A Secure and Efficient Handover Authentication Protocol for Wireless Networks

Directory of Open Access Journals (Sweden)

Weijia Wang

2014-06-01

Full Text Available Handover authentication protocol is a promising access control technology in the fields of WLANs and mobile wireless sensor networks. In this paper, we firstly review an effcient handover authentication protocol, named PairHand, and its existing security attacks and improvements. Then, we present an improved key recovery attack by using the linearly combining method and reanalyze its feasibility on the improved PairHand protocol. Finally, we present a new handover authentication protocol, which not only achieves the same desirable effciency features of PairHand, but enjoys the provable security in the random oracle model.

Fuzzy Logic-based Intelligent Scheme for Enhancing QoS of Vertical Handover Decision in Vehicular Ad-hoc Networks

Science.gov (United States)

Azzali, F.; Ghazali, O.; Omar, M. H.

2017-08-01

The design of next generation networks in various technologies under the “Anywhere, Anytime” paradigm offers seamless connectivity across different coverage. A conventional algorithm such as RSSThreshold algorithm, that only uses the received strength signal (RSS) as a metric, will decrease handover performance regarding handover latency, delay, packet loss, and handover failure probability. Moreover, the RSS-based algorithm is only suitable for horizontal handover decision to examine the quality of service (QoS) compared to the vertical handover decision in advanced technologies. In the next generation network, vertical handover can be started based on the user’s convenience or choice rather than connectivity reasons. This study proposes a vertical handover decision algorithm that uses a Fuzzy Logic (FL) algorithm, to increase QoS performance in heterogeneous vehicular ad-hoc networks (VANET). The study uses network simulator 2.29 (NS 2.29) along with the mobility traffic network and generator to implement simulation scenarios and topologies. This helps the simulation to achieve a realistic VANET mobility scenario. The required analysis on the performance of QoS in the vertical handover can thus be conducted. The proposed Fuzzy Logic algorithm shows improvement over the conventional algorithm (RSSThreshold) in the average percentage of handover QoS whereby it achieves 20%, 21% and 13% improvement on handover latency, delay, and packet loss respectively. This is achieved through triggering a process in layer two and three that enhances the handover performance.

Enhanced Security and Pairing-free Handover Authentication Scheme for Mobile Wireless Networks

Science.gov (United States)

Chen, Rui; Shu, Guangqiang; Chen, Peng; Zhang, Lijun

2017-10-01

With the widely deployment of mobile wireless networks, we aim to propose a secure and seamless handover authentication scheme that allows users to roam freely in wireless networks without worrying about security and privacy issues. Given the open characteristic of wireless networks, safety and efficiency should be considered seriously. Several previous protocols are designed based on a bilinear pairing mapping, which is time-consuming and inefficient work, as well as unsuitable for practical situations. To address these issues, we designed a new pairing-free handover authentication scheme for mobile wireless networks. This scheme is an effective improvement of the protocol by Xu et al., which is suffer from the mobile node impersonation attack. Security analysis and simulation experiment indicate that the proposed protocol has many excellent security properties when compared with other recent similar handover schemes, such as mutual authentication and resistance to known network threats, as well as requiring lower computation and communication cost.

Reducing handover latency in future IP-based wireless networks: Fast Proxy Mobile IPv6

NARCIS (Netherlands)

Heijenk, Geert; Bargh, Mortaza S.; Laganier, Julien; Prasad, Anand R.

2008-01-01

Current IP-level mobility protocols have difficulties meeting the stringent handover delay requirements of future wireless networks. At the same time they do not give sufficient control to the network to control the handover process. This paper presents an extension to Proxy Mobile IP, which is the

Handover Incentives for Self-Interested WLANs with Overlapping Coverage

DEFF Research Database (Denmark)

Fafoutis, Xenofon; Siris, Vasilios A.

2012-01-01

We consider an environment where self-interested IEEE 802.11 Wireless Local Area Networks (WLANs) have overlapping coverage, and investigate the incentives that can trigger handovers between the WLANs. Our focus is on the incentives for supporting handovers due solely to the improved performance...

Integration of FMIPv6 in HMIPv6 to Improve Hand-over Performance

Science.gov (United States)

Patil, Dipali P.; Patil, G. A.

2010-11-01

Mobile users move frequently between networks, as they stay connected to the Internet. Thus, as mobility increases across networks, handovers will significantly impact the quality of the connection and user application. Handover performance is very important when evaluating IP mobility protocols. Since handover request are driven by several needs such as cost reduction criteria, network resource optimization and service related requirements. Current works to support seamless mobility in IPv6 network are classified into HMIPv6 and FMIPv6. These two approaches have pros and cons respectively and are being standardized independently in IETF. If one can integrate properly these two approaches, it is expected that the one can get more effective protocols that can provide better handover performance. This paper integrates FHMIPv6 in HMIPv6 (F-HMIPv6) so as to provide effectively fast handover on the hierarchical Mobile IPv6. The simulation performed using Ns-2 extensions to show that a performance of proposed system is better in terms of packet loss and hand-over delay.

A Cost-Based Adaptive Handover Hysteresis Scheme to Minimize the Handover Failure Rate in 3GPP LTE System

Directory of Open Access Journals (Sweden)

Gil Gye-Tae

2010-01-01

Full Text Available We deal with a cost-based adaptive handover hysteresis scheme for the horizontal handover decision strategies, as one of the self-optimization techniques that can minimize the handover failure rate (HFR in the 3rd generation partnership project (3GPP long-term evolution (LTE system based on the network-controlled hard handover. Especially, for real-time operation, we propose an adaptive hysteresis scheme with a simplified cost function considering some dominant factors closely related to HFR performance such as the load difference between the target and serving cells, the velocity of user equipment (UE, and the service type. With the proposed scheme, a proper hysteresis value based on the dominant factors is easily obtained, so that the handover parameter optimization for minimizing the HFR can be effectively achieved. Simulation results show that the proposed scheme can support better HFR performance than the conventional schemes.

A New Ticket-Based Authentication Mechanism for Fast Handover in Mesh Network

Science.gov (United States)

Lai, Yan-Ming; Cheng, Pu-Jen; Lee, Cheng-Chi; Ku, Chia-Yi

2016-01-01

Due to the ever-growing popularity mobile devices of various kinds have received worldwide, the demands on large-scale wireless network infrastructure development and enhancement have been rapidly swelling in recent years. A mobile device holder can get online at a wireless network access point, which covers a limited area. When the client leaves the access point, there will be a temporary disconnection until he/she enters the coverage of another access point. Even when the coverages of two neighboring access points overlap, there is still work to do to make the wireless connection smoothly continue. The action of one wireless network access point passing a client to another access point is referred to as the handover. During handover, for security concerns, the client and the new access point should perform mutual authentication before any Internet access service is practically gained/provided. If the handover protocol is inefficient, in some cases discontinued Internet service will happen. In 2013, Li et al. proposed a fast handover authentication mechanism for wireless mesh network (WMN) based on tickets. Unfortunately, Li et al.’s work came with some weaknesses. For one thing, some sensitive information such as the time and date of expiration is sent in plaintext, which increases security risks. For another, Li et al.’s protocol includes the use of high-quality tamper-proof devices (TPDs), and this unreasonably high equipment requirement limits its applicability. In this paper, we shall propose a new efficient handover authentication mechanism. The new mechanism offers a higher level of security on a more scalable ground with the client’s privacy better preserved. The results of our performance analysis suggest that our new mechanism is superior to some similar mechanisms in terms of authentication delay. PMID:27171160

A New Ticket-Based Authentication Mechanism for Fast Handover in Mesh Network.

Directory of Open Access Journals (Sweden)

Yan-Ming Lai

Full Text Available Due to the ever-growing popularity mobile devices of various kinds have received worldwide, the demands on large-scale wireless network infrastructure development and enhancement have been rapidly swelling in recent years. A mobile device holder can get online at a wireless network access point, which covers a limited area. When the client leaves the access point, there will be a temporary disconnection until he/she enters the coverage of another access point. Even when the coverages of two neighboring access points overlap, there is still work to do to make the wireless connection smoothly continue. The action of one wireless network access point passing a client to another access point is referred to as the handover. During handover, for security concerns, the client and the new access point should perform mutual authentication before any Internet access service is practically gained/provided. If the handover protocol is inefficient, in some cases discontinued Internet service will happen. In 2013, Li et al. proposed a fast handover authentication mechanism for wireless mesh network (WMN based on tickets. Unfortunately, Li et al.'s work came with some weaknesses. For one thing, some sensitive information such as the time and date of expiration is sent in plaintext, which increases security risks. For another, Li et al.'s protocol includes the use of high-quality tamper-proof devices (TPDs, and this unreasonably high equipment requirement limits its applicability. In this paper, we shall propose a new efficient handover authentication mechanism. The new mechanism offers a higher level of security on a more scalable ground with the client's privacy better preserved. The results of our performance analysis suggest that our new mechanism is superior to some similar mechanisms in terms of authentication delay.

An Adaptive Handover Prediction Scheme for Seamless Mobility Based Wireless Networks

Directory of Open Access Journals (Sweden)

Ali Safa Sadiq

2014-01-01

Full Text Available We propose an adaptive handover prediction (AHP scheme for seamless mobility based wireless networks. That is, the AHP scheme incorporates fuzzy logic with AP prediction process in order to lend cognitive capability to handover decision making. Selection metrics, including received signal strength, mobile node relative direction towards the access points in the vicinity, and access point load, are collected and considered inputs of the fuzzy decision making system in order to select the best preferable AP around WLANs. The obtained handover decision which is based on the calculated quality cost using fuzzy inference system is also based on adaptable coefficients instead of fixed coefficients. In other words, the mean and the standard deviation of the normalized network prediction metrics of fuzzy inference system, which are collected from available WLANs are obtained adaptively. Accordingly, they are applied as statistical information to adjust or adapt the coefficients of membership functions. In addition, we propose an adjustable weight vector concept for input metrics in order to cope with the continuous, unpredictable variation in their membership degrees. Furthermore, handover decisions are performed in each MN independently after knowing RSS, direction toward APs, and AP load. Finally, performance evaluation of the proposed scheme shows its superiority compared with representatives of the prediction approaches.

Handover management in dense cellular networks: A stochastic geometry approach

KAUST Repository

Arshad, Rabe; Elsawy, Hesham; Sorour, Sameh; Al-Naffouri, Tareq Y.; Alouini, Mohamed-Slim

2016-01-01

Cellular operators are continuously densifying their networks to cope with the ever-increasing capacity demand. Furthermore, an extreme densification phase for cellular networks is foreseen to fulfill the ambitious fifth generation (5G) performance requirements. Network densification improves spectrum utilization and network capacity by shrinking base stations' (BSs) footprints and reusing the same spectrum more frequently over the spatial domain. However, network densification also increases the handover (HO) rate, which may diminish the capacity gains for mobile users due to HO delays. In highly dense 5G cellular networks, HO delays may neutralize or even negate the gains offered by network densification. In this paper, we present an analytical paradigm, based on stochastic geometry, to quantify the effect of HO delay on the average user rate in cellular networks. To this end, we propose a flexible handover scheme to reduce HO delay in case of highly dense cellular networks. This scheme allows skipping the HO procedure with some BSs along users' trajectories. The performance evaluation and testing of this scheme for only single HO skipping shows considerable gains in many practical scenarios. © 2016 IEEE.

Handover management in dense cellular networks: A stochastic geometry approach

KAUST Repository

Arshad, Rabe

2016-07-26

Cellular operators are continuously densifying their networks to cope with the ever-increasing capacity demand. Furthermore, an extreme densification phase for cellular networks is foreseen to fulfill the ambitious fifth generation (5G) performance requirements. Network densification improves spectrum utilization and network capacity by shrinking base stations\\' (BSs) footprints and reusing the same spectrum more frequently over the spatial domain. However, network densification also increases the handover (HO) rate, which may diminish the capacity gains for mobile users due to HO delays. In highly dense 5G cellular networks, HO delays may neutralize or even negate the gains offered by network densification. In this paper, we present an analytical paradigm, based on stochastic geometry, to quantify the effect of HO delay on the average user rate in cellular networks. To this end, we propose a flexible handover scheme to reduce HO delay in case of highly dense cellular networks. This scheme allows skipping the HO procedure with some BSs along users\\' trajectories. The performance evaluation and testing of this scheme for only single HO skipping shows considerable gains in many practical scenarios. © 2016 IEEE.

Reducing WI-FI handover delay using a new positioning process

International Nuclear Information System (INIS)

Zaidi, M.; Bhar, J.; Tourki, R.

2011-01-01

Mobility has now a crucial requirement for wireless communication. Handover is one of the major tasks that are used to support continuous transmission for a mobile terminal into different radio coverage area. Optimizing the existing handover protocol requires integrating new functionalities. This work focuses on presenting and optimizing handover algorithm. We analyze handover time in wireless local area networks based on the IEEE 802.11b MAC protocol. In fact, scan phase is the main contributor to the handover time. Then, we propose a handover model which replaces a scan phase by a positioning process. This model is able to select the suitable access point (AP) based on the shortest distance far from the mobile terminal (MT). Proposed Handover allows a mobile user to reacting quickly to decide about to which access point to connect. Simulation results show that the proposed model provides gains in term of delays and Handover success in various scenarios.

Cooperative Handover Management in Dense Cellular Networks

KAUST Repository

Arshad, Rabe; Elsawy, Hesham; Sorour, Sameh; Al-Naffouri, Tareq Y.; Alouini, Mohamed-Slim

2017-01-01

Network densification has always been an important factor to cope with the ever increasing capacity demand. Deploying more base stations (BSs) improves the spatial frequency utilization, which increases the network capacity. However, such improvement comes at the expense of shrinking the BSs' footprints, which increases the handover (HO) rate and may diminish the foreseen capacity gains. In this paper, we propose a cooperative HO management scheme to mitigate the HO effect on throughput gains achieved via cellular network densification. The proposed HO scheme relies on skipping HO to the nearest BS at some instances along the user's trajectory while enabling cooperative BS service during HO execution at other instances. To this end, we develop a mathematical model, via stochastic geometry, to quantify the performance of the proposed HO scheme in terms of coverage probability and user throughput. The results show that the proposed cooperative HO scheme outperforms the always best connected based association at high mobility. Also, the value of BS cooperation along with handover skipping is quantified with respect to the HO skipping only that has recently appeared in the literature. Particularly, the proposed cooperative HO scheme shows throughput gains of 12% to 27% and 17% on average, when compared to the always best connected and HO skipping only schemes at user velocity ranging from 80 km/h to 160 Km/h, respectively.

Cooperative Handover Management in Dense Cellular Networks

KAUST Repository

Arshad, Rabe

2017-02-07

Network densification has always been an important factor to cope with the ever increasing capacity demand. Deploying more base stations (BSs) improves the spatial frequency utilization, which increases the network capacity. However, such improvement comes at the expense of shrinking the BSs\\' footprints, which increases the handover (HO) rate and may diminish the foreseen capacity gains. In this paper, we propose a cooperative HO management scheme to mitigate the HO effect on throughput gains achieved via cellular network densification. The proposed HO scheme relies on skipping HO to the nearest BS at some instances along the user\\'s trajectory while enabling cooperative BS service during HO execution at other instances. To this end, we develop a mathematical model, via stochastic geometry, to quantify the performance of the proposed HO scheme in terms of coverage probability and user throughput. The results show that the proposed cooperative HO scheme outperforms the always best connected based association at high mobility. Also, the value of BS cooperation along with handover skipping is quantified with respect to the HO skipping only that has recently appeared in the literature. Particularly, the proposed cooperative HO scheme shows throughput gains of 12% to 27% and 17% on average, when compared to the always best connected and HO skipping only schemes at user velocity ranging from 80 km/h to 160 Km/h, respectively.

Velocity-Aware Handover Management in Two-Tier Cellular Networks

KAUST Repository

Arshad, Rabe

2017-01-19

While network densification is considered an important solution to cater the ever-increasing capacity demand, its effect on the handover (HO) rate is overlooked. In dense 5G networks, HO delays may neutralize or even negate the gains offered by network densification. Hence, user mobility imposes a nontrivial challenge to harvest capacity gains via network densification. In this paper, we propose a velocity-aware HO management scheme for two-tier downlink cellular network to mitigate the HO effect on the foreseen densification throughput gains. The proposed HO scheme sacrifices the best base station (BS) connectivity, by skipping HO to some BSs along the user trajectory, to maintain longer connection durations and reduce HO rates. Furthermore, the proposed scheme enables cooperative BS service and strongest interference cancellation to compensate for skipping the best connectivity. To this end, we consider different HO skipping scenarios and develop a velocity-aware mathematical model, via stochastic geometry, to quantify the performance of the proposed HO schemes in terms of the coverage probability and user throughput. The results highlight the HO rate problem in dense cellular environments and show the importance of the proposed HO schemes. Finally, the value of BS cooperation along with handover skipping is quantified for different user mobility profiles.

Synchronized RACH-less Handover Solution for LTE Heterogeneous Networks

DEFF Research Database (Denmark)

Barbera, Simone; Pedersen, Klaus I.; Rosa, Claudio

2015-01-01

reductions in the data connectivity interruption time at each handover, no need for random access in the target cell, and reduced overall handover execution time. Laboratory handover measurement results, using commercial LTE equipment, are presented and analyzed to justify the latency benefits......Some of the most recent LTE features require synchronous base stations, and time-synchronized base stations also offer opportunities for improved handover mechanisms by introducing a new synchronized RACH-less handover scheme. The synchronized RACH-less handover solution offers significant...

Analisa Horizontal Handover Terhadap Qos Layanan Streaming Multimedia E-Learning Pada Jaringan WLAN 802.11

Directory of Open Access Journals (Sweden)

I M.O. Widyantara

2015-06-01

Full Text Available In this globalization era, the state of the user who no longer occupies in a single place, but always moving, it is necessary to continuity of communication that will cause a handover. This paper intends to analyze the effect of 802.11 WLAN horizontal handover to the QoS of streaming e-learning. Methods of data collection process using the Cisco 3500 series access point that supports handover with existing network systems, ad-hoc network and type of hard handover. The results of the data analysis showed that the handover process is able to improve the QoS by gradually restored gradually, to get back to normal QoS

Cost-Based Vertical Handover Decision Algorithm for WWAN/WLAN Integrated Networks

Directory of Open Access Journals (Sweden)

Kim LaeYoung

2009-01-01

Full Text Available Abstract Next generation wireless communications are expected to rely on integrated networks consisting of multiple wireless technologies. Heterogeneous networks based on Wireless Local Area Networks (WLANs and Wireless Wide Area Networks (WWANs can combine their respective advantages on coverage and data rates, offering a high Quality of Service (QoS to mobile users. In such environment, multi-interface terminals should seamlessly switch from one network to another in order to obtain improved performance or at least to maintain a continuous wireless connection. Therefore, network selection algorithm is important in providing better performance to the multi-interface terminals in the integrated networks. In this paper, we propose a cost-based vertical handover decision algorithm that triggers the Vertical Handover (VHO based on a cost function for WWAN/WLAN integrated networks. For the cost function, we focus on developing an analytical model of the expected cost of WLAN for the mobile users that enter the double-coverage area while having a connection in the WWAN. Our simulation results show that the proposed scheme achieves better performance in terms of power consumption and throughput than typical approach where WLANs are always preferred whenever the WLAN access is available.

Wireless ATM : handover issues

OpenAIRE

Jiang, Fan; Käkölä, Timo

1998-01-01

Basic aspects of cellular systems and the ATM transmission technology are introduced. Wireless ATM is presented as a combination of radio ATM and mobile ATM. Radio ATM is a wireless extension of an ATM connection while mobile ATM contains the necessary extensions to ATM to support mobility. Because the current ATM technology does not support mobility, handover becomes one of the most important research issues for wireless ATM. Wireless ATM handover requirements are thus analysed. A handover s...

A cooperative positioning with Kalman filters and handover mechanism for indoor microcellular visible light communication network

Science.gov (United States)

Xiong, Jieqing; Huang, Zhitong; Zhuang, Kaiyu; Ji, Yuefeng

2016-08-01

We propose a novel handover scheme for indoor microcellular visible light communication (VLC) network. With such a scheme, the room, which is fully coverage by light, is divided into several microcells according to the layout of light-emitting diodes (LEDs). However, the directionality of light arises new challenges in keeping the connectivity between the mobile devices and light source under the mobile circumstances. The simplest solution is that all LEDs broadcast data of every user simultaneously, but it wastes too much bandwidth resource, especially when the amount of users increases. To solve this key problem, we utilize the optical positioning assisting handover procedure in this paper. In the positioning stage, the network manager obtains the location information of user device via downlink and uplink signal strength information, which is white light and infrared, respectively. After that, a Kalman filter is utilized for improving the tracking performance of a mobile device. Then, the network manager decides how to initiate the handover process by the previous information. Results show that the proposed scheme can achieve low-cost, seamless data communication, and a high probability of successful handover.

Enhanced Seamless Handover Algorithm for WiMAX and LTE Roaming

Directory of Open Access Journals (Sweden)

HINDIA, M. N.

2014-11-01

Full Text Available With the ever evolving mobile communication technology, achieving a high quality seamless mobility access across mobile networks is the present challenge to research and development engineers. Existing algorithms are used to make handover while a mobile station is roaming between cells. Such algorithms have some handover instability due to method of making handover decision. This paper proposes an enhanced handover algorithm that substantially reduces the handover redundancy in vertical and horizontal handovers. Also, it enables users to select the most appropriate target network technology based on their preferences even in the worst case where the mobile station roams between cell boundaries, and has high ability to have efficient performance in the critical area full of interferences. The proposed algorithm uses additional quality of service criteria, such as cost, delay, available bandwidth and network condition with two handover thresholds to achieve a better seamless handover process. After developing and testing this algorithm, the simulation results show a major reduction in the redundant handover, so high accuracy of horizontal and vertical handovers obtained. Moreover, the signal strength is kept at a level higher than the threshold during the whole simulation period, while maintaining low delay and connection cost compared to other two algorithms in both scenarios.

Development of hybrid artificial intelligent based handover decision algorithm

Directory of Open Access Journals (Sweden)

A.M. Aibinu

2017-04-01

Full Text Available The possibility of seamless handover remains a mirage despite the plethora of existing handover algorithms. The underlying factor responsible for this has been traced to the Handover decision module in the Handover process. Hence, in this paper, the development of novel hybrid artificial intelligent handover decision algorithm has been developed. The developed model is made up of hybrid of Artificial Neural Network (ANN based prediction model and Fuzzy Logic. On accessing the network, the Received Signal Strength (RSS was acquired over a period of time to form a time series data. The data was then fed to the newly proposed k-step ahead ANN-based RSS prediction system for estimation of prediction model coefficients. The synaptic weights and adaptive coefficients of the trained ANN was then used to compute the k-step ahead ANN based RSS prediction model coefficients. The predicted RSS value was later codified as Fuzzy sets and in conjunction with other measured network parameters were fed into the Fuzzy logic controller in order to finalize handover decision process. The performance of the newly developed k-step ahead ANN based RSS prediction algorithm was evaluated using simulated and real data acquired from available mobile communication networks. Results obtained in both cases shows that the proposed algorithm is capable of predicting ahead the RSS value to about ±0.0002 dB. Also, the cascaded effect of the complete handover decision module was also evaluated. Results obtained show that the newly proposed hybrid approach was able to reduce ping-pong effect associated with other handover techniques.

Enhanced Predictive Handover for Fast Proxy Mobile IPv6

Science.gov (United States)

Jeon, Seil; Kang, Namhi; Kim, Younghan

Proxy Mobile IPv6 (PMIPv6) has been proposed in order to overcome the limitations of host-based mobility management in IPv6 networks. However, packet losses during doing handover are still a problem. To solve this issue, several schemes have been developed, and can be classified into two approaches: predictive and reactive handover. Both approaches commonly use bi-directional tunnel between mobile access gateways (MAGs). In predictive schemes especially, mobility support for a mobile node (MN) is triggered by simplified link signal strength. Thereafter, the MN sends handover notification to its serving MAG, and is then able to initiate packet forwarding. Therefore, if the MN moves toward an unexpected MAG that does not have any pre-established tunnel with the serving MAG, it may lead to packet losses. In this paper, we define this problem as Early Packet Forwarding (EPF). As a solution, we propose an enhanced PMIPv6 scheme using two-phase tunnel control based on the IEEE 802.21 Media Independent Handover (MIH).

A Fast MAC-Layer Handover for an IEEE 802.16e-Based WMAN

Science.gov (United States)

Ray, Sayan K.; Pawlikowski, Krzysztof; Sirisena, Harsha

We propose a modification of the IEEE 802.16e hard handover (HHO) procedure, which significantly reduces the handover latency constraint of the original HHO procedure in IEEE 802.16e networks. It allows a better handling of the delay-sensitive traffic by avoiding unnecessary time-consuming scanning and synchronization activity as well as simplifies the network re-entry procedure. With the help of the backhaul network, it reduces the number of control messages in the original handover policy, making the handover latency acceptable also for real-time streaming traffic. Preliminary performance evaluation studies show that the modified handover procedure is able to reduce the total handover latency by about 50%.

Safe Handover : Safe Patients - The Electronic Handover System.

Science.gov (United States)

Till, Alex; Sall, Hanish; Wilkinson, Jonathan

2014-01-01

Failure of effective handover is a major preventable cause of patient harm. We aimed to promote accurate recording of high-quality clinical information using an Electronic Handover System (EHS) that would contribute to a sustainable improvement in effective patient care and safety. Within our hospital the human factors associated with poor communication were compromising patient care and unnecessarily increasing the workload of staff due to the poor quality of handovers. Only half of handovers were understood by the doctors expected to complete them, and more than half of our medical staff felt it posed a risk to patient safety. We created a standardised proforma for handovers that contained specific sub-headings, re-classified patient risk assessments, and aided escalation of care by adding prompts for verbal handover. Sources of miscommunication were removed, accountability for handovers provided, and tasks were re-organised to reduce the workload of staff. Long-term, three-month data showed that each sub-heading achieved at least 80% compliance (an average improvement of approximately 40% for the overall quality of handovers). This translated into 91% of handovers being subjectively clear to junior doctors. 87% of medical staff felt we had reduced a risk to patient safety and 80% felt it increased continuity of care. Without guidance, doctors omit key information required for effective handover. All organisations should consider implementing an electronic handover system as a viable, sustainable and safe solution to handover of care that allows patient safety to remain at the heart of the NHS.

Safe Handover : Safe Patients – The Electronic Handover System

Science.gov (United States)

Till, Alex; Sall, Hanish; Wilkinson, Jonathan

2014-01-01

Failure of effective handover is a major preventable cause of patient harm. We aimed to promote accurate recording of high-quality clinical information using an Electronic Handover System (EHS) that would contribute to a sustainable improvement in effective patient care and safety. Within our hospital the human factors associated with poor communication were compromising patient care and unnecessarily increasing the workload of staff due to the poor quality of handovers. Only half of handovers were understood by the doctors expected to complete them, and more than half of our medical staff felt it posed a risk to patient safety. We created a standardised proforma for handovers that contained specific sub-headings, re-classified patient risk assessments, and aided escalation of care by adding prompts for verbal handover. Sources of miscommunication were removed, accountability for handovers provided, and tasks were re-organised to reduce the workload of staff. Long-term, three-month data showed that each sub-heading achieved at least 80% compliance (an average improvement of approximately 40% for the overall quality of handovers). This translated into 91% of handovers being subjectively clear to junior doctors. 87% of medical staff felt we had reduced a risk to patient safety and 80% felt it increased continuity of care. Without guidance, doctors omit key information required for effective handover. All organisations should consider implementing an electronic handover system as a viable, sustainable and safe solution to handover of care that allows patient safety to remain at the heart of the NHS. PMID:26734244

Managing BTSs to Solve Handover Problem in Mobile Network

Directory of Open Access Journals (Sweden)

Wael Etaiwi

2011-01-01

Full Text Available Handover is a key solution that improves the telecommunication services using GSM by assure the continual service delivery between two mobiles regardless of location's changes of the sender or receiver, and now GSM technology becomes applicable all over the world and the customers become more satisfied to the dealer's services delivery, But Handover suffers from a major problem refers to the limitation of hardware capacity of the BTS (Base Transfer Station. This approach consists of three schemes, the first one based on reserve an extra ports for handover purposes by implementing a software solution that control BTS ports. The second alternative scheme based on channel exchange between adjacent BTSs by shifting a chosen allocated signal to another adjacent free BTS and then allocating the new signal to the new free port. The third schema depends on carrying the Handover problem to another BTS to solve it if it didn't solved in the second schema.

An Improved Cross-Layering Design for IPv6 Fast Handover with IEEE 802.16m Entry Before Break Handover

Science.gov (United States)

Kim, Ronny Yongho; Jung, Inuk; Kim, Young Yong

IEEE 802.16m is an advanced air interface standard which is under development for IMT-Advanced systems, known as 4G systems. IEEE 802.16m is designed to provide a high data rate and a Quality of Service (QoS) level in order to meet user service requirements, and is especially suitable for mobilized environments. There are several factors that have great impact on such requirements. As one of the major factors, we mainly focus on latency issues. In IEEE 802.16m, an enhanced layer 2 handover scheme, described as Entry Before Break (EBB) was proposed and adopted to reduce handover latency. EBB provides significant handover interruption time reduction with respect to the legacy IEEE 802.16 handover scheme. Fast handovers for mobile IPv6 (FMIPv6) was standardized by Internet Engineering Task Force (IETF) in order to provide reduced handover interruption time from IP layer perspective. Since FMIPv6 utilizes link layer triggers to reduce handover latency, it is very critical to jointly design FMIPv6 with its underlying link layer protocol. However, FMIPv6 based on new handover scheme, EBB has not been proposed. In this paper, we propose an improved cross-layering design for FMIPv6 based on the IEEE 802.16m EBB handover. In comparison with the conventional FMIPv6 based on the legacy IEEE 802.16 network, the overall handover interruption time can be significantly reduced by employing the proposed design. Benefits of this improvement on latency reduction for mobile user applications are thoroughly investigated with both numerical analysis and simulation on various IP applications.

