and quantify changes in physical capacity and physical performance following surgical decompression of LSS. Prospective cohort study. Thirty-eight patients with LSS determined by the treating surgeon's clinical and imaging evaluation, and who were scheduled for surgical treatment, were consecutively recruited at two academic medical facilities, with 28 providing valid data for analysis at baseline and 6 months after surgery. Before surgery and at 6 months after surgery, participants provided 7 days of real-life physical activity (performance) using ActiGraph accelerometers; completed two objective functional capacity measures, the Short Physical Performance Battery and Self-Paced Walking Test; and completed three subjective functional outcome questionnaires, Oswestry Disability Index, Spinal Stenosis Symptom Questionnaire, and Short-Form 36. Physical activity, as measured by continuous activity monitoring, was analyzed as previously described according to the 2008 American Physical Activity Guidelines. Paired t tests were performed to assess for postsurgical changes in all questionnaire outcomes and all objective functional capacity measures. Chi-square analysis was used to categorically assess whether patients were more likely to meet these physical activity recommendations after surgery. Participants were 70.1 years old (±8.9) with 17 females (60.7%) and an average body mass index of 28.4 (±6.2). All subjective measures (Oswestry Disability Index, Spinal Stenosis Symptom Questionnaire, and Short-Form 36) improved significantly at 6 months after surgery, as did objective functional

  20. Real-life effectiveness of spa therapy in rheumatic and musculoskeletal diseases: a retrospective study of 819 patients

    Science.gov (United States)

    Karagülle, Mine; Kardeş, Sinan; Karagülle, Müfit Zeki

    2017-11-01

    The objective of this study is to determine the use and efficacy of spa therapy in patients with a wide spectrum of rheumatic and musculoskeletal diseases under real-life clinical practice circumstances. In this retrospective observational study at the Medical Ecology and Hydroclimatology Department of Istanbul Faculty of Medicine, the records of all adult patients with rheumatic and musculoskeletal diseases who were prescribed a spa therapy in various health resorts in Turkey between 2002 and 2012 were analyzed. Patients sojourned to and stayed at a health resort and followed a usual 2-week course of spa therapy. The patients were examined within a week before and after the spa therapy at the department by the physicians and outcome measures were pain intensity (visual analog scale, VAS), patient's general evaluation (VAS), physician's general evaluation (VAS), Health Assessment Questionnaire (HAQ), Lequesne's Functional Index (LFI), Western Ontario and McMaster Universities Index (WOMAC), Waddell Index (WI), Neck Pain and Disability Scale (NPDS), Shoulder Disability Questionnaire (SDQ), Fibromyalgia Impact Questionnaire (FIQ), and Beck's Depression Inventory (BDI). In total, 819 patients were included in the analysis. The diagnoses were 536 osteoarthritis; 115 fibromyalgia; 50 lumbar disc herniation; 34 cervical disc herniation; 23 nonspecific low back pain; 22 ankylosing spondylitis; 16 rheumatoid arthritis; 9 rotator cuff tendinitis; and 14 other conditions/diseases including scoliosis, stenosing flexor tenosynovitis, congenital hip dislocation in adult, Behçet's disease, de Quervain tendinopathy, psoriatic arthritis, osteoporosis, fracture rehabilitation, and diffuse idiopathic skeletal hyperostosis. Statistically significant decrease in pain scores was found in all patients except hip osteoarthritis ( p = 0.063) and rheumatoid arthritis ( p = 0.134) subgroups; and statistically significant improvement in function in all patients except hip osteoarthritis ( p

  1. A Novel Computational Tool for Mining Real-Life Data: Application in the Metastatic Colorectal Cancer Care Setting.

    Directory of Open Access Journals (Sweden)

    Nava Siegelmann-Danieli

    Full Text Available Randomized clinical trials constitute the gold-standard for evaluating new anti-cancer therapies; however, real-life data are key in complementing clinically useful information. We developed a computational tool for real-life data analysis and applied it to the metastatic colorectal cancer (mCRC setting. This tool addressed the impact of oncology/non-oncology parameters on treatment patterns and clinical outcomes.The developed tool enables extraction of any computerized information including comorbidities and use of drugs (oncological/non-oncological per individual HMO member. The study in which we evaluated this tool was a retrospective cohort study that included Maccabi Healthcare Services members with mCRC receiving bevacizumab with fluoropyrimidines (FP, FP plus oxaliplatin (FP-O, or FP plus irinotecan (FP-I in the first-line between 9/2006 and 12/2013.The analysis included 753 patients of whom 15.4% underwent subsequent metastasectomy (the Surgery group. For the entire cohort, median overall survival (OS was 20.5 months; in the Surgery group, median duration of bevacizumab-containing therapy (DOT pre-surgery was 6.1 months; median OS was not reached. In the Non-surgery group, median OS and DOT were 18.7 and 11.4 months, respectively; no significant OS differences were noted between FP-O and FP-I, whereas FP use was associated with shorter OS (12.3 month; p <0.002; notably, these patients were older. Patients who received both FP-O- and FP-I-based regimens achieved numerically longer OS vs. those who received only one of these regimens (22.1 [19.9-24.0] vs. 18.9 [15.5-21.9] months. Among patients assessed for wild-type KRAS and treated with subsequent anti-EGFR agent, OS was 25.4 months and 18.7 months for 124 treated vs. 37 non-treated patients (non-significant. Cox analysis (controlling for age and gender identified several non-oncology parameters associated with poorer clinical outcomes including concurrent use of diuretics and proton

  2. The Weighted Gray Situation Decision-Making Model Based on the Gray Theory of Decision-Making and Its Application -- An Example of Forest Health Park of Hainan Province

    Science.gov (United States)

    Huang, Kuailin; Bai, Zhiyong

    This paper analyses the complication of influence construction of eco-tourism park decision-making, through study on gray situation theory of decision making establishes an new model of decision-making, -- weighted gray situation decision-making model based on the gray situation theory of decision-making, and on the empirical analysis, it gives a new method of gray situation theory used in decision-making of construction.

  3. Engaging Struggling Adolescent Readers through Situational Interest: A Model Proposing the Relationships among Extrinsic Motivation, Oral Reading Proficiency, Comprehension, and Academic Achievement

    Science.gov (United States)

    Paige, David D.

    2011-01-01

    Reading ability and motivation among adolescents across the country continues to be problematic, as only slightly more than one-third read at a proficient level (Grigg, Donahue, & Dion, 2007; Unrau & Schlackman, 2006). Hidi and Renninger (2006) have proposed a four-phase model of situational interest that suggests how activities involving…

  4. Translation of a tailored nutrition and resistance exercise intervention for elderly people to a real-life setting: adaptation process and pilot study

    NARCIS (Netherlands)

    Dongen, van E.J.I.; Leerlooijer, J.N.; Steijns, J.M.; Tieland, C.A.B.; Groot, de C.P.G.M.; Haveman-Nies, A.

    2017-01-01

    Background
    Combining increased dietary protein intake and resistance exercise training for elderly people is a promising strategy to prevent or counteract the loss of muscle mass and decrease the risk of disabilities. Using findings from controlled interventions in a real-life setting requires

  5. Off the fence, onto the bandwagon? A large-scale survey experiment on effect of real-life poll outcomes on subsequent vote intentions

    NARCIS (Netherlands)

    van der Meer, T.W.G.; Hakhverdian, A.; Aaldering, L.

    2016-01-01

    Despite decades of scholarly inquiry, the debate on the existence of a bandwagon effect in politics remains undecided. This article aims to overcome the limitations of previous experimental and survey research. We test to what extent success in real-life polling outcomes of the previous weeks

  6. The Cost of Your Shirt. A Simulation Exercise for Secondary Students and Adults, Based on the Real-Life Drama of Guatemalan Textile Workers.

    Science.gov (United States)

    Swenson, Mary, Comp.; Austin, Jane, Comp.

    This simulation exercise requires participants to practice critical thinking, problem solving, and negotiating skills as they role play real-life conflicts concerning working conditions in a factory in Guatemala City, Guatemala. Participants also learn about Guatemala's history, its social, economic, and political status as of April 1994. Based on…

  7. Son, you’re smoking on Facebook! College students’ disclosures on social networking sites as indicators of real-life risk behaviors

    NARCIS (Netherlands)

    van Hoof, Joris Jasper; Bekkers, Jeroen; van Vuuren, Hubrecht A.

    2014-01-01

    Health risk behavior in student populations is an issue of major concern, and students’ risk levels are difficult to determine. In this study, we explore the extent to which information disclosed publicly on Facebook provides reliable indications of five real-life health behaviors. Questionnaire

  8. Performance in real life of the European Network on Drug Allergy algorithm in immediate reactions to beta-lactam antibiotics.

    Science.gov (United States)

    Moreno, E; Laffond, E; Muñoz-Bellido, F; Gracia, M T; Macías, E; Moreno, A; Dávila, I

    2016-12-01

    European Network on Drug Allergy (ENDA) has proposed an algorithm for diagnosing immediate beta-lactam (BL) allergy. We evaluated its performance in real life. During 1994-2014, 1779 patients with suspected immediate reactions to BL were evaluated following ENDA's short diagnostic algorithm. Five hundred and nine patients (28.6%) were diagnosed of BL hypersensitivity. Of them, 457 (25.7%) were at first evaluation [403 by skin tests (ST), 12 by positive IgE and 42 by controlled provocation tests (CPT)]. At second evaluation (SE), 52 additional patients (10.2% of allergic patients) were diagnosed, [50 (2.8%) by ST and 2 (0.1%) by CPT]. Time between reaction and study was significantly longer in patients diagnosed at SE (median 5 vs 42 months; IQR 34 vs 170; P immediate reactions. Re-evaluation should be performed, particularly when anaphylaxis and long interval to diagnosis are present. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  9. Efficacy of high-dose sublingual immunotherapy in children allergic to house dust mites in real-life clinical practice.

    Science.gov (United States)

    Ferrés, J; Justicia, J-L; García, M P; Muñoz-Tudurí, M; Alvà, V

    2011-01-01

    The aim of the study was to evaluate the efficacy and safety of high-dose mite sublingual immunotherapy (SLIT) administered in children with allergic rhinitis in real-life clinical practice. Moreover, we analysed the clinical course of asthma severity. Retrospective, observational, monocentre study. Medical records of patients treated between 2001 and 2008 were reviewed. Patients received a standardised Dermatophagoides pteronyssinus+Dermatophagoides farinae extract (300 IR/ml) manufactured by Stallergenes (Staloral(®) 300). Patients were evaluated before SLIT initiation and at 6, 12, 24, 36 and 48 months. Global assessment of SLIT efficacy was measured using a visual analogue scale (VAS) and a rhinitis medication consumption score (RMCS). A global asthma score was used to estimate the clinical course of asthma severity. We obtained data from 78 patients, 43.6% male. The mean (± SD) age was 11.0 ± 3.0 years. Most patients (69.2%) suffered from allergic rhinitis plus asthma. Patient evaluation of allergy severity (VAS) revealed a highly significant improvement between baseline and six months (p house dust mites is well-tolerated and could be an effective treatment. Copyright © 2009 SEICAP. Published by Elsevier Espana. All rights reserved.

  10. High rate of serious infection in juvenile idiopathic arthritis patients under biologic therapy in a real-life setting.

    Science.gov (United States)

    Brunelli, Juliana Barbosa; Schmidt, Ana Renata; Sallum, Adriana Maluf Elias; Goldenstein-Schainberg, Claudia; Bonfá, Eloisa; Silva, Clovis A; Aikawa, Nádia Emi

    2018-03-01

    To assess the rate of serious and/or opportunistic infections in juvenile idiopathic arthritis (JIA) patients from a single tertiary center under biologic therapy and to identify possible risk factors associated to these complications. A total of 107 JIA patients followed at the biologic therapy center of our tertiary university hospital using a standardized electronic database protocol including demographic data, clinical and laboratorial findings and treatment at baseline and at the moment of infection. Opportunistic infections included tuberculosis, herpes zoster and systemic mycosis. A total of 398 patient-yrs(py) were included. The median time of biologic exposure was 3.0 years (0.15-11.5). We observed 35 serious/opportunistic infectious events in 27 (25%) patients: 31(88.6%) were serious infections and four (11.4%) opportunistic infections. Serious/opportunistic infections rates were 10.6/100py for ETN, 10.9/100py for ADA, 2.6/100py for ABA and 14.8/100py for TCZ. Comparison of 27 patients with and 80 without infection showed a higher frequency of systemic-onset JIA, lower age at biologic therapy initiation and a history of previous serious infection (p biologic therapy in a real-life setting. Systemic-onset JIA, lower age at biologic therapy start and history of previous serious infections were important risk factors for these complications. Also, higher rates of severe infections comparing to the former studies was possibly due to elevated MTX doses in our patients.

  11. Episodic future thinking improves children's prospective memory performance in a complex task setting with real life task demands.

    Science.gov (United States)

    Kretschmer-Trendowicz, A; Schnitzspahn, K M; Reuter, L; Altgassen, M

    2017-08-31

    Research on children's prospective memory (PM) shows an increase of performance across childhood and provides first evidence that encoding strategies such as episodic future thinking (EFT; i.e., engaging in a vivid prospection of oneself performing future tasks) may improve performance. The present study aimed at testing whether the beneficial effects of EFT extend from typical lab-based tasks to more complex tasks with real life demands. Further, it was tested whether children's ability to project themselves into different perspectives (i.e., self-projection) moderates the effects of EFT encoding on PM. Overall, 56 children (mean age: M = 10.73 years) were included in this study who were randomly assigned to either an EFT or control condition. Children participated in a 'sightseeing tour' (ongoing activity) inside the lab with various socially relevant and neutral PM tasks embedded. Results showed significantly higher PM performance in the EFT compared to the control group. There was no difference between neutral and social PM tasks and no interaction between type of PM tasks with encoding condition. Further, self-projection did not moderate the effects of EFT encoding on PM. Results suggest that EFT is an effective strategy to improve children's everyday PM. These beneficial effects seem to occur independent from children's general ability to change perspectives and for different types of PM tasks.

  12. Real-life experience with fampridine (Fampyra®) for patients with multiple sclerosis and gait disorders.

    Science.gov (United States)

    Fragoso, Yara Dadalti; Adoni, Tarso; Alves-Leon, Soniza Vieira; Apostolos-Pereira, Samira Luisa; Barreira, Amilton Antunes; Brooks, Joseph Bruno Bidin; Claudino, Rinaldo; Correa, Eber Castro; Ferreira, Maria Lucia Brito; Finkelsztejn, Alessandro; Finkelsztejn, Juliana; da Gama, Paulo Diniz; Goncalves, Marcus Vinicius Magno; Guerreiro, Carlos Tostes; da Cunha Matta, Andre Palma; Marques, Vanessa Daccach; Rizo Morales, Rogerio; Parolin, Monica Fiuza Koncke; de Castro Ribeiro, Marlise; Ribeiro, Taysa Alexandrino Gonsalves Jube; Ruocco, Heloisa Helena; Sato, Henry; Scherpenhuijzen, Simone; Siquineli, Fabio; de Carvalho Sousa, Nise Alessandra; Varela, Daniel Lima; Tauil, Carlos Bernardo; Winckler, Thereza Cristina

    2016-06-30

    Fampridine is a broad-spectrum voltage-dependent potassium channel blocker that enhances synaptic transmission. The drug has been shown to be able to ameliorate conduction in demyelinated axons, thereby leading to improved gait in patients with multiple sclerosis (MS). To assess the "real-life" efficacy and safety of fampridine prescribed for gait disorders in MS. This was an observational and prospective study carried out at MS Units participating in the Brazilian Multiple Sclerosis Study Group. Patients with MS and gait disorders were prescribed fampridine (10 mg twice a day), irrespectively of the degree of disability determined by MS. Neurological disability determined by MS was assessed with the expanded disability scale score (EDSS). Outcomes for efficacy and safety of the drug were evaluated by the 25 foot-walk test and by the adverse events of fampridine. The time taken to walk 25 feet decreased by 20% or more in 62 patients (70%). Twenty-five patients were considered to be non-responders to this treatment. Improvement in walking speed was independent of improvement of disability. Mild or moderate adverse events were reported in 8% of patients. Fampridine is an efficient and safe therapeutic option for patients with MS and gait disorders.

  13. Dose uniformity of budesonide Easyhaler® under simulated real-life conditions and with low inspiration flow rates.

    Science.gov (United States)

    Haikarainen, Jussi; Rytilä, Paula; Roos, Sirkku; Metsärinne, Sirpa; Happonen, Anita

    2017-01-01

    Budesonide Easyhaler® multidose dry powder inhaler is approved for the treatment of asthma. Objectives were to determine the delivered dose (DD) uniformity of budesonide Easyhaler® in simulated real-world conditions and with different inspiration flow rates (IFRs). Three dose delivery studies were performed using 100, 200, and 400 µg/dose strengths of budesonide. Dose uniformity was assessed during in-use periods of 4-6 months after exposure to high temperature (30°C) and humidity (60% relative humidity) and after dropping and vibration testing. The influence of various IFRs (31, 43, and 54 L/min) on the DD was also investigated. Acceptable dose uniformity was declared when mean DD were within 80-120% of expected dose; all data reported descriptively. DD was constant (range: 93-109% of expected dose) at all in-use periods and after exposure to high temperature and humidity for a duration of up to 6 months. DD post-dropping and -vibration were unaffected (range 98-105% of expected dose). Similarly, DD was constant and within 10% of expected dose across all IFRs. Results indicate that budesonide Easyhaler® delivers consistently accurate doses in various real-life conditions. Budesonide Easyhaler® can be expected to consistently deliver a uniform dose and improve asthma control regardless of high temperature and humidity or varying IFR.

  14. Is it time for studying real-life debiasing? Evaluation of the effectiveness of an analogical intervention technique.

    Science.gov (United States)

    Aczel, Balazs; Bago, Bence; Szollosi, Aba; Foldes, Andrei; Lukacs, Bence

    2015-01-01

    The aim of this study was to initiate the exploration of debiasing methods applicable in real-life settings for achieving lasting improvement in decision making competence regarding multiple decision biases. Here, we tested the potentials of the analogical encoding method for decision debiasing. The advantage of this method is that it can foster the transfer from learning abstract principles to improving behavioral performance. For the purpose of the study, we devised an analogical debiasing technique for 10 biases (covariation detection, insensitivity to sample size, base rate neglect, regression to the mean, outcome bias, sunk cost fallacy, framing effect, anchoring bias, overconfidence bias, planning fallacy) and assessed the susceptibility of the participants (N = 154) to these biases before and 4 weeks after the training. We also compared the effect of the analogical training to the effect of 'awareness training' and a 'no-training' control group. Results suggested improved performance of the analogical training group only on tasks where the violations of statistical principles are measured. The interpretation of these findings require further investigation, yet it is possible that analogical training may be the most effective in the case of learning abstract concepts, such as statistical principles, which are otherwise difficult to master. The study encourages a systematic research of debiasing trainings and the development of intervention assessment methods to measure the endurance of behavior change in decision debiasing.

  15. Is it time for studying real-life debiasing? Evaluation of the effectiveness of an analogical intervention technique

    Directory of Open Access Journals (Sweden)

    Balazs eAczel

    2015-08-01

    Full Text Available The aim of this study was to initiate the exploration of debiasing methods applicable in real-life settings for achieving lasting improvement in decision-making competence regarding multiple decision biases. Here, we tested the potentials of the analogical encoding method for decision debiasing. The advantage of this method is that it can foster the transfer from learning abstract principles to improving behavioral performance. For the purpose of the study, we devised an analogical debiasing technique for ten biases (covariation detection, insensitivity to sample size, base rate neglect, regression to the mean, outcome bias, sunk cost fallacy, framing effect, anchoring bias, overconfidence bias, planning fallacy and assessed the susceptibility of the participants (N = 154 to these biases before and four weeks after the training. We also compared the effect of the analogical training to the effect of an ‘awareness training’ and a ‘no-training’ control group. Results suggested improved performance of the analogical training group only on tasks where the violations of statistical principles are measured. The interpretation of these findings require further investigation, yet it is possible that analogical training may be the most effective in the case of learning abstract concepts, such as statistical principles, which are otherwise difficult to master. The study encourages a systematic research of debiasing trainings and the development of intervention assessment methods to measure the endurance of behavior change in decision debiasing.

  16. Loneliness and the social monitoring system: Emotion recognition and eye gaze in a real-life conversation.

    Science.gov (United States)

    Lodder, Gerine M A; Scholte, Ron H J; Goossens, Luc; Engels, Rutger C M E; Verhagen, Maaike

    2016-02-01

    Based on the belongingness regulation theory (Gardner et al., 2005, Pers. Soc. Psychol. Bull., 31, 1549), this study focuses on the relationship between loneliness and social monitoring. Specifically, we examined whether loneliness relates to performance on three emotion recognition tasks and whether lonely individuals show increased gazing towards their conversation partner's faces in a real-life conversation. Study 1 examined 170 college students (Mage = 19.26; SD = 1.21) who completed an emotion recognition task with dynamic stimuli (morph task) and a micro(-emotion) expression recognition task. Study 2 examined 130 college students (Mage = 19.33; SD = 2.00) who completed the Reading the Mind in the Eyes Test and who had a conversation with an unfamiliar peer while their gaze direction was videotaped. In both studies, loneliness was measured using the UCLA Loneliness Scale version 3 (Russell, 1996, J. Pers. Assess., 66, 20). The results showed that loneliness was unrelated to emotion recognition on all emotion recognition tasks, but that it was related to increased gaze towards their conversation partner's faces. Implications for the belongingness regulation system of lonely individuals are discussed. © 2015 The British Psychological Society.

  17. A case study on variability management in software product lines: identifying why real-life projects fail

    Directory of Open Access Journals (Sweden)

    Tom Huysegoms

    2013-01-01

    Full Text Available Economies of scale can be seen as some kind of “holy grail” in state of the art literature on the development of sets of related software systems. Software product line methods are often mentioned in this context, due to the variability management aspects they propose, in order to deal with sets of related software systems. They realize the sought-after reusability. Both variability management and software product lines already have a strong presence in theoretical research, but in real-life software product line projects trying to obtain economies of scale still tend to fall short of target. The objective of this paper is to study this gap between theory and reality through a case study in order to see why such gap exists, and to find a way to bridge this gap. Through analysis of the causes of failure identified by the stakeholders in the case study, the underlying problem, which is found to be located in the requirements engineering phase, is crystallized. The identification of a framework describing the problems will provide practitioners with a better focus for future endeavors in the field of software product lines, so that economies of scale can be achieved.

  18. 'Naked-eye' detection of biologically important anions in aqueous media by colorimetric receptor and its real life applications

    Science.gov (United States)

    Singh, Archana; Trivedi, Darshak R.

    2017-05-01

    A colorimetric receptor R 2-[(2-Hydroxy-naphthalen-1-ylmethylene)-hydrazonomethyl]-quinolin-8-ol has been designed and synthesized with good yield and characterized by the standard spectroscopic techniques such as FT-IR, UV-Visible, 1H NMR, 13C NMR and ESI-MS. The receptor R showed naked-eye detection and spectral change in the presence of F-, AcO- and H2PO4- over other anions. Interestingly, receptor R displaying high selective recognition towards F-, AcO- ion with a drastic color change from pale yellow to red in dry DMSO solvent and orange in mixed solvent DMSO/H2O (9:1, v/v). The behavior of receptor R towards F-, AcO- ion was investigated using UV-Vis and 1H NMR experiment. The detailed 1H NMR experiment result revealed that the receptor R is forming the hydrogen bonding between imine nitrogen and phenolic sbnd OH proton towards anions. The receptor R is able to detect sodium salts of flouride (NaF) and acetate (NaAcO) in aqueous medium and it exhibited dramatic color change from pale yellow to red. The receptor R demonstrated itself to be useful for real life application by detecting flouride and acetate ion in sea-water and commercially available product such as toothpaste, mouthwash and vinegar solution.

  19. How real-life health messages engage our brains: Shared processing of effective anti-alcohol videos.

    Science.gov (United States)

    Imhof, Martin A; Schmälzle, Ralf; Renner, Britta; Schupp, Harald T

    2017-07-01

    Health communication via mass media is an important strategy when targeting risky drinking, but many questions remain about how health messages are processed and how they unfold their effects within receivers. Here we examine how the brains of young adults-a key target group for alcohol prevention-'tune in' to real-life health prevention messages about risky alcohol use. In a first study, a large sample of authentic public service announcements (PSAs) targeting the risks of alcohol was characterized using established measures of message effectiveness. In the main study, we used inter-subject correlation analysis of fMRI data to examine brain responses to more and less effective PSAs in a sample of young adults. We find that more effective messages command more similar responses within widespread brain regions, including the dorsomedial prefrontal cortex, insulae and precuneus. In previous research, these regions have been related to processing narratives, emotional stimuli, self-relevance and attention towards salient stimuli. The present study thus suggests that more effective health prevention messages have greater 'neural reach', i.e. they engage the brains of audience members' more widely. This work outlines a promising strategy for assessing the effects of health communication at a neural level. © The Author (2017). Published by Oxford University Press.

  20. How real-life health messages engage our brains: Shared processing of effective anti-alcohol videos

    Science.gov (United States)

    Schmälzle, Ralf; Renner, Britta; Schupp, Harald T.

    2017-01-01

    Abstract Health communication via mass media is an important strategy when targeting risky drinking, but many questions remain about how health messages are processed and how they unfold their effects within receivers. Here we examine how the brains of young adults—a key target group for alcohol prevention—‘tune in’ to real-life health prevention messages about risky alcohol use. In a first study, a large sample of authentic public service announcements (PSAs) targeting the risks of alcohol was characterized using established measures of message effectiveness. In the main study, we used inter-subject correlation analysis of fMRI data to examine brain responses to more and less effective PSAs in a sample of young adults. We find that more effective messages command more similar responses within widespread brain regions, including the dorsomedial prefrontal cortex, insulae and precuneus. In previous research, these regions have been related to processing narratives, emotional stimuli, self-relevance and attention towards salient stimuli. The present study thus suggests that more effective health prevention messages have greater ‘neural reach’, i.e. they engage the brains of audience members’ more widely. This work outlines a promising strategy for assessing the effects of health communication at a neural level. PMID:28402568

  1. Learning motivational interviewing in a real-life setting: a randomised controlled trial in the Swedish Prison Service.

    Science.gov (United States)

    Forsberg, Lars; Ernst, Denise; Farbring, Carl Åke

    2011-07-01

    Motivational interviewing (MI) is a client-centred, directive counselling style for helping people to explore and resolve ambivalence about behaviour change and shown to decrease drug and alcohol use. A five-session semi-structured MI intervention [Beteende, Samtal, Förändring (BSF; Behaviour, Counselling, Change)] was implemented in Swedish prisons. To examine whether, in a real-life implementation of semi-structured MI, staff receiving ongoing MI training, based on audio-recorded feedback in peer groups (BSF+), possess greater MI skill compared with staff receiving workshop-only MI training (BSF), and staff conducting usual prison planning interviews (UPI). Prisoners were randomised to one of the three interventions. The fi rst sessions between staff and prisoner with complete data were assessed with the Motivational Interviewing Treatment Integrity Code 3.0. Content analysis of 45 staff: prisoner sessions revealed that counsellors in the BSF+ group were significantly more competent in MI than those in the UPI group, but there was no difference in MI competency between the BSF and UPI groups. Overall, staff were rated as not having achieved beginning proficiency. Our findings suggest that staff delivering motivational interviewing programmes for substance-misusing prisoners in Sweden are not being given sufficient training for the task. Previous literature has suggested that staff need more than a basic 3- to 5-day workshop training, but our findings suggest that they may need longer-term continuing supervision and support than previously recognised.

  2. Evaluation of Virological Microparticle Enzyme Immunoassay According to the ISO 15189: Real-Life Experience in a University Hospital.

    Science.gov (United States)

    Lafontaine, Sophie; Prin-Mathieu, Christine; Velay, Aurélie; Agulles, Odette; Schvoerer, Evelyne; Jeulin, Hélène

    2016-01-01

    The International Standard ISO 15189 based on the ISO 9001:2008 emphasizes specific requirements for quality and ability of medical laboratories. The accreditation of medical laboratories according to ISO 15189 includes the validation of biological methods, which depends on collection of bibliographic data and experimental proofs. Moreover, these results must be compared to provider data sheets and independent scientific data. In the immunodiagnostic field, independent published data are deeply lacking. The aim of our work was to share experience of method validation for virological immune markers on the widely used Architect i2000sr. After risk analysis, intra- and inter-assay variability, and inter-sample contamination were evaluated for each method, and sensitivity was investigated for antigen detection tests. A comparison between the two Architect i2000sr available in our laboratory was also performed. All tested methods were consistent with the manufacturer data (from the data sheet). No inter-sample contamination was observed. Both devices are broadly equivalent and can be used indifferently or as a backup solution of the other. To our knowledge, those results are the first independent complete data on the reliability of the Architect i2000sr in real-life experience. These data are needed to the accreditation of our platform and potentially useful for the accreditation of other laboratories using the same equipment.

  3. Differential Contributions of Default and Dorsal Attention Networks to Remembering Thoughts and External Stimuli From Real-Life Events.

    Science.gov (United States)

    Stawarczyk, David; Jeunehomme, Olivier; D'Argembeau, Arnaud

    2017-10-17

    Episodic memories are typically composed of perceptual information derived from the external environment and representations of internal states (e.g., one's thoughts during prior episodes). To date, however, research has mostly focused on the remembrance of external stimuli, such that little is known about how internal mentation is represented within episodic memory. In the present fMRI study, we examined the neural correlates of these 2 components of episodic memories using a novel method of cuing memories from photographs taken during real-life events. We found that, compared with corresponding semantic memory tasks, memories for internal thoughts and external elements were associated with activity in brain areas supporting episodic recollection. Most importantly, however, the 2 kinds of memories also showed differential activation in large-scale brain networks: the remembrance of external elements was associated with greater activity in the dorsal attention network, whereas memories of internal thoughts mainly recruited default network areas. These findings shed new light on the representation of internal and external aspects of prior experience within episodic memory. The default network may contribute to the reinstatement of thoughts experienced during past events, whereas the dorsal attention network may support the allocation of attention to visuospatial features within episodic memory representations. © The Author 2017. Published by Oxford University Press. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  4. Story and Real Life

    Directory of Open Access Journals (Sweden)

    Robert P. Waxler

    2013-06-01

    Full Text Available Why should we be concerned about the fate of literature as we move from a book culture to a screen culture in the digital age? Not primarily because we are losing our sense of story, but because we are losing our sense of the central importance of linguistic narrative. There is a difference. The technologies creating the digital revolution seem to devalue language and increasingly to do away with boundaries, celebrating instead speed and boundless exhilaration. The visual trumps the linguistic, the image and the screen trump the word and the book. As a result, we no longer seem to engage deeply with others or ourselves. We are beginning to move, in other words, from “a reading brain” to “a digital brain,” from a brain capable of deep reading and deep thinking to a brain increasingly addled by spectacle and surface sensation. We are losing our standing as “linguistic beings.”

  5. Does Playing Sports Video Games Predict Increased Involvement in Real-Life Sports Over Several Years Among Older Adolescents and Emerging Adults?

    Science.gov (United States)

    Adachi, Paul J C; Willoughby, Teena

    2016-02-01

    Given the extreme popularity of video games among older adolescents and emerging adults, the investigation of positive outcomes of video game play during these developmental periods is crucial. An important direction for research in this area is the investigation of a link between sports video game play and involvement in real-life sports among youth. Yet, this association has not been examined in the long-term among older adolescents and emerging adults, and thus represents an exciting new area for discovery. The primary goal of the current study, therefore, was to examine the long-term association between sports video game play and involvement in real-life sports clubs among older adolescents and emerging adults. In addition, we examined whether self-esteem was an underlying mechanism of this longitudinal association. We surveyed older adolescents and emerging adults (N = 1132; 70.6 % female; M age = 19.06 years, range of 17-25 years at the first assessment) annually over 3 years about their video game play, self-esteem, and involvement in real-life sports. We found a long-term predictive effect of sports video game play on increased involvement in real-life sports over the 3 years. Furthermore, we demonstrated that self-esteem was an underlying mechanism of this long-term association. Our findings make an important contribution to an emerging body of literature on the positive outcomes of video game play, as they suggest that sports video game play may be an effective tool to promote real-life sports participation and physical activity among older adolescents and emerging adults.

  6. A new model of information behaviour based on the Search Situation Transition schema Information searching, Information behaviour, Behavior, Information retrieval, Information seeking

    Directory of Open Access Journals (Sweden)

    Nils Pharo

    2004-01-01

    Full Text Available This paper presents a conceptual model of information behaviour. The model is part of the Search Situation Transition method schema. The method schema is developed to discover and analyse interplay between phenomena traditionally analysed as factors influencing either information retrieval or information seeking. In this paper the focus is on the model's five main categories: the work task, the searcher, the social/organisational environment, the search task, and the search process. In particular, the search process and its sub-categories search situation and transition and the relationship between these are discussed. To justify the method schema an empirical study was designed according to the schema's specifications. In the paper a subset of the study is presented analysing the effects of work tasks on Web information searching. Findings from this small-scale study indicate a strong relationship between the work task goal and the level of relevance used for judging resources during search processes.

  7. Safeguarding reputation through strategic, integrated and situational crisis communication management: development of the integrative model of crisis communication

    OpenAIRE

    Thiessen, Ansgar; Ingenhoff, Diana

    2017-01-01

    Purpose – The purpose of this paper is to address the often missing theoretical foundation of crisis communication from an integrated perspective on the micro, meso and macro level. Based on the theory of structuration, a systematic, integrative framework is developed for safeguarding organizational legitimization and multidimensional reputation through communication during crisis situations which is applicable both for profit and non-profit organizations. Design/methodology/approach – Gidden...

  8. Using CASE-tools based on formal methods in real-life system development of distributed systems

    International Nuclear Information System (INIS)

    Stoelen, Ketil; Karlsen, Tore Willy; Mohn, Peter; Sandmark, Haaakon

    1998-03-01

    Within the OECD Halden Reactor Project (HRP) the development and application of formal methods to enhance system quality have been prioritised tasks for the last three years per periods. The three year programme 1997-1999 identifies the need to gain experience from applying formal methods in larger real-life system developments. This motivated the initiation of the HRP research activity Integration of Formal Specification in the Development of HAMMLAB 2000 (INT-FS). The principal objective of INT-FS is to experiment with formal methods in system developments connected to HAMMLAB 2000 and thereby gain a better understanding of their suitability to support practical software engineering. In particular, INT-FS will try to measure the effect of formal methods and gain experience in combining formal methods with traditional development techniques. INT-FS was started up in January 1997. This report describes the status of INT-FS by February 1998. The report identifies objectives and plans; it motivates the choice of formal methods, CASE-tool and software process; it motivates and defines metrics for measuring achievement and the effect of formalization. The report also provides preliminary results from an experimental development of a communication manager; it describes the component to be developed and the background of the participants; it offers some provisional statistics and summarises the experiences with methods and tools. The development of the communication manager is the first attempt ever to exploit state-of-the-art CASE-tools for formal methods in practical software engineering at the HRP. (author)

  9. Testing the ecological validity of the Trier Social Stress Test: Association with real-life exam stress.

    Science.gov (United States)

    Henze, Gina-Isabelle; Zänkert, Sandra; Urschler, David F; Hiltl, Tanja J; Kudielka, Brigitte M; Pruessner, Jens C; Wüst, Stefan

    2017-01-01

    The Trier Social Stress Test (TSST) is the most widely used laboratory stress protocol in psychoneuroendocrinology. Despite its popularity, surprisingly few attempts have been made to explore the ecological validity of the TSST. In the present study, 31 young healthy subjects (24 females) were exposed to the TSST about 4 weeks before completing an oral exam on a separate day. Salivary cortisol levels increased significantly in response to both stimuli (TSST: F(2.21, 66.33)=5.73, p=0.004; oral exam: F(1.98, 59.28)=4.38, p=0.017) with similar mean response curves and significant correlations between cortisol increases and areas under the response curves (increase: r=0.67; AUC: r=0.56; both p≤0.01). Correspondingly, changes in positive and negative affect did also show significant correlations between conditions (increase: positive affect: r=0.36; negative affect: r=0.50; both: p≤0.05; AUC: positive affect: r=0.81; negative affect: r=0.70; both p≤0.01) while mean time course dynamics were significantly different (positive affect: F(2.55, 76.60)=10.15, p=0.001; negative affect: F(1.56, 46.82)=23.32, p=0.001), indicating that the oral exam had a more pronounced impact on affect than the TSST. Our findings provide new evidence for the view that cortisol as well as subjective stress responses to the TSST are indeed significantly associated with acute stress responses in real life. Copyright © 2016 Elsevier Ltd. All rights reserved.

  10. EUREKA study - the evaluation of real-life use of a biophotonic system in chronic wound management: an interim analysis.

    Science.gov (United States)

    Romanelli, Marco; Piaggesi, Alberto; Scapagnini, Giovanni; Dini, Valentina; Janowska, Agata; Iacopi, Elisabetta; Scarpa, Carlotta; Fauverghe, Stéphane; Bassetto, Franco

    2017-01-01

    Interest has grown regarding photobiomodulation (PBM) with low-level light therapy, which has been shown to positively affect the stages of the wound healing process. In a real-life context clinical setting, the objective of the EUREKA study was to investigate efficacy, safety, and quality of life associated with the use of a BioPhotonic gel (LumiHeal™) in the treatment of chronic wounds such as venous leg ulcers (VLUs), diabetic foot ulcers (DFUs), and pressure ulcers (PUs). This BioPhotonic gel represents a new, first-in-class emission spectrum of light, including fluorescence, to induce PBM and modulate healing. The multicenter, prospective, interventional, uncontrolled, open-label study enrolled 100 patients in 12 wound centers in Italy. We performed an early interim analysis based on the first 33 subjects (13 VLU, 17 DFU, 3 PU) in seven centers who completed the study. Seventeen patients (52%) achieved total wound closure (full re-epithelialization for 2 weeks) during the study period. Two patients (6%) were considered "almost closed" (decrease of the wound area of more than 90% at study end) and three others (9%) were considered "ready for skin grafting". No related serious adverse events were observed, and the compliance was excellent. After the treatment, the average time to "pain-free" was 11.9 days in the VLU group. Quality of life was improved with overall increase of 26.4% of the total score (Cardiff Wound Impact Schedule, p =0.001). The study revealed a positive efficacy profile of the BioPhotonic gel in promoting wound healing and reactivating the healing process in different types of chronic, hard-to-heal wounds. The treatment was shown to be safe and well tolerated by the patients, and a reduction of pain perception was also detected during the treatment period. The improvement of the quality of life was accompanied by a high level of clinician satisfaction.