The ABC of handover: impact on shift handover in the emergency department.

Science.gov (United States)

Farhan, Maisse; Brown, Ruth; Vincent, Charles; Woloshynowych, Maria

2012-12-01

A study was undertaken to test the impact of a new tool for shift handover, 'The ABC of Handover', in the emergency department (ED). The impact on shift handover following implementation of this structured tool, the effect on clinical and organisational aspects of the subsequent shift and the opinions of users of this new tool are reported. A prospective observational before and after study was performed to explore the effect of implementing 'The ABC of Handover' on clinical and organisational practice using a questionnaire. 41 handovers were observed before implementation of 'The ABC of Handover' and 42 were observed after. The new tool was successfully implemented and resulted in a change of practice which led to a significant increase in the operational issues mentioned at handover from a mean of 34% to a mean of 86% of essential items with the ABC method. Over the study period, middle-grade staff demonstrated improved situational awareness as they adopted proactive management of operational issues such as staffing or equipment shortages. All participants reported that 'The ABC of Handover' improved handover regardless of the seniority of the doctor giving it, and found the ABC method easy to learn. Successful implementation of 'The ABC of Handover' led to a change of practice in the ED. Improving handover resulted in better organisation of the shift and heightened awareness of potential patient safety issues. The ABC method provides a framework for organising the shift and preparing for events in the subsequent shift.

Patients' perceptions of safety and quality of maternity clinical handover

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Chin Georgiana SM

2011-08-01

Full Text Available Abstract Background Maternity clinical handover serves to address the gaps in knowledge existing when transitions between individuals or groups of clinicians occur throughout the antenatal, intra-partum and postnatal period. There are limited published studies on maternity handover and a paucity of information about patients' perceptions of the same. This paper reports postnatal patients' perceptions of how maternity handover contributes to the quality and safety of maternity care. Methods This paper reports on a mixed-methods study consisting of qualitative interviews and quantitative medical record analysis. Thirty English-speaking postnatal patients who gave birth at an Australian tertiary maternity hospital participated in a semi-structured interview prior to discharge from hospital. Interview data were coded thematically using the constant comparative method and managed via NVivo software; this data set was supplemented by medical record data analysed using STATA. Results Almost half of the women were aware of a handover process. Clinician awareness of patient information was seen as evidence that handover had taken place and was seen as representing positive aspects of teamwork, care and communication by participants, all important factors in the perception of quality health care. Collaborative cross-checking, including the use of cognitive artefacts such as hand held antenatal records and patient-authored birth plans, and the involvement of patients and their support people in handover were behaviours described by participants to be protective mechanisms that enhanced quality and safety of care. These human factors also facilitated team situational awareness (TSA, shared decision making and patient motivation in labour. Conclusions This study illustrates that many patients are aware of handover processes. For some patients, evidence of handover, through clinician awareness of information, represented positive aspects of teamwork, care and

Clinical handover practices in maternity services in Ireland: A qualitative descriptive study.

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Fealy, Gerard; Munroe, Deirdre; Riordan, Fiona; Croke, Eilish; Conroy, Celine; McNamara, Martin; Shannon, Michael

2016-08-01

the objective was to examine and describe clinical handover practices in Irish maternity services. the study design incorporated interviews and focus group discussions with a purposive sample of healthcare practitioners working in Irish maternity services. five maternity hospitals and fourteen co-located maternity units. midwives, obstetricians and other healthcare professionals, specifically physiotherapists and radiologists, midwifery students and health care assistants working in maternity services. the study participants provided nuanced and differentiated accounts of clinical handover practices, which indicated a general absence of formal policy and training on clinical handover and the practice of midwifery and medical teams holding separate clinical handovers based on their separate, respective needs for transferring information and clinical responsibility. Participants spoke of barriers to effective clinical handover, including unsuitable environments, lack of dedicated time and fatigue during duty shift clinical handover, lack of supportive information technology (IT) infrastructure, and resistance of some staff to the adoption of new technologies to support clinical handover. whether internal and external to clinical handover events, the barriers to effective clinical handover represent threats to patient safety and quality of care, since effective clinical handover is essential to the provision of safe quality care. clear and effective communication between collaborating professionals within maternity teams is essential. Copyright © 2016 Elsevier Ltd. All rights reserved.

Vertical Handover Algorithm for WBANs in Ubiquitous Healthcare with Quality of Service Guarantees

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Dong Doan Van

2017-03-01

Full Text Available Recently, Wireless Body Area Networks (WBANs have become an emerging technology in healthcare, where patients are equipped withwearable and implantable body sensor nodes to gather sensory information for remote monitoring. The increasing development of coordinator devices on patients enables the internetworking of WBANs in heterogeneous wireless networks to deliver physiological information that is collected at remote terminals in a timely fashion. However, in this type of network, providing a seamless handover with a guaranteed Quality of Service (QoS, especially emergency services, is a challenging task. In this paper, we proposed an effective Multi-Attribute Decision-Making (MADM handover algorithm that guarantees seamless connectivity. A patient’s mobile devices automatically connect to the best network that fulfills the QoS requirements of different types of applications. Additionally, we integrated a Content-Centric Networking (CCN processing module into different wireless networks to reduce packet loss, enhance QoS and avoid unnecessary handovers by leveraging in-network caching to achieve efficient content dissemination for ubiquitous healthcare. Simulation results proved that our proposed approach forthe model with CCN outperforms the model without CCN and Received Signal Strength Vertical Handoff (RSS-VHD in terms of the number of handovers, enhancing QoS, packet loss, and energy efficiency.

Handover of patients

DEFF Research Database (Denmark)

Jensen, S M; Lippert, A; Ostergaard, D

2013-01-01

that implementing a structured handover format holds the possibilities for improving the process. Electronic equipment could play a part in reducing problems. Cultural and organizational factors impact the process in different ways. The professions perceive the value and quality of information given differently......Handover has major implications for patient care. The handover process between ambulance and emergency department (ED) staff has been sparsely investigated. The purpose of this paper is, based on a literature review, to identify and elaborate on the major factors influencing the ambulance to ED....... Giving and taking over responsibility is an important issue. The handover of patients to the ED has the potential to be improved. Cultural issues and a lack of professional recognition of handover importance need to be approached. Multidisciplinary training in combination with a structured tool may have...

Passing the Baton: An Experimental Study of Shift Handover

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Parke, Bonny; Hobbs, Alan; Kanki, Barbara

2010-01-01

Shift handovers occur in many safety-critical environments, including aviation maintenance, medicine, air traffic control, and mission control for space shuttle and space station operations. Shift handovers are associated with increased risk of communication failures and human error. In dynamic industries, errors and accidents occur disproportionately after shift handover. Typical shift handovers involve transferring information from an outgoing shift to an incoming shift via written logs, or in some cases, face-to-face briefings. The current study explores the possibility of improving written communication with the support modalities of audio and video recordings, as well as face-to-face briefings. Fifty participants participated in an experimental task which mimicked some of the critical challenges involved in transferring information between shifts in industrial settings. All three support modalities, face-to-face, video, and audio recordings, reduced task errors significantly over written communication alone. The support modality most preferred by participants was face-to-face communication; the least preferred was written communication alone.

Cross-Layer Design of the Inter-RAT Handover between UMTS and WiMAX

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Bertin Philippe

2010-01-01

Full Text Available In future mobile networks, different radio access technologies will have to coexist. IEEE 802.21 MIH (Media-Independent Handover provides primitive mechanisms that ease the implementation of a seamless vertical handover (inter-RAT handover between different radio access technologies. However, it does not specify any handover execution mechanism. The first objective of this paper is to propose a novel MIHF (Media-Independent Handover Function variant, which is renamed interworking (IW sublayer. IW sublayer provides a seamless inter-RAT handover procedure between UMTS and WiMAX systems. It relies on a new intersystem retransmission mechanism with cross-layer interaction ability providing lossless handover while keeping acceptable delays. The second objective of this paper is to design a new TCP snoop agent (TCP Snoop, which interacts with the IW layer in order to mitigate BDP (Bandwidth Delay Product mismatch and to solve spurious RTO (Retransmission TimeOut problems. The cross-layer effects on the handover performance are evaluated by simulations. Our results show that cross-layer interaction between IW layer and TCP Snoop smoothes the handover procedure for TCP traffics. Additionally, this novel inter-RAT cross-layer scheme has the merit of keeping existing TCP protocol stacks unchanged.

Clinical handover as an interactive event: informational and interactional communication strategies in effective shift-change handovers.

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Eggins, Suzanne; Slade, Diana

2012-01-01

Clinical handover -- the transfer between clinicians of responsibility and accountability for patients and their care (AMA 2006) -- is a pivotal and high-risk communicative event in hospital practice. Studies focusing on critical incidents, mortality, risk and patient harm in hospitals have highlighted ineffective communication -- including incomplete and unstructured clinical handovers -- as a major contributing factor (NSW Health 2005; ACSQHC 2010). In Australia, as internationally, Health Departments and hospital management have responded by introducing standardised handover communication protocols. This paper problematises one such protocol - the ISBAR tool - and argues that the narrow understanding of communication on which such protocols are based may seriously constrain their ability to shape effective handovers. Based on analysis of audio-recorded shift-change clinical handovers between medical staff we argue that handover communication must be conceptualised as inherently interactive and that attempts to describe, model and teach handover practice must recognise both informational and interactive communication strategies. By comparing the communicative performance of participants in authentic handover events we identify communication strategies that are more and less likely to lead to an effective handover and demonstrate the importance of focusing close up on communication to improve the quality and safety of healthcare interactions.

Distance tracking scheme for seamless handover in IMS-based ...

African Journals Online (AJOL)

This paper proposes a fast and seamless handover scheme for systems based on IP Multimedia Subsystem (IMS) architectural framework with Universal Mobile Telecommunications System (UMTS) access network. In the scheme the location, direction and movement pattern of a Mobile Node (MN) in a network cell are ...

Improved Association and Disassociation Scheme for Enhanced WLAN Handover and VHO

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Sungjin Shin

2016-01-01

Full Text Available The number of mobile devices and wireless connections is significantly increasing. Among many wireless protocol types, wireless local area networks (WLANs are expected to support a significant number of devices. Due to this reason, effective and efficient handover (HO and vertical handover (VHO support for WLAN mobile devices is important. A significant improvement in quality of service (QoS can be obtained by reducing the association and disassociation interruption time for user equipment (UE servicing real-time applications during WLAN HO and VHO operations. Based on this focus, this paper investigates the problem of using only the received signal strength indicator (RSSI in HO and VHO decisions, which is what the current IEEE 802.11 based WLAN systems use. Experimental results presented in this paper demonstrate that only using the RSSI results in significant interruption time during HO to another WLAN access point (AP or to a cellular base station during VHO. Therefore, in this paper, an improved association and disassociation scheme that can reduce the data interruption time (DIT and improve the throughput performance is proposed.

Implementing electronic handover: interventions to improve efficiency, safety and sustainability.

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Alhamid, Sharifah Munirah; Lee, Desmond Xue-Yuan; Wong, Hei Man; Chuah, Matthew Bingfeng; Wong, Yu Jun; Narasimhalu, Kaavya; Tan, Thuan Tong; Low, Su Ying

2016-10-01

Effective handovers are critical for patient care and safety. Electronic handover tools are increasingly used today to provide an effective and standardized platform for information exchange. The implementation of an electronic handover system in tertiary hospitals can be a major challenge. Previous efforts in implementing an electronic handover tool failed due to poor compliance and buy-in from end-users. A new electronic handover tool was developed and incorporated into the existing electronic medical records (EMRs) for medical patients in Singapore General Hospital (SGH). There was poor compliance by on-call doctors in acknowledging electronic handovers, and lack of adherence to safety rules, raising concerns about the safety and efficiency of the electronic handover tool. Urgent measures were needed to ensure its safe and sustained use. A quality improvement group comprising stakeholders, including end-users, developed multi-faceted interventions using rapid PDSA (P-Plan, D-Do, S-Study, A-Act ) cycles to address these issues. Innovative solutions using media and online software provided cost-efficient measures to improve compliance. The percentage of unacknowledged handovers per day was used as the main outcome measure throughout all PDSA cycles. Doctors were also assessed for improvement in their knowledge of safety rules and their perception of the electronic handover tool. An electronic handover tool complementing daily clinical practice can be successfully implemented using solutions devised through close collaboration with end-users supported by the senior leadership. A combined 'bottom-up' and 'top-down' approach with regular process evaluations is crucial for its long-term sustainability. © The Author 2016. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Who to handover: a case-control study of a novel scoring system to prioritise handover of internal medicine inpatients.

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Bittman, Jesse; Tam, Penny; Little, Chris; Khan, Nadia

2017-06-01

Handover of patients between care providers is a critical event in patient care. There is, however, little evidence to guide the handover process, including determining which patients to handover. Compare the ability of gestalt-based handover with two structured scores, the modified early warning score (MEWS) and our novel iHAND clinical decision support system, to predict which patients will be assessed by a physician overnight. This case-control study included 90 inpatients, comprising 32 patients assessed overnight (cases) and 58 patients not assessed overnight (controls) at a teaching hospital in British Columbia, Canada (May 2012). Gestalt, MEWS and iHAND scores were analysed against patients seen overnight using logistic regression and receiver-operating characteristic (ROC) curves. Neither current gestalt-based handover practice (odds ratio (OR) 1.50, 95% CI 0.89 to 3.83) nor MEWS (OR 0.96, 95% CI 0.75 to 1.24, area under the ROC curve (AUC) 0.61, 95% CI 0.49 to 0.73) were significantly associated with need to be seen overnight. The iHAND score was associated with need to be seen (OR 1.93, 95% CI 1.24 to 3.02, AUC 0.70, 95% CI 0.60 to 0.81). The iHAND score had moderate ability to predict which patients required assessment overnight, while MEWS score and current gestalt approach correlated poorly, suggesting the iHAND score may help prioritisation of patients likely to be seen overnight for handover. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

Nurses' Perceived Barriers to Bedside Handover and Their Implication for Clinical Practice.

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Tobiano, Georgia; Whitty, Jennifer A; Bucknall, Tracey; Chaboyer, Wendy

2017-10-01

Bedside handover during the change of shift allows nurses to visualize patients and facilitate patient participation, both purported to improve patient safety. But, bedside handover does not always occur and when it does, it may not involve the patient. To explore and understand barriers nurses perceive in undertaking bedside handover. A cross-sectional survey was administered to 200 nurses working on medical wards, recruited from two Australian hospitals, one private and one public. As part of the survey, there was one open-ended question asking about perceived barriers to bedside handover. Content analysis was used to analyze data. Barriers were assessed using a determinant framework. The open-ended question was answered by 176 (88%) participants. Three categories were identified. First, censoring the message showed nurses were concerned about patients and third-parties hearing sensitive information. In the second category, disrupting the communication flow, nurses perceived patients, family members, other nurses and external sources, interrupted the flow of handover and increased its duration. Finally, inhibiting characteristics demonstrated that individual patient and nurse views or capabilities hindered bedside handover. Barriers to bedside handover were determined to relate to individual nurse factors, patient factors, social, political and legal factors, and guideline factors. Suggestions for enhancing bedside handover include debunking nurses' misconceptions, reflecting on nurses' viewpoints, using active educational approaches, and promotion of legal requirements to heighten nurses' confidence dealing with sensitive information. Regular patient rounding, and standardized handover may enable patient involvement in handover. Finally, reviewing the local context to ensure organizational processes support bedside handover is recommended. © 2017 Sigma Theta Tau International.

Supporting seamless mobility for P2P live streaming.

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Kim, Eunsam; Kim, Sangjin; Lee, Choonhwa

2014-01-01

With advent of various mobile devices with powerful networking and computing capabilities, the users' demand to enjoy live video streaming services such as IPTV with mobile devices has been increasing rapidly. However, it is challenging to get over the degradation of service quality due to data loss caused by the handover. Although many handover schemes were proposed at protocol layers below the application layer, they inherently suffer from data loss while the network is being disconnected during the handover. We therefore propose an efficient application-layer handover scheme to support seamless mobility for P2P live streaming. By simulation experiments, we show that the P2P live streaming system with our proposed handover scheme can improve the playback continuity significantly compared to that without our scheme.

Supporting Seamless Mobility for P2P Live Streaming

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Eunsam Kim

2014-01-01

Full Text Available With advent of various mobile devices with powerful networking and computing capabilities, the users' demand to enjoy live video streaming services such as IPTV with mobile devices has been increasing rapidly. However, it is challenging to get over the degradation of service quality due to data loss caused by the handover. Although many handover schemes were proposed at protocol layers below the application layer, they inherently suffer from data loss while the network is being disconnected during the handover. We therefore propose an efficient application-layer handover scheme to support seamless mobility for P2P live streaming. By simulation experiments, we show that the P2P live streaming system with our proposed handover scheme can improve the playback continuity significantly compared to that without our scheme.

Training on handover of patient care within UK medical schools

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Morris Gordon

2013-01-01

Full Text Available Background: Much evidence exists to demonstrate that poor handover can directly impact patient safety. There have been calls for formal education on handover, but evidence to guide intervention design and implementation is limited. It is unclear how undergraduate medical schools are tackling this issue and what barrier or facilitators exist to handover education. We set out to determine curriculum objectives, teaching and assessment methods, as well as institutional attitudes towards handover within UK medical schools. Methods: A descriptive, non-experimental, cross-sectional study design was used. A locally developed online questionnaire survey was sent to all UK Medical Schools, after piloting. Descriptive statistics were calculated for closed-ended responses, and free text responses were analysed using a grounded theory approach, with constant comparison taking place through several stages of analysis. Results: Fifty percent of UK medical schools took part in the study. Nine schools (56% reported having curriculum outcomes for handover. Significant variations in the teaching and assessments employed were found. Qualitative analysis yielded four key themes: the importance of handover as an education issue, when to educate on handover, the need for further provision of teaching and the need for validated assessment tools to support handover education. Conclusions: Whilst undergraduate medical schools recognised handover as an important education issue, they do not feel they should have the ultimate responsibility for training in this area and as such are responding in varying ways. Undergraduate medical educators should seek to reach consensus as to the extent of provision they will offer. Weaknesses in the literature regarding how to design such education have exacerbated the problem, but the contemporaneous and growing published evidence base should be employed by educators to address this issue.

Exploring perinatal shift-to-shift handover communication and process: an observational study.

NARCIS (Netherlands)

Poot, E.P.; Bruijne, M.C. de; Wouters, M.G.A.J.; Groot, C.J.M. de; Wagner, C.

2014-01-01

Rationale, aims and objectives: Loss of situation awareness (SA) by health professionals during handover is a major threat to patient safety in perinatal care. SA refers to knowing what is going on around. Adequate handover communication and process may support situation assessment, a precursor of

Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting.

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Clarke, Christina M; Persaud, Drepaul David

2011-03-01

Many contemporary acute care facilities lack safe and effective clinical handover practices resulting in patient transitions that are vulnerable to discontinuities in care, medical errors, and adverse patient safety events. This article is intended to supplement existing handover improvement literature by providing practical guidance for leaders and managers who are seeking to improve the safety and the effectiveness of clinical handovers in the acute care setting. A 4-stage change model has been applied to guide the application of strategies for handover improvement. Change management and quality improvement principles, as well as concepts drawn from safety science and high-reliability organizations, were applied to inform strategies. A model for handover improvement respecting handover complexity is presented. Strategies targeted to stages of change include the following: 1. Enhancing awareness of handover problems and opportunities with the support of strategic directions, accountability, end user involvement, and problem complexity recognition. 2. Identifying solutions by applying and adapting best practices in local contexts. 3. Implementing locally adapted best practices supported by communication, documentation, and training. 4. Institutionalizing practice changes through integration, monitoring, and active dissemination. Finally, continued evaluation at every stage is essential. Although gaps in handover process and function knowledge remain, efforts to improve handover safety and effectiveness are still possible. Continued evaluation is critical in building this understanding and to ensure that practice changes lead to improvements in patient safety, organizational effectiveness, and patient and provider satisfaction. Through handover knowledge building, fundamental changes in handover policies and practices may be possible.

Improving patient handover between teams using a business improvement model: PDSA cycle.

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Luther, Vishal; Hammersley, Daniel; Chekairi, Ahmed

2014-01-01

Medical admission units are continuously under pressure to move patients off the unit to outlying medical wards and allow for new admissions. In a typical district general hospital, doctors working in these medical wards reported that, on average, three patients each week arrived from the medical admission unit before any handover was received, and a further two patients arrived without any handover at all. A quality improvement project was therefore conducted using a 'Plan, Do, Study, Act' cycle model for improvement to address this issue. P - Plan: as there was no framework to support doctors with handover, a series of standard handover procedures were designed. D - Do: the procedures were disseminated to all staff, and championed by key stakeholders, including the clinical director and matron of the medical admission unit. S - STUDY: Measurements were repeated 3 months later and showed no change in the primary end points. A - ACT: The post take ward round sheet was redesigned, creating a checkbox for a medical admission unit doctor to document that handover had occurred. Nursing staff were prohibited from moving the patient off the ward until this had been completed. This later evolved into a separate handover sheet. Six months later, a repeat study revealed that only one patient each week was arriving before or without a verbal handover. Using a 'Plan, Do, Study, Act' business improvement tool helped to improve patient care.

Improving hospital weekend handover: a user-centered, standardised approach.

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Mehra, Avi; Henein, Christin

2014-01-01

Clinical Handover remains one of the most perilous procedures in medicine (1). Weekend handover has emerged as a key area of concern with high variability in handover processes across hospitals (1,2,4, 5-10). Studying weekend handover processes within medicine at an acute teaching hospital revealed huge variability in documented content and structure. A total of 12 different pro formas were in use by the medical day-team to handover to the weekend team on-call. A Likert-survey of doctors revealed 93% felt the current handover system needed improvement with 71% stating that it did not ensure patient safety (Chi-squared, p-value RCP) guidelines (2), with direct end-user input. Results following implementation revealed a considerable improvement in documented ceiling of care, urgency of task and team member assignment with 100% uptake of the new proforma at both 4-week and 6-month post-implementation analyses. 88% of doctors surveyed perceived that the new proforma improved patient safety (p<0.01, n=25), with 62% highlighting that it allowed doctors to work more efficiently. Results also revealed that 44% felt further improvements were needed and highlighted electronic solutions and handover training as main priorities. Handover briefing was subsequently incorporated into junior doctor induction and education modules delivered, with good feedback. Following collaboration with key stakeholders and with end-user input, integrated electronic handover software was designed and funding secured. The software is currently under final development. Introducing a standardized handover proforma can be an effective initial step in improving weekend handover. Handover education and end-user involvement are key in improving the process. Electronic handover solutions have been shown to significantly increase the quality of handover and are worth considering (9, 10).

Network switching strategy for energy conservation in heterogeneous networks.

Directory of Open Access Journals (Sweden)

Yujae Song

Full Text Available In heterogeneous networks (HetNets, the large-scale deployment of small base stations (BSs together with traditional macro BSs is an economical and efficient solution that is employed to address the exponential growth in mobile data traffic. In dense HetNets, network switching, i.e., handovers, plays a critical role in connecting a mobile terminal (MT to the best of all accessible networks. In the existing literature, a handover decision is made using various handover metrics such as the signal-to-noise ratio, data rate, and movement speed. However, there are few studies on handovers that focus on energy efficiency in HetNets. In this paper, we propose a handover strategy that helps to minimize energy consumption at BSs in HetNets without compromising the quality of service (QoS of each MT. The proposed handover strategy aims to capture the effect of the stochastic behavior of handover parameters and the expected energy consumption due to handover execution when making a handover decision. To identify the validity of the proposed handover strategy, we formulate a handover problem as a constrained Markov decision process (CMDP, by which the effects of the stochastic behaviors of handover parameters and consequential handover energy consumption can be accurately reflected when making a handover decision. In the CMDP, the aim is to minimize the energy consumption to service an MT over the lifetime of its connection, and the constraint is to guarantee the QoS requirements of the MT given in terms of the transmission delay and call-dropping probability. We find an optimal policy for the CMDP using a combination of the Lagrangian method and value iteration. Simulation results verify the validity of the proposed handover strategy.

A Cross-Layer Key Management Scheme for MIPv6 Fast Handover over IEEE 802.11 Wireless LAN

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Chang-Seop Park

2015-01-01

Full Text Available A new key management and security scheme is proposed to integrate Layer Two (L2 and Layer Three (L3 keys for secure and fast Mobile IPv6 handover over IEEE 802.11 Wireless Local Area Network (WLAN. Unlike the original IEEE 802.11-based Mobile IPv6 Fast Handover (FMIPv6 that requires time-consuming IEEE 802.1x-based Extensible Authentication Protocol (EAP authentication on each L3 handover, the newly proposed key management and security scheme requires only one 802.1x-EAP regardless of how many L3 handovers occur. Therefore, the proposed scheme reduces the handover latency that results from a lengthy 802.1x-based EAP. The proposed key management and security scheme is extensively analyzed in terms of security and performance, and the proposed security scheme is shown to be more secure than those that were previously proposed.

Development of an orthopedic surgery trauma patient handover checklist.

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LeBlanc, Justin; Donnon, Tyrone; Hutchison, Carol; Duffy, Paul

2014-02-01

In surgery, preoperative handover of surgical trauma patients is a process that must be made as safe as possible. We sought to determine vital clinical information to be transferred between patient care teams and to develop a standardized handover checklist. We conducted standardized small-group interviews about trauma patient handover. Based on this information, we created a questionnaire to gather perspectives from all Canadian Orthopaedic Association (COA) members about which topics they felt would be most important on a handover checklist. We analyzed the responses to develop a standardized handover checklist. Of the 1106 COA members, 247 responded to the questionnaire. The top 7 topics felt to be most important for achieving patient safety in the handover were comorbidities, diagnosis, readiness for the operating room, stability, associated injuries, history/mechanism of injury and outstanding issues. The expert recommendations were to have handover completed the same way every day, all appropriate radiographs available, adequate time, all appropriate laboratory work and more time to spend with patients with more severe illness. Our main recommendations for safe handover are to use standardized checklists specific to the patient and site needs. We provide an example of a standardized checklist that should be used for preoperative handovers. To our knowledge, this is the first checklist for handover developed by a group of experts in orthopedic surgery, which is both manageable in length and simple to use.

Keep handovers in the office.

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Richards, Louise

2017-06-14

Patient information is meant to be confidential. How is that possible when you give a bedside handover with other patients in the room (Readers' Panel, June 7). Handovers should be done in the office, followed by a walk around to introduce yourself as the nurse taking over the care, and to check on any infusions.

Improving Learner Handovers in Medical Education.

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Warm, Eric J; Englander, Robert; Pereira, Anne; Barach, Paul

2017-07-01

Multiple studies have demonstrated that the information included in the Medical Student Performance Evaluation fails to reliably predict medical students' future performance. This faulty transfer of information can lead to harm when poorly prepared students fail out of residency or, worse, are shuttled through the medical education system without an honest accounting of their performance. Such poor learner handovers likely arise from two root causes: (1) the absence of agreed-on outcomes of training and/or accepted assessments of those outcomes, and (2) the lack of standardized ways to communicate the results of those assessments. To improve the current learner handover situation, an authentic, shared mental model of competency is needed; high-quality tools to assess that competency must be developed and tested; and transparent, reliable, and safe ways to communicate this information must be created.To achieve these goals, the authors propose using a learner handover process modeled after a patient handover process. The CLASS model includes a description of the learner's Competency attainment, a summary of the Learner's performance, an Action list and statement of Situational awareness, and Synthesis by the receiving program. This model also includes coaching oriented towards improvement along the continuum of education and care. Just as studies have evaluated patient handover models using metrics that matter most to patients, studies must evaluate this learner handover model using metrics that matter most to providers, patients, and learners.

The key actor: a qualitative study of patient participation in the handover process in Europe

Science.gov (United States)

Flink, Maria; Hesselink, Gijs; Pijnenborg, Loes; Wollersheim, Hub; Vernooij-Dassen, Myrra; Dudzik-Urbaniak, Ewa; Orrego, Carola; Toccafondi, Giulio; Schoonhoven, Lisette; Gademan, Petra J; Johnson, Julie K; Öhlén, Gunnar; Hansagi, Helen; Olsson, Mariann; Barach, Paul

2012-01-01

Background Patient safety experts have postulated that increasing patient participation in communications during patient handovers will improve the quality of patient transitions, and that this may reduce hospital readmissions. Choosing strategies that enhance patient safety through improved handovers requires better understanding of patient experiences and preferences for participation. Objective The aim of this paper is to explore the patients’ experiences and perspectives related to the handovers between their primary care providers and the inpatient hospital. Methods A qualitative secondary analysis was performed, based on individual and focus group patient interviews with 90 patients in five European countries. Results The analysis revealed three themes: patient positioning in the handover process; prerequisites for patient participation and patient preferences for the handover process. Patients’ participation ranged from being the key actor, to sharing the responsibility with healthcare professional(s), to being passive participants. For active participation patients required both personal and social resources as well as prerequisites such as information and respect. Some patients preferred to be the key actor in charge; others preferred their healthcare professionals to be the key actors in the handover. Conclusions Patients’ participation is related to the healthcare system, the activity of healthcare professionals’ and patients’ capacity for participation. Patients prefer a handover process where the responsibility is clear and unambiguous. Healthcare organisations need a clear and well-considered system of responsibility for handover processes, that takes into account the individual patient's need of clarity, and support in relation to his/hers own recourses. PMID:23112290

Investigation of a new handover approach in LTE and WiMAX.