  11. Simulating real-life exposures to uncover possible risks to human health: A proposed consensus for a novel methodological approach.

    Science.gov (United States)

    Tsatsakis, A M; Kouretas, D; Tzatzarakis, M N; Stivaktakis, P; Tsarouhas, K; Golokhvast, K S; Rakitskii, V N; Tutelyan, V A; Hernandez, A F; Rezaee, R; Chung, G; Fenga, C; Engin, A B; Neagu, M; Arsene, A L; Docea, A O; Gofita, E; Calina, D; Taitzoglou, I; Liesivuori, J; Hayes, A W; Gutnikov, S; Tsitsimpikou, C

    2017-06-01

    In real life, consumers are exposed to complex mixtures of chemicals via food, water and commercial products consumption. Since risk assessment usually focuses on individual compounds, the current regulatory approach doesn't assess the overall risk of chemicals present in a mixture. This study will evaluate the cumulative toxicity of mixtures of different classes of pesticides and mixtures of different classes of pesticides together with food additives (FAs) and common consumer product chemicals using realistic doses after long-term exposure. Groups of Sprague Dawley (CD-SD) rats (20 males and 20 females) will be treated with mixtures of pesticides or mixtures of pesticides together with FAs and common consumer product chemicals in 0.0, 0.25 × acceptable daily intake (ADI)/tolerable daily intake (TDI), ADI/TDI and 5 × ADI/TDI doses for 104 weeks. All animals will be examined every day for signs of morbidity and mortality. Clinical chemistry hematological parameters, serum hormone levels, biomarkers of oxidative stress, cardiotoxicity, genotoxicity, urinalysis and echocardiographic tests will be assessed periodically at 6 month intervals. At 3-month intervals, ophthalmological examination, test for sensory reactivity to different types of stimuli, together with assessment of learning abilities and memory performance of the adult and ageing animals will be conducted. After 24 months, animals will be necropsied, and internal organs will be histopathologically examined. If the hypothesis of an increased risk or a new hazard not currently identified from cumulative exposure to multiple chemicals was observed, this will provide further information to public authorities and research communities supporting the need of replacing current single-compound risk assessment by a more robust cumulative risk assessment paradigm.

  12. Acute social stress before the planning phase improves memory performance in a complex real life-related prospective memory task.

    Science.gov (United States)

    Glienke, Katharina; Piefke, Martina

    2016-09-01

    Successful execution of intentions, but also the failure to recall are common phenomena in everyday life. The planning, retention, and realization of intentions are often framed as the scientific concept of prospective memory. The current study aimed to examine the influence of acute stress on key dimensions of complex "real life" prospective memory. To this end, we applied a prospective memory task that involved the planning, retention, and performance of intentions during a fictional holiday week. Forty healthy males participated in the study. Half of the subjects were stressed with the Socially Evaluated Cold Pressor Test (SECPT) before the planning of intentions, and the other half of the participants underwent a control procedure at the same time. Salivary cortisol was used to measure the effectiveness of the SECPT stress induction. Stressed participants did not differ from controls in planning accuracy. However, when we compared stressed participants with controls during prospective memory retrieval, we found statistically significant differences in PM across the performance phase. Participants treated with the SECPT procedure before the planning phase showed improved prospective memory retrieval over time, while performance of controls declined. Particularly, there was a significant difference between the stress and control group for the last two days of the holiday week. Interestingly, control participants showed significantly better performance for early than later learned items, which could be an indicator of a primacy effect. This differential effect of stress on performance was also found in time- and event-dependent prospective memory. Our results demonstrate for the first time, that acute stress induced before the planning phase may improve prospective memory over the time course of the performance phase in time- and event-dependent prospective memory. Our data thus indicate that prospective memory can be enhanced by acute stress. Copyright © 2016

  13. Use and performance of non-invasive ventilation in Internal Medicine ward: a real-life study

    Directory of Open Access Journals (Sweden)

    Francesco Ventrella

    2015-01-01

    Full Text Available Controlled trials demonstrated efficacy and safety of non-invasive ventilation (NIV in treatment of acute respiratory failure, initially in Intensive Care Units, then in other care settings (semi-intensive care units, emergency departments, and also in the wards, more often pneumological ones. Few studies have been published about NIV in Italian wards of Internal Medicine with full self-management of NIV by internists in a normal ward setting. We performed a prospective real-life study about the use of NIV in Internal Medicine ward devoid of a critical area of semi-intensive therapy, with the aim of confirming, in this setting, the effectiveness of NIV. During a period of 13 months, 42 patients with hypercapnic respiratory failure of different etiology and acidosis (pH<7.25were treated by NIV. NIV was successful in 81% of patients. In-hospital mortality was 9.5%. Safety of NIV is demonstrated by the absence of serious complications: only 7 patients showed poor compliance and 2 patients had facial pressure ulcer due to the mask. There were not statistical differences in success rate of NIV according to severity of acidosis at admission (pH<7.25 vs pH>7.25, neither according to the acute physiology and chronic health evaluation II score and the national early warning score, but the modified early warning score only showed statistically significant difference with lower values in the success group: 2.82±1.57 vs 4.13±1.46 (P<0.05. NIV has proven to be effective and safe in Internal Medicine ward.

  14. A next-generation antimicrobial wound dressing: a real-life clinical evaluation in the UK and Ireland.

    Science.gov (United States)

    Metcalf, D; Parsons, D; Bowler, P

    2016-03-01

    To assess the effectiveness of a new, next-generation antimicrobial dressing (NGAD; AQUACEL Ag+ EXTRA dressing) in managing wound exudate, infection and biofilm, and facilitating progression toward healing. Clinicians from the UK and Ireland selected stalled or deteriorating wounds that were considered to be compromised by infection and/or biofilm. Only the primary dressing was replaced by the NGAD, for up to 4 weeks or as deemed clinically appropriate; otherwise, standard protocols of care were used. Evaluation forms captured the baseline and final assessment characteristics of wound status, exudate levels, skin health, wound bed appearance, signs of infection and biofilm, and wound dimensions. In all, 29 wounds were suitable for inclusion in the final analysis. Following the NGAD evaluation, wound statuses were shifted from stagnant/deteriorating to mainly improved, exudate levels were shifted from moderate/high to moderate/low, and skin health was improved in 20 wounds (69%). Wound bed tissue types were shifted from largely suspected biofilm/sloughy tissue (76%) to largely granulation tissue (53%). All signs of clinical infection were reduced in average frequency, with biofilm suspicion falling from 76% to 45% of the cases. The median management period with the NGAD was 4.5 weeks, after which 26 wounds (90%) became smaller in size and 10 wounds (34%) completely healed. This real-life clinical evaluation of the NGAD suggests that its successful management of exudate, infection and biofilm is generally accompanied by notable improvements in wound health and size, and in some cases, complete healing. The authors are all employed by ConvaTec Ltd. but have no other conflict of interest to declare. Dressings were provided to the clinicians free of charge.

  15. An observational, real-life safety study of a 5-grass pollen sublingual tablet in children and adolescents.

    Science.gov (United States)

    Eberle, Peter; Brueck, Helmut; Gall, Ralph; Hadler, Meike; Sieber, Jochen; Karagiannis, Efstrathios

    2014-12-01

    The safety and efficacy of pre- and coseasonal sublingual allergen immunotherapy (SLIT) with a 5-grass pollen sublingual tablet have been demonstrated in a randomized clinical trial (RCT) in children and adolescents. Observational, 'real-life' studies can usefully complement the results of RCTs. A prospective, open-label, observational, multicentre post-marketing study of children and adolescents (aged 5-17, with grass pollen-induced allergic rhinitis) treated with the 5-grass pollen sublingual tablet was performed between June 2009 and January 2011 in Germany. Adverse events (AEs) were recorded during consultations with the investigating physicians; AEs judged to have at least a possible causal link to the tablet were classified as adverse drug reactions (ADRs). Eight hundred and forty-nine patients were enrolled (by 207 investigating physicians), 829 (mean ± s.d. age: 10.9 ± 3.3 yr) completed the study without major protocol deviations, and 796 were fully documented with respect to AEs. Ninety-four of the 796 patients (11.8%) experienced at least one ADR on the first day of SLIT and 218 (27.4%) experienced at least one ADR during the study. Four hundred and sixty-six of the 596 ADRs (78.2%) were mild or moderate. The most common ADRs were throat irritation (19.1% of the reactions), oral paresthesia (8.2%), oral pruritus (6.5%) and oedema mouth (6.2%). Serious ADRs occurred in five patients. No epinephrine use was reported. Seventy-six of the 829 patients (9.2%) discontinued SLIT due to AEs. Tolerability was judged to be good or very good by patients (84.7%), parents (87.0%) and investigators (89.7%). In clinical practice, pre- and coseasonal treatment with a 5-grass pollen sublingual tablet is safe and well tolerated in children and adolescents. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  16. Situations of dwelling

    DEFF Research Database (Denmark)

    Welling, Helen; Duelund Mortensen, Peder; Wiell Nordberg, Lene

    2006-01-01

    This article explores changeable dwellings that offer the possibility of satisfying spontaneous activities and needs arising from today's changing family patterns. It deals with dwellings that provide people with room for development and flexibility - an open framework, which can be adapted to new...... values and needs in differnet situations, lifestyles and stages. The study is based on information from users in new housing schemes in and around Copenhagen - 'open building' dwellings that reveal a variety of approaches to these problems? The analysis of the dwellings show that the architecture...... of the 'open dwelling' is dependent on three basic conditions: the static condition, the suitable condition and the situational condition. Each condition has its own powerful way of articulation. Our aim is to translate the observations of the projects in concepts and models that are applicable in new projects....

  17. Outcome and cost of trauma among the elderly: a real-life model of a single-payer reimbursement system.

    Science.gov (United States)

    Young, J S; Cephas, G A; Blow, O

    1998-10-01

    As our population ages, the number of elderly trauma patients (age > or = 65 years) increases. Studies have demonstrated increased mortality and cost for a given injury severity in the elderly compared with younger patients. The financial viability of trauma centers in the United States has been an area of concern for many years. As reimbursement diminishes for privately insured patients, the ability to finance the care of the indigent is jeopardized. Medicare, the single-payer insurance plan for the elderly, reimburses at a lower rate than standard private insurance carriers. We examined the differences in outcome and cost between the elderly and younger patients and the financial burden imposed by care for elderly trauma. Our hypothesis was that elderly trauma patients would have poorer outcomes, higher cost, and generate greater financial losses than younger patients. All patients admitted to the University of Virginia Trauma Service from July 1, 1994, to July 1, 1997 were included. Trauma registry and patients records were examined. Patients with incomplete financial data (cost, reimbursement, and payer source) were excluded. Patients were grouped by age (18-64 and > or =65 years), Injury Severity Score, and payer source. One thousand one hundred twenty-seven patients met the entry criteria. One hundred forty patients had incomplete financial or patient data and were excluded. Nine hundred eighty-seven patients were included in the study, of which 159 were elderly and 828 were 18 to 64 years of age. Injury Severity Scores were significantly higher in the elderly group. Only 2% of elderly patients were uninsured (76% were insured by Medicare), whereas 25% of younger patients were uninsured. Medicare reimbursement rates actually exceeded those of all other carriers (114% of costs). Elderly patients had a higher mortality rate, but the z score did not reach significance. The W score, however, indicated that there were more unexpected, negative outcomes among elderly patients. As injury severity increased, profit per case increased in the elderly and decreased in the younger group. Despite higher injury severity and lower survival probability for the elderly, the length of hospital and intensive care unit stays, as well as the percentage of admissions to the intensive care unit, were similar. The per capita cost of hospital care for the elderly was lower than for younger patients, whereas reimbursement was higher, primarily because 98% of elderly patients were insured. Medicare, the single-payer insurance plan for the elderly, adequately reimburses for elderly trauma care. This implies that universal insurance coverage for all trauma patients would be desirable, even if reimbursement rates decreased significantly. The increased mortality in the elderly requires continued study and diligence.

  18. The fragrance hand immersion study - an experimental model simulating real-life exposure for allergic contact dermatitis on the hands

    DEFF Research Database (Denmark)

    Heydorn, S; Menné, T; Andersen, K E

    2003-01-01

    Recently, we showed that 10 x 2% of consecutively patch-tested hand eczema patients had a positive patch test to a selection of fragrances containing fragrances relevant to hand exposure. In this study, we used repeated skin exposure to a patch test-positive fragrance allergen in patients...... previously diagnosed with hand eczema to explore whether immersion of fingers in a solution with or without the patch-test-positive fragrance allergen would cause or exacerbate hand eczema on the exposed finger. The study was double blinded and randomized. All participants had a positive patch test to either...... hydroxycitronellal or Lyral (hydroxyisohexyl 3-cyclohexene carboxaldehyde). Each participant immersed a finger from each hand, once a day, in a solution containing the fragrance allergen or placebo. During the first 2 weeks, the concentration of fragrance allergen in the solution was low (approximately 10 p...

  19. Development and Enhancement of a Model of Performance and Decision Making Under Stress in a Real Life Setting

    Science.gov (United States)

    1993-02-12

    impaired conciousness and a full stomach. 6) Papersbeing Drafted Attached is a paper titled "Videoanalysis of two-emergency tracheal intubations identifies...Research in Stress and Performance on April 5-7th, organized by Dr. Terry Allard of the Congnitive Science Program, b) International Trauma Anesthesia and...momnoor panenct vitai signs anL func•on of anesthe:c m.achines. te anesnesmioiosr has to recougnze. inrerre: aria respond to a wide vaner. of visual and

  20. Sustainable economic production quantity models for inventory systems with shortage

    DEFF Research Database (Denmark)

    Taleizadeh, Ata Allah; Soleymanfar, Vahid Reza; Govindan, Kannan

    2018-01-01

    (EPQ). The theoretical sustainable EOQ and EPQ models are basic models that ignore many real-life conditions such as the possibility of stock-out in inventory systems. In this paper, we develop four new sustainable economic production quantity models that consider different shortage situations. To find...... optimal values of inventory system variables, we solve four independent profit maximization problems for four different situations. These proposed models include a basic model in which shortages are not allowed, and when shortages are allowed, the lost sale, full backordering and partial backordering...... models can be selected by operations managers depending on the manufacturer's motivation to improve service levels. We have also proposed an algorithm for determining optimum values of the decision variables for these sustainable economic production quantity models. Finally, the formulated models...

  1. Modeling of the thermal transfer inside a porous environment: application to nuclear reactors in accident situation; Modelisation du transfert thermique dans un milieu poreux: application aux reacteurs nucleaires en situation accidentelle

    Energy Technology Data Exchange (ETDEWEB)

    Rubiolo, P.R

    2000-03-01

    The purpose of this report is to simulate heat exchanges occurring by conduction, by convection and by radiating in a porous medium made up of opaque particles in a semi-transparent fluid. Usually the determination of the macroscopic equations is based on homogenization techniques, but in the case of a major accident, the complexity of the problem is so overwhelming that semi-empirical methods are used to determine macroscopic coefficients. The author develops a new method to determine these coefficients, this method is based on the calculation of different tensors: the equivalent conductivity tensor, the radiative conductivity tensor, the thermal conductivity tensor and the heat exchange coefficient (h{sub sf}) between the solid phase and the fluid one. The first chapter briefly describes energy, impulse and mass balances. In the case of the energy balance the solid phase is not supposed to be in thermal equilibrium with the liquid phase. The second chapter presents an application of the porous media method to a one-dimensional and stationary problem, this application to a simple problem gives an idea of the performance of the method. The model allowing the calculation of h{sub sf} is developed, it is a wide range model. The second chapter ends with the presentation of the model allowing the computing of the effective conductivity of fuel rods. A comparison between results given by this new method and other numeric calculations or experimental data coming from benchmarks is presented in the third chapter. This chapter ends with the simulation of a reactor core in accidental situation, 2 cases are presented: with and without the presence of water steam. (A.C.)

  2. Rationale and design of the PREDICE project: cost-effectiveness of type 2 diabetes prevention among high-risk Spanish individuals following lifestyle intervention in real-life primary care setting

    Directory of Open Access Journals (Sweden)

    Bolíbar Bonaventura

    2011-08-01

    Full Text Available Abstract Background Type 2 diabetes is an important preventable disease and a growing public health problem. Based on information provided by clinical trials, we know that Type 2 diabetes can be prevented or delayed by lifestyle intervention. In view of translating the findings of diabetes prevention research into real-life it is necessary to carry out community-based evaluations so as to learn about the feasibility and effectiveness of locally designed and implemented programmes. The aim of this project was to assess the effectiveness of an active real-life primary care strategy in high-risk individuals for developing diabetes, and then evaluate its efficiency. Methods/Design Cost-Effectiveness analysis of the DE-PLAN (Diabetes in Europe - Prevention using Lifestyle, physical Activity and Nutritional intervention project when applied to a Mediterranean population in Catalonia (DE-PLAN-CAT. Multicenter, longitudinal cohort assessment (4 years conducted in 18 primary health-care centres (Catalan Health Institute. Individuals without diabetes aged 45-75 years were screened using the Finnish Diabetes Risk Score - FINDRISC - questionnaire and a 2-h oral glucose tolerance test. All high risk tested individuals were invited to participate in either a usual care intervention (information on diet and cardiovascular health without individualized programme, or the intensive DE-PLAN educational program (individualized or group periodically reinforced. Oral glucose tolerance test was repeated yearly to determine diabetes incidence. Besides measuring the accumulated incidence of diabetes, information was collected on economic impact of the interventions in both cohorts (using direct and indirect cost questionnaires and information on utility measures (Quality Adjusted Life Years. A cost-utility and a cost-effectiveness analysis will be performed and data will be modelled to predict long-term cost-effectiveness. Discussion The project was intended to evidence

  3. Time-Frequency Feature Representation Using Multi-Resolution Texture Analysis and Acoustic Activity Detector for Real-Life Speech Emotion Recognition

    Directory of Open Access Journals (Sweden)

    Kun-Ching Wang

    2015-01-01

    Full Text Available The classification of emotional speech is mostly considered in speech-related research on human-computer interaction (HCI. In this paper, the purpose is to present a novel feature extraction based on multi-resolutions texture image information (MRTII. The MRTII feature set is derived from multi-resolution texture analysis for characterization and classification of different emotions in a speech signal. The motivation is that we have to consider emotions have different intensity values in different frequency bands. In terms of human visual perceptual, the texture property on multi-resolution of emotional speech spectrogram should be a good feature set for emotion classification in speech. Furthermore, the multi-resolution analysis on texture can give a clearer discrimination between each emotion than uniform-resolution analysis on texture. In order to provide high accuracy of emotional discrimination especially in real-life, an acoustic activity detection (AAD algorithm must be applied into the MRTII-based feature extraction. Considering the presence of many blended emotions in real life, in this paper make use of two corpora of naturally-occurring dialogs recorded in real-life call centers. Compared with the traditional Mel-scale Frequency Cepstral Coefficients (MFCC and the state-of-the-art features, the MRTII features also can improve the correct classification rates of proposed systems among different language databases. Experimental results show that the proposed MRTII-based feature information inspired by human visual perception of the spectrogram image can provide significant classification for real-life emotional recognition in speech.

  4. Effectiveness of bronchial thermoplasty in severe asthma in 'real life' patients compared with those recruited to clinical trials in the same centre.

    Science.gov (United States)

    Bicknell, Stephen; Chaudhuri, Rekha; Lee, Nicola; Shepherd, Malcolm; Spears, Mark; Pitman, Nick; Cameron, Euan; Cowan, Douglas; Nixon, Julie; Thompson, Joyce; McSharry, Charles; Thomson, Neil C

    2015-12-01

    Published information on the effectiveness of bronchial thermoplasty (BT) for severe asthma in 'real life' patients is limited. We compared safety and efficacy outcomes 12 months post procedure in 10 clinic patients and 15 patients recruited to clinical trials of BT at the same centre. Baseline asthma severity was greater in the clinic group. Adverse events were similar. Clinical improvements occurred in 50% of the clinic patients compared with 73% of the research patients. © The Author(s), 2015.

  5. Menu-engineering in restaurants - adapting portion sizes on plates to enhance vegetable consumption: a real-life experiment.

    Science.gov (United States)

    Reinders, Machiel J; Huitink, Marlijn; Dijkstra, S Coosje; Maaskant, Anna J; Heijnen, Joris

    2017-12-25

    The aim of this research was to investigate whether increased portion sizes of vegetables and decreased portion sizes of meat on main dishes increased the amount of vegetables consumed in a real-life restaurant setting without affecting customer satisfaction. The participants were unaware of the experiment. A cross-over design was used in which three restaurants were randomly assigned to a sequence of an intervention and control condition. In the intervention period, the vegetable portion sizes on the plates of main dishes were doubled (150 g of vegetables instead of 75 g) and the portion sizes of meat on the plates were reduced by an average of 12.5%. In the control period, the portion sizes of the main dishes were maintained as usual. In total, 1006 observations and questionnaires were included. Vegetable consumption from plates was significantly higher during the intervention period (M = 115.5 g) than during the control period (M = 61.7 g). Similarly, total vegetable consumption (including side dishes) was significantly higher during the intervention period (M = 178.0 g) than during the control period (M = 137.0 g). Conversely, meat consumption was significantly lower during the intervention period (M = 183.1 g) than during the control period (M = 211.1 g). Satisfaction with the restaurant visit did not differ between the intervention period (M = 1.27) and control period (M = 1.35). Satisfaction with the main dish was significantly lower during the intervention period (M = 1.25) than during the control period (M = 1.38), although in both cases, the scores indicated that participants remained (very) satisfied with their main dish. This study showed that increasing vegetable portions in combination with decreasing meat portions (unknowingly to the consumer) increased the amount of vegetables consumed and decreased the amount of meat consumed. Furthermore, despite the changes in portion sizes, participants remained satisfied

  6. Regain in Body Mass After Weigh-In is Linked to Success in Real Life Judo Competition.

    Science.gov (United States)

    Reale, Reid; Cox, Gregory R; Slater, Gary; Burke, Louise M

    2016-12-01

    We examined the relationship between the regain of body mass (BM) after weigh-in and success in real-life judo competition. Eighty-six (36 females, 50 males) senior judoka volunteered for this observational study of an international judo competition. Subjects were weighed at the official weigh-in and one hour before their first competition fight (15-20 hr later). Regain in BM after weigh-in was compared between medal winners and nonmedalists, winners and losers of each fight, males and females and across weight divisions. Heavyweights were excluded from analysis. Prefight BM was greater than BM at official weigh-in for both males and females, with % BM gains of 2.3 ± 2.0 (p ≤ .0001; ES= 1.59; CI95% [1.63, 2.98]) and 3.1 ± 2.2 (p ≤ .0001; ES = 2.03; CI95% [2.30, 3.89]), respectively. No significant differences were found between weight divisions for post weigh-in BM regain. Differences in post weigh-in BM regain were significantly higher in medal winners than nonmedalists for males and females combined (1.4 ± 0.4% BM; p = .0026; ES= 0.69; CI95% [0.05, 2.34]) and for males alone (1.5 ± 0.6% BM; p = .017; ES= 0.74; CI95% [0.02, 2.64]), but not for females (1.2 ± 0.7% BM; p = .096; ES = 0.58; CI95% [-0.02, 2.31]). Differences in BM regain after weigh-in between winners and losers were significant across all fights (0.9 ± 0.3% BM; p = .0021; ES= 0.43; CI95% [0.31, 1.41]) but not for first round fights (0.8 ± 0.5% BM; p = .1386, ES = 0.38; CI95% [-0.26, 1.86]). Winners showed a greater regain in BM post weigh-in than losers. This may reflect the greater magnitude of the BM loss needed to achieve weigh-in targets which also relates to the experience level of successful athletes.

  7. 5C.06: HYPERTENSION AND CARDIOVASCULAR RISK FACTORS: A SHOT ON NORTHERN ITALY POPULATION IN REAL LIFE SETTING.

    Science.gov (United States)

    Destro, M; Dognini, G P; Pozzi, A; Cagnoni, F; Galimberti, V C; Cavalleri, C; Besozzi, A

    2015-06-01

    Hypertension (HT) represents the most important cardiovascular (CV) risk factor and blood pressure (BP) measurements are generally performed in medical settings, while data deriving from real life are generally poor. This work was conducted during public events out of medical setting (i.e. world hypertension day) in order to assess the prevalence of HT and evaluate other CV risk factors. Each participating subject, after signing an informed consent, was asked to fulfil a questionnaire investigating his/her comorbidities, CV risk factors and ongoing therapies. BP measurement was performed according to the ESH/ESC guidelines. A brief counselling was then offered and brochures dealing with HT prevention provided. Between May 2011 and May 2014, 1540 subjects were evaluated (mean age = 58y, median = 60y, range = 12-102y, M = 696, F = 845, M/F = 0.82). Among them, 890 (58%) declared themselves «normotensive» (mean age = 52y, median = 53y, range = 12-86, M = 408, F = 482) and 650 (42%) «hypertensive» (mean age = 65y, median = 66, range: = 22-102, M = 287, F = 363). BP measurement resulted  140/90mmHg was observed in 403 subjects(=26%), 242 of them belonging to the «hypertensive» group (=non target pts) and 161 to those previously declaring «normotensive». CV risk factors were analysed, the most represented being dyslipidaemia (N = 441), smoke(N = 216), Type 2 Diabetes(N = 121), Coronary artery disease(N = 110), cerebrovascular disease(N = 44). All these risk factors were significantly more expressed in «hypertensive» pts. Number of CV risk factors was 0, 1, 2, 3, > 4 respectively for 500, 522, 312, 150, and 55 subjects. Thirty-five % of «hypertensive» pts had no other CV risk factor, but a significantly higher number of CV risk factors emerged respect to «normotensives». Despite the possible bias, our data provide a picture of the status of pts out of medical

  8. An investigation on the effect of Health Belief Model-based education on refusal skills in high risk situations among female students.

    Science.gov (United States)

    Boroumandfar, Khadijeh; Shabani, Fatemeh; Ghaffari, Mohtasham

    2012-03-01

    Various studies show an association between lack of social skills in adolescents and the future incidence of behavioral disorders. If girls, as future mothers, lack adequate health, awareness, self confidence and social skills, they may act as a source of many social problems. Therefore, the present study has tried to educate this group on one of the most essential social skills, refusal skill in high risk situation. This is a field quasi experimental study conducted on 145 female students in middle schools in Arak, Iran in 2010-2011. The schools were randomly selected. The subjects were selected through systematic random sampling from the schools' log book. The data were collected by questionnaires containing personal and familial characteristics, three health belief model structures, and behavioral intention in high risk situations. The data were analyzed by descriptive statistical tests (frequency distribution, mean, SD) and inferential tests of repetitive variance analysis and T-test through SPSS. In the present study, repetitive variance analysis showed that education by use of a health belief model had a positive effect on refusal skills in high risk situations as well as perceived barriers (p = 0.007), self-efficacy (p = 0.015), behavioral intention (p = 0.048) after educational intervention in the study group, but not on perceived benefits (p = 0.180). The results showed that education significantly increased refusal skills in high risk situations in the study group through the health belief model. With regard to the results, it is essential to equip the students with preventive behaviors to guarantee their physical, emotional and social health.

  9. Situations of dwelling

    DEFF Research Database (Denmark)

    Welling, Helen; Duelund Mortensen, Peder; Wiell Nordberg, Lene

    2006-01-01

    This article explores changeable dwellings that offer the possibility of satisfying spontaneous activities and needs arising from today's changing family patterns. It deals with dwellings that provide people with room for development and flexibility - an open framework, which can be adapted to new...... of the 'open dwelling' is dependent on three basic conditions: the static condition, the suitable condition and the situational condition. Each condition has its own powerful way of articulation. Our aim is to translate the observations of the projects in concepts and models that are applicable in new projects....

  10. Management of bipolar disorder in the intercontinental region: an international, multicenter, non-interventional, cross-sectional study in real-life conditions.

    Science.gov (United States)

    Samalin, Ludovic; Vieta, Eduard; Okasha, Tarek Ahmed; Uddin, Mm Jalal; Ahmadi Abhari, Seyed Ali; Nacef, Fethi; Mishyiev, Vyacheslav; Aizenberg, Dovi; Ratner, Yaël; Melas-Melt, Lydie; Sedeki, Idir; Llorca, Pierre Michel

    2016-05-16

    Most of the existing data on real-life management of bipolar disorder are from studies conducted in western countries (mostly United States and Europe). This multinational, observational cohort study aimed to describe the management and clinical outcomes of bipolar patients in real-life conditions across various intercontinental countries (Bangladesh, Egypt, Iran, Israel, Tunisia, and Ukraine). Data on socio-demographic and disease characteristics, current symptomatology, and pharmacological treatment were collected. Comparisons between groups were performed using standard statistical tests. Overall, 1180 patients were included. The median time from initial diagnosis was 80 months. Major depressive disorder was the most common initial diagnosis. Mood stabilizers and antipsychotics were the most common drugs being prescribed at the time of the study. Antidepressants (mainly selective serotonin uptake inhibitors [SSRIs]) were administered to 36.1% of patients. Patients with bipolar I disorder received higher number of antipsychotics and anxiolytics than those with bipolar II disorder (p < 0.001). Presence of depressive symptoms was associated with an increase in antidepressant use (p < 0.001). Bipolar disorder real-life management practice, irrespective of region, shows a delay in diagnosis and an overuse of antidepressants. Clinical decision-making appears to be based on a multidimensional approach related to current symptomatology and type of bipolar disorder.

  11. SAROTA: application of specific absorption rate (SAR) and over-the-air (OTA) data for the characterization of the real-life exposure due to mobile phones

    International Nuclear Information System (INIS)

    Monebhurrun, Vikass

    2013-01-01

    The RF exposure level of a mobile phone is quantified by the measurement of the specific absorption rate (SAR) under laboratory conditions. The SAR which is measured while the mobile phone is operated at maximum power level does not reflect the real-life exposure scenario since the mobile phone typically re-adjusts its power level and frequency depending on the quality of the communication link with the nearest base station. The choice of a low RF exposure device based on the comparison of the relative SAR values of mobile phones can be misleading. The real-life RF exposure also depends on the over-the-air (OTA) performance of the mobile phone. Taken independently, the two sets of data do not allow a straightforward comparison of the global RF performance amongst mobile phones. A unique and simple parameter denoted as the SAROTA index is proposed for the characterization of mobile phones with regard to both RF exposure and OTA performance. The SAROTA index provides the real-life exposure index of the mobile phone.

  12. Performance Evaluation of State of the Art Systems for Physical Activity Classification of Older Subjects Using Inertial Sensors in a Real Life Scenario: A Benchmark Study.

    Science.gov (United States)

    Awais, Muhammad; Palmerini, Luca; Bourke, Alan K; Ihlen, Espen A F; Helbostad, Jorunn L; Chiari, Lorenzo

    2016-12-11

    The popularity of using wearable inertial sensors for physical activity classification has dramatically increased in the last decade due to their versatility, low form factor, and low power requirements. Consequently, various systems have been developed to automatically classify daily life activities. However, the scope and implementation of such systems is limited to laboratory-based investigations. Furthermore, these systems are not directly comparable, due to the large diversity in their design (e.g., number of sensors, placement of sensors, data collection environments, data processing techniques, features set, classifiers, cross-validation methods). Hence, the aim of this study is to propose a fair and unbiased benchmark for the field-based validation of three existing systems, highlighting the gap between laboratory and real-life conditions. For this purpose, three representative state-of-the-art systems are chosen and implemented to classify the physical activities of twenty older subjects (76.4 ± 5.6 years). The performance in classifying four basic activities of daily life (sitting, standing, walking, and lying) is analyzed in controlled and free living conditions. To observe the performance of laboratory-based systems in field-based conditions, we trained the activity classification systems using data recorded in a laboratory environment and tested them in real-life conditions in the field. The findings show that the performance of all systems trained with data in the laboratory setting highly deteriorates when tested in real-life conditions, thus highlighting the need to train and test the classification systems in the real-life setting. Moreover, we tested the sensitivity of chosen systems to window size (from 1 s to 10 s) suggesting that overall accuracy decreases with increasing window size. Finally, to evaluate the impact of the number of sensors on the performance, chosen systems are modified considering only the sensing unit worn at the lower back

  13. Current real-life use of vasopressors and inotropes in cardiogenic shock - adrenaline use is associated with excess organ injury and mortality.

    Science.gov (United States)

    Tarvasmäki, Tuukka; Lassus, Johan; Varpula, Marjut; Sionis, Alessandro; Sund, Reijo; Køber, Lars; Spinar, Jindrich; Parissis, John; Banaszewski, Marek; Silva Cardoso, Jose; Carubelli, Valentina; Di Somma, Salvatore; Mebazaa, Alexandre; Harjola, Veli-Pekka

    2016-07-04

    Vasopressors and inotropes remain a cornerstone in stabilization of the severely impaired hemodynamics and cardiac output in cardiogenic shock (CS). The aim of this study was to analyze current real-life use of these medications, and their impact on outcome and on changes in cardiac and renal biomarkers over time in CS. The multinational CardShock study prospectively enrolled 219 patients with CS. The use of vasopressors and inotropes was analyzed in relation to the primary outcome, i.e., 90-day mortality, with propensity score methods in 216 patients with follow-up data available. Changes in cardiac and renal biomarkers over time until 96 hours from baseline were analyzed with linear mixed modeling. Patients were 67 (SD 12) years old, 26 % were women, and 28 % had been resuscitated from cardiac arrest prior to inclusion. On average, systolic blood pressure was 78 (14) and mean arterial pressure 57 (11) mmHg at detection of shock. 90-day mortality was 41 %. Vasopressors and/or inotropes were administered to 94 % of patients and initiated principally within the first 24 hours. Noradrenaline and adrenaline were given to 75 % and 21 % of patients, and 30 % received several vasopressors. In multivariable logistic regression, only adrenaline (21 %) was independently associated with increased 90-day mortality (OR 5.2, 95 % CI 1.88, 14.7, p = 0.002). The result was independent of prior cardiac arrest (39 % of patients treated with adrenaline), and the association remained in propensity-score-adjusted analysis among vasopressor-treated patients (OR 3.0, 95 % CI 1.3, 7.2, p = 0.013); this was further confirmed by propensity-score-matched analysis. Adrenaline was also associated, independent of prior cardiac arrest, with marked worsening of cardiac and renal biomarkers during the first days. Dobutamine and levosimendan were the most commonly used inotropes (49 % and 24 %). There were no differences in mortality, whether noradrenaline was combined

  14. Role model and prototype matching

    DEFF Research Database (Denmark)

    Lykkegaard, Eva; Ulriksen, Lars

    2016-01-01

    Previous research has found that young people’s prototypes of science students and scientists affect their inclination to choose tertiary STEM programs (Science, Technology, Engineering and Mathematics). Consequently, many recruitment initiatives include role models to challenge these prototypes......’ meetings with the role models affected their thoughts concerning STEM students and attending university. The regular self-to-prototype matching process was shown in real-life role-models meetings to be extended to a more complex three-way matching process between students’ self-perceptions, prototype...... images and situation-specific conceptions of role models. Furthermore, the study underlined the positive effect of prolonged role-model contact, the importance of using several role models and that traditional school subjects catered more resistant prototype images than unfamiliar ones did...

  15. Schizophrenia-spectrum patients treated with long-acting injectable risperidone in real-life clinical settings: functional recovery in remitted versus stable, non-remitted patients (the EVeREST prospective observational cohort study).

    Science.gov (United States)

    Giraud-Baro, Elisabeth; Dassa, Daniel; De Vathaire, Florent; Garay, Ricardo P; Obeid, Joelle

    2016-01-15

    Previous studies showed functional improvement in stable patients with schizophrenia treated with risperidone long-acting injection (LAI). We therefore re-investigated functional improvement with risperidone LAI in remitted patients, in comparison with stable patients. The study was conducted in real-life conditions because of the high heterogeneity of the patients' situations. This was a multi-centre, prospective observational cohort study involving adult schizophrenia-spectrum chronic patients who were previously treated with risperidone LAI for 6 months. Remission was evaluated using the consensus criteria proposed by the Remission in Schizophrenia Working Group (RSWG). The primary endpoint was global functioning (assessed with the Global Assessment of Functioning scale, GAF) after one year of treatment. Social functioning was a secondary outcome. The analysis included 1490 patients. Attrition rate was 9.1 % at the end of the study. 27.7 % of patients were in remission after one year of risperidone LAI treatment. The mean GAF rating score (62.5 ± 1.5) was higher than the cut-off previously used to identify patients with satisfactory functioning (60) and significantly higher than the mean GAF score in stable, non-remitted patients (48.3, p risperidone LAI, RSWG-remitted patients have a high level of global functioning, which is significantly higher than in stable, non-remitted patients. Social functioning was also higher in remitted patients as compared with stable, non-remitted patients.

  16. The assessment of damages due to climate change in a situation of uncertainty: the contribution of adaptation cost modelling

    International Nuclear Information System (INIS)

    Dumas, P.

    2006-01-01

    The aim of this research is to introduce new elements for the assessment of damages due to climate changes within the frame of compact models aiding the decision. Two types of methodologies are used: sequential optimisation stochastic models and simulation stochastic models using optimal assessment methods. The author first defines the damages, characterizes their different categories, and reviews the existing assessments. Notably, he makes the distinction between damages due to climate change and damages due to its rate. Then, he presents the different models used in this study, the numerical solutions, and gives a rough estimate of the importance of the considered phenomena. By introducing a new category of capital in an optimal growth model, he tries to establish a framework allowing the representation of adaptation and of its costs. He introduces inertia in macro-economical evolutions, climatic variability, detection of climate change and damages due to climate hazards

  17. The present and future situation of "model project for investigation and analysis of medical practice associated deaths" in Osaka, Japan.