Science.gov (United States)

Hindia, Mohammad Nour; Reza, Ahmed Wasif; Noordin, Kamarul Ariffin

2014-01-01

Nowadays, one of the most important challenges in heterogeneous networks is the connection consistency between the mobile station and the base stations. Furthermore, along the roaming process between the mobile station and the base station, the system performance degrades significantly due to the interferences from neighboring base stations, handovers to inaccurate base station and inappropriate technology selection. In this paper, several algorithms are proposed to improve mobile station performance and seamless mobility across the long-term evolution (LTE) and Worldwide Interoperability for Microwave Access (WiMAX) technologies, along with a minimum number of redundant handovers. Firstly, the enhanced global positioning system (GPS) and the novel received signal strength (RSS) prediction approaches are suggested to predict the target base station accurately. Then, the multiple criteria with two thresholds algorithm is proposed to prioritize the selection between LTE and WiMAX as the target technology. In addition, this study also covers the intercell and cochannel interference reduction by adjusting the frequency reuse ratio 3 (FRR3) to work with LTE and WiMAX. The obtained results demonstrate high next base station prediction efficiency and high accuracy for both horizontal and vertical handovers. Moreover, the received signal strength is kept at levels higher than the threshold, while maintaining low connection cost and delay within acceptable levels. In order to highlight the combination of the proposed algorithms' performance, it is compared with the existing RSS and multiple criteria handover decision algorithms.

A TOTP-based enhanced route optimization procedure for mobile IPv6 to reduce handover delay and signalling overhead.

Science.gov (United States)

Shah, Peer Azmat; Hasbullah, Halabi B; Lawal, Ibrahim A; Aminu Mu'azu, Abubakar; Tang Jung, Low

2014-01-01

Due to the proliferation of handheld mobile devices, multimedia applications like Voice over IP (VoIP), video conferencing, network music, and online gaming are gaining popularity in recent years. These applications are well known to be delay sensitive and resource demanding. The mobility of mobile devices, running these applications, across different networks causes delay and service disruption. Mobile IPv6 was proposed to provide mobility support to IPv6-based mobile nodes for continuous communication when they roam across different networks. However, the Route Optimization procedure in Mobile IPv6 involves the verification of mobile node's reachability at the home address and at the care-of address (home test and care-of test) that results in higher handover delays and signalling overhead. This paper presents an enhanced procedure, time-based one-time password Route Optimization (TOTP-RO), for Mobile IPv6 Route Optimization that uses the concepts of shared secret Token, time based one-time password (TOTP) along with verification of the mobile node via direct communication and maintaining the status of correspondent node's compatibility. The TOTP-RO was implemented in network simulator (NS-2) and an analytical analysis was also made. Analysis showed that TOTP-RO has lower handover delays, packet loss, and signalling overhead with an increased level of security as compared to the standard Mobile IPv6's Return-Routability-based Route Optimization (RR-RO).

A TOTP-Based Enhanced Route Optimization Procedure for Mobile IPv6 to Reduce Handover Delay and Signalling Overhead

Science.gov (United States)

Shah, Peer Azmat; Hasbullah, Halabi B.; Lawal, Ibrahim A.; Aminu Mu'azu, Abubakar; Tang Jung, Low

2014-01-01

Due to the proliferation of handheld mobile devices, multimedia applications like Voice over IP (VoIP), video conferencing, network music, and online gaming are gaining popularity in recent years. These applications are well known to be delay sensitive and resource demanding. The mobility of mobile devices, running these applications, across different networks causes delay and service disruption. Mobile IPv6 was proposed to provide mobility support to IPv6-based mobile nodes for continuous communication when they roam across different networks. However, the Route Optimization procedure in Mobile IPv6 involves the verification of mobile node's reachability at the home address and at the care-of address (home test and care-of test) that results in higher handover delays and signalling overhead. This paper presents an enhanced procedure, time-based one-time password Route Optimization (TOTP-RO), for Mobile IPv6 Route Optimization that uses the concepts of shared secret Token, time based one-time password (TOTP) along with verification of the mobile node via direct communication and maintaining the status of correspondent node's compatibility. The TOTP-RO was implemented in network simulator (NS-2) and an analytical analysis was also made. Analysis showed that TOTP-RO has lower handover delays, packet loss, and signalling overhead with an increased level of security as compared to the standard Mobile IPv6's Return-Routability-based Route Optimization (RR-RO). PMID:24688398

Performance Evaluation of Received Signal Strength Based Hard Handover for UTRAN LTE

DEFF Research Database (Denmark)

Anas, Mohmmad; Calabrese, Francesco Davide; Mogensen, Preben

2007-01-01

This paper evaluates the hard handover performance for UTRAN LTE system. The focus is on the impact that received signal strength based hard handover algorithm have on the system performance measured in terms of number of handovers, time between two consecutive handovers and uplink SINR for a user...... about to experience a handover. A handover algorithm based on received signal strength measurements has been designed and implemented in a dynamic system level simulator and has been studied for different parameter sets in a 3GPP UTRAN LTE recommended simulation scenario. The results suggest...... that a downlink measurement bandwidth of 1.25 MHz and a handover margin of 2 dB to 6 dB are the parameters that will lead to the best compromise between average number of handovers and average uplink SINR for user speeds of 3 kmph to 120 kmph....

SOFT AND SOFTER HANDOVER PERFORMANCE OF CDMA

Directory of Open Access Journals (Sweden)

Lina wati

2010-12-01

Full Text Available One of telecommunication providers in Indonesia applies CDMA2000 1x technology. The technology hasmany advantages such as larger channel capacity of BTS (Base Transceiver Station. On the other hand, thecapacity depends on user’s density. Therefore to guarantee voice connection when user or mobile station (MS isalways moving from one cell to others, handover technique is needed. However the technique can be failed for manyreasons. Therefore impact of call attempt on softer and soft handover performance is investigated. Hence the paperexamined soft – softer handover performance of CDMA in BTS (Base Transceiver Station, BSC, and Sectors inboth sub-urban and rural areas in Denpasar, Bali with area code of 0361.The research has been done in rural and suburban area with call area code ‘0361’. The analyses includedregression and simple linear correlation applications. The results showed that number of call attempts affected thefailure of soft and softer handover technique dominantly. Generally, average level of success both handover in bothrural and suburban area were about 99% which are above KPI (Key Performance Indicator reference at 98.50%.However in rural area, other factors such as blocking called attempt and error called number have caused the softerhandover failure.

Factors that impact on the safety of patient handovers: An interview study

DEFF Research Database (Denmark)

Siemsen, Inger Margrete; Madsen, Marlene Dyrløv; Pedersen, Lene Funck

2012-01-01

Aims: Improvement of clinical handover is fundamental to meet the challenges of patient safety. The primary aim of this interview study is to explore healthcare professionals’ attitudes and experiences with critical episodes in patient handover in order to elucidate factors that impact on handover...... from ambulance to hospitals and within and between hospitals. The secondary aim is to identify possible solutions to optimise handovers, defined as “situations where the professional responsibility for some or all aspects of a patient’s diagnosis, treatment or care is transferred to another person...... on patient safety in handover situations: communication, information, organisation, infrastructure, professionalism, responsibility, team awareness, and culture. Conclusions: The eight factors identified indicate that handovers are complex situations. The organisation did not see patient handover...

Context, culture and (non-verbal) communication affect handover quality.

Science.gov (United States)

Frankel, Richard M; Flanagan, Mindy; Ebright, Patricia; Bergman, Alicia; O'Brien, Colleen M; Franks, Zamal; Allen, Andrew; Harris, Angela; Saleem, Jason J

2012-12-01

Transfers of care, also known as handovers, remain a substantial patient safety risk. Although research on handovers has been done since the 1980s, the science is incomplete. Surprisingly few interventions have been rigorously evaluated and, of those that have, few have resulted in long-term positive change. Researchers, both in medicine and other high reliability industries, agree that face-to-face handovers are the most reliable. It is not clear, however, what the term face-to-face means in actual practice. We studied the use of non-verbal behaviours, including gesture, posture, bodily orientation, facial expression, eye contact and physical distance, in the delivery of information during face-to-face handovers. To address this question and study the role of non-verbal behaviour on the quality and accuracy of handovers, we videotaped 52 nursing, medicine and surgery handovers covering 238 patients. Videotapes were analysed using immersion/crystallisation methods of qualitative data analysis. A team of six researchers met weekly for 18 months to view videos together using a consensus-building approach. Consensus was achieved on verbal, non-verbal, and physical themes and patterns observed in the data. We observed four patterns of non-verbal behaviour (NVB) during handovers: (1) joint focus of attention; (2) 'the poker hand'; (3) parallel play and (4) kerbside consultation. In terms of safety, joint focus of attention was deemed to have the best potential for high quality and reliability; however, it occurred infrequently, creating opportunities for education and improvement. Attention to patterns of NVB in face-to-face handovers coupled with education and practice can improve quality and reliability.

ANALISIS TINGKAT KEGAGALAN HANDOVER PADA JARINGAN HIGH SPEED DOWNLINK PACKET ACCESS DI WILAYAH BALI SELATAN

Directory of Open Access Journals (Sweden)

Rizki Anugrah Wibowo

2014-10-01

Full Text Available Untuk menjamin komunikasi dapat terus berlangsung tanpa adanya pemutusan panggilan (drop call perlu dilakukan proses handover. Proses perpindahan yang dapat dilakukan adalah softer handover dan soft handover dengan melihat jumlah panggilan yang meningkat disetiap sektor dan BTS. Tujuannya adalah untuk mengetahui seberapa besar pengaruh jumlah panggilan terhadap tingkat kegagalan handover agar performasi setiap BTS dapat bekerja dengan optimal. Metode yang dilakukan adalah menganalisis data softer handover dan soft handover di wilayah Bali Selatan. Untuk mengetahui hubungan antara jumlah panggilan dengan tingkat kegagalan softer handover dan soft handover dengan analisis regresi dan korelasi. Kegagalan softer handover dan soft handover yang didapat menunjukan hasil bahwa adanya hubungan yang nyata antara jumlah panggilan dengan tingkat kegagalan handover, namun tingkat kegagalan yang terjadi tidak signifikan dipengaruhi oleh jumlah panggilan sebesar 8.2% untuk softer handover dan 20.1% untuk soft handover.

Improving residents' handovers through just-in-time training for structured communication.

Science.gov (United States)

Rourke, Liam; Amin, Aditi; Boyington, Curtiss; Ao, Peter; Frolova, Natalia

2016-01-01

In a recent quality assurance project we learned that nearly half of the handovers we examined were characterized as unsatisfactory by our residents, who provided examples in which their anxiety had been piqued and patient care had been affected. These reports substantiated a growing body of literature on the relationship between the quality of handover and the quality of patient care, so we sought to improve the quality and consistency of the in-hosptial handovers undertaken by our internal medicine residents. Senior residents attended morning report for three consecutive month long blocks and evaluated the quality of the handovers using an observational protocol comprised of 16 aspects of effective handover. During the first block, the resident observed a median of eight of the 16 practices occurring across the 46 handovers, and a large amount of variability. At the beginning of the subsequent block we presented a concise introduction to a structured handover procedure (SBARR). The median quality of the subsequent 33 handovers rose to 11, and the variability decreased considerably. In the next block we refined the SBARR orientation to focus on the errors observed in the previous blocks, and the improvement in the quality and variability was sustained. The minor change, which requires few resources to sustain, had a favourable impact on the quality of our residents' in-hospital handovers.

Context Aware Handover Algorithms For Mobile Positioning Systems

Directory of Open Access Journals (Sweden)

Sazid Z. Khan

2014-01-01

Full Text Available Abstract: This work proposes context aware handover algorithms for mobile positioning systems. The algorithms perform handover among positioning systems based on important contextual factors related to position determination with efficient use of battery. The proposed solution which consists of the algorithms is implemented in the form of an Android application named Locate@nav6. The performance of the proposed solution was tested in selected experimental areas. The handover performance was compared with other existing location applications. The proposed solution performed correct handover among positioning systems in 95% of cases studied while two other applications performed correct handover in only 50% of cases studied. Battery usage of the proposed solution is less than one third of the battery usage of two other applications. The analysis of the positioning error of the applications demonstrated that, the proposed solution is able to reduce positioning error indirectly by handing over the task of positioning to an appropriate positioning system. This kept the average error of positioning below 42.1 meters for Locate@nav6 while the average error for two other applications namely Google Latitude and Malaysia maps was between 92.7 and 171.13 meters.

Surgical handover in an era of reduced working hours: an audit of current practice.

Science.gov (United States)

Shafiq-ur-Rehman; Mehmood, Sajid; Ahmed, Jamil; Razzaq, Muhammad Haroon; Khan, Shakeeb; Perry, Eugene Phillip

2012-06-01

To examine the current practice of handover and to record trainees' assessment of handover process. An audit study. Department of General Surgery, Scarborough General Hospital, Scarborough, United Kingdom, from January to April 2010. A paper-based questionnaire containing instruments pertaining to handover guidelines was disseminated to trainees on surgical on-call rota at the hospital. Trainees' responses regarding handover process including information transferred, designated location, duration, structure, senior supervision, awareness of guidelines, formal training, and rating of current handover practice were analysed. A total of 42 questionnaires were returned (response rate = 100%). The trainees included were; registrars 21% (n=9), core surgical trainees 38 % (n=16), and foundation trainees 41% (n=17). Satisfactory compliance (> 80% handover sessions) to RCS guidelines was observed for only five out of nine components. Ninety-five percent of hand over sessions took place at a designated place and two-third lasted less than 20-minutes. Computer generated handover sheet 57% (n=24) was the most commonly practised method of handover. Specialist registrar 69 % (n=29) remained the supervising person in majority of handover sessions. None of the respondents received formal teaching or training in handover, whereas only half of them 48% (n=20) were aware of handover guidelines. Twenty-one percent of the trainees expressed dissatisfaction with the current practice of handover. Current practice of surgical handover lacks structure despite a fair degree of compliance to RCS handover guidelines. A computerised-sheet based structured handover process, subjected to regular audit, would ensure patient safety and continuity of care.

A TOTP-Based Enhanced Route Optimization Procedure for Mobile IPv6 to Reduce Handover Delay and Signalling Overhead

Directory of Open Access Journals (Sweden)

Peer Azmat Shah

2014-01-01

Full Text Available Due to the proliferation of handheld mobile devices, multimedia applications like Voice over IP (VoIP, video conferencing, network music, and online gaming are gaining popularity in recent years. These applications are well known to be delay sensitive and resource demanding. The mobility of mobile devices, running these applications, across different networks causes delay and service disruption. Mobile IPv6 was proposed to provide mobility support to IPv6-based mobile nodes for continuous communication when they roam across different networks. However, the Route Optimization procedure in Mobile IPv6 involves the verification of mobile node’s reachability at the home address and at the care-of address (home test and care-of test that results in higher handover delays and signalling overhead. This paper presents an enhanced procedure, time-based one-time password Route Optimization (TOTP-RO, for Mobile IPv6 Route Optimization that uses the concepts of shared secret Token, time based one-time password (TOTP along with verification of the mobile node via direct communication and maintaining the status of correspondent node’s compatibility. The TOTP-RO was implemented in network simulator (NS-2 and an analytical analysis was also made. Analysis showed that TOTP-RO has lower handover delays, packet loss, and signalling overhead with an increased level of security as compared to the standard Mobile IPv6’s Return-Routability-based Route Optimization (RR-RO.

Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients.

Science.gov (United States)

Smeulers, Marian; Lucas, Cees; Vermeulen, Hester

2014-06-24

assessed trial quality and extracted data. The search identified 2178 citations, 28 of which were considered potentially relevant. After independent review of the full text of these studies, no eligible studies were identified for inclusion in this review due to the absence of studies with a randomised controlled study design. There was no evidence available to support conclusions about the effectiveness of nursing handover styles for ensuring continuity of information in hospitalised patients because we found no studies that fulfilled the methodological criteria for this review. As a consequence, uncertainty about the most effective practice remains. Research efforts should focus on strengthening the evidence abut the effectiveness of nursing handover styles using well designed, rigorous studies. According to current knowledge, the following guiding principles can be applied when redesigning the nursing handover process: face-to-face communication, structured documentation, patient involvement and use of IT technology to support the process.

PATIENT WP4-Deliverable: Curriculum for Handover Training in Medical Education [Public Part

NARCIS (Netherlands)

Stieger, Lina; Druener, Susanne; Schröder, Hanna; Sopka, Saša; Hynes, Helen; Henn, Patrick; Maher, Bridget; Orrego, Carola; Hassan, Fatima; Drachsler, Hendrik; Stoyanov, Slavi; Hartkopf, Kathleen

2014-01-01

What is handover? Handover is the accurate, reliable communication of task-relevant information between doctors and patients and from one care-giver to another. This occurs in many situations in healthcare. Why is handover important? Improperly conducted handovers lead to wrong treatment, delays

Performance Analysis of Handover Measurements and Layer 3 Filtering for UTRAN LTE

DEFF Research Database (Denmark)

Anas, Mohmmad; Calabrese, Francesco Davide; Östling, Per-Erik

2007-01-01

B domain L3 filtering has been studied by using a dynamic system level simulator for a 3GPP UTRAN LTE recommended scenario. The results suggest that RSS measurement with linear or dB domain L3 filtering is a better criterion for handover in terms of reduced number of handovers for a small penalty......Handover is one of the key functionalities which tries to keep a user equipment (UE) connected to the best base station (eNodeB). Handover is usually based on the downlink received signal strength (RSS) and carrier-to-interference ratio (CIR) measurements. Processing of the handover measurement...... is usually done in Layer 1 (L1) and Layer 3 (L3) by the UE, and handover is initiated by the serving eNodeB if certain event criteria are met. L3 filtering can be done in linear domain or decibel (dB) domain. A hard handover algorithm based on the downlink RSS and CIR measurements along with linear and d...

Managing change in the nursing handover from traditional to bedside handover – a case study from Mauritius

Directory of Open Access Journals (Sweden)

Jagoo Zaheda B

2005-01-01

Full Text Available Abstract Background The shift handover forms an important part of the communication process that takes place twice within the nurses' working day in the gynaecological ward. This paper addresses the topic of implementing a new system of bedside handover, which puts patients central to the whole process of managing care and also addresses some of the shortcomings of the traditional handover system. Methods A force field analysis in terms of the driving forces had shown that there was dissatisfaction with the traditional method of handover which had led to an increase in the number of critical incidents and complaints from patients, relatives and doctors. The restraining forces identified were a fear of accountability, lack of confidence and that this change would lead to more work. A 3 – step planned change model consisting of unfreezing, moving and refreezing was used to guide us through the change process. Resistance to change was managed by creating a climate of open communication where stakeholders were allowed to voice opinions, share concerns, insights, and ideas thereby actively participating in decision making. Results An evaluation had shown that this process was successfully implemented to the satisfaction of patients, and staff in general. Conclusion This successful change should encourage other nurses to become more proactive in identifying areas for change management in order to improve our health care system.

Operating Room-to-ICU Patient Handovers: A Multidisciplinary Human-Centered Design Approach.

Science.gov (United States)

Segall, Noa; Bonifacio, Alberto S; Barbeito, Atilio; Schroeder, Rebecca A; Perfect, Sharon R; Wright, Melanie C; Emery, James D; Atkins, B Zane; Taekman, Jeffrey M; Mark, Jonathan B

2016-09-01

Patient handovers (handoffs) following surgery have often been characterized by poor teamwork, unclear procedures, unstructured processes, and distractions. A study was conducted to apply a human-centered approach to the redesign of operating room (OR)-to-ICU patient handovers in a broad surgical ICU (SICU) population. This approach entailed (1) the study of existing practices, (2) the redesign of the handover on the basis of the input of hand over participants and evidence in the medical literature, and (3) the study of the effects of this change on processes and communication. The Durham [North Carolina] Veterans Affairs Medical Center SICU is an 11-bed mixed surgical specialty unit. To understand the existing process for receiving postoperative patients in the SICU, ethnographic methods-a series of observations, surveys, interviews, and focus groups-were used. The handover process was redesigned to better address providers' work flow, information needs, and expectations, as well as concerns identified in the literature. Technical and communication flaws were uncovered, and the handover was redesigned to address them. For the 49 preintervention and 49 postintervention handovers, the information transfer score and number of interruptions were not significantly different. However, staff workload and team behaviors scores improved significantly, while the hand over duration was not prolonged by the new process. Handover participants were also significantly more satisfied with the new handover method. An HCD approach led to improvements in the patient handover process from the OR to the ICU in a mixed adult surgical population. Although the specific handover process would unlikely be optimal in another clinical setting if replicated exactly, the HCD foundation behind the redesign process is widely applicable.

Improving clinical handover in a paediatric ward: implications for nursing management.

Science.gov (United States)

Mannix, Trudi; Parry, Yvonne; Roderick, Allison

2017-04-01

To describe how nursing staff in a paediatric ward improved the conduct of clinical handover, using a practise development approach. ISBAR (Identify, Situation, Background, Assessment and Recommendation) is a mnemonic tool to aid the safe transfer of patient information in clinical handover. The nurses identified the need to improve the use of ISBAR, and other issues related to handover that could compromise patient safety and constrain family-centred care. Sixty-one percent of nurses on the ward contributed to issue identification and the design of the educational material, including a set of written and video resources and incorporating the role of a handover coach. Staff performance was evaluated before and after access to the resources using self-administered Likert scales, observation and a focus group. After the intervention, there was a stronger relationship between the participants' understanding of ISBAR and their application of it in handover. Further, there were statistically significant increases in improved handover practises, including family inclusion and safety checks. A practise development approach is useful in the provision of education to guide clinical performance in patient handover. Nurse managers can use this approach to empower their staff to make positive changes to practise. © 2017 John Wiley & Sons Ltd.

Implementation of fast handover for proxy mobile IPv6: Resolving out-of-order packets.

Science.gov (United States)

Kang, Byungseok; Anh, Khuong Quoc; Choo, Hyunseung

2017-01-01

Mobile IP allows for location-independent routing of IP datagrams on the Internet. Mobile IP specifies how a mobile node (MN) registers with its home agent and how the home agent routes datagrams to the MN through the tunnel. Current Mobile IP protocols have difficulties meeting the stringent handover delay requirements of future wireless networks. Fast handover for Proxy Mobile IPv6 (FPMIPv6) is used to resolve handover latency and packet loss problems that occur in the Proxy Mobile IPv6 (PMIPv6) protocol. However, while implementing the FPMIPv6 scheme in a testbed, we encounter the out-of-order packet (OoOP) problem. The cause of this problem is the existence of two paths for data transmitted from a correspondent node (CN) to an MN. Since the problem affects the quality of service (QoS) of the network and the performance of the MN, we propose a new scheme using the last packet marker and packet buffering to solve this problem in FPMIPv6. The new Mobile Access Gateway (MAG) can control and deliver the data transmitted via the old path or the new path to an MN in order, using the last packet marker to notify the end of the data delivery in the old path and the packet buffering for holding the data delivered in the new path. We implement both the proposed scheme and FPMIPv6 in a testbed as a real network environment to demonstrate the correctness, cost effectiveness, and performance of the proposed scheme. A performance evaluation reveals that the proposed scheme can handle the OoOP problem efficiently.

Implementation of fast handover for proxy mobile IPv6: Resolving out-of-order packets.

Directory of Open Access Journals (Sweden)

Byungseok Kang

Full Text Available Mobile IP allows for location-independent routing of IP datagrams on the Internet. Mobile IP specifies how a mobile node (MN registers with its home agent and how the home agent routes datagrams to the MN through the tunnel. Current Mobile IP protocols have difficulties meeting the stringent handover delay requirements of future wireless networks. Fast handover for Proxy Mobile IPv6 (FPMIPv6 is used to resolve handover latency and packet loss problems that occur in the Proxy Mobile IPv6 (PMIPv6 protocol. However, while implementing the FPMIPv6 scheme in a testbed, we encounter the out-of-order packet (OoOP problem. The cause of this problem is the existence of two paths for data transmitted from a correspondent node (CN to an MN. Since the problem affects the quality of service (QoS of the network and the performance of the MN, we propose a new scheme using the last packet marker and packet buffering to solve this problem in FPMIPv6. The new Mobile Access Gateway (MAG can control and deliver the data transmitted via the old path or the new path to an MN in order, using the last packet marker to notify the end of the data delivery in the old path and the packet buffering for holding the data delivered in the new path. We implement both the proposed scheme and FPMIPv6 in a testbed as a real network environment to demonstrate the correctness, cost effectiveness, and performance of the proposed scheme. A performance evaluation reveals that the proposed scheme can handle the OoOP problem efficiently.

Performance Analysis of SINEMO: Seamless IP-diversity Based Network Mobility

National Research Council Canada - National Science Library

Chowdhury, Pulak K; Reaz, Abu S; Atiquzzaman, Mohammed; Ivancic, William

2007-01-01

...) to support network mobility. NEMO BSP inherits all the drawbacks of Mobile IPv6, such as inefficient routing path, single point of failure, high handover latency and packet loss, and high packet overhead...

Polling-Based High-Bit-Rate Packet Transfer in a Microcellular Network to Allow Fast Terminals

Science.gov (United States)

Hoa, Phan Thanh; Lambertsen, Gaute; Yamada, Takahiko

A microcellular network will be a good candidate for the future broadband mobile network. It is expected to support high-bit-rate connection for many fast mobile users if the handover is processed fast enough to lessen its impact on QoS requirements. One of the promising techniques is believed to use for the wireless interface in such a microcellular network is the WLAN (Wireless LAN) technique due to its very high wireless channel rate. However, the less capability of mobility support of this technique must be improved to be able to expand its utilization for the microcellular environment. The reason of its less support mobility is large handover latency delay caused by contention-based handover to the new BS (base station) and delay of re-forwarding data from the old to new BS. This paper presents a proposal of multi-polling and dynamic LMC (Logical Macro Cell) to reduce mentioned above delays. Polling frame for an MT (Mobile Terminal) is sent from every BS belonging to the same LMC — a virtual single macro cell that is a multicast group of several adjacent micro-cells in which an MT is communicating. Instead of contending for the medium of a new BS during handover, the MT responds to the polling sent from that new BS to enable the transition. Because only one BS of the LMC receives the polling ACK (acknowledgement) directly from the MT, this ACK frame has to be multicast to all BSs of the same LMC through the terrestrial network to continue sending the next polling cycle at each BS. Moreover, when an MT hands over to a new cell, its current LMC is switched over to a newly corresponding LMC to prevent the future contending for a new LMC. By this way, an MT can do handover between micro-cells of an LMC smoothly because the redundant resource is reserved for it at neighboring cells, no need to contend with others. Our simulation results using the OMNeT++ simulator illustrate the performance achievements of the multi-polling and dynamic LMC scheme in eliminating

Prediction-based association control scheme in dense femtocell networks

Science.gov (United States)

Pham, Ngoc-Thai; Huynh, Thong; Hwang, Won-Joo; You, Ilsun; Choo, Kim-Kwang Raymond

2017-01-01

The deployment of large number of femtocell base stations allows us to extend the coverage and efficiently utilize resources in a low cost manner. However, the small cell size of femtocell networks can result in frequent handovers to the mobile user, and consequently throughput degradation. Thus, in this paper, we propose predictive association control schemes to improve the system’s effective throughput. Our design focuses on reducing handover frequency without impacting on throughput. The proposed schemes determine handover decisions that contribute most to the network throughput and are proper for distributed implementations. The simulation results show significant gains compared with existing methods in terms of handover frequency and network throughput perspective. PMID:28328992

Improving patient safety in cardiothoracic surgery: an audit of surgical handover in a tertiary center.

Science.gov (United States)

Bauer, Natasha Johan

2016-01-01

Novel research has revealed that the relative risk of death increased by 10% and 15% for admissions on a Saturday and Sunday, respectively. With an imminent threat of 7-day services in the National Health Service, including weekend operating lists, handover plays a pivotal role in ensuring patient safety is paramount. This audit evaluated the quality, efficiency, and safety of surgical handover of pre- and postoperative cardiothoracic patients in a tertiary center against guidance on Safe Handover published by the Royal College of Surgeons of England and the British Medical Association. A 16-item questionnaire prospectively audited the nature, time and duration of handover, patient details, operative history and current clinical status, interruptions during handover, and difficulties cross-covering specialties over a month. Just over half (52%) of the time, no handover took place. The majority of handovers (64%) occurred over the phone; two-thirds of these were uninterrupted. All handovers were less than 10 minutes in duration. About half of the time, the senior house officer had previously met the registrar involved in the handover, but the overwhelming majority felt it would facilitate the handover process if they had prior contact. Patient details handed over 100% of the time included name, ward, and current clinical diagnosis. A third of the time, the patient's age, responsible consultant, and recent operations or procedures were not handed over, potentially compromising future management due to delays and lack of relevant information. Perhaps the most revealing result was that the overall safety of handover was perceived to be five out of ten, with ten being very safe with no aspects felt to impact negatively on optimal patient care. These findings were presented to the department, and a handover proforma was implemented. Recommendations included the need for a new face-to-face handover. A reaudit will evaluate the effects of these changes.