    Science.gov (United States)

    Kuroki, Hisanaga; Sugimoto, Kana; Nakama, Kentaro; Yamamoto, Takuma; Takeuchi, Dan; Ochi, Hiroshi; Kataoka, Mayumi; Tamura, Yoshihide; Tsujino, Masaki; Mitsukuni, Yoichi; Matoba, Ryoji

    2009-04-01

    To enhance the quality and safety of medical care, the Ministry of Health, Labor and Welfare (MHLW) launched a model project in September 2005 for investigation and analysis of medical practice associated deaths in an attempt to move the existing system in a different direction. The project, initiated in Tokyo, Osaka, Nagoya, and Kobe, has now been implemented in nine prefectures. In the hope that the model project will lead to the nationwide development of medical safety investigating committees, the MHLW has submitted a provisional third plan. Based on our practical experience of the model project in Osaka, we present and discuss practical problems and legal issues involving surgeons' criminal punishment.

  18. Dynamics of Situation Definition

    Science.gov (United States)

    Park, Dongseop; Moro, Yuji

    2006-01-01

    Situation definition is the process and product of actors' interpretive activities toward a given situation. By reviewing a number of psychological studies conducted in experimental settings, we found that the studies have only explicated a part of the situation definition process and have neglected its dynamic aspects. We need to focus on the…

  19. Computer modelling for risk assessment of emergency situations and terrorist attacks during transportation using methods of fuzzy set theory

    International Nuclear Information System (INIS)

    Kosterev, V.V.; Boliatko, V.V.; Gusev, S.M.; Panin, M.P.; Averkin, A.N.

    1998-01-01

    Computer software for risk assessment of transportation of important freight has been developed. It incorporates models of transport accidents, including terrorist attacks. These models use, among the others, input data of cartographic character. Geographic information system technology and electronic maps of a geographic area are involved as an instrument for handling this kind of data. Fuzzy set theory methods as well as standard methods of probability theory have been used for quantitative risk assessment. Fuzzy algebraic operations and their computer realization are discussed. Risk assessment for one particular route of railway transportation is given as an example. (author)

  20. Cultural Models of Teaching and Learning in Math and Science: Exploring the Intersections of Culture, Cognition, and Pedagogical Situations

    Science.gov (United States)

    Ferrare, Joseph J.; Hora, Matthew T.

    2014-01-01

    While researchers have examined how disciplinary and departmental cultures influence instructional practices in higher education, there has yet to be an examination of this relationship at the embodied level of culture. In this article we utilize cultural models theory to examine the theories of student learning and teaching practice espoused and…

  1. Dynamical analysis of a model of social behavior: Criminal vs non-criminal population

    International Nuclear Information System (INIS)

    Abbas, Syed; Tripathi, Jai Prakash; Neha, A.A.

    2017-01-01

    Highlights: • A new social model of interaction between criminal and non-criminal population is proposed • The effect of law enforcement is studied • Many real life situations are analyzed • List of open problems is given for future work. - Abstract: In this paper, we construct a model motivated by the well known predator-prey model to study the interaction between criminal population and non-criminal population. Our aim is to study various possibilities of interactions between them. First we model it using simple predator-prey model, then we modify it by considering the logistic growth of non-criminal population. We clearly deduce that the model with logistic growth is better than classical one. More precisely, the role of carrying capacity on the dynamics of criminal minded population is discussed. Further, we incorporate law enforcement term in the model and study its effect. The result obtained suggest that by incorporating enforcement law, the criminal population reduces from the very beginning, which resembles with real life situation. Our result indicates that the criminal minded population exist as long as coefficient of enforcement l c does not cross a threshold value and after this value the criminal minded population extinct. In addition, we also discuss the occurrence of saddle-node bifurcation in case of model system with law enforcement. Numerical examples and simulations are presented to illustrate the obtained results.

  2. Interface for the Characterisation and Modelling of the Environmental and Sanitary Situation Around the Huelva Estuary (Conta HUELVA)

    International Nuclear Information System (INIS)

    Gonzalez Giralda, C; Bailador Ferreras, M. de la

    2002-01-01

    This Technical Report shows a Computer solution whose main objective is the Atmospheric Contamination Characterisation using two ways. One way is by means of extracting the emission, inmision and meteorological parameters in order to group them following temporal and statistical criteria. By other way, you can obtain information from the database accords to a predefined format that allows the Atmospheric Contamination Modelization though the calculus of its spatial and temporal evolution. (Author)

  3. Direct-acting antiviral agents in the treatment of chronic Hepatitis C - "Real-life" experience from an academic centre and two specialized clinical practices.

    Science.gov (United States)

    Groß, Manuel Jonathan; Härter, Georg; Backhus, Johanna; Zizer, Eugen; Seufferlein, Thomas; Ludwig, Leopold; Dikopoulos, Nektarios

    2017-11-07

    The introduction of the new direct antiviral agents has revolutionized the therapy of chronic hepatitis C. Today we are able to cure the vast majority of our patients with an 8- to 12-week therapy course of an antiviral combination therapy with an excellent safety profile. Real-life data are very important to further develop our experience with the new therapeutics and help us to improve the care of our patients in our everyday clinical practice.In our study, we present the retrospective analysis of a representative German cohort of 344 patients with chronic hepatitis C treated with the new direct antiviral agents. The patients were recruited in an academic center of southern Germany (University Clinic of Ulm, Clinic of Internal Medicine I) and in 2 highly specialized clinical practices in the city center and the near region of Ulm. Within this in-detail characterized study cohort, we analyzed the efficacy and safety of antiviral therapy under real-life conditions.In 322 patients, we could document SVR12 data and found an excellent overall SVR12 rate of 97.8 % across all genotypes. In more detail, we could show comparable SVR12 results of 99 % and 99.2 % in patients with the hepatitis C virus subtypes 1a and 1b of and an excellent SVR12 rate of 93.1 % in genotype 3 patients without liver cirrhosis. Nevertheless, SVR12 rates tend to be lower in patients with the presence of liver cirrhosis, especially in genotype 3 patients with the lowest SVR12 rate in the whole study group of only 80 %. In general, there were no major safety issues except of 1 patient treated with a protease-inhibitor-based regimen who developed a generalized skin reaction and needed hospitalization and premature end of antiviral therapy.In summary, our analysis of this well characterized representative cohort of 344 patients adds more information in the field of real-life experience with the new antiviral therapeutics and could therefore contribute to improve the care of our patients

  4. Experimentation, modelling and simulation of water droplets impact on ballooned sheath of PWR core fuel assemblies in a LOCA situation

    International Nuclear Information System (INIS)

    Lelong, Franck

    2010-01-01

    In a pressurized water reactor (PWR), during a Loss Of Coolant Accident (LOCA), liquid water evaporates and the fuel assemblies are not cooled anymore; as a consequence, the temperature rises to such an extent that some parts of the fuel assemblies can be deformed resulting in 'ballooned regions'. When reflooding occurs, the cooling of these partially blocked parts of the fuel assemblies will depend on the coolant flow that is a mixture of overheated vapour and under-saturated droplets. The aim of this thesis is to study the heat transfer between droplets and hot walls of the fuel rods. In this purpose, an experimental device has been designed in accordance with droplets and wall features (droplet velocity and diameter, wall temperature) representative of LOCA conditions. The cooling of a hot Nickel disk, previously heated by induction, is cooled down by a stream of monodispersed droplet. The rear face temperature profiles are measured by infrared thermography. Then, the estimation of wall heat flux is performed by an inverse conduction technique from these infrared images. The effect of droplet dynamical properties (diameter, velocity) on the heat flux is studied. These experimental data allow us to validate an analytical model of heat exchange between droplet and hot slab. This model is based on combined dynamical and thermal considerations. On the one hand, the droplet dynamics is considered through a spring analogy in order to evaluate the evolution of droplet features such as the spreading diameter when the droplet is squeezed over the hot surface. On the other hand, thermal parameters, such as the thickness of the vapour cushion beneath the droplet, are determined from an energy balance. In the short term, this model will be integrated in a CFD code (named NEPTUNE-CFD) to simulate the cooling of a reactor core during a LOCA, taking into account the droplet/wall heat exchange. (author)

  5. HIV drug adherence: special situations.

    Science.gov (United States)

    Lyons, C

    1997-01-01

    Among the highly diverse population of persons living with HIV/AIDS are individuals with particularly challenging life circumstances that can be called "special situations." Substance abuse and homelessness are examples of special situations that require additional consideration when attempting to determine the appropriateness of prescribing complex antiretroviral regimens. When individual cases are examined in the context of relevant models of care and the principles of those models applied, such clinical decisions can be made with the patient. Withholding protease inhibitors from an entire population group, it is argued, is the epitome of practicing bad medicine.

  6. Situational method engineering

    CERN Document Server

    Henderson-Sellers, Brian; Ågerfalk, Pär J; Rossi, Matti

    2014-01-01

    While previously available methodologies for software ? like those published in the early days of object technology ? claimed to be appropriate for every conceivable project, situational method engineering (SME) acknowledges that most projects typically have individual characteristics and situations. Thus, finding the most effective methodology for a particular project needs specific tailoring to that situation. Such a tailored software development methodology needs to take into account all the bits and pieces needed for an organization to develop software, including the software process, the

  7. Omalizumab for severe allergic asthma in clinical trials and real-life studies: what we know and what we should address.

    Science.gov (United States)

    Caminati, Marco; Senna, Gianenrico; Guerriero, Massimo; Dama, Anna Rita; Chieco-Bianchi, Fulvia; Stefanizzi, Giorgia; Montagni, Marcello; Ridolo, Erminia

    2015-04-01

    Randomized clinical trials (RCTs) are the gold standard for the assessment of any therapeutic intervention. Real-life (R-L) studies are needed to verify the provided results beyond the experimental setting. This review aims at comparing RCTs and R-L studies on omalizumab in adult severe allergic asthma, in order to highlight the concurring results and the discordant/missing data. The results of a selective literature research, including "omalizumab, controlled studies, randomized trial, real-life studies" as key words are discussed. Though some similarities between RCTs and R-L studies strengthen omalizumab efficacy and safety outcomes, significant differences concerning study population features, follow-up duration, local adverse events and drop-out rate for treatment inefficacy emerge between the two study categories. Furthermore the comparative analysis between RCTs and R-L studies highlights the need for further research, concerning in particular long-term effects of omalizumab and its impact on asthma comorbidities. Copyright © 2015 Elsevier Ltd. All rights reserved.

  8. [Influence of Fissure Sealants on Dental Health of Elementary School Children in Weimar - A Longitudinal Observational Study under Real-life Conditions].

    Science.gov (United States)

    Heinemann, F; Ifland, S; Heinrich-Weltzien, R; Schüler, I M

    2017-03-01

    The aim of the present observational study was to assess the effect of the number and timing of placing fissure sealants (FS) on caries prevalence in elementary school children under real-life conditions. Methods: Oral health data from 7- to 10-year-old elementary school children (n=505) attending 4 consecutive annual checkups between 2004 and 2009 was extracted from the public health service database. The number of intact FS and the number of teeth affected by caries was scored according to WHO standard (1997). Results: 34.9% pupils had at least one, 10% 4 FS. Children without FS had a higher dental caries rate compared to peers with FS (0.2 DT/0.4 DMFT vs. 0.1 DT/0.2 DMFT). Pupils with 4 FS showed the lowest number of teeth with caries (0 DT/0 DMFT). Children with an early application of FS had a lower D-component than children with a later or missing application (0.1 DT vs. 0.2 DT). Pupils with less than 4 FS had a higher risk of developing caries in their permanent dentition compared to peers with 4 FS (OR 4.36). Conclusion: FS is an effective caries preventive measure under real-life conditions. Early application and sealing of all 4 molars can optimize the prevention of caries in the permanent dentition. © Georg Thieme Verlag KG Stuttgart · New York.

  9. Improved real-life adherence of 6-monthly denosumab injections due to positive feedback based on rapid 6-month BMD increase and good safety profile.

    Science.gov (United States)

    Ringe, J D; Farahmand, P

    2014-05-01

    Almost 50 % of osteoporosis (OP) patients discontinue bisphosphonate (BP) therapy within 1-2 years after the start of their treatment. Denosumab's longer dosing interval with its administration every 6 months (Q6M) as a subcutaneous (sc) injection might result in a better real-life treatment adherence and persistence than weekly or monthly oral BP treatment regimen. The objectives of this open, investigator-initiated, prospective, observational, single-center study were to evaluate adherence with denosumab 60 mg sc every 6 months (Q6M) (Prolia(®)) injections in osteoporotic patients in a routine clinical care setting and to describe whether positive feedback to OP patients based on measured bone mineral density (BMD) increases and good safety profile have an impact on patients' real-life adherence. Results indicate that the rarity of adverse events and reduced dosage frequency together with the consistency of rapid and highly significant increases in BMD already after 6 months of denosumab therapy used as a positive reinforcement during doctor-patient interactions had a significant, positive impact on osteoporotic patient's adherence to continue with the 6-monthly sc denosumab injections.

  10. The real-life safety and efficacy of vardenafil: an international post-marketing surveillance study--results from 29 358 German patients.

    Science.gov (United States)

    van Ahlen, H; Zumbé, J; Stauch, K; Landen, H

    2005-01-01

    We assessed the safety, efficacy and patient acceptability of vardenafil (Levitra, Bayer HealthCare, Leverkusen, Germany) under real-life conditions in patients with erectile dysfunction (ED) in a multinational post-marketing surveillance study. An initial and up to two follow-up visits were documented for 29 358 German ED patients receiving vardenafil. Patients were interviewed about overall treatment success, and individual sexual attempts were evaluated in a patient questionnaire. Overall erectile improvement was reported by 93.9% of physicians, and similar improvement rates were reported for both 10 mg and 20 mg vardenafil dosages. Most patients experienced improved erections after the first (73.6%) or second (88.5%) tablet. Sexual attempts were successful with respect to partner penetration in 94.9% of patients and with respect to maintenance of erection during intercourse in 87.7% of patients. Adverse drug reactions were very rare (1.3% of patients). Vardenafil was highly effective, reliable and well tolerated in ED patients treated under real-life conditions.

  11. Primary implant stability in a bone model simulating clinical situations for the posterior maxilla: an in vitro study

    Science.gov (United States)

    2016-01-01

    Purpose The aim of this study was to determine the influence of anatomical conditions on primary stability in the models simulating posterior maxilla. Methods Polyurethane blocks were designed to simulate monocortical (M) and bicortical (B) conditions. Each condition had four subgroups measuring 3 mm (M3, B3), 5 mm (M5, B5), 8 mm (M8, B8), and 12 mm (M12, B12) in residual bone height (RBH). After implant placement, the implant stability quotient (ISQ), Periotest value (PTV), insertion torque (IT), and reverse torque (RT) were measured. Two-factor ANOVA (two cortical conditions×four RBHs) and additional analyses for simple main effects were performed. Results A significant interaction between cortical condition and RBH was demonstrated for all methods measuring stability with two-factor ANOVA. In the analyses for simple main effects, ISQ and PTV were statistically higher in the bicortical groups than the corresponding monocortical groups, respectively. In the monocortical group, ISQ and PTV showed a statistically significant rise with increasing RBH. Measurements of IT and RT showed a similar tendency, measuring highest in the M3 group, followed by the M8, the M5, and the M12 groups. In the bicortical group, all variables showed a similar tendency, with different degrees of rise and decline. The B8 group showed the highest values, followed by the B12, the B5, and the B3 groups. The highest coefficient was demonstrated between ISQ and PTV. Conclusions Primary stability was enhanced by the presence of bicortex and increased RBH, which may be better demonstrated by ISQ and PTV than by IT and RT. PMID:27588215

  12. Does teaching of documentation of shoulder dystocia delivery through simulation result in improved documentation in real life?

    Science.gov (United States)

    Comeau, Robyn; Craig, Catherine

    2014-03-01

    Documentation of deliveries complicated by shoulder dystocia is a valuable communication skill necessary for residents to attain during residency training. Our objective was to determine whether the teaching of documentation of shoulder dystocia in a simulation environment would translate to improved documentation of the event in an actual clinical situation. We conducted a cohort study involving obstetrics and gynaecology residents in years 2 to 5 between November 2010 and December 2012. Each resident participated in a shoulder dystocia simulation teaching session and was asked to write a delivery note immediately afterwards. They were given feedback regarding their performance of the delivery and their documentation of the events. Following this, dictated records of shoulder dystocia deliveries immediately before and after the simulation session were identified through the Meditech system. An itemized checklist was used to assess the quality of residents' dictated documentation before and after the simulation session. All eligible residents (18) enrolled in the study, and 17 met the inclusion criteria. For 10 residents (59%) documentation of a delivery with shoulder dystocia was present before and after the simulation session, for five residents (29%) it was only present before the session, and for two residents (18%) it was only present after the session. When residents were assessed as a group, there were no differences in the proportion of residents recording items on the checklist before and after the simulation session (P > 0.05 for all). Similarly, analysis of the performance of the10 residents who had dictated documentation both before and after the session showed no differences in the number of elements recorded on dictations done before and after the simulation session (P > 0.05 for all). The teaching of shoulder dystocia documentation through simulation did not result in a measurable improvement in the quality of documentation of shoulder dystocia in

  13. Situational Awareness in Complex Systems

    Science.gov (United States)

    1994-01-31

    of situational awareness developed by Harwood, Barnett, and Wickens. These authors distilled four, primary parameters to describe a model of...A9.16 Eye" a tv* J Bette, Phght *Better CG omw Figue 3. "Agie Eye - a HUD-on-thehead witou penaltie to the pilot. "Agsk Eye" Payoff In A/A, there are

  14. Situative Space Tracking within Smart Environments

    DEFF Research Database (Denmark)

    Surie, Dipak; Jäckel, Florian; Janlert, Lars-Erik

    2010-01-01

    This paper describes our efforts in modeling and tracking a human agent’s situation based on his/her possibilities to perceive and act upon objects (both physical and virtual) within smart environments. A Situative Space Model is proposed. WLAN signal-strength-based situative space tracking syste......-laboratory smart home environment where a global precision of 83.4% and a global recall of 88.6% were obtained.......This paper describes our efforts in modeling and tracking a human agent’s situation based on his/her possibilities to perceive and act upon objects (both physical and virtual) within smart environments. A Situative Space Model is proposed. WLAN signal-strength-based situative space tracking system...

  15. A model of involvement in work-related learning and development activity: the effects of individual, situational, motivational, and age variables.

    Science.gov (United States)

    Maurer, Todd J; Weiss, Elizabeth M; Barbeite, Francisco G

    2003-08-01

    Eight hundred employees from across the U.S. work force participated in a detailed 13-month longitudinal study of involvement in learning and development activities. A new model was posited and tested in which the hypothesized sequence was as follows: worker age --> individual and situational antecedents --> perceived benefits of participation and self-efficacy for development --> attitudes toward development --> intentions to participate --> participation. The results depict a person who is oriented toward employee development as having participated in development activities before, perceiving themselves as possessing qualities needed for learning, having social support for development at work and outside of work, being job involved, having insight into his or her career, and believing in the need for development, in his or her ability to develop skills and to receive intrinsic benefits from participating. Given the aging work force, a detailed treatment of age differences in development is presented. Implications for new ideas in practice and future research are discussed.

  16. Laterally situated sinus pericranii

    International Nuclear Information System (INIS)

    Koshu, K.; Takahashi, S.

    1981-01-01

    Sinus pericranii has been reported to be situated usually along the midline. Two cases of laterally situated sinus pericranii are presented. Venous blood was obtained by puncturing the tumors directly. Injection of contrast medium into the tumors demonstrated a communication between the tumors and the intracranial venous sinuses through marked diploic veins. (orig.)