Improving patient safety in cardiothoracic surgery: an audit of surgical handover in a tertiary center

Directory of Open Access Journals (Sweden)

Bauer NJ

2016-05-01

Full Text Available Natasha Johan Bauer Department of Cardiothoracic Surgery, Royal Brompton Hospital, London, UK Background: Novel research has revealed that the relative risk of death increased by 10% and 15% for admissions on a Saturday and Sunday, respectively. With an imminent threat of 7-day services in the National Health Service, including weekend operating lists, handover plays a pivotal role in ensuring patient safety is paramount. This audit evaluated the quality, efficiency, and safety of surgical handover of pre- and postoperative cardiothoracic patients in a tertiary center against guidance on Safe Handover published by the Royal College of Surgeons of ­England and the British Medical Association. Methods: A 16-item questionnaire prospectively audited the nature, time and duration of handover, patient details, operative history and current clinical status, interruptions during handover, and difficulties cross-covering specialties over a month. Results: Just over half (52% of the time, no handover took place. The majority of handovers (64% occurred over the phone; two-thirds of these were uninterrupted. All handovers were less than 10 minutes in duration. About half of the time, the senior house officer had previously met the registrar involved in the handover, but the overwhelming majority felt it would facilitate the handover process if they had prior contact. Patient details handed over 100% of the time included name, ward, and current clinical diagnosis. A third of the time, the patient’s age, responsible consultant, and recent operations or procedures were not handed over, potentially compromising future management due to delays and lack of relevant information. Perhaps the most revealing result was that the overall safety of handover was perceived to be five out of ten, with ten being very safe with no aspects felt to impact negatively on optimal patient care. Conclusion: These findings were presented to the department, and a handover proforma

Patient handover in orthopaedics, improving safety using Information Technology.

Science.gov (United States)

Pearkes, Tim

2015-01-01

Good inpatient handover ensures patient safety and continuity of care. An adjunct to this is the patient list which is routinely managed by junior doctors. These lists are routinely created and managed within Microsoft Excel or Word. Following the merger of two orthopaedic departments into a single service in a new hospital, it was felt that a number of safety issues within the handover process needed to be addressed. This quality improvement project addressed these issues through the creation and implementation of a new patient database which spanned the department, allowing trouble free, safe, and comprehensive handover. Feedback demonstrated an improved user experience, greater reliability, continuity within the lists and a subsequent improvement in patient safety.

Research of Ad Hoc Networks Access Algorithm

Science.gov (United States)

Xiang, Ma

With the continuous development of mobile communication technology, Ad Hoc access network has become a hot research, Ad Hoc access network nodes can be used to expand capacity of multi-hop communication range of mobile communication system, even business adjacent to the community, improve edge data rates. When the ad hoc network is the access network of the internet, the gateway discovery protocol is very important to choose the most appropriate gateway to guarantee the connectivity between ad hoc network and IP based fixed networks. The paper proposes a QoS gateway discovery protocol which uses the time delay and stable route to the gateway selection conditions. And according to the gateway discovery protocol, it also proposes a fast handover scheme which can decrease the handover time and improve the handover efficiency.

Handover training: does one size fit all? The merits of mass customisation.

Science.gov (United States)

Kicken, Wendy; Van der Klink, Marcel; Barach, Paul; Boshuizen, H P A

2012-12-01

Experts have recommended training and standardisation as promising approaches to improve handovers and minimise the negative consequences of discontinuity of care. Yet the content and delivery of handover training have been only superficially examined and described in literature. The aim of this study was to formulate recommendations for effective handover training and to examine whether standardisation is a viable approach to training large numbers of healthcare professionals. A training needs analysis was conducted by means of a questionnaire, which was filled out by 96 healthcare professionals in primary and secondary care in the Netherlands, Spain, Sweden and Poland. Preferences and recommendations regarding training delivery aspects and training topics that should be included in the handover training were measured. The majority of the participants recommended a short conventional training session with practice assignments, to be completed in small, multidisciplinary groups. Formal examination, e-learning and self-study were not favoured. Recommended training topics were: communication skills, standardised procedures, knowing what to hand over, alertness to vulnerable patient groups and awareness of responsibility. The idea of completely standardised handover training is not in line with the identified differences in preferences and recommendations between different handover stakeholders. Mass customisation of training, in which generic training is adapted to local or individual needs, presents a promising solution to address general and specific needs, while containing the financial and time costs of designing and delivering handover training.

A Cross-Layer User Centric Vertical Handover Decision Approach Based on MIH Local Triggers

Science.gov (United States)

Rehan, Maaz; Yousaf, Muhammad; Qayyum, Amir; Malik, Shahzad

Vertical handover decision algorithm that is based on user preferences and coupled with Media Independent Handover (MIH) local triggers have not been explored much in the literature. We have developed a comprehensive cross-layer solution, called Vertical Handover Decision (VHOD) approach, which consists of three parts viz. mechanism for collecting and storing user preferences, Vertical Handover Decision (VHOD) algorithm and the MIH Function (MIHF). MIHF triggers the VHOD algorithm which operates on user preferences to issue handover commands to mobility management protocol. VHOD algorithm is an MIH User and therefore needs to subscribe events and configure thresholds for receiving triggers from MIHF. In this regard, we have performed experiments in WLAN to suggest thresholds for Link Going Down trigger. We have also critically evaluated the handover decision process, proposed Just-in-time interface activation technique, compared our proposed approach with prominent user centric approaches and analyzed our approach from different aspects.

Handover practice amongst core surgical trainees at the Oxford School of Surgery

Directory of Open Access Journals (Sweden)

Hazim Sadideen

2014-02-01

Results: There were responses from 40 CSTs (80.0 %. The most striking findings revolved around perceived educational value, formal training, and auditing practice with regards to handover, which were all remarkably lower than expected. CST handover was thus targeted in the Department of Plastic Surgery at the University Hospital, with the suggestion and implementation of targeted changes to improve practice. Conclusion: In the EWTD era with many missed educational opportunities, daily handover represents an underused educational tool for CSTs, especially in light of competency-based and time-limited training. We recommend modifications based on our results and the literature and hope schools of surgery follow suit nationally by assessing and addressing handover practice.

Reported Speech in Conversational Storytelling during Nursing Shift Handover Meetings

Science.gov (United States)

Bangerter, Adrian; Mayor, Eric; Pekarek Doehler, Simona

2011-01-01

Shift handovers in nursing units involve formal transmission of information and informal conversation about non-routine events. Informal conversation often involves telling stories. Direct reported speech (DRS) was studied in handover storytelling in two nursing care units. The study goal is to contribute to a better understanding of conversation…

Impact of a structured template and staff training on compliance and quality of clinical handover.

Science.gov (United States)

Ahmed, J; Mehmood, S; Rehman, S; Ilyas, C; Khan, L U R

2012-01-01

Change in junior doctors working pattern has brought effective and safe clinical handover into a central role to ensure the patient safety and high quality care. We investigated whether the compliance and quality of clinical handover could be improved through the use of a standardised and structured handover template. A computerised template was developed in accordance with handover guidelines provided by the Royal College of Surgeons of England. Pre- and post-intervention audits against an eleven-point dataset pertaining to the handover of acute surgical admissions were undertaken. The results from the two discrete audits periods were compared to examine the impact of intervention. There were 137 acute surgical admissions during pre-intervention and 155 admissions in post-intervention audit period. A significant improvement in overall handover practice was observed in post-intervention period. The documentation of patient hospital number (84 (61%) vs. 132 (85%) pimportance of safe clinical handover among the junior doctors. Implementation of a standardised guideline-based structured handover template and training of junior doctors are likely to improve compliance to agreed standards, promote quality of care, and protect patient safety. Copyright © 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.

Quality Improvement of Clinical Handover in a Liaison Psychiatry Department: A Three-Phase Audit

LENUS (Irish Health Repository)

Alexander, L

2018-06-01

Clinical handover has been identified as a period of high risk in healthcare, with increased incidence of adverse outcomes and near-misses. The purpose of handover is to communicate relevant information between medical professionals, with emphasis on completing management tasks and preventing patients from ‘falling through the cracks’1. Poor handover practices contribute to catastrophic but avoidable adverse events in healthcare. In Ireland, one such high profile incident has been a particular catalyst in the development of comprehensive handover guidelines in maternity settings2. Other specialities have yet to follow suit and there remains a dearth of guidance on handover practices, particularly guidance that can be applied to highly specialised and logistically unique areas, such as psychiatry

Between standardisation and resilience: nurses' emergent risk management strategies during handovers.

Science.gov (United States)

Drach-Zahavy, Anat; Goldblatt, Hadass; Maizel, Ana

2015-02-01

In this study, we aimed to understand how nurses manage handovers at shift change and to identify the working strategies they employ to maintain patients' safety. Nursing handovers at shift change are potentially hazardous for patients' quality of care. The nurses on the outgoing and incoming shifts need accurate understanding of the patient's current state, under circumstances that are frequently turbulent and time constrained. Qualitative study. Eighteen nurses working in a central Israeli hospital participated in the study. Data were collected through in-depth semi-structured interviews, conducted over a 10-month period in 2011-2012. The interviews were tape-recorded and transcribed verbatim. Content analysis method was used. We revealed three interrelated themes: (1) Adaptation of declared handover goals to goals, which better fit the day-to-day routine of the ward; (2) Contextual turbulent circumstances, and (3) Strategies to optimise care for patients. Nurses on the outgoing shift developed organising strategies, ensuring efficient transmission of all important information; nurses on the incoming shift used cross-checking strategies to verify the accuracy of the received information. A nursing handover is both vulnerable and resilient, given its imposed constraints. The handover should be restructured, assuring resilience in patients' care while also limiting the risk for vulnerability. Handover should be restructured so that it creates opportunities to cross-check the information against as many sources of information as possible. During handover, special time should be devoted to reading written reports and notes, preferably when the outgoing nurses are still on the ward or are accessible via e-mail or telephone. Team discussions should focus on achieving agreement about the order and manner of delivering concise information and facilitating shared understanding and trust among nurses. © 2014 John Wiley & Sons Ltd.

Exploring the structure and organization of information within nursing clinical handovers.

Science.gov (United States)

Johnson, Maree; Jefferies, Diana; Nicholls, Daniel

2012-10-01

Clinical handover is the primary source of patient information for nurses; however, inadequate information transfer compromises patient safety. We investigated the content and organization of information conveyed at 81 handovers. A structure that captures and presents the information transferred at handover emerged: identification of the patient and clinical risks, clinical history/presentation, clinical status, care plan and outcomes/goals of care (ICCCO). This approach covers essential information while allowing for prioritization of information when required. Further research into the impact of ICCCO on patient safety is in progress. © 2012 Wiley Publishing Asia Pty Ltd.

Mobility-Aware Modeling and Analysis of Dense Cellular Networks With $C$ -Plane/ $U$ -Plane Split Architecture

KAUST Repository

Ibrahim, Hazem

2016-09-19

The unrelenting increase in the population of mobile users and their traffic demands drive cellular network operators to densify their network infrastructure. Network densification shrinks the footprint of base stations (BSs) and reduces the number of users associated with each BS, leading to an improved spatial frequency reuse and spectral efficiency, and thus, higher network capacity. However, the densification gain comes at the expense of higher handover rates and network control overhead. Hence, user’s mobility can diminish or even nullifies the foreseen densification gain. In this context, splitting the control plane ( C -plane) and user plane ( U -plane) is proposed as a potential solution to harvest densification gain with reduced cost in terms of handover rate and network control overhead. In this paper, we use stochastic geometry to develop a tractable mobility-aware model for a two-tier downlink cellular network with ultra-dense small cells and C -plane/ U -plane split architecture. The developed model is then used to quantify the effect of mobility on the foreseen densification gain with and without C -plane/ U -plane split. To this end, we shed light on the handover problem in dense cellular environments, show scenarios where the network fails to support certain mobility profiles, and obtain network design insights.

Managing competing organizational priorities in clinical handover across organizational boundaries.

Science.gov (United States)

Sujan, Mark A; Chessum, Peter; Rudd, Michelle; Fitton, Laurence; Inada-Kim, Matthew; Cooke, Matthew W; Spurgeon, Peter

2015-01-01

Handover across care boundaries poses additional challenges due to the different professional, organizational and cultural backgrounds of the participants involved. This paper provides a qualitative account of how practitioners in emergency care attempt to align their different individual and organizational priorities and backgrounds when handing over patients across care boundaries (ambulance service to emergency department (ED), and ED to acute medicine). A total of 270 clinical handovers were observed in three emergency care pathways involving five participating NHS organizations (two ambulance services and three hospitals). Half-day process mapping sessions were conducted for each pathway. Semi-structured interviews were carried out with 39 participants and analysed thematically. The management of patient flow and the fulfilment of time-related performance targets can create conflicting priorities for practitioners during handover. Practitioners involved in handover manage such competing organizational priorities through additional coordination effort and dynamic trade-offs. Practitioners perceive greater collaboration across departments and organizations, and mutual awareness of each other's goals and constraints as possible ways towards more sustainable improvement. Sustainable improvement in handover across boundaries in emergency care might require commitment by leaders from all parts of the local health economy to work as partners to establish a culture of integrated, patient-centred care. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

Template for success: using a resident-designed sign-out template in the handover of patient care.

Science.gov (United States)

Clark, Clancy J; Sindell, Sarah L; Koehler, Richard P

2011-01-01

Report our implementation of a standardized handover process in a general surgery residency program. The standardized handover process, sign-out template, method of implementation, and continuous quality improvement process were designed by general surgery residents with support of faculty and senior hospital administration using standard work principles and business models of the Virginia Mason Production System and the Toyota Production System. Nonprofit, tertiary referral teaching hospital. General surgery residents, residency faculty, patient care providers, and hospital administration. After instruction in quality improvement initiatives, a team of general surgery residents designed a sign-out process using an electronic template and standard procedures. The initial implementation phase resulted in 73% compliance. Using resident-driven continuous quality improvement processes, real-time feedback enabled residents to modify and improve this process, eventually attaining 100% compliance and acceptance by residents. The creation of a standardized template and protocol for patient handovers might eliminate communication failures. Encouraging residents to participate in this process can establish the groundwork for successful implementation of a standardized handover process. Integrating a continuous quality-improvement process into such an initiative can promote active participation of busy general surgery residents and lead to successful implementation of standard procedures. Copyright © 2011 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

A survey of primary care resident attitudes toward continuity clinic patient handover

Directory of Open Access Journals (Sweden)

Victor O. Kolade

2014-11-01

Full Text Available Background: Transfer of clinic patients from graduating residents to interns or junior residents occurs every year, affecting large numbers of patients. Breaches in care continuity may occur, with potential for risk to patient safety. Several guidelines have been developed for implementing standardized inpatient sign-outs, but no specific guidelines exist for outpatient handover. Methods: Residents in primary care programs – internal medicine, family medicine, and pediatrics – at a US academic medical center were invited to participate in an online survey. The invitation was extended approximately 2 years after electronic medical record (EMR rollout began at the institution. Results: Of 71 eligible residents, 22 (31% responded to the survey. Of these, 18 felt that handover of ambulatory patients was at least moderately important – but only one affirmed the existence of a system for handover. IM residents perceived that they had the highest proportion of high-risk patients (p=0.042; transition-of-care letters were more important to IM residents than other respondents (p=0.041. Conclusion: There is room for improvement in resident acknowledgement of handover processes in continuity clinics. In this study, IM residents attached greater importance to a specific handover tool than other primary care residents. Thus, the different primary care specialties may need to have different handover tools available to them within a shared EMR system.

Seamless Indoor/Outdoor Positioning Handover for Location-Based Services in Streamspin

DEFF Research Database (Denmark)

Hansen, Rene; Wind, Rico; Jensen, Christian Søndergaard

2009-01-01

the delivery of truly ubiquitous location-based services by integrating GPS and Wi-Fi location fingerprinting. The paper puts focus on key aspects of the seamless handover between outdoor to indoor positioning. Several different handover solutions are presented,and their applicability is evaluated with respect...

Development and validation of a taxonomy of adverse handover events in hospital settings

DEFF Research Database (Denmark)

Andersen, Henning Boje; Siemsen, Inger Margrete D.; Petersen, Lene Funck

2015-01-01

Patient Safety Database, 200 events) and 47 interviews with staff conducted at a large hospital in the Capital Region (232 events). The most prevalent causes of adverse events are inadequate competence (30 %), inadequate infrastructure (22 %) and busy ward (18 %). Inter-rater reliability (kappa) was 0.......76 and 0.87 for reports and interviews, respectively. Communication in clinical contexts has been widely recognized as giving rise to potentially hazardous events, and handover situations are particularly prone to failures of communication or unclear allocation of responsibility. The taxonomy provides...... a tool for analyzing adverse handover events to identify frequent causes among reported handover failures. In turn, this provides a basis for selecting safety measures including handover protocols and training programmes....

Location based Network Optimizations for Mobile Wireless Networks

DEFF Research Database (Denmark)

Nielsen, Jimmy Jessen

selection in Wi-Fi networks and predictive handover optimization in heterogeneous wireless networks. The investigations in this work have indicated that location based network optimizations are beneficial compared to typical link measurement based approaches. Especially the knowledge of geographical...

The Handover Project: Improving the continuity of patient care through identification and implementation of novel patient handoff processes in Europe

NARCIS (Netherlands)

Drachsler, Hendrik; Kicken, Wendy; Van der Klink, Marcel; Stoyanov, Slavi; Boshuizen, Els

2011-01-01

Drachsler, H., Kicken, W., Van der Klink, M., Stoyanov, S., & Boshuizen, H. P. A. (2011, 21 March). The Handover project: Improving the continuity of patient care through identification and implementation of novel patient handoff processes in Europe. Presentation at Learning Networks meeting,

ESS-FH: Enhanced Security Scheme for Fast Handover in Hierarchical Mobile IPv6

Science.gov (United States)

You, Ilsun; Lee, Jong-Hyouk; Sakurai, Kouichi; Hori, Yoshiaki

Fast Handover for Hierarchical Mobile IPv6 (F-HMIPv6) that combines advantages of Fast Handover for Mobile IPv6 (FMIPv6) and Hierarchical Mobile IPv6 (HMIPv6) achieves the superior performance in terms of handover latency and signaling overhead compared with previously developed mobility protocols. However, without being secured, F-HMIPv6 is vulnerable to various security threats. In 2007, Kang and Park proposed a security scheme, which is seamlessly integrated into F-HMIPv6. In this paper, we reveal that Kang-Park's scheme cannot defend against the Denial of Service (DoS) and redirect attacks while largely relying on the group key. Then, we propose an Enhanced Security Scheme for F-HMIPv6 (ESS-FH) that achieves the strong key exchange and the key independence as well as addresses the weaknesses of Kang-Park's scheme. More importantly, it enables fast handover between different MAP domains. The proposed scheme is formally verified based on BAN-logic, and its handover latency is analyzed and compared with that of Kang-Park's scheme.

The postoperative handover: a focus group interview study with nurse anaesthetists, anaesthesiologists and PACU nurses.

Science.gov (United States)

Randmaa, Maria; Engström, Maria; Swenne, Christine Leo; Mårtensson, Gunilla

2017-08-04

To investigate different professionals' (nurse anaesthetists', anaesthesiologists', and postanaesthesia care unit nurses') descriptions of and reflections on the postoperative handover. A focus group interview study with a descriptive design using qualitative content analysis of transcripts. One anaesthetic clinic at two hospitals in Sweden. Six focus groups with 23 healthcare professionals involved in postoperative handovers. Each group was homogeneous regarding participant profession, resulting in two groups per profession: nurse anaesthetists (n=8), anaesthesiologists (n=7) and postanaesthesia care unit nurses (n=8). Patterns and five categories emerged: (1) having different temporal foci during handover, (2) insecurity when information is transferred from one team to another, (3) striving to ensure quality of the handover, (4) weighing the advantages and disadvantages of the bedside handover and (5) having different perspectives on the transfer of responsibility. The professionals' perceptions of the postoperative handover differed with regard to temporal foci and transfer of responsibility. All professional groups were insecure about having all information needed to ensure the quality of care. They strived to ensure quality of the handover by: focusing on matters that deviated from the normal course of events, aiding memory through structure and written information and cooperating within and between teams. They reported that the bedside handover enhances their control of the patient but also that it could threaten the patient's privacy and that frequent interruptions could be disturbing. The present findings revealed variations in different professionals' views on the postoperative handover. Healthcare interventions are needed to minimise the gap between professionals' perceptions and practices and to achieve a shared understanding of postoperative handover. Furthermore, to ensure high-quality and safe care, stakeholders/decision makers need to pay attention

Measuring cognitive load: mixed results from a handover simulation for medical students.

Science.gov (United States)

Young, John Q; Irby, David M; Barilla-LaBarca, Maria-Louise; Ten Cate, Olle; O'Sullivan, Patricia S

2016-02-01

The application of cognitive load theory to workplace-based activities such as patient handovers is hindered by the absence of a measure of the different load types. This exploratory study tests a method for measuring cognitive load during handovers. The authors developed the Cognitive Load Inventory for Handoffs (CLI4H) with items for intrinsic, extraneous, and germane load. Medical students completed the measure after participating in a simulated handover. Exploratory factor and correlation analyses were performed to collect evidence for validity. Results yielded a two-factor solution for intrinsic and germane load that explained 50 % of the variance. The extraneous load items performed poorly and were removed from the model. The score for intrinsic load correlated with the Paas Cognitive Load scale (r = 0.31, p = 0.004) and was lower for students with more prior handover training (p = 0.036). Intrinsic load did not, however, correlate with performance. Germane load did not correlate with the Paas Cognitive Load scale but did correlate as expected with performance (r = 0.30, p = 0.005) and was lower for those students with more prior handover training (p = 0.03). The CLI4H yielded mixed results with some evidence for validity of the score from the intrinsic load items. The extraneous load items performed poorly and the use of only a single item for germane load limits conclusions. The instrument requires further development and testing. Study results and limitations provide guidance to future efforts to measure cognitive load during workplace-based activities, such as handovers.

Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies.

Science.gov (United States)

Balka, Ellen; Tolar, Marianne; Coates, Shannon; Whitehouse, Sandra

2013-12-01

Ineffective handovers in patient care, including those where information loss occurs between care providers, have been identified as a risk to patient safety. Computerization of health information is often offered as a solution to improve the quality of care handovers and decrease adverse events related to patient safety. The purpose of this paper is to broaden our understanding of clinical handover as a patient safety issue, and to identify socio-technical issues which may come to bear on the success of computer based handover tools. Three in depth ethnographic case studies were undertaken. Field notes were transcribed and analyzed with the aid of qualitative data analysis software. Within case analysis was performed on each case, and subsequently, cross case analyses were performed. We identified five types of socio-technical issues which must be addressed if electronic handover tools are to succeed. The inter-dependencies of these issues are addressed in relation to arenas in which health care work takes place. We suggest that the contextual nature of information, ethical and medico-legal issues arising in relation to information handover, and issues related to data standards and system interoperability must be addressed if computerized health information systems are to achieve improvements in patient safety related to handovers in care. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Am I getting an accurate picture: a tool to assess clinical handover in remote settings?

Directory of Open Access Journals (Sweden)

Malcolm Moore

2017-11-01

Full Text Available Abstract Background Good clinical handover is critical to safe medical care. Little research has investigated handover in rural settings. In a remote setting where nurses and medical students give telephone handover to an aeromedical retrieval service, we developed a tool by which the receiving clinician might assess the handover; and investigated factors impacting on the reliability and validity of that assessment. Methods Researchers consulted with clinicians to develop an assessment tool, based on the ISBAR handover framework, combining validity evidence and the existing literature. The tool was applied ‘live’ by receiving clinicians and from recorded handovers by academic assessors. The tool’s performance was analysed using generalisability theory. Receiving clinicians and assessors provided feedback. Results Reliability for assessing a call was good (G = 0.73 with 4 assessments. The scale had a single factor structure with good internal consistency (Cronbach’s alpha = 0.8. The group mean for the global score for nurses and students was 2.30 (SD 0.85 out of a maximum 3.0, with no difference between these sub-groups. Conclusions We have developed and evaluated a tool to assess high-stakes handover in a remote setting. It showed good reliability and was easy for working clinicians to use. Further investigation and use is warranted beyond this setting.

Assessment of Measurement Tools of Observation Rate of Nursing Handover Standards in Clinical Wards of Hospital

Directory of Open Access Journals (Sweden)

Saadi Amini

2015-08-01

Full Text Available Background and objectives : In health centers, clinical information of patient is transferred among care staffs regularly. One of the common cases in information transferring is during the time of nurses’ handover in hospital which performing it correctly will help schedule patient care, providing safety and facilitating exact transferring of information. The aim of this study is investigating validity and reliability of assessment of observance rate of shift handover in clinical wards checklist. Material and Methods : In order to determine the reliability of checklist, two experts panel meetings were held with the presence of 10 experts in clinical field that in those meetings the reliability was investigated with discussion and consensus of participants. Checklist validity was investigated through pilot study in 4 wards of 4 hospitals and calculated by Kronbach- alpha method with 28 cases of shifts handover in morning, noon, and night shift. Results : In studying reliability, the primary checklist was divided into two checklists: patient handover, equipments and ward handover that included 27 and 72 items, respectively. The reliability of patient handover checklist was verified with 0.9155 Kronbach-alpha and that of equipments and ward handover was verified with 0.8779 Kronbach-alpha. Conclusion : Verifying checklists by mentioned scientific and statistical methods showed that these are very powerful instruments that can be used as one of the assessment tools of shift handover in clinical wards to be used towards promoting received services by customers of healthcare system.

A Network Topology Control and Identity Authentication Protocol with Support for Movable Sensor Nodes.

Science.gov (United States)

Zhang, Ying; Chen, Wei; Liang, Jixing; Zheng, Bingxin; Jiang, Shengming

2015-12-01

It is expected that in the near future wireless sensor network (WSNs) will be more widely used in the mobile environment, in applications such as Autonomous Underwater Vehicles (AUVs) for marine monitoring and mobile robots for environmental investigation. The sensor nodes' mobility can easily cause changes to the structure of a network topology, and lead to the decline in the amount of transmitted data, excessive energy consumption, and lack of security. To solve these problems, a kind of efficient Topology Control algorithm for node Mobility (TCM) is proposed. In the topology construction stage, an efficient clustering algorithm is adopted, which supports sensor node movement. It can ensure the balance of clustering, and reduce the energy consumption. In the topology maintenance stage, the digital signature authentication based on Error Correction Code (ECC) and the communication mechanism of soft handover are adopted. After verifying the legal identity of the mobile nodes, secure communications can be established, and this can increase the amount of data transmitted. Compared to some existing schemes, the proposed scheme has significant advantages regarding network topology stability, amounts of data transferred, lifetime and safety performance of the network.

Improving Weekend Out Of hours Surgical Handover (WOOSH).

Science.gov (United States)

Boyer, Melissa; Tappenden, Janine; Peter, Mark

2016-01-01

An effective surgical handover is imperative to optimise patient care and safety, whilst ensuring progression of clinical management and the delivery of an efficient service. The introduction of full-shift working, as a response to progressive implementation of the European Working Time Directive (EWTD), has placed the spotlight on patient and doctor safety. Effective handover between shifts is vital to protect patient safety and assist doctors with clinical governance. The weekend is a critical point where the transfer of patient care to the ongoing weekend team is efficient, thorough and informative, as this is a point in the patient journey where the patient is the most vulnerable. The weekend team is often not responsible for the management of the patient throughout the week and poor or incomplete information can have disastrous consequences on patient safety. (1,2,3) There is a general consensus and anecdotal evidence that this process is variable, occasionally unsafe or of poor quality, and can be improved. (4,5,6,7,8,9,10,11) However, no standardised format is deemed optimal or available. The aim therefore, was to design and implement a weekend handover proforma, in order to deliver a more efficient and safer system for patient care over the weekend without increasing junior doctor workload. The Weekend Out Of Hours Surgical Handover (WOOSH) form was designed following consultation with medical, nursing and allied health professionals. All staff were instructed how to complete the form, with pre- and post-intervention questionnaires undertaken. The results of the study enforce and advocate the permanent practice of the WOOSH form with 93.33% endorsing the permanent introduction of the form and 100% finding the form useful.

Exploring the collaboration between industrial designers and engineering designers in a handover situation

DEFF Research Database (Denmark)

Laursen, Esben Skov

This study focuses on handover situations between industrial designers and engineering designers in product development projects, on a ‘project level’. The handover situation creates a gap between the industrial designers and the engineering designers in the product development process which...

Stories of change: the text analysis of handovers in an Italian psychiatric residential care home.