  17. Head impact velocities in FIS World Cup snowboarders and freestyle skiers: Do real-life impacts exceed helmet testing standards?

    Science.gov (United States)

    Steenstrup, Sophie E; Mok, Kam-Ming; McIntosh, Andrew S; Bahr, Roald; Krosshaug, Tron

    2018-01-01

    Prior to the 2013-2014 season, the International Ski Federation (FIS) increased the helmet testing speed from a minimum requirement of 5.4 to 6.8 m/s for alpine downhill, super-G and giant slalom and for freestyle ski cross, but not for the other freestyle disciplines or snowboarding. Whether this increased testing speed reflects impact velocities in real head injury situations on snow is unclear. We therefore investigated the injury mechanisms and gross head impact biomechanics in four real head injury situations among World Cup (WC) snowboard and freestyle athletes and compared these with helmet homologation laboratory test requirements. The helmets in the four cases complied with at least European Standards (EN) 1077 (Class B) or American Society for Testing and Materials (ASTM) F2040. We analysed four head injury videos from the FIS Injury Surveillance System throughout eight WC seasons (2006-2014) in detail. We used motion analysis software to digitize the helmet's trajectory and estimated the head's kinematics in two dimensions, including directly preimpact and postimpact. All four impacts were to the occiput. In the four cases, the normal-to-slope preimpact velocity ranged from 7.0(±SD 0.2) m/s to 10.5±0.5 m/s and the normal-to-slope velocity change ranged from 8.4±0.6 m/s to 11.7±0.7 m/s. The sagittal plane helmet angular velocity estimates indicated a large change in angular velocity (25.0±2.9 rad/s to 49.1±0.3 rad/s). The estimated normal-to-slope preimpact velocity was higher than the current strictest helmet testing rule of 6.8 m/s in all four cases. © 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.

  18. Assessing Operational Situations

    DEFF Research Database (Denmark)

    Zhang, Xinxin

    In spite of the high level of automation commonly applied to today’s engineering system, humans’ skill and knowledge still plays a central role in the systems’ daily operation, critical decision making, and accident management. The complexity of the engineered system poses great challenge for human...... operators to perceive and understand the operational situation. The research domain of situation awareness approaches the operational challenges from the human cognition perspective while the presented thesis aims at supporting situation assessment from the system perspective. The thesis has reviewed...... different perspectives on situation awareness in the human factor studies and uses the knowledge reflectively for system representation and analysis. The human cognitive activities during complex plant operation and how they perceive a situation and what kind of knowledge has to be established in the human...

  19. Long-acting muscarinic antagonist use in adults with asthma: real-life prescribing and outcomes of add-on therapy with tiotropium bromide

    Directory of Open Access Journals (Sweden)

    Price D

    2015-01-01

    Full Text Available David Price,1,2 Alan Kaplan,3 Rupert Jones,4 Daryl Freeman,5 Anne Burden,2 Shuna Gould,2 Julie von Ziegenweidt,2 Muzammil Ali,2 Christine King,2 Mike Thomas6 1Academic Centre of Primary Care, University of Aberdeen, Aberdeen, 2Research in Real-Life, Cambridge, UK; 3Family Physician Airways Group of Canada, Richmond Hill, ON, Canada; 4Centre for Clinical Trials and Health Research, Plymouth University, Plymouth, 5Norfolk Community Health and Care NHS Trust, Norwich, 6Primary Care Research, University of Southhampton, Southhampton, UK Background: Randomized controlled trials indicate that addition of a long-acting muscarinic antagonist (LAMA such as tiotropium may improve asthma control and reduce exacerbation risk in patients with poorly controlled asthma, but broader clinical studies are needed to investigate the effectiveness of LAMA in real-life asthma care. Methods: Medical records of adults with asthma (aged ≥18 years prescribed tiotropium were obtained from the UK Optimum Patient Care Research Database for the period 2001–2013. Patients diagnosed with chronic obstructive pulmonary disease were excluded, but no other clinical exclusions were applied. Two primary outcomes were compared in the year before (baseline and the year after (outcome addition of tiotropium: exacerbations (asthma-related hospital emergency department attendance or inpatient admission, or acute oral corticosteroid course and acute respiratory events (exacerbation or antibiotic prescription with lower respiratory consultation. Secondary outcomes included lung function test results and short-acting β2 agonist usage. The Wilcoxon signed-rank test was used for variables measured on the interval scale, the marginal homogeneity test for categorized variables, and the paired t-test for lung function indices. Results: Of the 2,042 study patients, 83% were prescribed an inhaled corticosteroid and 68% a long-acting ß2 agonist during the baseline year; 67% were prescribed

  20. Expansion of the Real-Time SPoRT-Land Information System for NOAA/National Weather Service Situational Awareness and Local Modeling Applications

    Science.gov (United States)

    Case, Jonathan L; White, Kristopher D.

    2014-01-01

    The NASA Short-term Prediction Research and Transition (SPoRT) Center in Huntsville, AL is running a real-time configuration of the Noah land surface model (LSM) within the NASA Land Information System (LIS) framework (hereafter referred to as the "SPoRT-LIS"). Output from the real-time SPoRT-LIS is used for (1) initializing land surface variables for local modeling applications, and (2) displaying in decision support systems for situational awareness and drought monitoring at select NOAA/National Weather Service (NWS) partner offices. The experimental CONUS run incorporates hourly quantitative precipitation estimation (QPE) from the National Severe Storms Laboratory Multi- Radar Multi-Sensor (MRMS) which will be transitioned into operations at the National Centers for Environmental Prediction (NCEP) in Fall 2014.This paper describes the current and experimental SPoRT-LIS configurations, and documents some of the limitations still remaining through the advent of MRMS precipitation analyses in the SPoRT-LIS land surface model (LSM) simulations.

  1. Inverted U-Shaped Dose-Response Curve of the Anxiolytic Effect of Cannabidiol during Public Speaking in Real Life

    Directory of Open Access Journals (Sweden)

    Antonio W. Zuardi

    2017-05-01

    Full Text Available The purpose of this study was to investigate whether the anxiolytic effect of cannabidiol (CBD in humans follows the same pattern of an inverted U-shaped dose-effect curve observed in many animal studies. Sixty healthy subjects of both sexes aged between 18 and 35 years were randomly assigned to five groups that received placebo, clonazepam (1 mg, and CBD (100, 300, and 900 mg. The subjects were underwent a test of public speaking in a real situation (TPSRS where each subject had to speak in front of a group formed by the remaining participants. Each subject completed the anxiety and sedation factors of the Visual Analog Mood Scale and had their blood pressure and heart rate recorded. These measures were obtained in five experimental sessions with 12 volunteers each. Each session had four steps at the following times (minutes after administration of the drug/placebo, as time 0: -5 (baseline, 80 (pre-test, 153 (speech, and 216 (post-speech. Repeated-measures analyses of variance showed that the TPSRS increased the subjective measures of anxiety, heart rate, and blood pressure. Student-Newman-Keuls test comparisons among the groups in each phase showed significant attenuation in anxiety scores relative to the placebo group in the group treated with clonazepam during the speech phase, and in the clonazepam and CBD 300 mg groups in the post-speech phase. Clonazepam was more sedative than CBD 300 and 900 mg and induced a smaller increase in systolic and diastolic blood pressure than CBD 300 mg. The results confirmed that the acute administration of CBD induced anxiolytic effects with a dose-dependent inverted U-shaped curve in healthy subjects, since the subjective anxiety measures were reduced with CBD 300 mg, but not with CBD 100 and 900 mg, in the post-speech phase.

  2. Inverted U-Shaped Dose-Response Curve of the Anxiolytic Effect of Cannabidiol during Public Speaking in Real Life.

    Science.gov (United States)

    Zuardi, Antonio W; Rodrigues, Natália P; Silva, Angélica L; Bernardo, Sandra A; Hallak, Jaime E C; Guimarães, Francisco S; Crippa, José A S

    2017-01-01

    The purpose of this study was to investigate whether the anxiolytic effect of cannabidiol (CBD) in humans follows the same pattern of an inverted U-shaped dose-effect curve observed in many animal studies. Sixty healthy subjects of both sexes aged between 18 and 35 years were randomly assigned to five groups that received placebo, clonazepam (1 mg), and CBD (100, 300, and 900 mg). The subjects were underwent a test of public speaking in a real situation (TPSRS) where each subject had to speak in front of a group formed by the remaining participants. Each subject completed the anxiety and sedation factors of the Visual Analog Mood Scale and had their blood pressure and heart rate recorded. These measures were obtained in five experimental sessions with 12 volunteers each. Each session had four steps at the following times (minutes) after administration of the drug/placebo, as time 0: -5 (baseline), 80 (pre-test), 153 (speech), and 216 (post-speech). Repeated-measures analyses of variance showed that the TPSRS increased the subjective measures of anxiety, heart rate, and blood pressure. Student-Newman-Keuls test comparisons among the groups in each phase showed significant attenuation in anxiety scores relative to the placebo group in the group treated with clonazepam during the speech phase, and in the clonazepam and CBD 300 mg groups in the post-speech phase. Clonazepam was more sedative than CBD 300 and 900 mg and induced a smaller increase in systolic and diastolic blood pressure than CBD 300 mg. The results confirmed that the acute administration of CBD induced anxiolytic effects with a dose-dependent inverted U-shaped curve in healthy subjects, since the subjective anxiety measures were reduced with CBD 300 mg, but not with CBD 100 and 900 mg, in the post-speech phase.

  3. Situational Leadership: "Different Strokes for Different Folks."

    Science.gov (United States)

    Blanchard, Kenneth; And Others

    1987-01-01

    Outlines the Situational Leadership II model and the four leadership styles and four development levels identified as important components in the development of situational leadership in school administrators. The model is used to teach principals how to vary their leadership style to fit the responses and capacities of their teachers. (MD)

  4. Adherence and quality of life in adults and children during 3-years of SLIT treatment with Grazax-a real life study

    DEFF Research Database (Denmark)

    Kiotseridis, Hampus; Arvidsson, Peter; Backer, Vibeke

    2018-01-01

    the possibility of home administration of allergen therapy, but adherence is more uncertain. The aim of the study was to investigate the adherence with GRAZAX in adults and children ≥ 5 years during three consecutive years of treatment. This was a non-interventional, prospective, observational, multi-center, open......Respiratory allergic disease represents a global health problem, 30% of the population suffers from allergic rhinoconjunctivitis and 20% suffer from asthma. Allergy immunotherapy induce immunological tolerance and thereby modify the response to allergens and sublingual immunotherapy (SLIT) offers......-label study to investigate adherence, quality of life, safety and tolerability of GRAZAX in adult and pediatric patients in a real-life setting. During the 3-years study period estimation of adherence was done regularly. Quality of life as well as symptom score was also assessed. In total, 399 patients (236...

  5. Unique Family Living Situations

    Science.gov (United States)

    ... of neglect, or because the parents are in prison. Others live with their grandparents (and one or ... Injury Prevention Crisis Situations Pets and Animals myhealthfinder Food and Nutrition Healthy Food Choices Weight Loss and ...

  6. Colloborative Situation Awareness

    OpenAIRE

    Szczerbak , Michal

    2013-01-01

    Situation awareness and collective intelligence are two technologies used in smart systems. The former renders those systems able to reason upon their abstract knowledge of what is going on. The latter enables them learning and deriving new information from a composition of experiences of their users. In this dissertation we present a doctoral research on an attempt to combine the two in order to obtain, in a collaborative fashion, situation-based rules that the whole community of entities wo...

  7. Real-life safety and efficacy of vildagliptin as add-on to metformin in patients with type 2 diabetes in Turkey--GALATA study.

    Science.gov (United States)

    Ayvaz, Goksun; Keskin, Lezzan; Akin, Fulya; Dokmetas, Hatice Sebile; Tasan, Ertugrul; Ar, Idilhan Baloglu; Uren, Emel

    2015-04-01

    To evaluate tolerability/safety and the efficacy of the combination of vildagliptin plus metformin in a real-life population of patients with type 2 diabetes mellitus (T2DM). This multicenter, single-arm, 6 month, observational, prospective cohort study was conducted at 39 centers across Turkey. T2DM patients on vildagliptin and metformin for ≤4 weeks were enrolled regardless of their previous antidiabetic therapy. Efficacy was evaluated by measuring hemoglobin A1c (HbA1c) levels. Tolerability/safety parameters evaluated included hypoglycemic events, gastrointestinal events, peripheral edema and weight gain. This study enrolled 665 patients with a mean ± standard deviation (SD) age of 55.1 ± 10.2 years and female predominance (n = 394, 59.2%). Safety was assessed in all enrolled patients. Hypoglycemia was reported in 10 (1.5%) patients (95% confidence interval = 0.8-2.7%). Efficacy was assessed in 289 (43.5%) patients treated for 6 ± 1 months; these patients showed a mean decrease in HbA1c of 0.8% from baseline value of 7.8% (p 65 years) and body mass index (<30 vs. ≥30 kg/m(2)) (p < 0.001 each). In total, 136 adverse events (AEs) were observed in 71 (10.7%) patients; 10 (1.5%) patients experienced hypoglycemia and gastrointestinal AEs were most commonly reported (n = 29, 4.4%). In a 'real-life' setting, the vildagliptin and metformin combination was associated with significant improvements in reaching target HbA1c levels, even in elderly and obese patients with T2DM. Moreover, vildagliptin and metformin demonstrated a good overall tolerability/safety profile.

  8. Impact of omalizumab in children from a middle-income country with severe therapy-resistant asthma: A real-life study.

    Science.gov (United States)

    Pitrez, Paulo M; de Souza, Rodrigo G; Roncada, Cristian; Heinzmann-Filho, Joao P; Santos, Giovana; Pinto, Leonardo A; Jones, Marcus H; Stein, Renato T

    2017-11-01

    Severe asthma in children is a global health problem. Severe therapy-resistant asthma (STRA) in children is a major clinical challenge due to persistent symptoms despite high doses of corticosteroids and results in high public health costs. Omalizumab (anti-IgE monoclonal antibody) has been described as an effective add-on therapy in these patients. The characteristics of children with STRA from low- and middle-income countries have scarcely been reported, and no real-life study has been published on the effects of omalizumab in this group of patients. The aim of our study is to report the first clinical real-life experiences with omalizumab in Brazilian children with STRA. Children (6-18 years old) from a referral center who were diagnosed with STRA were included in this retrospective study based on our clinical databases. The included children had undergone at least 6 months of omalizumab treatment and fulfilled the following initial criteria: 1) >6 years old; 2) a positive skin-prick test for at least one aeroallergen; and 3) a serum total IgE level between 30 and 1500 IU/mL. Clinical and lung function variables were analyzed before and after treatment. Fourteen children (mean age: 11.9 years; percentage female: 72%) were included in this study. Omalizumab treatment significantly increased control of the disease according to a standardized questionnaire administered at every visit (P omalizumab in Brazilian children with STRA significantly improved disease control, decreased hospitalizations, and allowed suspension of continuous oral corticosteroids. © 2017 Wiley Periodicals, Inc.

  9. Can Ultrasound Be Used to Predict Loss of Remission in Patients with RA in a Real-life Setting? A Multicenter Cohort Study.

    Science.gov (United States)

    Zufferey, Pascal; Scherer, Almut; Nissen, Michael J; Ciurea, Adrian; Tamborrini, Giorgio; Brulhart, Laure; Blumhardt, Sandra; Toniolo, Martin; Möller, Burkhard; Ziswiler, Hans-Ruedi

    2018-01-15

    Several studies have suggested that patients with rheumatoid arthritis (RA) presenting with ultrasound (US) synovitis despite clinical remission have more subsequent flares than those who show both clinical and sonographic remission. The objective of our study was to investigate whether these results could be translated to a real-life setting. We compared the time from the first US performed in clinical remission to loss of remission (defined by a DAS28 > 2.6 or the need for stepping up treatment with disease-modifying antirheumatic drugs) within the Swiss Clinical Quality Management cohort of patients with RA, and we adjusted for relevant confounders. Analyses were repeated for different definitions of US-detected synovitis (US+) using greyscale, Doppler, and combined modes based on previously validated scores, and they were adjusted for relevant confounders. There were 318 RA patients with 378 remission phases included. Loss of clinical remission was observed in 60% of remission phases. Residual US synovitis was associated with a shorter duration of clinical remission (median 2-5 mos) and a moderately increased hazard ratio (HR) for loss of remission (HR 1.2-1.5), with the highest HR for the combined US score. The association between US+ and loss of remission was strongest when the US measurement had taken place early in remission (shorter median duration of 6-20 mos) and when followup time was limited to the first 3 or 6 months (most HR between 2-4). US-detected synovitis, particularly when US is performed early in clinical remission, has a moderate predictive power for loss of remission in a real-life setting.

  10. Heterogeneity in barriers regarding the motivation, the opportunity and the ability to choose low-calorie snack foods and beverages: associations with real-life choices.

    Science.gov (United States)

    Bos, Colin; van der Lans, Ivo A; van Rijnsoever, Frank J; van Trijp, Hans Cm

    2016-06-01

    Employing Rothschild's Motivation-Opportunity-Ability framework, the present study examines the extent to which heterogeneity in barriers regarding the motivation, the perceived opportunity and the perceived ability to choose low-calorie over high-calorie snacks is associated with the proportion of low-calorie snack choices in real life. Furthermore, the study investigates which dominant barrier profiles can be discerned. Data were obtained from a survey about participants' motivation, opportunity and ability to choose low-calorie over high-calorie snacks and an FFQ that measured habitual consumption of snack foods and beverages. Data were analysed using R packages lavaan and NbClust, and IBM SPSS Statistics. A representative sample (n 1318) of the Dutch population based on gender (686 women), age and education level. For both snack foods and beverages, motivation to choose low-calorie over high-calorie snacks was associated strongest with proportions of low-calorie choices. The perceived ability and perceived opportunity were also associated with proportions of low-calorie choices, albeit to a lesser extent. Furthermore, three dominant profiles of barriers were identified: the no-barrier profile, the lack-of-opportunity profile and the lack-of-motivation profile. These profiles differed significantly on proportions of low-calorie snack choices, daily meal consumption and sociodemographic characteristics. Heterogeneity in barriers regarding the motivation, the perceived opportunity and the perceived ability to choose low-calorie over high-calorie snacks is associated with the proportion of low-calorie snack choices in real life. By identifying and appreciating heterogeneity in barriers, the present study provides further incentives for the tailoring of intervention strategies.

  11. The real-life safety and efficacy of vardenafil: an international post-marketing surveillance study of 2824 patients from the Middle East.

    Science.gov (United States)

    Kamel, A; Khaouli, R; Sabha, M; Al Mitwally, K; Fouad, W; Landen, H

    2007-01-01

    To assess the safety, efficacy and patient acceptability of vardenafil treatment under real-life conditions in patients with erectile dysfunction (ED). The present publication shows the results of a subgroup analysis of a multinational post-marketing surveillance study, including 2824 Middle East patients with ED whose attending physician chose vardenafil as the most appropriate therapy. Patients were assessed at an initial visit for demographic and baseline characteristics. At one or two follow-up visits, covering a period of approximately 2 months or eight vardenafil intakes, patients were interviewed about overall treatment success (general improvement of erection, number of tablets taken until improvement, patient's satisfaction with overall efficacy and tolerability, comparison with last ED treatment). All adverse events were recorded and assessed for a possible relationship to treatment, and for severity. An overall improvement in erections was reported in 94.3% of patients. Most patients achieved treatment success after the first (67.0%) or second (83.6% cumulative) tablet. Diabetic patients had a similar improvement rate (92.2%) and 73.5% of patients who had undergone radical prostatectomy reported an overall improvement. The rate of adverse drug reactions (ADRs) was low (9.1% of patients). The most common ADRs were headache (5.8%), flushing (1.6%), nasal congestion (1.0%), dyspepsia (0.6%) and nausea (0.5%). In total, 88.9% of patients wanted to continue treatment with vardenafil. Vardenafil was effective, reliable and well tolerated in patients with ED treated under real-life conditions.