Science.gov (United States)

Accordini, M; Saita, E; Irtelli, F; Buratti, M; Savuto, G

2017-05-01

WHAT IS KNOWN ON THE SUBJECT?: There is a growing emphasis on communication as a result of the move towards the more inclusive approach associated with the community-based rehabilitation model. Therefore, more importance is attached to handovers. Besides ensuring transfer of information, handovers enhance group cohesion, socialize staff members to the practices of the service and capture its organizational culture. WHAT THIS PAPER ADDS TO EXISTING KNOWLEDGE?: While handovers are mainly used for information transfer and to manage the services' daily routine, this paper offers an insight on how handovers can be conceived as valuable instruments to document cultural and organizational change. Only a limited amount of studies has focused on handovers in mental healthcare settings, and most of them only consider the perspectives of psychiatric nurses, while embracing a broader perspective, this paper provides valuable insights into the perspectives of various service providers. The overcoming of the dichotomy deficit-based vs. recovery-oriented model is possible if professionals use handovers to reflect upon their practice and the ways in which their cultural models are affected by the environmental context. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: Handovers are valuable instruments to document organizational change. It would be important for psychiatric and rehabilitation facilities to keep track of the handover records over time as they may provide insightful information about cultural change and the transformations in the core values and beliefs held by professionals. Handovers assure a timely and correct information transfer while socializing workers to the service's culture; however, no study describes them as instruments to document organizational change and only a few have focused on psychiatric settings. Aim To investigate the change in the culture of an Italian psychiatric residential care home as perceived by its mental health workers (MHWs) over the course of

THE EFFECTIVENESS OF COACHING USING SBAR (SITUATION, BACKGROUND, ASSESSMENT, RECOMMENDATION COMMUNICATION TOOL ON NURSING SHIFT HANDOVERS

Directory of Open Access Journals (Sweden)

Vitri Dyah Herawati

2018-05-01

Full Text Available Background: The SBAR (situation, background, assessment, recommendation method assists nurses in communicating information in nursing shift handover. Inaccurate shift handover can have a serious impact on patients due to poor communication. Optimal resource development can be done by coaching as the best guidance method from manager for directional discussion and guidance activity to learn to solve problem or do better job and build nursing leadership culture in clinical service. Objective: To analyze the effectiveness of coaching method using SBAR communication tool on nursing shift handovers. Methods: This was quasy experimental study with pretest posttest control group design. Fifty-four nurses were selected using consecutive sampling, which 27 assigned in the experiment and control group. An observation checklist was developed by the researchers based on the theory of Lardner to evaluate the effectiveness of the implementation of coaching using SBAR on nursing shift handover. Independent t-test, Mann-Whitney test and Wilcoxon test were used for data analyses. Results: There was an increase in coaching ability of head nurses in the implementation of SBAR in nursing handover after 2-weeks and 4-weeks of coaching. And there was also a significant improvement of the use of SBAR on nursing shift handover in the experiment group (p <0.05 compared to the control group. Conclusion: coaching using SBAR (situation, background, assessment, recommendation communication tool was effective on nursing shift handovers. There was a significant increase of the capability of head nurse and nursing shift handover after coaching intervention.

Pseudo Last Useful Instant Queuing Strategy for Handovers in Low Earth Orbit Mobile Satellite Networks

OpenAIRE

W. Kiamouche; M. Benslama

2008-01-01

This paper presents an alternative strategy of queuing handover called Pseudo Last Useful Instant PLUI scheme for Low Earth Orbit Mobile Satellite Systems LEO MSSs. The PLUI scheme uses the same approach as the Last Useful Instant LUI scheme previously proposed in literature, with less complex implementation. Simulation tests were carried out using Dynamic Channel Allocation DCA in order to evaluate the performance of this scheme and also an analytical approach has been p...

A tool for assessing the quality of nursing handovers: a validation study.

Science.gov (United States)

Ferrara, Paolo; Terzoni, Stefano; Davì, Salvatore; Bisesti, Alberto; Destrebecq, Anne

2017-08-10

Handover, in particular between two shifts, is a crucial aspect of nursing for patient safety, aimed at ensuring continuity of care. During this process, several factors can affect quality of care and cause errors. This study aimed to assess quality of handovers, by validating the Handoff CEX-Italian scale. The scale was translated from English into Italian and the content validity index was calculated and internal consistency assessed. The scale was used in several units of the San Paolo Teaching Hospital in Milan, Italy. A total of 48 reports were assessed (192 evaluations). The median score was 6, interquartile range (IQR) [5;7] and was not influenced by specific (p=0.21) or overall working experience (p=0.13). The domains showing the lowest median values (median=6, IQR [4;8]) were context, communication, and organisation. Night to morning handovers obtained the lowest scores. CVI-S was 0.96, Cronbach's alpha was 0.79. The Handoff CEX-Italian scale is valid and reliable and it can be used to assess the quality of nurse handovers.

Handover of patient information from the crisis assessment and treatment team to the inpatient psychiatric unit.

Science.gov (United States)

Waters, Amanda; Sands, Natisha; Keppich-Arnold, Sandra; Henderson, Kathryn

2015-06-01

Handover, or the communication of patient information between clinicians, is a fundamental component of health care. Psychiatric settings are dynamic environments relying on timely and accurate communication to plan care and manage risk. Crisis assessment and treatment teams are the primary interface between community and mental health services in many Australian and international health services, facilitating access to assessment, treatment, and admission to hospital. No previous research has investigated the handover between crisis assessment and treatment teams and inpatient psychiatric units, despite the importance of handover to care planning. The aim of the present study was to identify the nature and types of information transferred during these handovers, and to explore how these guides initial care planning. An observational, exploratory study design was used. A 20-item handover observation tool was used to observe 19 occasions of handover. A prospective audit was undertaken on clinical documentation arising from the admission. Clinical information, including psychiatric history and mental state, were handed over consistently; however, information about consumer preferences was reported less consistently. The present study identified a lack of attention to consumer preferences at handover, despite the current focus on recovery-oriented models for mental health care, and the centrality of respecting consumer preferences within the recovery paradigm. © 2014 Australian College of Mental Health Nurses Inc.

Impact of a new electronic handover system in surgery.

LENUS (Irish Health Repository)

Ryan, S

2011-01-01

Accurate handover of clinical information is imperative to ensure continuity of patient care, patient safety and reduction in clinical errors. Verbal and paper-based handovers are common practice in many institutions but the potential for clinical errors and inefficiency is significant. We have recently introduced an electronic templated signout to improve clarity of transfer of patient details post-surgical take. The aim of this study was to prospectively audit the introduction of this new electronic handover in our hospital with particular emphasis regarding efficacy and efficiency. The primary surrogate chosen to assess efficacy and efficiency was length of stay for those patients admitted through the emergency department. To do this we compared two separate, two-week periods before and after the introduction of this new electronic signout format. Users were not informed of the study. Information recorded on the signout included details of the emergency admissions, consults received on call and any issues with regard to inpatients. ASA grade, time to first intervention and admission diagnosis were also recorded. Our results show that introduction of this electronic signout significantly reduced median length of stay from five to four days (P=0.047). No significant difference in ASA grades, time to first intervention or overall admission diagnosis was obtained between the two time periods. In conclusion, this is the first study to show that the introduction of electronic signout post-call was associated with a significant reduction in patient length of stay and provided better continuity of care than the previously used paper-based handover.

Implementation of an Electronic Checklist to Improve Patient Handover From Ward to Operating Room

DEFF Research Database (Denmark)

Münter, Kristine H; Møller, Thea P; Østergaard, Doris

2017-01-01

risk factors. The aim of this study was to describe the implementation process and completion rate of a new preoperative, ward-to-OR checklist. Our goal was a 90% fulfillment. METHOD: This study is a prospective, observational study in a Danish University Hospital including all patients undergoing......OBJECTIVE: Research has identified numerous safety risks in perioperative patient handover. In handover from ward to operating room (OR), patients are often transferred by a third person. This adds to the risk of loss of important information and of caregivers in the OR not identifying possible...... surgery in 2013. The checklist was a screen page with 27 checkboxes of information relevant for a safe handover. The checklist should be completed in the ward before handover to the OR and should be checked in the OR before receiving the patient. The Plan-Do-Study-Act (PDSA) cycle method was used...

Improving surgical weekend handover.

Science.gov (United States)

Culwick, Caroline; Devine, Chris; Coombs, Catherine

2014-01-01

Effective handovers are vital to patient safety and continuity of care, and this is recognised by several national bodies including the GMC. The existing model at Great Western Hospital (GWH) involved three general surgical teams and a urology team placing their printed patient lists, complete with weekend jobs, in a folder for the on-call team to collect at the weekend. We recognised a need to reduce time searching for patients, jobs and reviews, and to streamline weekend ward rounds. A unified weekend list ordering all surgical patients by ward and bed number was introduced. Discrepancies in the layout of each team's weekday list necessitated the design of a new weekday list to match the weekend list to facilitate the easy transfer of information between the two lists. A colour coding system was also used to highlight specific jobs. Prior to this improvement project only 7.1% of those polled were satisfied with the existing system, after a series of interventions satisfaction increased to 85.7%. The significant increase in overall satisfaction with surgical handover following the introduction of the unified weekend list is promising. Locating patients and identifying jobs is easier and weekend ward rounds can conducted in a more logical and timely fashion. It has also helped facilitate the transition to consultant ward rounds of all surgical inpatients at the weekends with promising feedback from a recent consultants meeting.

Improving surgical weekend handover

OpenAIRE

Culwick, Caroline; Devine, Chris; Coombs, Catherine

2014-01-01

Effective handovers are vital to patient safety and continuity of care, and this is recognised by several national bodies including the GMC. The existing model at Great Western Hospital (GWH) involved three general surgical teams and a urology team placing their printed patient lists, complete with weekend jobs, in a folder for the on-call team to collect at the weekend. We recognised a need to reduce time searching for patients, jobs and reviews, and to streamline weekend ward rounds. A unif...

The quality of intensive care unit nurse handover related to end of life: a descriptive comparative international study.

Science.gov (United States)

Ganz, Freda DeKeyser; Endacott, Ruth; Chaboyer, Wendy; Benbinishty, Julie; Ben Nun, Maureen; Ryan, Helen; Schoter, Amanda; Boulanger, Carole; Chamberlain, Wendy; Spooner, Amy

2015-01-01

Quality ICU end-of-life-care has been found to be related to good communication. Handover is one form of communication that can be problematic due to lost or omitted information. A first step in improving care is to measure and describe it. The objective of this study was to describe the quality of ICU nurse handover related to end-of-life care and to compare the practices of different ICUs in three different countries. This was a descriptive comparative study. The study was conducted in seven ICUs in three countries: Australia (1 unit), Israel (3 units) and the UK (3 units). A convenience sample of 157 handovers was studied. Handover quality was rated based on the ICU End-of-Life Handover tool, developed by the authors. The highest levels of handover quality were in the areas of goals of care and pain management while lowest levels were for legal issues (proxy and advanced directives) related to end of life. Significant differences were found between countries and units in the total handover score (country: F(2,154)=25.97, p=studied. The total score was higher when quality of care might be deemed at greater risk (if the nurses did not know the patient or the patient was expected to die), indicating that nurses were exercising some form of discretionary decision making around handover communication; thus validating the measurement tool. Copyright © 2014. Published by Elsevier Ltd.

A Standardized Shift Handover Protocol: Improving Nurses’ Safe Practice in Intensive Care Units

Directory of Open Access Journals (Sweden)

Javad Malekzadeh

2013-08-01

Full Text Available Introduction: For maintaining the continuity of care and improving the quality of care, effective inter-shift information communication is necessary. Any handover error can endanger patient safety. Despite the importance of shift handover, there is no standard handover protocol in our healthcare settings. Methods In this one-group pretest-posttest quasi-experimental study conducted in spring and summer of 2011, we recruited a convenience sample of 56 ICU nurses. The Nurses’ Safe Practice Evaluation Checklist was used for data collection. The Content Validity Index and the inter-rater correlation coefficient of the checklist was 0.92 and 89, respectively. We employed the SPSS 11.5 software and the Mc Nemar and paired-samples t test for data analysis. Results: Study findings revealed that nurses’ mean score on the Safe Practice Evaluation Checklist increased significantly from 11.6 (2.7 to 17.0 (1.8 (P < 0.001. Conclusion: using a standard handover protocol for communicating patient’s needs and information improves nurses’ safe practice in the area of basic nursing care.

Mixed methods evaluation of a quality improvement and audit tool for nurse-to-nurse bedside clinical handover in ward settings.

Science.gov (United States)

Redley, Bernice; Waugh, Rachael

2018-04-01

Nurse bedside handover quality is influenced by complex interactions related to the content, processes used and the work environment. Audit tools are seldom tested in 'real' settings. Examine the reliability, validity and usability of a quality improvement tool for audit of nurse bedside handover. Naturalistic, descriptive, mixed-methods. Six inpatient wards at a single large not-for-profit private health service in Victoria, Australia. Five nurse experts and 104 nurses involved in 199 change-of-shift bedside handovers. A focus group with experts and pilot test were used to examine content and face validity, and usability of the handover audit tool. The tool was examined for inter-rater reliability and usability using observation audits of handovers across six wards. Data were collected in 2013-2014. Two independent observers for 72 audits demonstrated acceptable inter-observer agreement for 27 (77%) items. Reliability was weak for items examining the handover environment. Seventeen items were not observed reflecting gaps in practices. Across 199 observation audits, gaps in nurse bedside handover practice most often related to process and environment, rather than content items. Usability was impacted by high observer burden, familiarity and non-specific illustrative behaviours. The reliability and validity of most items to audit handover content was acceptable. Gaps in practices for process and environment items were identified. Context specific exemplars and reducing the items used at each handover audit can enhance usability. Further research is needed to develop context specific exemplars and undertake additional reliability testing using a wide range of handover settings. CONTRIBUTION OF THE PAPER. Copyright © 2017 Elsevier Inc. All rights reserved.

An observational study of patient care outcomes sensitive to handover quality in the Post-Anaesthetic Care Unit.

Science.gov (United States)

Lillibridge, Nichole; Botti, Mari; Wood, Beverley; Redley, Bernice

2017-12-01

To identify patient care outcome indicators sensitive to the quality of interprofessional handover between the anaesthetist and the Post-Anaesthetic Care Unit nurse. The relationship between interprofessional clinical handover when patients are transferred from the operating theatre to the Post-Anaesthetic Care Unit and patient outcomes of subsequent patient care delivery is not well understood. Naturalistic, exploratory descriptive design using observation. Observations of 31 patient journeys through Post-Anaesthetic Care Units across three public and private hospitals. Characteristics of interprofessional handover on arrival in the Post-Anaesthetic Care Unit, the trajectory of patient care activities in Post-Anaesthetic Care Unit and patient outcomes were observed. Of the 821 care activities observed across 31 "patient journeys" in the Post-Anaesthetic Care Unit, observations (assessments and vital signs) (52.5 %), communication (15.8 %) and pain management (assessment of pain and analgesic administration) (10.3%) were most common. Examination of patterns in handover communications and subsequent trajectories of patient care activities revealed three patient trajectory typologies and two patient outcome indicators expected to be sensitive to the quality of interprofessional handover communication in the Post-Anaesthetic Care Unit: pain on discharge from the Post-Anaesthetic Care Unit and timely response to clinical deterioration. An additional process indicator, seeking missing information, was also identified. Patient's pain on discharge from Post-Anaesthetic Care Unit, escalation of care in response to early signs of deterioration and the need for nurses to seek out missing information to deliver care are indicators expected to be sensitive to the quality of interprofessional handover communication in the Post-Anaesthetic Care Unit. Future research should test these indicators. Patient outcomes sensitive to the quality of interprofessional handover on patient

Location Assisted Vertical Handover Algorithm for QoS Optimization in End-to-End Connections

DEFF Research Database (Denmark)

Dam, Martin S.; Christensen, Steffen R.; Mikkelsen, Lars M.

2012-01-01

implementation on Android based tablets. The simulations cover a wide range of scenarios for two mobile users in an urban area with ubiquitous cellular coverage, and shows our algorithm leads to increased throughput, with fewer handovers, when considering the end-to-end connection than to other handover schemes...

Handover Management in 5G and Beyond: A Topology Aware Skipping Approach

KAUST Repository

Arshad, Rabe

2016-12-21

Network densification is foreseen as a potential solution to fulfill the 5G spectral efficiency requirements. The spectral efficiency is improved by shrinking base stations’ (BSs) footprints, thus improving the spatial frequency reuse and reducing the number of users sharing the resources of each BS. However, the foreseen densification gains are achieved at the expense of increasing handover (HO) rates. Hence, HO rate is a key performance limiting factor that should be carefully considered in densification planning. This paper sheds light on the HO problem that appears in dense 5G networks and proposes an effective solution via topology aware HO skipping. Different skipping techniques are considered and compared with the conventional best connected scheme. To this end, the proposed schemes are validated via the average user rate in downlink single-tier and two-tier cellular networks, which are modeled using the Poisson point process and the Poisson cluster process, respectively. The proposed skipping schemes show up to 47% gains in the average throughput, which would maximize the benefit of network densification.

Handover Management in 5G and Beyond: A Topology Aware Skipping Approach

KAUST Repository

Arshad, Rabe; Elsawy, Hesham; Sorour, Sameh; Al-Naffouri, Tareq Y.; Alouini, Mohamed-Slim

2016-01-01

Network densification is foreseen as a potential solution to fulfill the 5G spectral efficiency requirements. The spectral efficiency is improved by shrinking base stations’ (BSs) footprints, thus improving the spatial frequency reuse and reducing the number of users sharing the resources of each BS. However, the foreseen densification gains are achieved at the expense of increasing handover (HO) rates. Hence, HO rate is a key performance limiting factor that should be carefully considered in densification planning. This paper sheds light on the HO problem that appears in dense 5G networks and proposes an effective solution via topology aware HO skipping. Different skipping techniques are considered and compared with the conventional best connected scheme. To this end, the proposed schemes are validated via the average user rate in downlink single-tier and two-tier cellular networks, which are modeled using the Poisson point process and the Poisson cluster process, respectively. The proposed skipping schemes show up to 47% gains in the average throughput, which would maximize the benefit of network densification.

Sustainability of protocolized handover of pediatric cardiac surgery patients to the intensive care unit.

Science.gov (United States)

Chenault, Kristin; Moga, Michael-Alice; Shin, Minah; Petersen, Emily; Backer, Carl; De Oliveira, Gildasio S; Suresh, Santhanam

2016-05-01

Transfer of patient care among clinicians (handovers) is a common source of medical errors. While the immediate efficacy of these initiatives is well documented, sustainability of practice changes that results in better processes of care is largely understudied. The objective of the current investigation was to evaluate the sustainability of a protocolized handover process in pediatric patients from the operating room after cardiac surgery to the intensive care unit. This was a prospective study with direct observation assessment of handover performance conducted in the cardiac ICU (CICU) of a free-standing, tertiary care children's hospital in the United States. Patient transitions from the operating room to the CICU, including the verbal handoff, were directly observed by a single independent observer in all phases of the study. A checklist of key elements identified errors classified as: (1) technical, (2) information omissions, and (3) realized errors. Total number of errors was compared across the different times of the study (preintervention, postintervention, and the current sustainability phase). A total of 119 handovers were studied: 41 preintervention, 38 postintervention, and 40 in the current sustainability phase. The median [Interquartile range (IQR)] number of technical errors was significantly reduced in the sustainability phase compared to the preintervention and postintervention phase, 2 (1-3), 6 (5-7), and 2.5 (2-4), respectively P = 0.0001. Similarly, the median (IQR) number of verbal information omissions was also significantly reduced in the sustainability phase compared to the preintervention and postintervention phases, 1 (1-1), 4 (3-5) and 2 (1-3), respectively. We demonstrate sustainability of an improved handover process using a checklist in children being transferred to the intensive care unit after cardiac surgery. Standardized handover processes can be a sustainable strategy to improve patient safety after pediatric cardiac surgery. �

How Does Nursing Staff Perceive the Use of Electronic Handover Reports? A Questionnaire-Based Study

Directory of Open Access Journals (Sweden)

Torbjørg Meum

2011-01-01

Full Text Available Following the implementation of electronic nursing records in a psychogeriatric ward, we examined nursing staff's attitudes and perceptions to the implementation of an electronic handover routine. A web-based anonymous and secure questionnaire was distributed by e-mail to all nursing staff at a psychogeriatric ward at a university hospital. Most respondents were satisfied with the electronic handover, and they believed they managed to keep informed by the new routine. The simultaneous introduction of a morning meeting, to ensure a forum for oral professional discussion, was a success. A minority of staff did not fully trust the information conveyed in the electronic handover, and a significant proportion expressed a need for guidance in using the system. Staff that had a high level of trust in written reports believed these saved time, had little trouble finding time and a place to read the reports, and were more positive to the new handover routine.

Learning from incident reports in the Australian medical imaging setting: handover and communication errors.

Science.gov (United States)

Hannaford, N; Mandel, C; Crock, C; Buckley, K; Magrabi, F; Ong, M; Allen, S; Schultz, T

2013-02-01

To determine the type and nature of incidents occurring within medical imaging settings in Australia and identify strategies that could be engaged to reduce the risk of their re-occurrence. 71 search terms, related to clinical handover and communication, were applied to 3976 incidents in the Radiology Events Register. Detailed classification and thematic analysis of a subset of incidents that involved handover or communication (n=298) were undertaken to identify the most prevalent types of error and to make recommendations about patient safety initiatives in medical imaging. Incidents occurred most frequently during patient preparation (34%), when requesting imaging (27%) and when communicating a diagnosis (23%). Frequent problems within each of these stages of the imaging cycle included: inadequate handover of patients (41%) or unsafe or inappropriate transfer of the patient to or from medical imaging (35%); incorrect information on the request form (52%); and delayed communication of a diagnosis (36%) or communication of a wrong diagnosis (36%). The handover of patients and clinical information to and from medical imaging is fraught with error, often compromising patient safety and resulting in communication of delayed or wrong diagnoses, unnecessary radiation exposure and a waste of limited resources. Corrective strategies to address safety concerns related to new information technologies, patient transfer and inadequate test result notification policies are relevant to all healthcare settings. Handover and communication errors are prevalent in medical imaging. System-wide changes that facilitate effective communication are required.

A GPS Sensing Strategy for Accurate and Energy-Efficient Outdoor-to-Indoor Handover in Seamless Localization Systems

Directory of Open Access Journals (Sweden)

Yungeun Kim

2012-01-01

Full Text Available Indoor localization systems typically locate users on their own local coordinates, while outdoor localization systems use global coordinates. To achieve seamless localization from outdoors to indoors, a handover technique that accurately provides a starting position to the indoor localization system is needed. However, existing schemes assume that a starting position is known a priori or uses a naïve approach to consider the last location obtained from GPS as the handover point. In this paper, we propose an accurate handover scheme that monitors the signal-to-noise ratio (SNR of the effective GPS satellites that are selected according to their altitude. We also propose an energy-efficient handover mechanism that reduces the GPS sampling interval gradually. Accuracy and energy efficiency are experimentally validated with the GPS logs obtained in real life.

An Integrated Multi-layer Approach for Seamless Soft Handoff in Mobile Ad Hoc Networks

Science.gov (United States)

2011-01-01

network to showcase how to leverage the IEEE 802.21 Media Independent Handover ( MIH ) framework [3] in our handoff solution. Moreover, to further...to the seamless handoff problem. The architecture leverages the IEEE 802.21 MIH standard to facilitate handover related decisions on multiple...provided by the MIH function (MIHF), the topology control manager dynamically activates/deactivates the wireless interfaces to ensure the network is

Hierarchical micro-mobility management in high-speed multihop access networks

Institute of Scientific and Technical Information of China (English)

TANG Bi-hua; MA Xiao-lei; LIU Yuan-an; GAO Jin-chun

2006-01-01

This article integrates the hierarchical micro-mobility management and the high-speed multihop access networks (HMAN), to accomplish the smooth handover between different access routers. The proposed soft handover scheme in the high-speed HMAN can solve the micro-mobility management problem in the access network. This article also proposes the hybrid access router (AR) advertisement scheme and AR selection algorithm, which uses the time delay and stable route to the AR as the gateway selection parameters. By simulation, the proposed micro-mobility management scheme can achieve high packet delivery fraction and improve the lifetime of network.

Priming Drivers before Handover in Semi-Autonomous Cars

NARCIS (Netherlands)

van der Heiden, R.M.A.; Iqbal, Shamsi T.; Janssen, C.P.

2017-01-01

Semi-autonomous vehicles occasionally require control to be handed over to the driver in situations where the vehicle is unable to operate safely. Currently, such handover requests require the driver to take control almost instantaneously. We investigate how auditory pre-alerts that occur well

Audit on the Quality of Handovers of a Psychiatric Liaison Team in the UK: a Short Report.

Science.gov (United States)

Koli, Trupti; Filippidou, Maria

2017-09-01

The importance of handovers has been recognised and proven in clinical practice. In liaison psychiatry, this is particularly important due to the high turnover of patients seen, the shift work pattern and the number of member staff engaging in this process. An Audit on the Quality of Handovers was carried out within a Psychiatric Liaison team of a General hospital in UK with an intention to review and improve this. Handovers were evaluated against the gold standard of the SBAR tool (Situation/Background/Assessment/Recommendations) over a period of 4 weeks. Handovers were assessed by 2 members of staff (a Consultant & a Specialty doctor). Data was analysed using Microsoft Excel. Results showed that the team's handover practice is mostly "Good" but there was also an amount of "Poor" under "Situation & Background", mostly presented by mid-grade doctors & trainees. Nurses scored higher than medics on overall rating, nearly 50%.This could be attributed to the fact that handovers form an essential & integral part of Nurse's training & culture. Also mid-grade (staff grade) doctors have had a significant amount of "excellent" scoring that other groups didn't have, mostly on the Assessment & Recommendations domains, which can be attributed to the fact that importance is stressed more on the assessment & treatment module by the doctors. The multi-disciplinary composition of the liaison psychiatry team has a positive impact on the patient care. This audit has revealed overall good communication amongst the members of the team, nevertheless one that needs some improvement, particularly amongst the doctors. Doctors tend to focus on the remedial (assessment & treatment) module rather than the holistic approach. SBAR remains an effective & handy tool to improve the handover quality. A re-audit will be carried out in 6 months time to assess the improvements observed following the implementation of this new tool.

Stereotyping stigma: undergraduate health students' perceptions at handover.

Science.gov (United States)

Doyle, Kerrie Esme; Cruickshank, Mary

2012-05-01

The World Health Organization (WHO) has recognized that errors in communication are one of the leading causes of adverse patient outcomes. Consequently, the WHO developed the High 5s Project to review, among other variables, handover of patients between shifts, professionals, and organizations. Seven countries were involved in the initial project. Australia responded by using the ISOBAR (Identify, Situation, Observations, Background, Agreed plan, and Read-back) tool as a template. However, none of the countries involved considered the social and emotional effects of handover on the staff or patients, although research has demonstrated that attitudes and values can be handed over from one nurse to another during this process. This article shows how the nurse who hands over care from one shift to the next can transfer stigma and labeling and offers suggestions for nurse educators and clinicians to apply national standards and core values to clinical practice and education. Copyright 2012, SLACK Incorporated.

Developing a minimum dataset for nursing team leader handover in the intensive care unit: A focus group study.

Science.gov (United States)

Spooner, Amy J; Aitken, Leanne M; Corley, Amanda; Chaboyer, Wendy

2018-01-01

Despite increasing demand for structured processes to guide clinical handover, nursing handover tools are limited in the intensive care unit. The study aim was to identify key items to include in a minimum dataset for intensive care nursing team leader shift-to-shift handover. This focus group study was conducted in a 21-bed medical/surgical intensive care unit in Australia. Senior registered nurses involved in team leader handovers were recruited. Focus groups were conducted using a nominal group technique to generate and prioritise minimum dataset items. Nurses were presented with content from previous team leader handovers and asked to select which content items to include in a minimum dataset. Participant responses were summarised as frequencies and percentages. Seventeen senior nurses participated in three focus groups. Participants agreed that ISBAR (Identify-Situation-Background-Assessment-Recommendations) was a useful tool to guide clinical handover. Items recommended to be included in the minimum dataset (≥65% agreement) included Identify (name, age, days in intensive care), Situation (diagnosis, surgical procedure), Background (significant event(s), management of significant event(s)) and Recommendations (patient plan for next shift, tasks to follow up for next shift). Overall, 30 of the 67 (45%) items in the Assessment category were considered important to include in the minimum dataset and focused on relevant observations and treatment within each body system. Other non-ISBAR items considered important to include related to the ICU (admissions to ICU, staffing/skill mix, theatre cases) and patients (infectious status, site of infection, end of life plan). Items were further categorised into those to include in all handovers and those to discuss only when relevant to the patient. The findings suggest a minimum dataset for intensive care nursing team leader shift-to-shift handover should contain items within ISBAR along with unit and patient specific

Transferring responsibility and accountability in maternity care: clinicians defining their boundaries of practice in relation to clinical handover

Science.gov (United States)

Chin, Georgiana S M; Warren, Narelle; Kornman, Louise; Cameron, Peter

2012-01-01

Objective This exploratory study reports on maternity clinicians’ perceptions of transfer of their responsibility and accountability for patients in relation to clinical handover with particular focus transfers of care in birth suite. Design A qualitative study of semistructured interviews and focus groups of maternity clinicians was undertaken in 2007. De-indentified data were transcribed and coded using the constant comparative method. Multiple themes emerged but only those related to responsibility and accountability are reported in this paper. Setting One tertiary Australian maternity hospital. Participants Maternity care midwives, nurses (neonatal, mental health, bed managers) and doctors (obstetric, neontatology, anaesthetics, internal medicine, psychiatry). Primary outcome measures Primary outcome measures were the perceptions of clinicians of maternity clinical handover. Results The majority of participants did not automatically connect maternity handover with the transfer of responsibility and accountability. Once introduced to this concept, they agreed that it was one of the roles of clinical handover. They spoke of complete transfer, shared and ongoing responsibility and accountability. When clinicians had direct involvement or extensive clinical knowledge of the patient, blurring of transition of responsibility and accountability sometimes occurred. A lack of ‘ownership’ of a patient and their problems were seen to result in confusion about who was to address the clinical issues of the patient. Personal choice of ongoing responsibility and accountability past the handover communication were described. This enabled the off-going person to rectify an inadequate handover or assist in an emergency when duty clinicians were unavailable. Conclusions There is a clear lack of consensus about the transition of responsibility and accountability—this should be explicit at the handover. It is important that on each shift and new workplace environment

A Location-Aware Vertical Handoff Algorithm for Hybrid Networks

KAUST Repository

Mehbodniya, Abolfazl; Aissa, Sonia; Chitizadeh, Jalil

2010-01-01

. Horizontal handoff, or generally speaking handoff, is a process which maintains a mobile user's active connection as it moves within a wireless network, whereas vertical handoff (VHO) refers to handover between different types of networks or different network

An approach to efficient mobility management in intelligent networks

Science.gov (United States)

Murthy, K. M. S.

1995-01-01

Providing personal communication systems supporting full mobility require intelligent networks for tracking mobile users and facilitating outgoing and incoming calls over different physical and network environments. In realizing the intelligent network functionalities, databases play a major role. Currently proposed network architectures envision using the SS7-based signaling network for linking these DB's and also for interconnecting DB's with switches. If the network has to support ubiquitous, seamless mobile services, then it has to support additionally mobile application parts, viz., mobile origination calls, mobile destination calls, mobile location updates and inter-switch handovers. These functions will generate significant amount of data and require them to be transferred between databases (HLR, VLR) and switches (MSC's) very efficiently. In the future, the users (fixed or mobile) may use and communicate with sophisticated CPE's (e.g. multimedia, multipoint and multisession calls) which may require complex signaling functions. This will generate volumness service handling data and require efficient transfer of these message between databases and switches. Consequently, the network providers would be able to add new services and capabilities to their networks incrementally, quickly and cost-effectively.

Similarity and accuracy of mental models formed during nursing handovers: A concept mapping approach.

Science.gov (United States)

Drach-Zahavy, Anat; Broyer, Chaya; Dagan, Efrat

2017-09-01

Shared mental models are crucial for constructing mutual understanding of the patient's condition during a clinical handover. Yet, scant research, if any, has empirically explored mental models of the parties involved in a clinical handover. This study aimed to examine the similarities among mental models of incoming and outgoing nurses, and to test their accuracy by comparing them with mental models of expert nurses. A cross-sectional study, exploring nurses' mental models via the concept mapping technique. 40 clinical handovers. Data were collected via concept mapping of the incoming, outgoing, and expert nurses' mental models (total of 120 concept maps). Similarity and accuracy for concepts and associations indexes were calculated to compare the different maps. About one fifth of the concepts emerged in both outgoing and incoming nurses' concept maps (concept similarity=23%±10.6). Concept accuracy indexes were 35%±18.8 for incoming and 62%±19.6 for outgoing nurses' maps. Although incoming nurses absorbed fewer number of concepts and associations (23% and 12%, respectively), they partially closed the gap (35% and 22%, respectively) relative to expert nurses' maps. The correlations between concept similarities, and incoming as well as outgoing nurses' concept accuracy, were significant (r=0.43, p<0.01; r=0.68 p<0.01, respectively). Finally, in 90% of the maps, outgoing nurses added information concerning the processes enacted during the shift, beyond the expert nurses' gold standard. Two seemingly contradicting processes in the handover were identified. "Information loss", captured by the low similarity indexes among the mental models of incoming and outgoing nurses; and "information restoration", based on accuracy measures indexes among the mental models of the incoming nurses. Based on mental model theory, we propose possible explanations for these processes and derive implications for how to improve a clinical handover. Copyright © 2017 Elsevier Ltd. All

The pitfalls of postoperative theatre to intensive care unit handovers ...

African Journals Online (AJOL)

Johan van der Walt

2016-04-11

Apr 11, 2016 ... Southern African Journal of Anaesthesia and Analgesia is co-published by Medpharm Publications, NISC (Pty) Ltd and ... staff in managing handovers in the ward, emergency room ... transfer of technology and equipment.3.

The role of dynamic trade-offs in creating safety—A qualitative study of handover across care boundaries in emergency care

International Nuclear Information System (INIS)

Sujan, Mark; Spurgeon, Peter; Cooke, Matthew

2015-01-01

The paper aims to demonstrate how the study of everyday clinical work can contribute novel insights into a common and stubborn patient safety problem—the vulnerabilities of handover across care boundaries in emergency care. Based on a dialectical interpretation of the empirical evidence gathered in five National Health Service organisations, the paper argues that performance variability is an essential component in the delivery of safe care, as practitioners translate tensions they encounter in their everyday work into safe practices through dynamic trade-offs based on their experience and the requirements of the specific situation. The findings may shed new light on the vulnerabilities of the handover process, and they might help explain why improvements to handover have remained largely elusive and what type of future recommendations may be appropriate for improving patient safety. - Highlights: • Qualitative study of emergency care handover across boundaries. • Description of tensions in everyday clinical work. • Exploration of the role of dynamic trade-offs. • Application of resilience engineering thinking to handover

Patient and nurse preferences for nurse handover-using preferences to inform policy: a discrete choice experiment protocol.

Science.gov (United States)

Spinks, Jean; Chaboyer, Wendy; Bucknall, Tracey; Tobiano, Georgia; Whitty, Jennifer A

2015-11-11

Nursing bedside handover in hospital has been identified as an opportunity to involve patients and promote patient-centred care. It is important to consider the preferences of both patients and nurses when implementing bedside handover to maximise the successful uptake of this policy. We outline a study which aims to (1) identify, compare and contrast the preferences for various aspects of handover common to nurses and patients while accounting for other factors, such as the time constraints of nurses that may influence these preferences.; (2) identify opportunities for nurses to better involve patients in bedside handover and (3) identify patient and nurse preferences that may challenge the full implementation of bedside handover in the acute medical setting. We outline the protocol for a discrete choice experiment (DCE) which uses a survey design common to both patients and nurses. We describe the qualitative and pilot work undertaken to design the DCE. We use a D-efficient design which is informed by prior coefficients collected during the pilot phase. We also discuss the face-to-face administration of this survey in a population of acutely unwell, hospitalised patients and describe how data collection challenges have been informed by our pilot phase. Mixed multinomial logit regression analysis will be used to estimate the final results. This study has been approved by a university ethics committee as well as two participating hospital ethics committees. Results will be used within a knowledge translation framework to inform any strategies that can be used by nursing staff to improve the uptake of bedside handover. Results will also be disseminated via peer-reviewed journal articles and will be presented at national and international conferences. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

"Chase CRP", "Review patient": Improving the Quality of Weekend Medical Handover at a London Teaching Hospital.

Science.gov (United States)

Saifuddin, Aamir; Magee, Lucia; Barrett, Rachael

2015-01-01

Clinical handover has been identified as a "major preventable cause of harm" by the Royal College of Physicians (RCP). Whilst working at a London teaching hospital from August 2013, we noted substandard weekend handover of medical patients. The existing pro forma was filled incompletely by day doctors so it was difficult for weekend colleagues to identify unwell patients, with inherent safety implications. Furthermore, on-call medical staff noted that poor accessibility of vital information in patients' files was affecting acute clinical management. We audited the pro formas over a six week period (n=83) and the Friday ward round (WR) entries for medical inpatients over two weekends (n=84) against the RCP's handover guidance. The results showed poor documentation of several important details on the pro formas, for example, ceiling of care (4%) and past medical history (PMH) (23%). Problem lists were specified on 62% of the WR entries. We designed new handover pro formas and 'Friday WR sheets' to provide prompts for this information and used Medical Meetings and emails to explain the project's aims. Re-audit demonstrated significant improvement in all parameters; for instance, PMH increased to 52% on the pro formas. Only 10% of Friday WR entries used our sheet. However, when used, outcomes were much better, for example, problem list documentation increased to 100%. In conclusion, our interventions improved the provision of crucial information needed to prioritise and manage patients over the weekend. Future work should further highlight the importance of safe handover to all doctors to induce a shift in culture and optimise patient care.

Improving communication at handover and transfer reduces retained swabs in maternity services.

Science.gov (United States)

Lean, Katie; Page, Bethan F; Vincent, Charles

2018-01-01

To reduce the incidence of retained vaginal swabs and near misses. A review of previous retained swab incidents and near misses in a large maternity unit identified handovers and transfers as a key point of vulnerability. Interventions were introduced to improve communication at handover from the delivery suite to theatre and from theatre to the high dependency unit. Process data was collected to monitor compliance. The outcome measures were the incidence of retained swab never events and the incidence of near misses. Chi-squared analysis was used to test the significance of the results. For transfers from delivery suite to theatre, verbal handover significantly increased from 28.8% to 75.6% (ptransfers to theatre post-intervention: in 88 (30.2%) of these transfers a vaginal swab was already in situ. In 70/88 (79.5%) of cases the presence of the swab was communicated to theatre staff in three ways (verbally, written and transfer of opened swab packets) according to the new policy. In the post-intervention period there were 56 women transferred from theatre to the high-dependency unit with a vaginal pack in situ: 52 (92.9%) of these women had a sticker in place serving as a constant reminder of the presence of the vaginal pack to staff. Following a baseline of four near misses in two months, there has been only one near miss in the 15 months since the interventions were implemented, (33.3% vs. 1.1%, pcommunication at handover and transfer can reduce the incidence of retained vaginal swabs and near misses. Further work is needed to raise the profile of swab counting in maternity settings: swab counting needs to be the responsibility of all disciplines, not just the responsibility of theatre staff. Copyright © 2017 The Authors. Published by Elsevier B.V. All rights reserved.

Personal network (PN) applications

DEFF Research Database (Denmark)

Prasad, R.; Skouby, Knud Erik

2005-01-01

The applications of PN will be realised under many scenarios where users can have access to their personal network all the time. This network will enable the user to share critical information, play games, control their home remotely, etc. All this will be achieved with seamless interworking...... and handover between networks and user devices. This paper presents an array of use case scenarios that validates the ubiquitous usage of PN....

Patient-Centered Handovers: Ethnographic Observations of Attending and Resident Physicians: Ethnographic Observations of Attending and Resident Physicians.

Science.gov (United States)

Mount-Campbell, Austin F; Rayo, Michael F; OʼBrien, James J; Allen, Theodore T; Patterson, Emily S

Handover communication improvement initiatives typically employ a "one size fits all" approach. A human factors perspective has the potential to guide how to tailor interventions to roles, levels of experience, settings, and types of patients. We conducted ethnographic observations of sign-outs by attending and resident physicians in 2 medical intensive care units at one institution. Digitally audiotaped data were manually analyzed for content using codes and time spent using box plots for emergent categories. A total of 34 attending and 58 resident physician handovers were observed. Resident physicians spent more time for "soon to be discharged" and "higher concern" patients than attending physicians. Resident physicians spent less time discussing patients which they had provided care for within the last 3 days ("handbacks"). The study suggested differences for how handovers were conducted for attending and resident physicians for 3 categories of patients; handovers differ on the basis of role or level of expertise, patient type, and amount of prior knowledge of the patient. The findings have implications for new directions for subsequent research and for how to tailor quality improvement interventions based upon the role, level of experience, level of prior knowledge, and patient categories.

Design of Optimized Multimedia Data Streaming Management Using OMDSM over Mobile Networks

Directory of Open Access Journals (Sweden)

Byungjoo Park

2017-01-01

Full Text Available Mobility management is an essential challenge for supporting reliable multimedia data streaming over wireless and mobile networks in the Internet of Things (IoT for location-based mobile marketing applications. The communications among mobile nodes for IoT need to have a seamless handover for delivering high quality multimedia services. The Internet Engineering Task Force (IETF mobility management schemes are the proposals for handling the routing of IPv6 packets to mobile nodes that have moved away from their home network. However, the standard mobility management scheme cannot prevent packet losses due to longer handover latency. In this article, a new enhanced data streaming route optimization scheme is introduced that uses an optimized Transmission Control Protocol (TCP realignment algorithm in order to prevent the packet disordering problem whenever the nodes in the IoT environment are communicating with each other. With the proposed scheme, data packets sequence realignment can be prevented, the packet traffic speed can be controlled, and the TCP performance can be improved. The experimental results show that managing the packet order in proposed new scheme remarkably increases the overall TCP performance over mobile networks within the IoT environment thus ensuring the high quality of service (QoS for multimedia data streaming in location-based mobile marketing applications.

REDISTRIBUTION OF BASE STATIONS LOAD IN MOBILE COMMUNICATION NETWORKS

Directory of Open Access Journals (Sweden)

Igor Ruban

2017-09-01

Full Text Available The subject matter of the article is the processes of load distribution in mobile communication networks. The object of research is the handover. The goal is to develop a method for redistributing the load between neighboring areas for mobile nodes. The considered base stations are supposed to have the signal-to-noise ratios that are equal or close. The methods that are used: methods of system analysis, methods of digital signal processing. The following results are obtained. The method that allows mobile nodes, whose signal-to-noise ratios are equal or close, to switch to a less loaded base station. This method allows the base station to launch the handover process enabling more even distribution of the load from mobile nodes among neighboring base stations in wireless and mobile networks. In the suggested modification of the method, the function assessing the bandwidth of the uplink channel is added to the base stations, as well a threshold value for using its bandwidth. Thus, when the current value of bandwidth reaches the threshold, the base station starts sending out a message to all mobile nodes and verifies free neighboring areas for switching over mobile nodes. If there are adjacent areas with a lower load, the base station notifies all potential candidates about the necessity of their switching over. The handover process is launched when the available bandwidth of the base station decreases below a certain threshold. Therefore, it is possible to optimize the operation of the WiMAX network with respect to the criterion of the total bandwidth capacity of the base stations. Besides, the results of the comparative analysis of the handover process in networks based on the WiMAX technology that are obtained using the OpNet simulation environment are presented. Conclusions.The suggested approach can be used to improve the basic software of mobile communication networks. When moving a node from one area to another one in access servers, the

HH-MIP: An Enhancement of Mobile IP by Home Agent Handover

Directory of Open Access Journals (Sweden)

Yang Chun-Chuan

2010-01-01

Full Text Available We propose an enhancement of Mobile IP (MIP called MIP with Home Agent Handover (HH-MIP to enjoy most of the advantages of Route Optimization MIP (ROMIP but with only a small increase of signaling overhead. In HH-MIP, the concept of Temporary HA (THA is proposed and the mobile host (MH registers the new CoA with its THA rather than its original HA. Since the THA of an MH is selected to be close to the current location of MH, HH-MIP reduces the handoff latency and shortens the signaling path of registration as well. Moreover, HH-MIP adopts an aggressive approach in selecting THA for an MH, that is, whenever an MH is moving away from its HA or previous THA, the MH triggers the handover of THA. Theoretical analysis demonstrates that the proposed scheme enjoys small handoff latency as well as routing efficiency, and the signaling cost of the proposed scheme is significantly less than that in ROMIP.

Effectiveness of a Littoral Combat Ship as a Major Node in a Wireless Mesh Network

Science.gov (United States)

2017-03-01

responsible for connection management, handover control and measurement control (Scalable Network Technologies, 2014c). The final layer in the LTE ...26 2. Oceus Networks 4G LTE ...32 2. LTE Library .................................................................................32 3

Handover training: does one size fit all? The merits of mass customisation

NARCIS (Netherlands)

Kicken, Wendy; Van der Klink, Marcel; Barach, Paul; Boshuizen, Els

2012-01-01

Kicken, W., Van der Klink, M., Barach, P., & Boshuizen, H. P. A. (2012). Handover training: does one size fit all? The merits of mass customisation. British Medical Journal Quality & Safety, 21, i84-i88. doi:10.1136/bmjqs-2012-001164

Analisis Unjuk Kerja Horizontal Handover Mobile Wimax Mendukung Layanan Mobile TV

Directory of Open Access Journals (Sweden)

Ammatia Risty

2016-05-01

Full Text Available IEEE 802.16e-2005 teknologi mobile WiMAX merupakan salah satu alternatif yang dapat memberikan datarate 15 Mbps yang lebih baik daripada teknologi 3G, WLAN, dan lain-lain. Mobile WiMAX juga memberikan cakupan area yang luas. Oleh karena itu, WiMAX mampu memberikan layanan berbagai macam aplikasi multimedia seperti VoIP, IPTV, Video conferencing. dan aplikasi real-time lainnya. Selain itu, Mobile WiMAX juga mendukung mobility secara portable, mobile, dan nomadic. Saat ini IPTV muncul pada mobile phone, yang dinamakan mobile TV dimana layanan IPTV akan dapat diakses dalam keadaan bergerak. Hal itu membutuhkan suatu teknologi yang mendukung mobility namun tetap dapat menerima layanan IPTV dengan baik. Teknologi mobile WiMAX adalah teknologi yang cocok untuk mendukung layanan IPTV khususnya untuk user yang sedang bergerak. Akibat dari user yang bergerak maka memungkinkan user tersebut melakukan handover. Penelitian ini menganalisis parameter unjuk kerja yang mempengaruhi pada mobile TV saat user melakukan  handover  pada jaringan mobile WiMAX seperti jitter, end to end delay, throughput, handover delay dengan skenario perbedaan kecepatan dan perubahan jumlah user dalam satu cakupan area. Berdasarkan hasil simulasi untuk skenario perbedaan kecepatan (maksimum 100 km/jam diperoleh nilai end to end delay sebesar 23.234 ms, jitter sebesar 0.047 ms, throughput sebesar 637.723 Kbps. Sedangkan skenario jumlah user diperoleh nilai end to end delay 27.218 ms, jitter sebesar 0.057 ms, throughput sebesar 558.881 Kbps. Hasil dari kedua skenario menunjukkan bahwa saat kecepatan dan jumlah user naik maka parameter kualitas layanan turun namun masih memenuhi syarat kualitas layanan Mobile TV (IPTV.

Online social support networks.

Science.gov (United States)

Mehta, Neil; Atreja, Ashish

2015-04-01

Peer support groups have a long history and have been shown to improve health outcomes. With the increasing familiarity with online social networks like Facebook and ubiquitous access to the Internet, online social support networks are becoming popular. While studies have shown the benefit of these networks in providing emotional support or meeting informational needs, robust data on improving outcomes such as a decrease in health services utilization or reduction in adverse outcomes is lacking. These networks also pose unique challenges in the areas of patient privacy, funding models, quality of content, and research agendas. Addressing these concerns while creating patient-centred, patient-powered online support networks will help leverage these platforms to complement traditional healthcare delivery models in the current environment of value-based care.

How to improve change of shift handovers and collaborative grounding and what role does the electronic patient record system play? Results of a systematic literature review.

Science.gov (United States)

Flemming, Daniel; Hübner, Ursula

2013-07-01

Establishing continuity of care in handovers at changes of shift is a challenging endeavor that is jeopardized by time pressure and errors typically occurring during synchronous communication. Only if the outgoing and incoming persons manage to collaboratively build a common ground for the next steps of care is it possible to ensure a proper continuation. Electronic systems, in particular electronic patient record systems, are powerful providers of information but their actual use might threaten achieving a common understanding of the patient if they force clinicians to work asynchronously. In order to gain a deeper understanding of communication failures and how to overcome them, we performed a systematic review of the literature, aiming to answer the following four research questions: (1a) What are typical errors and (1b) their consequences in handovers? (2) How can they be overcome by conventional strategies and instruments? (3) electronic systems? (4) Are there any instruments to support collaborative grounding? We searched the databases MEDLINE, CINAHL, and COCHRANE for articles on handovers in general and in combination with the terms electronic record systems and grounding that covered the time period of January 2000 to May 2012. The search led to 519 articles of which 60 were then finally included into the review. We found a sharp increase in the number of relevant studies starting with 2008. As could be documented by 20 studies that addressed communication errors, omission of detailed patient information including anticipatory guidance during handovers was the greatest problem. This deficiency could be partly overcome by structuring and systematizing the information, e.g. according to Situation, Background, Assessment and Recommendation schema (SBAR), and by employing electronic tools integrated in electronic records systems as 23 studies on conventional and 22 articles on electronic systems showed. Despite the increase in quantity and quality of the

Design and implementation of a virtual world training simulation of ICU first hour handover processes.

Science.gov (United States)

Brown, Ross; Rasmussen, Rune; Baldwin, Ian; Wyeth, Peta

2012-08-01

Nursing training for an Intensive Care Unit (ICU) is a resource intensive process. High demands are made on staff, students and physical resources. Interactive, 3D computer simulations, known as virtual worlds, are increasingly being used to supplement training regimes in the health sciences; especially in areas such as complex hospital ward processes. Such worlds have been found to be very useful in maximising the utilisation of training resources. Our aim is to design and develop a novel virtual world application for teaching and training Intensive Care nurses in the approach and method for shift handover, to provide an independent, but rigorous approach to teaching these important skills. In this paper we present a virtual world simulator for students to practice key steps in handing over the 24/7 care requirements of intensive care patients during the commencing first hour of a shift. We describe the modelling process to provide a convincing interactive simulation of the handover steps involved. The virtual world provides a practice tool for students to test their analytical skills with scenarios previously provided by simple physical simulations, and live on the job training. Additional educational benefits include facilitation of remote learning, high flexibility in study hours and the automatic recording of a reviewable log from the session. To the best of our knowledge, we believe this is a novel and original application of virtual worlds to an ICU handover process. The major outcome of the work was a virtual world environment for training nurses in the shift handover process, designed and developed for use by postgraduate nurses in training. Copyright © 2012 Australian College of Critical Care Nurses Ltd. Published by Elsevier Ltd. All rights reserved.

TRACKING VEHICLE IN GSM NETWORK TO SUPPORT INTELLIGENT TRANSPORTATION SYSTEMS

Directory of Open Access Journals (Sweden)

Z. Koppanyi

2012-07-01

Full Text Available The penetration of GSM capable devices is very high, especially in Europe. To exploit the potential of turning these mobile devices into dynamic data acquisition nodes that provides valuable data for Intelligent Transportation Systems (ITS, position information is needed. The paper describes the basic operation principles of the GSM system and provides an overview on the existing methods for deriving location data in the network. A novel positioning solution is presented that rely on handover (HO zone measurements; the zone geometry properties are also discussed. A new concept of HO zone sequence recognition is introduced that involves application of Probabilistic Deterministic Finite State Automata (PDFA. Both the potential commercial applications and the use of the derived position data in ITS is discussed for tracking vehicles and monitoring traffic flow. As a practical cutting edge example, the integration possibility of the technology in the SafeTRIP platform (developed in an EC FP7 project is presented.

Introduction of a Microsoft Excel-based unified electronic weekend handover document in Acute and General Medicine in a DGH: aims, outcomes and challenges.

Science.gov (United States)

Kostelec, Pablo; Emanuele Garbelli, Pietro; Emanuele Garbelli, Pietro

2017-01-01

On-call weekends in medicine can be a busy and stressful time for junior doctors, as they are responsible for a larger pool of patients, most of whom they would have never met. Clinical handover to the weekend team is extremely important and any communication errors may have a profound impact on patient care, potentially even resulting in avoidable harm or death. Several senior clinical bodies have issued guidelines on best practice in written and verbal handover. These include: standardisation, use of pro forma documents prompting doctors to document vital information (such as ceiling of care/resuscitation status) and prioritisation according to clinical urgency. These guidelines were not consistently followed in our hospital site at the onset of 2014 and junior doctors were becoming increasingly dissatisfied with the handover processes. An initial audit of handover documents used across the medical division on two separate weekends in January 2014, revealed high variability in compliance with documentation of key information. For example, ceiling of care was documented for only 14-42% of patients and resuscitation status in 26-72% of patients respectively. Additionally, each ward used their own self-designed pro forma and patients were not prioritised by clinical urgency. Within six months from the introduction of a standardised, hospital-wide weekend handover pro forma across the medical division and following initial improvements to its layout, ceiling of therapy and resuscitation status were documented in approximately 80% of patients (with some minor variability). Moreover, 100% of patients in acute medicine and 75% of those in general medicine were prioritised by clinical urgency and all wards used the same handover pro forma.

Changing Network Support for Drinking: Network Support Project 2-Year Follow-up

Science.gov (United States)

Litt, Mark D.; Kadden, Ronald M.; Kabela-Cormier, Elise; Petry, Nancy M.

2009-01-01

The Network Support Project was designed to determine whether a treatment could lead patients to change their social network from one that supports drinking to one that supports sobriety. This study reports 2-year posttreatment outcomes. Alcohol-dependent men and women (N = 210) were randomly assigned to 1 of 3 outpatient treatment conditions:…

Adaptación de parámetros de handover para reducir transferencias de conexión erróneas en redes inalámbricas heterogéneas de nueva generación

Directory of Open Access Journals (Sweden)

Enrique René Bastidas Puga

2015-01-01

Full Text Available Un objetivo de los sistemas de comunicación móvil de Quinta Generación (5G, es atender el creciente volumen de usuarios y el tráfico de datos. El despliegue de redes heterogéneas (HetNet es una opción que incrementa la capacidad de estos sistemas, pero también la cantidad de procesos de transferencia de servicio ( handover y, con ello, el número de fallas de handover y de handovers ping-pong . Para reducir estas fallas, que deterioran la calidad de servicio de la HetNet, en este trabajo se propone adaptar los parámetros que disparan un handover , tiempo-para-disparo ( TTT y margen-de- handover ( HOM , en función de la relación señal-ruido-interferencia ( SINR . Evaluaciones numéricas muestran que las tasas de fallas de handover y de handovers ping-pong se reducen simultáneamente al adaptar el TTT y HOM con un conocimiento perfecto de valores futuros de SINR , contrario al caso cuando se mantienen constantes, en el que se presenta un compro - miso entre ambas fallas.

Iterative Available Bandwidth Estimation for Mobile Transport Networks

DEFF Research Database (Denmark)

Ubeda Castellanos, Carlos; López Villa, Dimas; Teyeb, Oumer Mohammed

2007-01-01

Available bandwidth estimation has lately been proposed to be used for end-to-end resource management in existing and emerging mobile communication systems, whose transport networks could end up being the bottleneck rather than the air interface. Algorithms for admission control, handover...

Software defined networking to improve mobility management performance

NARCIS (Netherlands)

Karimzadeh Motallebi Azar, Morteza; Sperotto, Anna; Pras, Aiko; Sperotto, Anna; Doyen, Guillaume; Latré, Steven; Charalambides, Marinos; Stiller, Burkhard

2014-01-01

n mobile networks, efficient IP mobility management is a crucial issue for the mobile users changing their mobility anchor points during handover. In this regard several mobility management methods have been proposed. However, those are insufficient for the future mobile Internet in terms of

Velocity-Aware Handover Management in Two-Tier Cellular Networks

KAUST Repository

Arshad, Rabe; Elsawy, Hesham; Sorour, Sameh; Al-Naffouri, Tareq Y.; Alouini, Mohamed-Slim

2017-01-01

by network densification. Hence, user mobility imposes a nontrivial challenge to harvest capacity gains via network densification. In this paper, we propose a velocity-aware HO management scheme for two-tier downlink cellular network to mitigate the HO effect

Minimizing SIP Session Re-Setup Delay over Wireless Link in 3G Handover Scenarios

Directory of Open Access Journals (Sweden)

Moon Bongkyo

2010-01-01

Full Text Available The delay in transmitting SIP messages over the wireless link for session resetup at handover is still major bottleneck for interactive multimedia service. In this paper, a proxy agent-based scheme is proposed to minimize the SIP session setup delay over a wireless link in 3G inter-subnet handover scenarios. This scheme is based on the two characteristics. One is that the major factor of SIP session re-setup delay is generally caused by the retransmissions in the unreliable wireless links, and the other is that most of the fields in request messages as well as response messages are duplicated when a set of SIP messages are exchanged during session re-setup procedure. In this scheme, no change is required in the SIP message processing except for the proxy agents in both BS and MH.

Novel Handover Optimization with a Coordinated Contiguous Carrier Aggregation Deployment Scenario in LTE-Advanced Systems

Directory of Open Access Journals (Sweden)

Ibraheem Shayea

2016-01-01

Full Text Available The carrier aggregation (CA technique and Handover Parameters Optimization (HPO function have been introduced in LTE-Advanced systems to enhance system performance in terms of throughput, coverage area, and connection stability and to reduce management complexity. Although LTE-Advanced has benefited from the CA technique, the low spectral efficiency and high ping-pong effect with high outage probabilities in conventional Carrier Aggregation Deployment Scenarios (CADSs have become major challenges for cell edge User Equipment (UE. Also, the existing HPO algorithms are not optimal for selecting the appropriate handover control parameters (HCPs. This paper proposes two solutions by deploying a Coordinated Contiguous-CADS (CC-CADS and a Novel Handover Parameters Optimization algorithm that is based on the Weight Performance Function (NHPO-WPF. The CC-CADS uses two contiguous component carriers (CCs that have two different beam directions. The NHPO-WPF automatically adjusts the HCPs based on the Weight Performance Function (WPF, which is evaluated as a function of the Signal-to-Interference Noise Ratio (SINR, cell load, and UE’s velocity. Simulation results show that the CC-CADS and the NHPO-WPF algorithm provide significant enhancements in system performance over that of conventional CADSs and HPO algorithms from the literature, respectively. The integration of both solutions achieves even better performance than scenarios in which each solution is considered independently.