  12. Long-term stability of morphine, codeine, and 6-acetylmorphine in real-life whole blood samples, stored at -20°C.

    Science.gov (United States)

    Høiseth, Gudrun; Fjeld, Bente; Burns, Margrete Larsen; Strand, Dag Helge; Vindenes, Vigdis

    2014-06-01

    Stability of drugs during storage is important in forensic toxicology. For the analytes detected after intake of heroin (6-acetylmorphine (6-AM), morphine and codeine), long-time stability in real life whole blood samples are studied in only a small number of cases. Whole blood post mortem (n=37) and whole blood samples from living persons (n=22) containing morphine and codeine as well as 6-AM in blood or urine were selected. All cases represented intake of heroin. All samples contained fluoride and were initially analysed and stored in normal conditions (-20°C) for 4-9 years. All samples were then reanalysed using the same analytical methods and the results were compared. For samples from living persons, the median change in concentration was -3.7% for morphine and -5.3% for codeine. For post mortem samples, the median change in concentration was -12% for morphine and -11% for codeine. Both for samples from living persons and post mortem samples, the decrease in the concentrations from the original analysis to reanalysis were statistically significant for morphine and codeine. Regarding 6-AM, all living samples were negative at reanalysis. For post mortem samples, four cases still tested positive for 6-AM at reanalysis with a median change in the concentrations of -81%. There was no significant change in the morphine to codeine concentration ratios neither for living nor post mortem samples. This study showed that in real life whole blood samples, the concentrations of morphine and codeine are relatively stable during long-term storage at -20°C. 6-AM on the other hand, shows a considerable decrease in concentrations that is important to consider when interpreting results from reanalyses of forensic cases. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  13. Bacteriotherapy with Streptococcus salivarius 24SMB and Streptococcus oralis 89a nasal spray for preventing recurrent acute otitis media in children: a real-life clinical experience

    Directory of Open Access Journals (Sweden)

    La Mantia I

    2017-06-01

    Full Text Available Ignazio La Mantia, Attilio Varricchio, Giorgio Ciprandi Associazione Italiana Vie Aeree Superiori, Naples, Italy Abstract: Recurrence of acute otitis media (RAOM is a relevant issue in the clinical practice. “Bacteriotherapy” has been proposed as an option in children with RAOM. Streptococcus salivarius 24SMB nasal spray has been previously demonstrated to reduce the risk of acute otitis media (AOM in otitis-prone children. The current retrospective and observational study aimed to confirm this outcome in a real-life setting, such as the common pediatric practice. Group A (108 children served as control; group B (159 children was treated with S. salivarius 24SMB and Streptococcus oralis 89a nasal spray after the first AOM episode. Active treatment consisted of 3 monthly courses: 2 puffs per nostril twice/day for a week. Group B showed a significant reduction of AOM episodes in comparison with group A (p<0.0001. Notably, all actively treated children with the highest AOM recurrence had a reduction of recurrence, whereas only 50% of the control group children had reduced RAOM (p<0.0001. Also, severity grade of AOM significantly diminished after the preventive bacteriotherapy (p<0.0001. In conclusion, the current retrospective and observational study demonstrated that S. salivarius 24SMB and S. oralis 89a nasal spray could be effective in the prevention of RAOM in a real-life setting. Keywords: recurrent acute otitis media, bacteriotherapy, Streptococcus salivarius 24SMB, Streptococcus oralis 89a, nasal spray, children

  14. Evaluation of real-life dosing of oral medicines with respect to fluid and food intake in a Dutch-speaking population.

    Science.gov (United States)

    Hens, B; Van Den Abeele, J; Rubbens, J; Keirsebilck, M; Roelens, J; Schreurs, C; Verheyen, K; Casteels, M; Laekeman, G; Augustijns, P

    2017-08-01

    Oral drug administration is the most preferred route of drug administration. For some specific classes of drugs, recommendations regarding the intake of the drug product are provided by and approved in the summary of product characteristics (SmPC) after testing the oral drug product in clinical trials under strict and predefined conditions. The aim of this study was to investigate how certain classes of medicines are taken in a "real-life" setting in terms of concomitant fluid and food intake by a Dutch-speaking population in Flanders (Belgium). The outcome of this study was comprehensively discussed with literature data to evaluate the positive or negative consequences of their drug intake in daily life. A retrospective and non-interventional study was set up by means of questionnaires completed by two different groups: children (ie 0-15 years) and (young) adults (ie 16 years and older). In children, the co-administered volume increases with age because of a gradual switch from liquids to solid dosage forms. In adults, water was the most selected co-administered fluid and the preferred volume of intake was a half glass of liquid. Results of the surveys clearly indicated that the majority of all participants took their medication with a sip or half glass of water. However, this was not the case for the youngest children, as their preferred formulations were liquids (eg solutions, suspensions) which do not require any extra intake of liquid. In the case of specific classes of drugs, real-life intake can still be improved, suggesting that the pharmacist's advice has an important influence on their administration of medicines. © 2017 John Wiley & Sons Ltd.

  15. Development and evaluation of SOA-based AAL services in real-life environments: a case study and lessons learned.

    Science.gov (United States)

    Stav, Erlend; Walderhaug, Ståle; Mikalsen, Marius; Hanke, Sten; Benc, Ivan

    2013-11-01

    The proper use of ICT services can support seniors in living independently longer. While such services are starting to emerge, current proprietary solutions are often expensive, covering only isolated parts of seniors' needs, and lack support for sharing information between services and between users. For developers, the challenge is that it is complex and time consuming to develop high quality, interoperable services, and new techniques are needed to simplify the development and reduce the development costs. This paper provides the complete view of the experiences gained in the MPOWER project with respect to using model-driven development (MDD) techniques for Service Oriented Architecture (SOA) system development in the Ambient Assisted Living (AAL) domain. To address this challenge, the approach of the European research project MPOWER (2006-2009) was to investigate and record the user needs, define a set of reusable software services based on these needs, and then implement pilot systems using these services. Further, a model-driven toolchain covering key development phases was developed to support software developers through this process. Evaluations were conducted both on the technical artefacts (methodology and tools), and on end user experience from using the pilot systems in trial sites. The outcome of the work on the user needs is a knowledge base recorded as a Unified Modeling Language (UML) model. This comprehensive model describes actors, use cases, and features derived from these. The model further includes the design of a set of software services, including full trace information back to the features and use cases motivating their design. Based on the model, the services were implemented for use in Service Oriented Architecture (SOA) systems, and are publicly available as open source software. The services were successfully used in the realization of two pilot applications. There is therefore a direct and traceable link from the user needs of the

  16. A Simulation Model for Intra-Urban Movements.

    Directory of Open Access Journals (Sweden)

    Nimrod Serok

    Full Text Available Human mobility patterns (HMP have become of interest to a variety of disciplines. The increasing availability of empirical data enables researchers to analyze patterns of people's movements. Recent work suggested that HMP follow a Levy-flight distribution and present regularity. Here, we present an innovative agent-based model that simulates HMP for various purposes. It is based on the combination of regular movements with spatial considerations, represented by an expanded gravitation model. The agents in this model have different attributes that affect their choice of destination and the duration they stay in each location. Thus, their movement mimics real-life situations. This is a stochastic, bottom-up model, yet it yields HMP that qualitatively fit HMP empirical data in terms of individuals, as well as the entire population. Our results also correspond to real-life phenomena in terms of urban spatial dynamics, that is, the emergence of popular locations in the city due to bottom-up behavior of people. Our model is novel in being based on the assumption that HMP are space-dependent as well as follow high regularity. To our knowledge, we are the first to succeed in simulating HMP not only at the inter-city scale but also at the intra-urban one.

  17. Personalizing situation awareness

    Energy Technology Data Exchange (ETDEWEB)

    Collins, Linn Marks [Los Alamos National Laboratory; Powell, James E [Los Alamos National Laboratory; Roman, Jorge R [Los Alamos National Laboratory; Martinez, Mark L B [Los Alamos National Laboratory; Mane, Ketan K [RENCI

    2009-01-01

    Emergency responders need access to information but what counts as actionable information depends on their role, task, location, and other variables. For example, experts who have unique knowledge and experience and are called on to serve as scientific and teclmical responders, require correspondingly unique situation awareness in order to do their work. In our research-in-progress we leverage emerging and evolving web and digital library technologies to create personalized situation awareness tools that address the needs of these scientific and technical responders in real time, through focused information collection, extraction, integration, representation, and dissemination. We describe three personalized situation awareness tools in this paper: the Theme Awareness Tool (THEMAT), Social Awareness Tool (SAT), and Expertise Awareness Tool (EXPAT). The concepts and technologies we are developing in collaboration with experts apply to those who use the Web, in general, and offer an approach to the general issue of HCI design for emergencies.

  18. Planning as situated design

    DEFF Research Database (Denmark)

    Axel, Erik

    and situated, too. In this presentation it will be argued that the investigation of systematic planning as conflictual cooperation will help us see that situated activity is not only based on the present conditions, but also relates them to events spread out in time and space, thereby opening up for another......It is common to associate situated activity with concrete, craftlike or manual activity here and now and to reserve theoretical and abstract thinking for activities like theoretical experimentation and systematic planning. Much work has gone into demonstrating that these activities are concrete...... understanding of theoretical thinking. Some material from the empirical research project developed with Klaus Nielsen on the design and engineering of a house will be presented. On this basis a conception of planning will be unfolded. It will be understood differently from the way it is understood...

  19. Learning second language vocabulary: neural dissociation of situation-based learning and text-based learning.

    Science.gov (United States)

    Jeong, Hyeonjeong; Sugiura, Motoaki; Sassa, Yuko; Wakusawa, Keisuke; Horie, Kaoru; Sato, Shigeru; Kawashima, Ryuta

    2010-04-01

    Second language (L2) acquisition necessitates learning and retrieving new words in different modes. In this study, we attempted to investigate the cortical representation of an L2 vocabulary acquired in different learning modes and in cross-modal transfer between learning and retrieval. Healthy participants learned new L2 words either by written translations (text-based learning) or in real-life situations (situation-based learning). Brain activity was then measured during subsequent retrieval of these words. The right supramarginal gyrus and left middle frontal gyrus were involved in situation-based learning and text-based learning, respectively, whereas the left inferior frontal gyrus was activated when learners used L2 knowledge in a mode different from the learning mode. Our findings indicate that the brain regions that mediate L2 memory differ according to how L2 words are learned and used. Copyright 2009 Elsevier Inc. All rights reserved.

  20. Greenhouse Gas Emission Mitigation And Agriculture, Trade-off Or Win-win Situation: Bioeconomic Farm Modelling In The Sudanian Area of Burkina Faso

    Science.gov (United States)

    Some, T. E.; Barbier, B.

    2015-12-01

    Climate changes talks regularly underline that developing countries' agriculture could play a stronger role in GHGs mitigation strategies and benefit from the Kyoto Protocol program of subsidies. Scientists explain that agriculture can contribute to carbon mitigation by storing more carbon in the soil through greener cropping systems. In this context, a growing number of research projects have started to investigate how developing countries agriculture can contribute to these objectives. The clean development mechanism (CDM) proposed in the Kyoto protocol is one particular policy instrument that can incite farmers to mitigate the GHG balance towards more sequestration and less emission. Some economists such as Michael Porter think that environmental regulation lead to a win-win outcome, in which case subsidies are not necessary. If it is a trade-off between incomes and the environment, subsidies are required. CDM can be mobilized to support the mitigation strategy. Agriculture implies the use of inputs. Reducing the emission implies the reduction of those inputs which will in turn imply a yield decrease. The study aims to assess whether this measure will imply a trade-off between environmental and economic objectives or a win-win situation. I apply this study to the case of small farmers in Burkina Faso through environmental instruments such as the emissions limits and agroforestry using a bioeconomic model, in which the farmers maximize their utility subject to constraints. The study finds that the limitation of emissions in annual crops production involves a trade-off. by impacting negatively their net cash come. By integrating perennial crops in the farming system, the farmers' utility increases. Around 6,118 kg are sequestrated individually. By computing the value on this carbon balance, farmers' net cash incomes go better. Then practicing agroforestry is a win-win situation, as they reach a higher level of income, and reduce emissions. Policymakers must

  1. Situated cognition and cognitive apprenticeship: a model for teaching and learning clinical skills in a technologically rich and authentic learning environment.

    Science.gov (United States)

    Woolley, Norman N; Jarvis, Yvonne

    2007-01-01

    The acquisition of a range of diverse clinical skills is a central feature of the pre-registration nursing curriculum. Prior to exposure to clinical practice, it is essential that learners have the opportunity to practise and develop such skills in a safe and controlled environment under the direction and supervision of clinical experts. However, the competing demands of the HE nursing curriculum coupled with an increased number of learners have resulted in a reduced emphasis on traditional apprenticeship learning. This paper presents an alternative model for clinical skills teaching that draws upon the principles of cognitive apprenticeship [Collins, A., Brown, J.S., Newman, S., 1989. Cognitive Apprenticeship: teaching the crafts of reading, writing and mathematics. In: Resnick, L.B. (Ed.) Knowing. Learning and Instruction: Essays in Honor of Robert Glaser. Lawrence Erlbaum Associates, New Jersey, pp. 453-494] and situated cognition within a technologically rich and authentic learning environment. It will show how high quality DVD materials illustrating clinical skills performed by expert practitioners have been produced and used in conjunction with CCTV and digital recording technologies to support learning within a pedagogic framework appropriate to skills acquisition. It is argued that this model not only better prepares the student for the time they will spend in the practice setting, but also lays the foundation for the development of a clinically competent practitioner with the requisite physical and cognitive skills who is fit for purpose [UKCC, 1999. Fitness for Practice: The UKCC Commission for Nursing and Midwifery Education. United Kingdom Central Council for Nursing Midwifery and Health Visiting, London].

  2. Correlates and predictors of antipsychotic drug polypharmacy in real-life settings: Results from a nationwide cohort study.

    Science.gov (United States)

    Malandain, Leo; Thibaut, Florence; Grimaldi-Bensouda, Lamiae; Falissard, Bruno; Abenhaim, Lucien; Nordon, Clementine

    2018-02-01

    Reasons for using antipsychotic polypharmacy (APP) in routine clinical practice, despite a potentially unfavorable risk-benefit ratio, are poorly understood. This research aimed to determine (1) if severe courses of schizophrenia were associated with APP and (2) if a schizophrenia-related acute event would predict a switch to APP in the short term. Observational prospective data (at baseline and 6months) were drawn from a French nationwide cohort ("Cohorte Générale Schizophrénie"), which included 1859 inpatients and outpatients with schizophrenia. APP was defined as the prescription of ≥2 antipsychotic drugs (there being different active substances). Early-onset schizophrenia, legal guardianship, higher lifetime maximal severity of illness and comorbid antisocial personality were used as proxies for severe courses of schizophrenia. Schizophrenia-related acute events included hospitalization and recent suicide attempts. Logistic regression models were used to determine (1) whether the use of APP at baseline (vs. monotherapy) was associated with a severe course of schizophrenia or not, independent of acute events, and (2) if a switch to APP at 6months (vs. remaining on monotherapy) was associated with acute events, independent of severe courses of schizophrenia. Increased odds of APP use at baseline were independently associated with legal guardianship (OR=1.6; 95%CI=1.3, 2.0) and higher lifetime maximum severity of illness (OR=1.3; 95%CI=1.2, 1.5). A switch to APP at 6months was predicted by a hospitalization occurring since baseline (OR=6.1; 95%CI=3.9, 9.4). In routine clinical practice, APP is more likely prescribed to patients with severe courses of illness, possibly indicating the difficulty to manage these patients. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. Development of methodology for disability-adjusted life years (DALYs calculation based on real-life data.

    Directory of Open Access Journals (Sweden)

    Ellen A Struijk

    Full Text Available BACKGROUND: Disability-Adjusted Life Years (DALYs have the advantage that effects on total health instead of on a specific disease incidence or mortality can be estimated. Our aim was to address several methodological points related to the computation of DALYs at an individual level in a follow-up study. METHODS: DALYs were computed for 33,507 men and women aged 20-70 years when participating in the EPIC-NL study in 1993-7. DALYs are the sum of the Years Lost due to Disability (YLD and the Years of Life Lost (YLL due to premature mortality. Premature mortality was defined as death before the estimated date of individual Life Expectancy (LE. Different methods to compute LE were compared as well as the effect of different follow-up periods using a two-part model estimating the effect of smoking status on health as an example. RESULTS: During a mean follow-up of 12.4 years, there were 69,245 DALYs due to years lived with a disease or premature death. Current-smokers had lost 1.28 healthy years of their life (1.28 DALYs 95%CI 1.10; 1.46 compared to never-smokers. The outcome varied depending on the method used for estimating LE, completeness of disease and mortality ascertainment and notably the percentage of extinction (duration of follow-up of the cohort. CONCLUSION: We conclude that the use of DALYs in a cohort study is an appropriate way to assess total disease burden in relation to a determinant. The outcome is sensitive to the LE calculation method and the follow-up duration of the cohort.

  4. Energy situation August 2002

    International Nuclear Information System (INIS)

    2002-09-01

    The monthly situation analysis in France is presented. Statistics are given for energy consumption, demand, import and export. A special attention is given to the primary energy, the solid fuels, the petroleum products, the natural gas and the electric power. (A.L.B.)

  5. Dealing with Problematic Situations

    DEFF Research Database (Denmark)

    Vidal, Rene Victor Valqui

    2004-01-01

    The main purpose of this paper is to outline a holistic answer to the following question: How to deal with problematic situations? A framework of a modern approach, a new meta-discipline, based on knowledge and experience from several other disciplines will be presented. We are focusing in those...

  6. The France energy situation

    International Nuclear Information System (INIS)

    2006-01-01

    This analysis of the french energy situation provides information and key data on some key facts about the energy in France, the France energy supply and demand, the major principles of energy policy, the challenges of french energy policy and the DGEMP (general directorate for energy and raw materials). (A.L.B.)

  7. Energy situation August 2016

    International Nuclear Information System (INIS)

    2016-08-01

    This publication presents a monthly report of the French energy situation: primary energy consumption, energy independence and CO 2 emissions, national production, imports, exports, energy costs, average and spot prices. Data are presented separately for solid mineral fuels, petroleum products, natural gas and electricity in the form of tables and graphs

  8. Energy situation July 2016

    International Nuclear Information System (INIS)

    2016-07-01

    This publication presents a monthly report of the French energy situation: primary energy consumption, energy independence and CO 2 emissions, national production, imports, exports, energy costs, average and spot prices. Data are presented separately for solid mineral fuels, petroleum products, natural gas and electricity in the form of tables and graphs

  9. Stopping Onabotulinum Treatment after the First Two Cycles Might Not Be Justified: Results of a Real-life Monocentric Prospective Study in Chronic Migraine.