Requirements of a new communication technology for handover and the escalation of patient care: a multi-stakeholder analysis.

Science.gov (United States)

Johnston, Maximilian J; King, Dominic; Arora, Sonal; Cooper, Kerri; Panda, Neha Aparajita; Gosling, Rebecca; Singh, Kaushiki; Sanders, Bradley; Cox, Benita; Darzi, Ara

2014-08-01

In order to enable safe and efficient information transfer between health care professionals during clinical handover and escalation of care, existing communication technologies must be updated. This study aimed to provide a user-informed guide for the development of an application-based communication system (ABCS), tailored for use in patient handover and escalation of care. Current methods of inter-professional communication in health care along with information system needs for communication technology were identified through literature review. A focus group study was then conducted according to a topic guide developed by health innovation and safety researchers. Fifteen doctors and 11 nurses from three London hospitals participated in a mixture of homogeneous and heterogeneous sessions. The sessions were recorded and transcribed verbatim before being subjected to thematic analysis. Seventeen information system needs were identified from the literature review. Participants identified six themes detailing user perceptions of current communication technology, attitudes to smartphone technology and anticipated requirements of an application produced for handover and escalation of care. Participants were in favour of an ABCS over current methods and expressed enthusiasm for a system with integrated patient information and group-messaging functions. Despite concerns regarding confidentiality and information governance a robust guide for development and implementation of an ABCS was produced, taking input from multiple stakeholders into account. Handover and escalation of care are vital processes for patient safety and communication within these must be optimized. An ABCS for health care professionals would be a welcome innovation and may lead to improvements in patient safety. © 2014 John Wiley & Sons, Ltd.

Distributed Group-Based Mobility Management Scheme in Wireless Body Area Networks

Directory of Open Access Journals (Sweden)

Moneeb Gohar

2017-01-01

Full Text Available For group-based mobility management in 6LoWPAN-based wireless body area networks (WBAN, some schemes using the Proxy Mobile IPv6 (PMIP have been proposed. However, the existing PMIP-based mobility schemes tend to induce large registration delay and handover delay. To overcome such limitations, we propose a new distributed group-based mobility management scheme, in which the Local Mobility Anchor (LMA function is implemented by each Mobile Access Gateway (MAG and the handover operation is performed between two neighboring MAGs without the help of LMA. Besides, each MAG maintains the information of the group of mobile sensors and aggregates the Authentication-Authorization-Accounting (AAA query messages for a group of mobile sensors as a “single” message to decrease the control overhead. By numerical analysis, it is shown that the proposed scheme can reduce the registration and handover delays, compared to the existing PMIP-based mobility schemes.

Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients

NARCIS (Netherlands)

Smeulers, Marian; Lucas, Cees; Vermeulen, Hester

2014-01-01

An accurate handover of clinical information is of great importance to continuity and safety of care. If clinically relevant information is not shared accurately and in a timely manner it may lead to adverse events, delays in treatment and diagnosis, inappropriate treatment and omission of care.

On the Tradeoff between Performance and Programmability for Software Defined WiFi Networks

Directory of Open Access Journals (Sweden)

Tausif Zahid

2018-01-01

Full Text Available WiFi has become one of the major network access networks due to its simple technical implementation and high-bandwidth provisioning. In this paper, we studied software defined WiFi networks (SDWN against traditional WiFi networks to understand the potential benefits, such as the ability of SDWN to effectively hide the handover delay between access points (AP of the adoption of the SDWN architecture on WiFi networks and identify representative application scenarios where such SDWN approach could bring additional benefits. This study delineated the performance bottlenecks such as the throughput degradation by around 50% compared with the conventional WiFi networks. In addition, our study also shed some insights into performance optimization issues. All of the performance measurements were conducted on a network testbed consisting of a single basic service set (BSS and an extended service set (ESS managed by a single SDN controller deployed with various laboratory settings. Our evaluation included the throughput performance under different traffic loads with different number of nodes and packet sizes for both TCP and UDP traffic flows. Handover delays were measured during the roaming phase between different APs against the traditional WiFi networks. Our results have demonstrated the tradeoff between performance and programmability of software defined APs.

Power Aware Mobility Management of M2M for IoT Communications

Directory of Open Access Journals (Sweden)

Awais Ahmad

2015-01-01

Full Text Available Machine-to-Machine (M2M communications framework is evolving to sustain faster networks with the potential to connect millions of devices in the following years. M2M is one of the essential competences for implementing Internet of Things (IoT. Therefore, various organizations are now focusing on enhancing improvements into their standards to support M2M communications. Thus, Heterogeneous Mobile Ad Hoc Network (HetMANET can normally be considered appropriate for M2M challenges. These challenges incorporated when a mobile node (MN selects a target network in an energy efficient scanning for efficient handover. Therefore, to cope with these constraints, we proposed a vertical handover scheme for handover triggering and selection of an appropriate network. The proposed scheme is composed of two phases. Firstly, the MNs perform handover triggering based on the optimization of the Receive Signal Strength (RSS from an access point/base station (AP/BS. Secondly, the network selection process is performed by considering the cost and energy consumption of a particular application during handover. Moreover, if there are more networks available, then the MN selects the one provided with the highest quality of service (QoS. The decision regarding the selection of available networks is made on three metrics, that is, cost, energy, and data rate. Furthermore, the selection of an AP/BS of the selected network is made on five parameters: delay, jitter, Bit Error Rate (BER, communication cost, and response time. The numerical and experimental results are compared in the context of energy consumption by an MN, traffic management on an AP/BS, and QoS of the available networks. The proposed scheme efficiently optimizes the handoff related parameters, and it shows significant improvement in the existing models used for similar purpose.

Traffic sharing algorithms for hybrid mobile networks

Science.gov (United States)

Arcand, S.; Murthy, K. M. S.; Hafez, R.

1995-01-01

In a hybrid (terrestrial + satellite) mobile personal communications networks environment, a large size satellite footprint (supercell) overlays on a large number of smaller size, contiguous terrestrial cells. We assume that the users have either a terrestrial only single mode terminal (SMT) or a terrestrial/satellite dual mode terminal (DMT) and the ratio of DMT to the total terminals is defined gamma. It is assumed that the call assignments to and handovers between terrestrial cells and satellite supercells take place in a dynamic fashion when necessary. The objectives of this paper are twofold, (1) to propose and define a class of traffic sharing algorithms to manage terrestrial and satellite network resources efficiently by handling call handovers dynamically, and (2) to analyze and evaluate the algorithms by maximizing the traffic load handling capability (defined in erl/cell) over a wide range of terminal ratios (gamma) given an acceptable range of blocking probabilities. Two of the algorithms (G & S) in the proposed class perform extremely well for a wide range of gamma.

[Social networks in drinking behaviors among Japanese: support network, drinking network, and intervening network].

Science.gov (United States)

Yoshihara, Chika; Shimizu, Shinji

2005-10-01

The national representative sample was analyzed to examine the relationship between respondents' drinking practice and the social network which was constructed of three different types of network: support network, drinking network, and intervening network. Non-parametric statistical analysis was conducted with chi square method and ANOVA analysis, due to the risk of small samples in some basic tabulation cells. The main results are as follows: (1) In the support network of workplace associates, moderate drinkers enjoyed much more sociable support care than both nondrinkers and hard drinkers, which might suggest a similar effect as the French paradox. Meanwhile in the familial and kinship network, the more intervening care support was provided, the harder respondents' drinking practice. (2) The drinking network among Japanese people for both sexes is likely to be convergent upon certain types of network categories and not decentralized in various categories. This might reflect of the drinking culture of Japan, which permits people to drink everyday as a practice, especially male drinkers. Subsequently, solitary drinking is not optional for female drinkers. (3) Intervening network analysis showed that the harder the respondents' drinking practices, the more frequently their drinking behaviors were checked in almost all the categories of network. A rather complicated gender double-standard was found in the network of hard drinkers with their friends, particularly for female drinkers. Medical professionals played a similar intervening role for men as family and kinship networks but to a less degree than friends for females. The social network is considerably associated with respondents' drinking, providing both sociability for moderate drinkers and intervention for hard drinkers, depending on network categories. To minimize the risk of hard drinking and advance self-healthy drinking there should be more research development on drinking practice and the social network.

Softward-Defined Networking in Heterogeneous Radio Access Networks

DEFF Research Database (Denmark)

Yu, Hao

2014-01-01

connection due to the change of the assigned IP address. Frequent handovers may force users to perform re - logins or application restarts, which undoubtedly jeopardize the quality of experience. This vertical handover problem will not be trivial as mobility is becomin g a dominant factor in communications...

Stakeholder perspectives on handovers between hospital staff and general practitioners: An evaluation through the microsystems lens

NARCIS (Netherlands)

Gobel, B.; Zwart, D. De; Hesselink, G.J.; Pijnenborg, L.; Barach, P.; Kalkman, C.J.; Johnson, J.K.

2012-01-01

BACKGROUND: Much of the research on improving patient handovers has focused on enhancing communication within the hospital system, but there have been relatively few efforts aimed at addressing the challenges at the interface between the hospital and the primary care setting. METHODS: A qualitative

Firms' innovation benefiting from networking and institutional support

DEFF Research Database (Denmark)

Schøtt, Thomas; Jensen, Kent Wickstrøm

2016-01-01

Firms' networking for innovation is embedded in institutions of society, where national policies are increasingly designed to provide institutional support for firms' networking and thereby benefit innovation. But, globally, what are the quantitative and qualitative effects of institutional support...... for networking and, in turn, for innovation? 68 countries with 18,880 firms were surveyed in the Global Entrepreneurship Monitor, enabling generalization to the firms in the countries around the world. Two-level modeling shows that firms' networking benefits both process and product innovation. Institutional...... support does not significantly affect quantity of networking, but greatly enhances quality of networking in the sense that support for networking in a country enhances the benefits of networking for both process and product innovation. Contrasting low and high support for networking leads to estimating...

Investigation of Load Sharing in Hybrid (2G/3G) Mobile Networks

OpenAIRE

Martynas Stirbys; Karolis Žvinys

2015-01-01

The main purpose of this work is to investigate load sharing methods for 2G/3G cellular networks in order to determine their impact on the network and users. One of the study aims is to analyze the performance of the methods. Moreover the paper provides an overview of the methods circumstances, limitations. Directed Retry and Load Based Handover methods were chosen. Data was obtained from real Lithuanian mobile operator’s network. The paper also discusses the changes in Key Performance Indica...

Support network and social support for children with special health care need

Directory of Open Access Journals (Sweden)

Thaís Araújo Barbosa

2016-02-01

Full Text Available Objective: to understand and identify the support network and social support from the perspective of families of children with chronic conditions. Methods: a qualitative study, with content analysis of 134 records, followed by ten semi-structured interviews. Results: the analysis has revealed that the primary caregiver, the mother, participates in a network of limited support, only with the help of her husband, children, grandparents and the child´s godparents. They also have a social network through a multidisciplinary team, which in some cases is not effective. Conclusion: families have a deficient and limited support network and the demand for care rely only on the support of the husband, grandparents, children, and godparents. Social networking refers to the philanthropic institutions, while the aid of public service, basic health unit is basic.

Lossless Multicast Handovers in Proxy Fast Mobile IPv6 Networks

NARCIS (Netherlands)

Meijerink, Berend Jan; Heijenk, Geert

2015-01-01

There is a demand in the Public Protection and Disaster Relief (PPDR) community for high bandwidth services on mobile devices. Group communication is an important aspect of PPDR networks. In IP based networks multicast is the preferred method to efficiently transmit data to more than one receiver

Investigation of Load Sharing in Hybrid (2G/3G Mobile Networks

Directory of Open Access Journals (Sweden)

Martynas Stirbys

2015-07-01

Full Text Available The main purpose of this work is to investigate load sharing methods for 2G/3G cellular networks in order to determine their impact on the network and users. One of the study aims is to analyze the performance of the methods. Moreover the paper provides an overview of the methods circumstances, limitations. Directed Retry and Load Based Handover methods were chosen. Data was obtained from real Lithuanian mobile operator’s network. The paper also discusses the changes in Key Performance Indicators.

Software-Defined Radio Global System for Mobile Communications Transmitter Development for Heterogeneous Network Vulnerability Testing

Science.gov (United States)

2013-12-01

AbdelWahab, “ 2G / 3G Inter-RAT Handover Performance Analysis,” Second European Conference on Antennas and Propagation, pp. 1, 8, 11–16, Nov. 2007. [19] J...RADIO GLOBAL SYSTEM FOR MOBILE COMMUNICATIONS TRANSMITTER DEVELOPMENT FOR HETEROGENEOUS NETWORK VULNERABILITY TESTING by Carson C. McAbee... MOBILE COMMUNICATIONS TRANSMITTER DEVELOPMENT FOR HETEROGENEOUS NETWORK VULNERABILITY TESTING 5. FUNDING NUMBERS 6. AUTHOR(S) Carson C. McAbee

Cooperative and supportive neural networks

International Nuclear Information System (INIS)

Sree Hari Rao, V.; Raja Sekhara Rao, P.

2007-01-01

This Letter deals with the concepts of co-operation and support among neurons existing in a network which contribute to their collective capabilities and distributed operations. Activational dynamical properties of these networks are discussed

Virtualized cognitive network architecture for 5G cellular networks

KAUST Repository

Elsawy, Hesham

2015-07-17

Cellular networks have preserved an application agnostic and base station (BS) centric architecture1 for decades. Network functionalities (e.g. user association) are decided and performed regardless of the underlying application (e.g. automation, tactile Internet, online gaming, multimedia). Such an ossified architecture imposes several hurdles against achieving the ambitious metrics of next generation cellular systems. This article first highlights the features and drawbacks of such architectural ossification. Then the article proposes a virtualized and cognitive network architecture, wherein network functionalities are implemented via software instances in the cloud, and the underlying architecture can adapt to the application of interest as well as to changes in channels and traffic conditions. The adaptation is done in terms of the network topology by manipulating connectivities and steering traffic via different paths, so as to attain the applications\\' requirements and network design objectives. The article presents cognitive strategies to implement some of the classical network functionalities, along with their related implementation challenges. The article further presents a case study illustrating the performance improvement of the proposed architecture as compared to conventional cellular networks, both in terms of outage probability and handover rate.

Performance Analysis of Quality-of-Service Controls in a Cell-Cluster-Based Wireless ATM Network

Energy Technology Data Exchange (ETDEWEB)

Cho, Young Jong [Ajou University, Suwon (Korea, Republic of)

1997-04-01

In this paper, an efficient cell-cluster-based call control scheme with guaranteed quality-of-service(QoS) provision ing is presented for next generation wireless ATM networks and its performance is mathematically analyzed using the open queuing network. With the cell-cluster-based call control, at the time a mobile connection is admitted to the network, a virtual cell is constructed by choosing a group of neighboring base stations to which the call may probabilistic ally hand over and by assigning to the call a collection of virtual paths between the base stations. Within a micro cell/pico cell environment, it is seen that the cell-cluster-based call control can support effectively a very high rate of handovers, provides very high system capacity, and guarantees a high degree of frequency reuse over the same geographical region without requiring the intervention of the network call control processor each time a handover occurs. But since mobiles, once admitted, are free to roam within the virtual cell, congestion condition occurs in which the number of calls to be handled by one base station exceeds the cell sites` capacity of radio channel and consequently a predefined QoS provision cannot be guaranteed. So, there must be a call admission control function to limit the number of calls existing in a cell-cluster such that required QoS objectives are met. As call acceptance criteria for constant-bit-rate or realtime variable-bit-rate ATM connections, we define four mobile QoS metrics: new-call blocking probability, wireless channel utilization efficiency, congestion probability and normalized average congestion duration. In addition, for QoS provision ing to available-bit-rate, unspecified-bit-rate or non-realtime variable-bit-rate connections, we further define another QoS metric, the minimum threshold breaking probability. By using the open network queuing model, we derive closed form expressions for the five QoS metrics defined above and show that they can be

Mobility Performance in Slow- and High-Speed LTE Real Scenarios

DEFF Research Database (Denmark)

Gimenez, Lucas Chavarria; Cascino, Maria Carmela; Stefan, Maria

2016-01-01

Mobility performance and handover data interruption times in real scenarios are studied by means of field measurements in an operational LTE network. Both slow- and high-speed scenarios are analyzed by collecting results from two different areas: Aalborg downtown and the highway which encircles...... in the city center as cells on the same site often cover different non-crossing street canyons. Moreover, no handover failures are experienced in the measurements which confirms robust LTE mobility performance. The average interruption time, which is at least equal to the handover execution time, lays within...... the same city. Measurements reveal that the terminal is configured by the network with different handover parametrization depending on the serving cell, which indicates the use of mobility robustness optimization. Although the network is dominated by three sector sites, no intra-site handovers are observed...

Mobility enhancements for LTE-Advanced Multilayer Networks with Inter-Site Carrier Aggregation

DEFF Research Database (Denmark)

Pedersen, Klaus I.; Michaelsen, Per Henrik; Rosa, Claudio

2013-01-01

In this article we first summarize some of the most recent HetNet mobility studies for LTE-Advanced, and use these to highlight the challenges that should be further addressed in theresearch community. A state-of-the-art HetNet scenario with macros and small cells deployed on different carriers...... decide small cell addition, removal, and change without any explicit signaling of Measurement events to the network or any signaling of hand-over commands from the network. Hence, the proposed solution effectively offloads the network from having to perform frequent small cell handoff decisions...

Network Regulation and Support Schemes

DEFF Research Database (Denmark)

Ropenus, Stephanie; Schröder, Sascha Thorsten; Jacobsen, Henrik

2009-01-01

-in tariffs to market-based quota systems, and network regulation approaches, comprising rate-of-return and incentive regulation. National regulation and the vertical structure of the electricity sector shape the incentives of market agents, notably of distributed generators and network operators......At present, there exists no explicit European policy framework on distributed generation. Various Directives encompass distributed generation; inherently, their implementation is to the discretion of the Member States. The latter have adopted different kinds of support schemes, ranging from feed....... This article seeks to investigate the interactions between the policy dimensions of support schemes and network regulation and how they affect the deployment of distributed generation. Firstly, a conceptual analysis examines how the incentives of the different market agents are affected. In particular...

Supporting networks for realizing rights

DEFF Research Database (Denmark)

Wilson, Fiona

2005-01-01

The chapter explores how DFID, the British bi-lateral aid donor, adopted an innovative rights' based approach that rested on supporting in existing networks in Peru. Focus is put on the history and challenges of DFID's engagement with three networks in particular: in the fields of health, local...

Network support for e-Science in Latin America

International Nuclear Information System (INIS)

Stanton, M.; Macahdo, I.; Faerman, M.; Moura, A. L.

2007-01-01

Computer networks in Latin America have connected scientists in the region to their peers in other parts of the world since 1986. Starting with the creation of Internet2 in 1996, a new global research network has been extended throughout the world, providing communications infrastructure for large-scale international scientific collaboration. With the creation of the RedCLARA network and its links to Europe and the US between 2004 and 2005, this global network reached the majority of Latin America countries, setting the stage for much closer collaboration between scientists in Latin America and their counterparts in other countries. In this article we describe the development of the research networking infrastructure currently available within the region together with its inter-regional connections, and how this infrastructure is being used for support of e-science. Particular attention is given to the role of the national research and education networks (NRENs) in the region, and of their association, CLARA, in providing networking support for e-science projects. CLARA and Latin American NRENs are active partners in the EU-supported EELA and RINGrid projects, and also are making significant supporting contributions to the success of other international projects with Latin American partners, in fields such as High-Energy Physics, Astronomy and Astrophysics and Space Geodesy, to single out the early adopters of advanced networking technologies. These contributions are described in the article. The article concludes describing future trends in networking infrastructure in the region, in order to meet foreseeable demands for e-science support. These include the widespread adoption of optical networking and support for grid-based applications, as well as the provisioning of significantly higher international bandwidth to meet the declared needs for international collaboration in a number of fields including those mentioned above. (Author)

Comparison of Available Bandwidth Estimation Techniques in Packet-Switched Mobile Networks

DEFF Research Database (Denmark)

López Villa, Dimas; Ubeda Castellanos, Carlos; Teyeb, Oumer Mohammed

2006-01-01

The relative contribution of the transport network towards the per-user capacity in mobile telecommunication systems is becoming very important due to the ever increasing air-interface data rates. Thus, resource management procedures such as admission, load and handover control can make use...... of information regarding the available bandwidth in the transport network, as it could end up being the bottleneck rather than the air interface. This paper provides a comparative study of three well known available bandwidth estimation techniques, i.e. TOPP, SLoPS and pathChirp, taking into account...

An overview of educational interventions to improve healthcare providers´ handover skills in transition of patients between health care settings

DEFF Research Database (Denmark)

Bøje, Rikke Buus; Ludvigsen, Mette Spliid

2017-01-01

OBJECTIVES: The objective of this scoping review is to identify, organize and present existing literature on training interventions on handovers for healthcare professionals to highlight the existing gaps in evidence to inform future research in this field. More specifically the objectives are to....

IP access networks with QoS support

Science.gov (United States)

Sargento, Susana; Valadas, Rui J. M. T.; Goncalves, Jorge; Sousa, Henrique

2001-07-01

The increasing demand of new services and applications is pushing for drastic changes on the design of access networks targeted mainly for residential and SOHO users. Future access networks will provide full service integration (including multimedia), resource sharing at the packet level and QoS support. It is expected that using IP as the base technology, the ideal plug-and-play scenario, where the management actions of the access network operator are kept to a minimum, will be achieved easily. This paper proposes an architecture for access networks based on layer 2 or layer 3 multiplexers that allows a number of simplifications in the network elements and protocols (e.g. in the routing and addressing functions). We discuss two possible steps in the evolution of access networks towards a more efficient support of IP based services. The first one still provides no QoS support and was designed with the goal of reusing as much as possible current technologies; it is based on tunneling to transport PPP sessions. The second one introduces QoS support through the use of emerging technologies and protocols. We illustrate the different phases of a multimedia Internet access session, when using SIP for session initiation, COPS for the management of QoS policies including the AAA functions and RSVP for resource reservation.

AN OVERVIEW OF UMTS AND WIMAX NETWORKS INTEGRATION

Directory of Open Access Journals (Sweden)

Dewi Wirastuti

2010-12-01

Full Text Available This paper gives an overview of the network integration of UMTS (Universal Mobile TelecommunicationSystem with WiMAX (Wordwide Interoperability of Microwave Access. A few proposed interworking solutionsand seamless integration of both networks are explained. The best architecture and key procedures that will enablethe integration both networks and handover mechanism for the seamless mobility are presented. Considering thetrend of the current network evolution, which is the convergence between the telecommunications and broadcastworlds, an integration of mobile WiMAX with present 2G, 2.5G or 3G accesses into a homogeneous architecturegoes a long way to achieve the reality of mobile broadband networks. With the advent of mobile WiMAX, a mobilebroadband wireless access solution and based on all-IP (Internet Protocol based OFDMA (Orthogonal FrequencyDivision Multiple Access technology, an UMTS-WiMAX

Physiological and subjective evaluation of a human-robot object hand-over task.

Science.gov (United States)

Dehais, Frédéric; Sisbot, Emrah Akin; Alami, Rachid; Causse, Mickaël

2011-11-01

In the context of task sharing between a robot companion and its human partners, the notions of safe and compliant hardware are not enough. It is necessary to guarantee ergonomic robot motions. Therefore, we have developed Human Aware Manipulation Planner (Sisbot et al., 2010), a motion planner specifically designed for human-robot object transfer by explicitly taking into account the legibility, the safety and the physical comfort of robot motions. The main objective of this research was to define precise subjective metrics to assess our planner when a human interacts with a robot in an object hand-over task. A second objective was to obtain quantitative data to evaluate the effect of this interaction. Given the short duration, the "relative ease" of the object hand-over task and its qualitative component, classical behavioral measures based on accuracy or reaction time were unsuitable to compare our gestures. In this perspective, we selected three measurements based on the galvanic skin conductance response, the deltoid muscle activity and the ocular activity. To test our assumptions and validate our planner, an experimental set-up involving Jido, a mobile manipulator robot, and a seated human was proposed. For the purpose of the experiment, we have defined three motions that combine different levels of legibility, safety and physical comfort values. After each robot gesture the participants were asked to rate them on a three dimensional subjective scale. It has appeared that the subjective data were in favor of our reference motion. Eventually the three motions elicited different physiological and ocular responses that could be used to partially discriminate them. Copyright © 2011 Elsevier Ltd and the Ergonomics Society. All rights reserved.

Efficient Mobility Management Signalling in Network Mobility Supported PMIPV6.

Science.gov (United States)

Samuelraj, Ananthi Jebaseeli; Jayapal, Sundararajan

2015-01-01

Proxy Mobile IPV6 (PMIPV6) is a network based mobility management protocol which supports node's mobility without the contribution from the respective mobile node. PMIPV6 is initially designed to support individual node mobility and it should be enhanced to support mobile network movement. NEMO-BSP is an existing protocol to support network mobility (NEMO) in PMIPV6 network. Due to the underlying differences in basic protocols, NEMO-BSP cannot be directly applied to PMIPV6 network. Mobility management signaling and data structures used for individual node's mobility should be modified to support group nodes' mobility management efficiently. Though a lot of research work is in progress to implement mobile network movement in PMIPV6, it is not yet standardized and each suffers with different shortcomings. This research work proposes modifications in NEMO-BSP and PMIPV6 to achieve NEMO support in PMIPV6. It mainly concentrates on optimizing the number and size of mobility signaling exchanged while mobile network or mobile network node changes its access point.

Efficient Mobility Management Signalling in Network Mobility Supported PMIPV6

Directory of Open Access Journals (Sweden)

Ananthi Jebaseeli Samuelraj

2015-01-01

Full Text Available Proxy Mobile IPV6 (PMIPV6 is a network based mobility management protocol which supports node’s mobility without the contribution from the respective mobile node. PMIPV6 is initially designed to support individual node mobility and it should be enhanced to support mobile network movement. NEMO-BSP is an existing protocol to support network mobility (NEMO in PMIPV6 network. Due to the underlying differences in basic protocols, NEMO-BSP cannot be directly applied to PMIPV6 network. Mobility management signaling and data structures used for individual node’s mobility should be modified to support group nodes’ mobility management efficiently. Though a lot of research work is in progress to implement mobile network movement in PMIPV6, it is not yet standardized and each suffers with different shortcomings. This research work proposes modifications in NEMO-BSP and PMIPV6 to achieve NEMO support in PMIPV6. It mainly concentrates on optimizing the number and size of mobility signaling exchanged while mobile network or mobile network node changes its access point.

Mobility-Aware User Association in Uplink Cellular Networks

KAUST Repository

Arshad, Rabe; Elsawy, Hesham; Sorour, Sameh; Alouini, Mohamed-Slim; Al-Naffouri, Tareq Y.

2017-01-01

This letter studies the mobility aware user-to-BS association policies, within a stochastic geometry framework, in two tier uplink cellular networks with fractional channel inversion power control. Particularly, we model the base stations’ locations using the widely accepted poisson point process and obtain the coverage probability and handover cost expressions for the coupled and decoupled uplink and downlink associations. To this end, we compute the average throughput for the mobile users and study the merits and demerits of each association strategy.

Mobility-Aware User Association in Uplink Cellular Networks

KAUST Repository

Arshad, Rabe

2017-07-20

This letter studies the mobility aware user-to-BS association policies, within a stochastic geometry framework, in two tier uplink cellular networks with fractional channel inversion power control. Particularly, we model the base stations’ locations using the widely accepted poisson point process and obtain the coverage probability and handover cost expressions for the coupled and decoupled uplink and downlink associations. To this end, we compute the average throughput for the mobile users and study the merits and demerits of each association strategy.

POLLING AND DUAL-LEVEL TRAFFIC ANALYSIS FOR IMPROVED DOS DETECTION IN IEEE 802.21 NETWORKS

Directory of Open Access Journals (Sweden)

Nygil Alex Vadakkan

2014-06-01

Full Text Available The IEEE 802.21 standard was developed for communication of devices in a heterogeneous environment which included greater support for handoffs. This paper focuses on the denial of service (DoS vulnerabilities faced by such Media Independent Handover (MIH networks & various effective countermeasures that can be deployed to prevent their impact on such heterogeneous networks. The use of polling mechanism coupled with real time as well as offline traffic analysis can keep a good number of attacks at bay. The use of offline traffic analysis is to use the model and compare it with a lighter model and see if any of the excluded features in the lighter model have had suspicious variations which could be a varied form of DoS attack or an attack that is completely new. The countermeasures that have been developed also allows for the increase in efficiency of data transfer as well as higher rates of success in handoffs.

Handoff mechanisms in LTE networks

Science.gov (United States)

Lal, Preeti; Yamini, Vidhu; Mohammed, V. Noor

2017-11-01

In this paper, we have analysed and studied the handoff mechanism in Long Term Evaluation (LTE) network. A LTE network has been defined with a set number of macro-cells, micro-cells and mobile devices. In this handoff mechanism distance and speed has been considered as an important parameters. The speed has been detected using the Gauss Markov Mobility Model, and from that distances have been predicted at different instances. In the handover process, Received Signal Power (RSP) for various users has been calculated with respect to base stations at various time intervals and the path loss between transmitter and receiver. A comparative study between path loss models is done in order to improve the signal power. A detailed study has been done on unnecessary handoff probability and handoff failure probability. Simulation results shows that there is an improvement in performance of the above mentioned parameters in the defined network.