    Science.gov (United States)

    Sarchielli, Paola; Romoli, Michele; Corbelli, Ilenia; Bernetti, Laura; Verzina, Angela; Brahimi, Elona; Eusebi, Paolo; Caproni, Stefano; Calabresi, Paolo

    2017-01-01

    Onabotulinum toxin A (OnabotA) cyclic treatment is approved for the prophylactic treatment of chronic migraine (CM), a highly disabling disorder. Although treatment response varies among patients, current guidelines suggest to stop treatment after cycle 2 if no response is achieved. This prospective study aimed to define, in real-life setting, the evolution of the response to OnabotA over five cycles of treatment among patients non-responding to cycle 1. The results of this study might help in decision-making, in particular whether prosecuting OnabotA further or not, when facing a patient not responding to cycle 1. Patients failing to respond at cycle 1 were recruited to complete five cycles. Key outcomes were: (i) a ≥50% reduction in headache days, (ii) a ≥50% reduction in total cumulative hours of headache on headache days and (iii) a ≥5-point improvement in Headache Impact Test-6 (HIT-6) scores. Overall, 56 patients were included. Mean age was 45.7 years (female 83.9%). Severe (≥60) HIT-6 score was reported at baseline by 95.8% of patients. Responders (headache days reduction of more than 50%) progressively increased cycle after cycle, doubling from cycle 2 to cycle 5 (from 27 to 48%). In addition, patients regressed from CM to episodic migraine moving on with each cycle, with 78% of them reaching less than nine migraine days/month after cycle 5. The headache days per month decreased significantly from cycle 1 to cycle 5 (overall from 23.3 ± 5.7 to 9.2 ± 3.6; p  < 0.001). During 12 months (5 cycles), migraine days per month progressively abated (from 18.5 to 8.7; p  < 0.001), days with symptomatic medications intake/month consistently decreased (from 17.4 to 8.1; p  < 0.001), and mean HIT-6 score lowered (from 72.4 ± 5.7 to 50.2 ± 4.3; p  < 0.001). The positive effect of OnabotA treatment spreads over the course of the treatment and might also manifest late in treatment course among patients with no benefit after

  10. Stopping Onabotulinum Treatment after the First Two Cycles Might Not Be Justified: Results of a Real-life Monocentric Prospective Study in Chronic Migraine

    Directory of Open Access Journals (Sweden)

    Paola Sarchielli

    2017-12-01

    Full Text Available IntroductionOnabotulinum toxin A (OnabotA cyclic treatment is approved for the prophylactic treatment of chronic migraine (CM, a highly disabling disorder. Although treatment response varies among patients, current guidelines suggest to stop treatment after cycle 2 if no response is achieved. This prospective study aimed to define, in real-life setting, the evolution of the response to OnabotA over five cycles of treatment among patients non-responding to cycle 1. The results of this study might help in decision-making, in particular whether prosecuting OnabotA further or not, when facing a patient not responding to cycle 1.MethodsPatients failing to respond at cycle 1 were recruited to complete five cycles. Key outcomes were: (i a ≥50% reduction in headache days, (ii a ≥50% reduction in total cumulative hours of headache on headache days and (iii a ≥5-point improvement in Headache Impact Test-6 (HIT-6 scores.ResultsOverall, 56 patients were included. Mean age was 45.7 years (female 83.9%. Severe (≥60 HIT-6 score was reported at baseline by 95.8% of patients. Responders (headache days reduction of more than 50% progressively increased cycle after cycle, doubling from cycle 2 to cycle 5 (from 27 to 48%. In addition, patients regressed from CM to episodic migraine moving on with each cycle, with 78% of them reaching less than nine migraine days/month after cycle 5. The headache days per month decreased significantly from cycle 1 to cycle 5 (overall from 23.3 ± 5.7 to 9.2 ± 3.6; p < 0.001. During 12 months (5 cycles, migraine days per month progressively abated (from 18.5 to 8.7; p < 0.001, days with symptomatic medications intake/month consistently decreased (from 17.4 to 8.1; p < 0.001, and mean HIT-6 score lowered (from 72.4 ± 5.7 to 50.2 ± 4.3; p < 0.001.ConclusionThe positive effect of OnabotA treatment spreads over the course of the treatment and might also manifest late in treatment course

  11. Real-life treatment of acute exacerbations of chronic bronchitis with moxifloxacin or macrolides: a comparative post-marketing surveillance study in general practice.

    Science.gov (United States)

    Schaberg, T; Möller, M; File, T; Stauch, K; Landen, H

    2006-01-01

    To compare the real-life treatment of acute exacerbations of chronic bronchitis (AECBs) using moxifloxacin tablets or one of the oral macrolides azithromycin, clarithromycin or roxithromycin in terms of symptom relief, time until improvement and cure, overall efficacy and tolerability. This prospective, non-interventional, multicentre study included out-patients with AECB whose last exacerbation was treated with a macrolide. The current AECB was treated either with moxifloxacin or with one of the macrolides azithromycin, clarithromycin or roxithromycin. Data were obtained on the patient's characteristics, disease and treatment history, the course of the current AECB including time to improvement and cure, and the final assessments of efficacy and tolerability. All adverse events were recorded in patients treated with moxifloxacin; for patients receiving macrolides, only drug-related adverse events were reported. 464 physicians treated 904 patients with moxifloxacin and 846 patients with one of the macrolides. Age, sex and body mass index were well matched between the two treatment groups. However, more moxifloxacin than macrolide patients presented with a generally bad condition (62.8% vs 48.6%). About 42% of patients in both groups had had chronic bronchitis for 1-5 years, and about 27% for 5-10 years. The mean number of AECBs in the previous 12 months was 2.7 and 2.6, respectively. Moxifloxacin was administered to most patients for 5 (43.8%) or 7 days (42.4%). Patients in the macrolide group were treated in most cases with clarithromycin 500 mg for 4-7 days, roxithromycin 300 mg for 6-7 days or azithromycin 500 mg for 3 days. Physicians assessed overall efficacy and tolerability as 'very good' or 'good' in 96.1% and 98.1%, respectively, of moxifloxacin-treated patients and in 67.5% and 91.7%, respectively, of macrolide-treated patients. The mean duration until improvement and cure of AECB was 3.2 days (+/- SD 1.5) and 6.2 days (+/- 2.6) in moxifloxacin

  12. Long-acting muscarinic antagonist use in adults with asthma: real-life prescribing and outcomes of add-on therapy with tiotropium bromide.

    Science.gov (United States)

    Price, David; Kaplan, Alan; Jones, Rupert; Freeman, Daryl; Burden, Anne; Gould, Shuna; von Ziegenweidt, Julie; Ali, Muzammil; King, Christine; Thomas, Mike

    2015-01-01

    Randomized controlled trials indicate that addition of a long-acting muscarinic antagonist (LAMA) such as tiotropium may improve asthma control and reduce exacerbation risk in patients with poorly controlled asthma, but broader clinical studies are needed to investigate the effectiveness of LAMA in real-life asthma care. Medical records of adults with asthma (aged ≥18 years) prescribed tiotropium were obtained from the UK Optimum Patient Care Research Database for the period 2001-2013. Patients diagnosed with chronic obstructive pulmonary disease were excluded, but no other clinical exclusions were applied. Two primary outcomes were compared in the year before (baseline) and the year after (outcome) addition of tiotropium: exacerbations (asthma-related hospital emergency department attendance or inpatient admission, or acute oral corticosteroid course) and acute respiratory events (exacerbation or antibiotic prescription with lower respiratory consultation). Secondary outcomes included lung function test results and short-acting β2 agonist usage. The Wilcoxon signed-rank test was used for variables measured on the interval scale, the marginal homogeneity test for categorized variables, and the paired t-test for lung function indices. Of the 2,042 study patients, 83% were prescribed an inhaled corticosteroid and 68% a long-acting β2 agonist during the baseline year; 67% were prescribed both. Comparing baseline and outcome years, the percentage of patients having at least one exacerbation decreased from 37% to 27% (P<0.001) and the percentage having at least one acute respiratory event decreased from 58% to 47% (P<0.001). There were no significant changes in lung function, and usage of short-acting β2 agonists (in salbutamol/albuterol equivalents) increased from a median (interquartile range) of 274 (110, 548) to 329 (110, 603) μg/day (P=0.01). In this real-life asthma population, addition of LAMA therapy was associated with significant decreases in the

  13. Real-life efficacy of pregabalin for the treatment of peripheral neuropathic pain in daily clinical practice in Denmark: the NEP-TUNE study

    Directory of Open Access Journals (Sweden)

    Crawford ME

    2016-05-01

    Full Text Available Michael E Crawford,1 Peter Bo Poulsen,2 Berit Schiøttz-Christensen,3 Andreas Habicht,4 Mette Strand,2 Flemming W Bach5 1Copenhagen City Pain Clinic, Copenhagen K, 2Pfizer Denmark ApS, Ballerup, 3Spine Center Southern Denmark, Lillebælt Hospital, Middelfart, 4Signifikans ApS, Vedbæk, 5Department of Neurology, Aalborg University Hospital, Aalborg, Denmark Objective: The aim of this study was to provide evidence regarding the real-life efficacy of pregabalin in the treatment of peripheral neuropathic pain (NeP in Denmark. Methods: In this prospective, observational, noninterventional study, pregabalin (Lyrica® was prescribed following usual clinical practice. Compared with baseline, the primary study end points after 3 months of observation were changes in 1 the average level of pain during the past week, 2 the worst level of pain during the past week, and 3 the least level of pain during the past week. The Wilcoxon signed-rank test was used to perform paired analyses, and a multivariate regression analysis investigated factors driving change in pain. Results: A total of 86 of the 128 patients included were regarded as efficacy evaluable (those completing 3 months of pregabalin treatment. Patients (59 years were long-time sufferers of peripheral NeP, and 38% of them had comorbidities. The majority had previously been treated with tricyclic antidepressants or gabapentin. The average dose of pregabalin was 81.5 mg/d at baseline and 240 mg/d after 3 months. A clinically and statistically significant improvement of 2.2 points in the average level of pain intensity was found after 3 months. The higher the pain intensity at baseline, the higher was the reduction of the pain score. Positive results were also found for pain-related sleep interference, patients’ global impression of change, quality of life, and work and productivity impairment. Twenty-one patients reported 28 adverse events. Conclusion: This real-life study indicates that for some

  14. 5-grass pollen tablets achieve disease control in patients with seasonal allergic rhinitis unresponsive to drugs: a real-life study

    Directory of Open Access Journals (Sweden)

    Pastorello EA

    2013-12-01

    Full Text Available Elide Anna Pastorello,1 Laura Losappio,1 Stefania Milani,2 Giuseppina Manzotti,3 Valentina Fanelli,4 Valerio Pravettoni,5 Fabio Agostinis,6 Alberto Flores D’Arcais,7 Ilaria Dell'Albani,8 Paola Puccinelli,9 Cristoforo Incorvaia,10 Franco Frati81Allergy and Immunology Department, Niguarda Hospital, Milan, 2Allergy Department, San Marco General Hospital, Bergamo, 3Allergy Department, Treviglio Hospital, Bergamo, 4Allergy Department, Italian Institute for Auxology, Milan, 5Clinical Allergy and Immunology Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, 6Department of Pediatrics, Riuniti Hospital, Bergamo, 7Department of Pediatrics, Legnano Hospital, Milan, 8Medical and Scientific Department, Stallergenes Italy, Milan, 9Regulatory Department, Stallergenes Italy, Milan, 10Allergy/Pulmonary Rehabilitation, ICP Hospital, Milan, ItalyBackground: An important subpopulation in allergic rhinitis is represented by patients with severe form of disease that is not responsive to drug treatment. It has been reported that grass pollen subcutaneous immunotherapy is effective in drug-resistant patients. In a real-life study, we evaluated the efficacy of 5-grass pollen tablets in patients with grass pollen-induced allergic rhinitis not responsive to drug therapy.Methods: We carried out this multicenter observational study in adults and adolescents with grass-induced allergic rhinitis not responsive to drug therapy who were treated for a year with 5-grass pollen tablets. Clinical data collected before and after sublingual immunotherapy (SLIT included Allergic Rhinitis and its Impact on Asthma (ARIA classification of allergic rhinitis, response to therapy, and patient satisfaction.Results: Forty-seven patients entered the study. By ARIA classification, three patients had moderate to severe intermittent allergic rhinitis, ten had mild persistent allergic rhinitis, and 34 had moderate to severe persistent allergic rhinitis. There were no cases

  15. "I have a connection!": The situated sense-making of an elementary student about the role of water in modeled vs. experienced ecosystems

    Science.gov (United States)

    Roberts, Lisa Elisabeth N.

    Current policy and research have led the field of science education towards a model of "science as practice." In the past decade, several research programs on model-based reasoning practices in education have articulated key dimensions of practice, including constructing and defending models, comparing models to empirical data, using representations to identify patterns in data and use those as inscriptions to buttress arguments. This study presents a detailed case of how the use of a physical microcosm and children's self-directed representations of an ecosystem constrained and afforded student sense-making in an urban elementary classroom. The case analyzed the experiences of a 10-year old fifth grade student, Jorge, and the variation in his expressed understanding of ecosystems as he interacted with academic tasks, along with models and representations, to design, observe and explain an ecological microcosm. The study used a conceptual framework that brings together theories of situated cognition and Doyle's work on academic task to explain how and why Jorge's perception and communication of dimensions of ecosystem structure, function, and behavior appear to "come in and out of focus," influenced by the affordances of the tools and resources available, the academic task as given by the teacher, and Jorge's own experiences and knowledge of phenomena related to ecosystems. Findings from this study suggest that elementary students' ability or inability to address particular ecological concepts in a given task relate less to gaps in their understanding and more to the structure of academic tasks and learning contexts. The process of a student interacting with curriculum follows a dynamic trajectory and leads to emergent outcomes. As a result of the complex interactions of task, tools, and his own interests and agency, Jorge's attunement to the role of water in ecosystems comes in and out of focus throughout the unit. The instructional constraint of needing to

  16. Learning through Situated Innovation

    DEFF Research Database (Denmark)

    Dittrich, Yvonne; Eriksén, Sara; Wessels, Bridgette

    2014-01-01

    and in which ways the specificity and situatedness of PD practices are crucial for PD research. We do so by developing the notion of PD as situated innovation based on a pragmatic epistemology. PD research aims at devel oping and continuously unfolding what PD can, might and should be. We show implications......Specific, situated participatory design (PD) practices have always been at the heart of Participatory Design research. The role of the very situatedness and specificity of PD practice for theory-building within PD research is, however, seldom discussed explicitly. In this article, we explore why...... of such a pragmatic epistemology of PD on understanding and arguing for PD research approaches. These concepts are illustrated referring to PD practices as experienced in PD research projects. Our epistemological argumentation supports the emphasis on exploring new PD practices and learning and theorizing about PD...

  17. Nuclear situation in Japan

    International Nuclear Information System (INIS)

    2006-01-01

    This analysis takes stock on the nuclear situation in Japan. It discusses the ambitious equipment program in collaboration with the France, the destabilization of the japanese nuclear industry following the accidents and the energy policy evolutions. It presents the projects of the japanese nuclear industry: the Monju reactor restart, the Pluthermal project, the reprocessing power plant of Rokkasho Mura, the new reactors, the russian weapons dismantling, the ITER site selection and the buy out of Westinghouse by Toshiba. (A.L.B.)

  18. Assessment and management of iron overload in β-thalassaemia major patients during the 21st century: a real-life experience from the Italian WEBTHAL project.

    Science.gov (United States)

    Piga, Antonio; Longo, Filomena; Musallam, Khaled M; Cappellini, Maria Domenica; Forni, Gian Luca; Quarta, Giovanni; Chiavilli, Francesco; Commendatore, Francesca; Mulas, Sergio; Caruso, Vincenzo; Galanello, Renzo

    2013-06-01

    We conducted a cross-sectional study on 924 β-thalassaemia major patients (mean age 30·1 years) treated at nine Italian centres using the WEBTHAL software, to evaluate real-life application of iron overload assessment and management standards. Serum ferritin 2 years. Patients who never had a cardiac MRI (CMR) T2* measurement were 2 years. Deferoxamine (22·8%) was more commonly used in patients with Hepatitis C Virus or high serum creatinine. Deferiprone (20·6%) was less commonly prescribed in patients with elevated alanine aminotransferase; while a deferoxamine + deferiprone combination (17·9%) was more commonly used in patients with serum ferritin >2500 ng/ml or CMR T2* <20 ms. Deferasirox (38·3%) was more commonly prescribed in patients <18 years, but less commonly used in those with heart disease or high iron intake. These observations largely echoed guidelines at the time, although some practices are expected to change in light of evolving evidence. © 2013 John Wiley & Sons Ltd.

  19. Effective use of real-life events as tools for teaching-learning clinical pharmacology in a problem-based learning curriculum.

    Science.gov (United States)

    James, Henry; Al Khaja, Khalid A; Sequeira, Reginald P

    2015-01-01

    This paper describes how in a problem-based learning (PBL) medical curriculum, having identified the learning outcomes, problems can be developed from real-life events for teaching-learning clinical pharmacology topics for which PBL cases might be inadequate. Such problems can be very interesting and educational. Using the story of the development and withdrawal of rofecoxib (Vioxx(®)), we developed a problem for undergraduate medical students to address important issues related to clinical pharmacology and therapeutics such as new drug development, preclinical testing, clinical trials, adverse drug reactions, professionalism, and critical appraisal of literature. These topics would otherwise be difficult to address in patient-based problems. The evaluation of the problem based on pooled feedback from 57 tutorial groups, each comprising 8-10 students, collected over 5 years, supported the effectiveness of the problem. A systematic approach described in this paper can be used for the development and validation of educational material for introducing focal topics of pharmacology/clinical pharmacology integrated with other disciplines in innovative medical (and other health profession) curricula.

  20. Real-life setting in data collection. The role of nutrition knowledge whilst selecting food products for weight management purposes in a supermarket environment.

    Science.gov (United States)

    Saarela, Anna-Maria; Lapveteläinen, Anja T; Mykkänen, Hannu M; Kantanen, Teuvo T; Rissanen, Riitta L

    2013-12-01

    The aim was to explore the role of consumers' nutrition knowledge while selecting foods for weight management and the predominating food selection factors by combining quantitative and qualitative methodology in a real-life setting during two consecutive shopping tasks given in a supermarket. Thirty-six consumers were given a list of 11 products and asked to think-aloud while selecting (i) a product they usually buy and (ii) a product they use for weight management. After the consecutive shopping tasks, the subjects were interviewed and asked to answer a nutrition knowledge questionnaire. The subjects were categorized by the difference in the energy contents of their selections and the food selection criteria. The energy contents of the selections for weight management were reduced by 10-46%. Ten subjects with the greatest difference between the energy contents of their selections had higher level in nutrition knowledge and mentioned less nutritional issues during the selections than ten subjects with the smallest such differences. Taste was an important product selection criterion by the former group, while the latter focused primarily on price. Nutrition knowledge is interrelated with personal factors and selection goals. It is not necessarily utilized consistently when selecting food products. Copyright © 2013 Elsevier Ltd. All rights reserved.