Supporting Scientific Research with the Energy Sciences Network

CERN Multimedia

CERN. Geneva; Monga, Inder

2016-01-01

The Energy Sciences Network (ESnet) is a high-performance, unclassified national network built to support scientific research. Funded by the U.S. Department of Energy’s Office of Science (SC) and managed by Lawrence Berkeley National Laboratory, ESnet provides services to more than 40 DOE research sites, including the entire National Laboratory system, its supercomputing facilities, and its major scientific instruments. ESnet also connects to 140 research and commercial networks, permitting DOE-funded scientists to productively collaborate with partners around the world. ESnet Division Director (Interim) Inder Monga and ESnet Networking Engineer David Mitchell will present current ESnet projects and research activities which help support the HEP community. ESnet  helps support the CERN community by providing 100Gbps trans-Atlantic network transport for the LHCONE and LHCOPN services. ESnet is also actively engaged in researching connectivity to cloud computing resources for HEP workflows a...

Construct Validation of Wenger's Support Network Typology.

Science.gov (United States)

Szabo, Agnes; Stephens, Christine; Allen, Joanne; Alpass, Fiona

2016-10-07

The study aimed to validate Wenger's empirically derived support network typology of responses to the Practitioner Assessment of Network Type (PANT) in an older New Zealander population. The configuration of network types was tested across ethnic groups and in the total sample. Data (N = 872, Mage = 67 years, SDage = 1.56 years) from the 2006 wave of the New Zealand Health, Work and Retirement study were analyzed using latent profile analysis. In addition, demographic differences among the emerging profiles were tested. Competing models were evaluated based on a range of fit criteria, which supported a five-profile solution. The "locally integrated," "community-focused," "local self-contained," "private-restricted," and "friend- and family-dependent" network types were identified as latent profiles underlying the data. There were no differences between Māori and non-Māori in final profile configurations. However, Māori were more likely to report integrated network types. Findings confirm the validity of Wenger's network types. However, the level to which participants endorse accessibility of family, frequency of interactions, and community engagement can be influenced by sample and contextual characteristics. Future research using the PANT items should empirically verify and derive the social support network types, rather than use a predefined scoring system. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Distributed Data Networks That Support Public Health Information Needs.

Science.gov (United States)

Tabano, David C; Cole, Elizabeth; Holve, Erin; Davidson, Arthur J

Data networks, consisting of pooled electronic health data assets from health care providers serving different patient populations, promote data sharing, population and disease monitoring, and methods to assess interventions. Better understanding of data networks, and their capacity to support public health objectives, will help foster partnerships, expand resources, and grow learning health systems. We conducted semistructured interviews with 16 key informants across the United States, identified as network stakeholders based on their respective experience in advancing health information technology and network functionality. Key informants were asked about their experience with and infrastructure used to develop data networks, including each network's utility to identify and characterize populations, usage, and sustainability. Among 11 identified data networks representing hundreds of thousands of patients, key informants described aggregated health care clinical data contributing to population health measures. Key informant interview responses were thematically grouped to illustrate how networks support public health, including (1) infrastructure and information sharing; (2) population health measures; and (3) network sustainability. Collaboration between clinical data networks and public health entities presents an opportunity to leverage infrastructure investments to support public health. Data networks can provide resources to enhance population health information and infrastructure.

Digital Handover of Data from Building Projects to Building Operation

DEFF Research Database (Denmark)

Jensen, Per Anker

2006-01-01

pro-jects to building operation. This project started in 2004 with research and analyses fol-lowed by development of a proposal for client requirements and in 2005 a first test on a real construction project has been carried out. After revision of the requirements a second test will be started early...... and construction and on the other side in building opera-tion and facilities management. In Denmark the government has launched a development program called Digital Construction and one of the projects concerns specifying require-ments for building clients in relation to digital handover of data from construction...... by a consortium called DACaPo consisting of a building client/facilities manager, a consulting company, a contractor and a university institute. This paper presents some of the results from the project with the main focus on the initial research....

Networking to improve end of life care

Science.gov (United States)

2009-01-01

Network organisations are increasingly common in healthcare. This paper describes an example of clinically led networking, which improved end of life care (EOLC) in care homes, differentiating between a ‘network’ as a formal entity and the more informal process of ‘networking’. The paper begins with a brief discussion of networks and their development in healthcare, then an overview of EOLC policy, the case setting and methods. The paper describes four key features of this networking; (1) how it enabled discussions and implemented processes to help people address difficult taboos about dying; (2) how personal communication and ‘distributed leadership’ facilitated learning; (3) how EOLC occasionally lapsed during the handover of patient care, where personal relationship and communication were weaker; and (4) how successful learning and sharing of best practice was fragile and could be potentially undermined by wider financial pressures in the NHS. PMID:25949588

Novel Approaches to Enhance Mobile WiMAX Security

Directory of Open Access Journals (Sweden)

Taeshik Shon

2010-01-01

Full Text Available The IEEE 802.16 Working Group on Broadband Wireless Access Standards released IEEE 802.16-2004 which is a standardized technology for supporting broadband and wireless communication with fixed and nomadic access. After the IEEE 802.16-2004 standard, a new advanced and revised standard was released as the IEEE 802.16e-2005 amendment which is foundation of Mobile WiMAX network supporting handover and roaming capabilities. In the area of security aspects, compared to IEEE 802.16-2004, IEEE 802.16e, called Mobile WiMAX, adopts improved security architecture—PKMv2 which includes EAP authentication, AES-based authenticated encryption, and CMAC or HMAC message protection. However, there is no guarantee that PKMv2-based Mobile WiMAX network will not have security flaws. In this paper, we investigate the current Mobile WiMAX security architecture focusing mainly on pointing out new security vulnerabilities such as a disclosure of security context in network entry, a lack of secure communication in network domain, and a necessity of efficient handover supporting mutual authentication. Based on the investigation results, we propose a novel Mobile WiMAX security architecture, called RObust and Secure MobilE WiMAX (ROSMEX, to prevent the new security vulnerabilities.

Should government support business angel networks? The tale of Danish business angels network

DEFF Research Database (Denmark)

Christensen, Jesper Lindgaard

2011-01-01

. This article discusses the possible rationale for governments to support BANs and what criteria to apply when evaluating such networks. The article is based on an in-depth observation study of the whole life cycle of a national BAN – the Danish Business Angel Network (DBAN) – and a comparison with a similar......Policies promoting informal venture capital generally and business angel networks (BANs) in particular have gained increased attention in recent years. As a consequence, BANs are now widespread across Europe. However, there continues to be a debate whether BANs should be supported with public money...... whether to provide continuing support to BANs they should evaluate not only their immediate effectiveness but also whether BANs should be considered a part of the general small business support infrastructure....

Fiber-wireless convergence in next-generation communication networks systems, architectures, and management

CERN Document Server

Chang, Gee-Kung; Ellinas, Georgios

2017-01-01

This book investigates new enabling technologies for Fi-Wi convergence. The editors discuss Fi-Wi technologies at the three major network levels involved in the path towards convergence: system level, network architecture level, and network management level. The main topics will be: a. At system level: Radio over Fiber (digitalized vs. analogic, standardization, E-band and beyond) and 5G wireless technologies; b. Network architecture level: NGPON, WDM-PON, BBU Hotelling, Cloud Radio Access Networks (C-RANs), HetNets. c. Network management level: SDN for convergence, Next-generation Point-of-Presence, Wi-Fi LTE Handover, Cooperative MultiPoint. • Addresses the Fi-Wi convergence issues at three different levels, namely at the system level, network architecture level, and network management level • Provides approaches in communication systems, network architecture, and management that are expected to steer the evolution towards fiber-wireless convergence • Contributions from leading experts in the field of...

A Distributed Approach towards Improved Dissemination Protocol for Smooth Handover in MediaSense IoT Platform

Directory of Open Access Journals (Sweden)

Shabir Ahmad

2018-05-01

Full Text Available Recently, the Internet has been utilized by many applications to convey time-sensitive messages. The persistently expanding Internet coverage and its easy accessibility have offered to ascend to a problem which was once regarded as not essential to contemplate. Nowadays, the Internet has been utilized by many applications to convey time-sensitive messages. Wireless access points have widely been used but these access points have limitations regarding area coverage. So for covering a wider space, various access points need to be introduced. Therefore, when the user moves to some other place, the devices expected to switch between access points. Packet loss amid the handovers is a trivial issue. MediaSense is an Internet of Things distributed architecture enabling the development of the IoT application faster. It deals with this trivial handover issue by utilizing a protocol called Distributed Context eXchange Protocol. However, this protocol is centralized in nature and also suffers in a scenario when both sender and receiver address change simultaneously. This paper presents a mechanism to deal with this scenario and presents a distributed solution to deal with this issue within the MediaSense platform. The proposed protocol improves dissemination using retransmission mechanism to diminish packet loss. The proposed protocol has been delineated with a proof of concept chat application and the outcomes have indicated a significant improvement in terms of packet loss.

Social relations: network, support and relational strain

DEFF Research Database (Denmark)

Due, P; Holstein, B; Lund, Rikke

1999-01-01

We introduce a conceptual framework with social relations as the main concept and the structure and the function of social relations as subconcepts. The structure of social relations covers aspects of formal relations and social network. The function of social relations covers social support......,011. The postal questionnaires were answered by a random sample in each of the age groups. The results show marked age and gender differences in both the structure and the function of social relations. The social network, measured as weekly contacts, weakens with age and so does instrumental support. Emotional...... support is unrelated to this decline in contact frequency and appears to be at the same level for younger and older individuals. Relational strain, measured as conflicts, declines with age for all kinds of social relations. The weakening of the social network with age does not seem to affect the level...

Using Network Science to Support Design Research

DEFF Research Database (Denmark)

Parraguez Ruiz, Pedro; Maier, Anja

2016-01-01

and societal impact. This chapter contributes to the use of network science in empirical studies of design organisations. It focuses on introducing a network-based perspective on the design process and in particular on making use of network science to support design research and practice. The main contribution...... of this chapter is an overview of the methodological challenges and core decision points when embarking on network-based design research, namely defining the overall research purpose and selecting network features. We furthermore highlight the potential for using archival data, the opportunities for navigating...

Social networks, support and early psychosis: a systematic review.

Science.gov (United States)

Gayer-Anderson, C; Morgan, C

2013-06-01

Background. There is strong evidence that those with a long-standing psychotic disorder have fewer social contacts and less social support than comparison groups. There is less research on the extent of social contacts and support prior to or at the onset of psychosis. In the light of recent evidence implicating a range of social experiences and contexts at the onset of psychosis, it is relevant to establish whether social networks and support diminished before or at the time of onset and whether the absence of such supports might contribute to risk, either directly or indirectly. We, therefore, conducted a systematic review of this literature to establish what is currently known about the relationship between social networks, support and early psychosis. Methods. We identified all studies investigating social networks and support in first episode psychosis samples and in general population samples with measures of psychotic experiences or schizotype by conducting systematic searches of electronic databases using pre-defined search terms and criteria. Findings were synthesized using non-quantitative approaches. Results. Thirty-eight papers were identified that met inclusion criteria. There was marked methodological heterogeneity, which limits the capacity to draw direct comparisons. Nonetheless, the existing literature suggests social networks (particularly close friends) and support diminished both among first episode samples and among non-clinical samples reporting psychotic experiences or with schizotype traits, compared with varying comparison groups. These differences may be more marked for men and for those from minority ethnic populations. Conclusions. Tentatively, reduced social networks and support appear to pre-date onset of psychotic disorder. However, the substantial methodological heterogeneity among the existing studies makes comparisons difficult and suggests a need for more robust and comparable studies on networks, support and early psychosis.

Pre-Authentication Schemes for UMTS-WLAN Interworking

Directory of Open Access Journals (Sweden)

Ali Al Shidhani

2009-01-01

Full Text Available Interworking Universal Mobile Telecommunication System (UMTS and IEEE 802.11 Wireless Local Area Networks (WLANs introduce new challenges including the design of secured and fast handover protocols. Handover operations within and between networks must not compromise the security of the networks involved. In addition, handovers must be instantaneous to sustain the quality of service (QoS of the applications running on the User Equipment (UE. There is a need to design fast and secured handover protocols to operate in UMTS-WLAN interworking architectures. This paper proposes two secured pre-authentication protocols in the UMTS-WLAN interworking architectures. Performance analysis of the proposed protocols show superior results in comparison to existing protocols in terms of authentication signaling cost, authentication delay and load on critical nodes involved in the authentication procedure. Additionally, the security of the proposed protocols was verified by the Automated Validation of Internet Security Protocols and Applications (AVISPA security analyzer.

Real-time video streaming in mobile cloud over heterogeneous wireless networks

Science.gov (United States)

Abdallah-Saleh, Saleh; Wang, Qi; Grecos, Christos

2012-06-01

Recently, the concept of Mobile Cloud Computing (MCC) has been proposed to offload the resource requirements in computational capabilities, storage and security from mobile devices into the cloud. Internet video applications such as real-time streaming are expected to be ubiquitously deployed and supported over the cloud for mobile users, who typically encounter a range of wireless networks of diverse radio access technologies during their roaming. However, real-time video streaming for mobile cloud users across heterogeneous wireless networks presents multiple challenges. The network-layer quality of service (QoS) provision to support high-quality mobile video delivery in this demanding scenario remains an open research question, and this in turn affects the application-level visual quality and impedes mobile users' perceived quality of experience (QoE). In this paper, we devise a framework to support real-time video streaming in this new mobile video networking paradigm and evaluate the performance of the proposed framework empirically through a lab-based yet realistic testing platform. One particular issue we focus on is the effect of users' mobility on the QoS of video streaming over the cloud. We design and implement a hybrid platform comprising of a test-bed and an emulator, on which our concept of mobile cloud computing, video streaming and heterogeneous wireless networks are implemented and integrated to allow the testing of our framework. As representative heterogeneous wireless networks, the popular WLAN (Wi-Fi) and MAN (WiMAX) networks are incorporated in order to evaluate effects of handovers between these different radio access technologies. The H.264/AVC (Advanced Video Coding) standard is employed for real-time video streaming from a server to mobile users (client nodes) in the networks. Mobility support is introduced to enable continuous streaming experience for a mobile user across the heterogeneous wireless network. Real-time video stream packets

Support network of adolescents with chronic disease: adolescents' perspective.

Science.gov (United States)

Kyngäs, Helvi

2004-12-01

The purpose of this study was to describe the support network of adolescents with a chronic disease from their own perspective. Data were collected by interviewing adolescents with asthma, epilepsy, juvenile rheumatoid arthritis (JRA) and insulin-dependent diabetes mellitus (IDDM). The sample consisted of 40 adolescents aged between 13 and 17 years. Interview data were examined using content analysis. Six main categories were established to describe the support network of adolescents with a chronic disease: parents, peers, school, health care providers, technology and pets. Peers were divided into two groups: fellow sufferers and peers without a chronic disease. At school, teachers, school nurses and classmates were part of the support network. Health care providers included nurses, physicians and physiotherapists. Technology was also part of the support network and included four techniques that may be used to communicate: computers, mobile telephones, television and videos. The results provided a useful insight into the social network of adolescents with chronic disease and serve to raise awareness of the problems and opinions experienced by adolescents with this condition.

The STAR ESL, electronic shift and handover log

Energy Technology Data Exchange (ETDEWEB)

Hajdu, L; Lauret, J, E-mail: lbhajdu@bnl.gov

2008-07-01

Keeping a clear and accurate experiment log is important for any scientific experiment. The concept is certainly not new but keeping accurate while useful records for a Nuclear Physics experiment such as the Solenoidal Tracker at the Relativistic Heavy Ion Collider (STAR at RHIC) is not a priori a simple matter - STAR operates 24 hours a day for six months out of the year with more than 24 shift crews operating 16 different subsystems (some located remotely). To meet the challenge of not only logging the information but passing it in a concise manner from one shift to another, the STAR experiment has designed an Electronic Shift-Log (ESL), a flexible application written in Java and interfacing with the Data Acquisition tools, Quality Assurance reporting, Online shift crews or remote personnel and experts as well as including features such as shift change-over (or handover) forms, tailored to the sub-group of interest. We will present an overview of STAR's Electronic Log, a system that is clear, reliable, safe, consistent, easy to use and globally viewable in real time with secure connections.

Social networks as ICT collaborative and supportive learning media ...

African Journals Online (AJOL)

... ICT collaborative and supportive learning media utilisation within the Nigerian educational system. The concept of ICT was concisely explained vis-à-vis the social network concept, theory and collaborative and supportive learning media utilisation. Different types of social network are highlighted among which Facebook, ...

Implementing e-network-supported inquiry learning in science

DEFF Research Database (Denmark)

Williams, John; Cowie, Bronwen; Khoo, Elaine

2013-01-01

The successful implementation of electronically networked (e-networked) tools to support an inquiry-learning approach in secondary science classrooms is dependent on a range of factors spread between teachers, schools, and students. The teacher must have a clear understanding of the nature......-construct knowledge using a wide range of resources for meaning making and expression of ideas. These outcomes were, however, contingent on the interplay of teacher understanding of the nature of science inquiry and school provision of an effective technological infrastructure and support for flexible curriculum...... of inquiry, the school must provide effective technological infrastructure and sympathetic curriculum parameters, and the students need to be carefully scaffolded to the point of engaging with the inquiry process. Within this study, e-networks supported students to exercise agency, collaborate, and co...

Mobility management in LTE heterogeneous networks

CERN Document Server

Karandikar, Abhay; Mehta, Mahima

2017-01-01

This book is the first of its kind, compiling information on the Long-Term Evolution (LTE) standards, which are enhanced to address new mobility-related challenges in Heterogeneous Networks (HetNets). It identifies the related challenges and discusses solutions and the simulation methodology for modeling HetNet mobility – cutting-edge information that was previously accessible only in the form of 3GPP specifications and documents, and research papers. The book reviews the current LTE mobility framework and discusses some of the changes for enhancing mobility management in HetNets. It describes the measurement procedures, handover (HO) mechanisms and HO success/failure scenarios. HetNets are intended to provide very high spectral efficiency while ensuring seamless coverage by deploying low-power nodes within the umbrella macrocell network. While mobility management in homogeneous networks is well understood, LTE standards are being enhanced to address the HetNet-specific mobility management challenges emergi...

Cryptanalysis and Improvement of "A Secure Password Authentication Mechanism for Seamless Handover in Proxy Mobile IPv6 Networks".

Science.gov (United States)

Alizadeh, Mojtaba; Zamani, Mazdak; Baharun, Sabariah; Abdul Manaf, Azizah; Sakurai, Kouichi; Anada, Hiroaki; Anada, Hiroki; Keshavarz, Hassan; Ashraf Chaudhry, Shehzad; Khurram Khan, Muhammad

2015-01-01

Proxy Mobile IPv6 is a network-based localized mobility management protocol that supports mobility without mobile nodes' participation in mobility signaling. The details of user authentication procedure are not specified in this standard, hence, many authentication schemes have been proposed for this standard. In 2013, Chuang et al., proposed an authentication method for PMIPv6, called SPAM. However, Chuang et al.'s Scheme protects the network against some security attacks, but it is still vulnerable to impersonation and password guessing attacks. In addition, we discuss other security drawbacks such as lack of revocation procedure in case of loss or stolen device, and anonymity issues of the Chuang et al.'s scheme. We further propose an enhanced authentication method to mitigate the security issues of SPAM method and evaluate our scheme using BAN logic.

NESSIE: Network Example Source Supporting Innovative Experimentation

Science.gov (United States)

Taylor, Alan; Higham, Desmond J.

We describe a new web-based facility that makes available some realistic examples of complex networks. NESSIE (Network Example Source Supporting Innovative Experimentation) currently contains 12 specific networks from a diverse range of application areas, with a Scottish emphasis. This collection of data sets is designed to be useful for researchers in network science who wish to evaluate new algorithms, concepts and models. The data sets are available to download in two formats (MATLAB's .mat format and .txt files readable by packages such as Pajek), and some basic MATLAB tools for computing summary statistics are also provided.

4G and Beyond - Exploiting Heterogeneity in Mobile Networks

DEFF Research Database (Denmark)

Zakrzewska, Anna

of mobile networks and focuses on the main challenges resulting from their heterogeneity. To effectively manage this diversity, a novel hierarchical approach considering all types of resources, spectral, optical and computational is proposed. The generic framework covers all kinds of network heterogeneity...... and can be beneficial at any stage of network deployment or operation. Furthermore, a dedicated study of RAT selection and resource allocation is performed and a new optimisation model is introduced and evaluated. The results show a significant reduction of number of handovers at the cost of a slight...... throughput degradation, which leads to a more stable connectivity in multi-RAT environments. A new HetNet architecture with control and user plane separation is thoroughly evaluated. The study focuses on the soft-pilot requirements and assignment problem, which is solved using a proposed optimisation model...

Improvement of Physical Therapist Assessment of Risk of Falls in the Hospital and Discharge Handover Through an Intervention to Modify Clinical Behavior.

Science.gov (United States)

Thomas, Susie; Mackintosh, Shylie

2016-06-01

Discharge from the hospital is a high risk transition period for older adults at risk of falls. Guidelines relevant to physical therapists for managing this risk are well documented, but commonly not implemented. This project implemented an intervention to improve physical therapists' adherence to key guideline recommendations for managing risk of falls on discharge from one hospital. A pretest-posttest study design was undertaken and was underpinned by the Theoretical Domains Framework (TDF) to aid in the design of interventions to increase physical therapists' adherence to guideline recommendations and to identify barriers to these interventions. A multifaceted intervention was implemented, including the establishment of a governance committee, education sessions, development of a "pathway" to guide practice, modification of an existing standardized assessment proforma, development of standardized processes and indicators for handover, increasing availability of educational handouts, audit and feedback processes, and allocation of dedicated staffing to oversee falls prevention within the physical therapy department. There were significant improvements in physical therapist behavior leading to key guideline recommendations being met, including: the proportion of patients who were identified to be at risk of falls (6.3% preintervention versus 94.8% postintervention) prior to discharge, an increase in documentation of clinical handover at discharge (68.6% preintervention versus 90.9% postintervention), and improvement in the quality of this documented clinical handover (34.9% of case notes met 5 criteria preintervention versus 92.9% postintervention). The approach was resource intensive and consequently may be difficult to replicate at other sites. A multifaceted intervention underpinned by the TDF, designed to modify physical therapists' behavior to improve adherence to guideline recommendations for managing risk of falls on discharge from one hospital, was

Operations Plan for Support Network Development

Energy Technology Data Exchange (ETDEWEB)

None

2008-06-30

This report describes the operational processes and strategies that are building a support network for the National Security Technology Incubator (NSTI) program. The NSTI program currently is under development as part of the National Security Preparedness Project (NSPP), funded by Department of Energy (DOE)/National Nuclear Security Administration (NNSA) Grant No. DE FG52-07NA28084. Although the NSTI program offers a wide array of in-house business services, there are a certain number of services that will be provided by entities outside of Arrowhead Center. This report identifies the steps needed to develop an appropriate support network. The Arrowhead Center is working with external service providers and key stakeholders to establish feasible referral and implementation mechanics offering NSTI program participants the most comprehensive incubation services possible.

Cryptanalysis and Improvement of "A Secure Password Authentication Mechanism for Seamless Handover in Proxy Mobile IPv6 Networks"

Science.gov (United States)

Alizadeh, Mojtaba; Zamani, Mazdak; Baharun, Sabariah; Abdul Manaf, Azizah; Sakurai, Kouichi; Anada, Hiroki; Keshavarz, Hassan; Ashraf Chaudhry, Shehzad; Khurram Khan, Muhammad

2015-01-01

Proxy Mobile IPv6 is a network-based localized mobility management protocol that supports mobility without mobile nodes’ participation in mobility signaling. The details of user authentication procedure are not specified in this standard, hence, many authentication schemes have been proposed for this standard. In 2013, Chuang et al., proposed an authentication method for PMIPv6, called SPAM. However, Chuang et al.’s Scheme protects the network against some security attacks, but it is still vulnerable to impersonation and password guessing attacks. In addition, we discuss other security drawbacks such as lack of revocation procedure in case of loss or stolen device, and anonymity issues of the Chuang et al.’s scheme. We further propose an enhanced authentication method to mitigate the security issues of SPAM method and evaluate our scheme using BAN logic. PMID:26580963

Cryptanalysis and Improvement of "A Secure Password Authentication Mechanism for Seamless Handover in Proxy Mobile IPv6 Networks".

Directory of Open Access Journals (Sweden)

Mojtaba Alizadeh

Full Text Available Proxy Mobile IPv6 is a network-based localized mobility management protocol that supports mobility without mobile nodes' participation in mobility signaling. The details of user authentication procedure are not specified in this standard, hence, many authentication schemes have been proposed for this standard. In 2013, Chuang et al., proposed an authentication method for PMIPv6, called SPAM. However, Chuang et al.'s Scheme protects the network against some security attacks, but it is still vulnerable to impersonation and password guessing attacks. In addition, we discuss other security drawbacks such as lack of revocation procedure in case of loss or stolen device, and anonymity issues of the Chuang et al.'s scheme. We further propose an enhanced authentication method to mitigate the security issues of SPAM method and evaluate our scheme using BAN logic.

Developing networks to support science teachers work

DEFF Research Database (Denmark)

Sillasen, Martin Krabbe; Valero, Paola

2012-01-01

In educational research literature constructing networks among practitioners has been suggested as a strategy to support teachers’ professional development (Huberman, 1995; Jackson & Temperley, 2007; Van Driel, Beijaard, & Verloop, 2001). The purpose of this paper is to report on a study about how...... networks provide opportunities for teachers from different schools to collaborate on improving the quality of their own science teaching practices. These networks exist at the meso-level of the educational system between the micro-realities of teachers’ individual practice and the macro-level, where...... to develop collaborative activities in primary science teacher communities in schools to improve individual teachers practice and in networks between teachers from different schools in each municipality. Each network was organized and moderated by a municipal science coordinator....

State Support: A Prerequisite for Global Health Network Effectiveness

Science.gov (United States)

Marten, Robert; Smith, Richard D.

2018-01-01

Shiffman recently summarized lessons for network effectiveness from an impressive collection of case-studies. However, in common with most global health governance analysis in recent years, Shiffman underplays the important role of states in these global networks. As the body which decides and signs international agreements, often provides the resourcing, and is responsible for implementing initiatives all contributing to the prioritization of certain issues over others, state recognition and support is a prerequisite to enabling and determining global health networks’ success. The role of states deserves greater attention, analysis and consideration. We reflect upon the underappreciated role of the state within the current discourse on global health. We present the tobacco case study to illustrate the decisive role of states in determining progress for global health networks, and highlight how states use a legitimacy loop to gain legitimacy from and provide legitimacy to global health networks. Moving forward in assessing global health networks’ effectiveness, further investigating state support as a determinant of success will be critical. Understanding how global health networks and states interact and evolve to shape and support their respective interests should be a focus for future research. PMID:29524958

Working with NASA's OSS E/PO Support Network

Science.gov (United States)

Miner, E. D.; Lowes, L. L.

2001-11-01

With greater and greater emphasis on the inclusion of a public engagement component in all government-supported research funding, many members of the DPS are finding it difficult to find sufficient time and funding to develop a wide-reaching and effective E/PO program. NASA's Office of Space Science, over the last five years, has built a Support Network to assist its funded scientists to establish partnerships with local and/or national science formal or informal education organizations, who are anxious to connect with and use the expertise of space scientists. The OSS Support Network consists of four theme-based 'Forums,' including the Solar System Exploration (SSE) Forum, specifically designed for working with planetary scientists, and seven regional 'Brokers-Facilitators' who are more familiar with partnership and other potential avenues for involvement by scientists. The services provided by the Support Network are free to both the scientists and their potential partners and is not limited to NASA-funded scientists. In addition to its assistance to space scientists, the Support Network is involved in a number of other overarching efforts, including support of a Solar System Ambassador Program, a Solar System Educator Program, Space Place (web and e-mail science products for libraries and small planetariums and museums), an on-line Space Science Resource Directory, annual reports of Space Science E/PO activity, identifying and filling in 'holes' and 'over-populations' in a solar system E/PO product matrix of grade level versus product versus content, research on product effectiveness, and scientific and educational evaluation of space science products. Forum and Broker-Facilitator contact information is available at http://spacescience.nasa.gov/education/resources/ecosystem/index.htm. Handouts with additional information will be available at the meeting.

Support surfaces for pressure ulcer prevention: A network meta-analysis

Science.gov (United States)

Dumville, Jo C.; Cullum, Nicky

2018-01-01

Background Pressure ulcers are a prevalent and global issue and support surfaces are widely used for preventing ulceration. However, the diversity of available support surfaces and the lack of direct comparisons in RCTs make decision-making difficult. Objectives To determine, using network meta-analysis, the relative effects of different support surfaces in reducing pressure ulcer incidence and comfort and to rank these support surfaces in order of their effectiveness. Methods We conducted a systematic review, using a literature search up to November 2016, to identify randomised trials comparing support surfaces for pressure ulcer prevention. Two reviewers independently performed study selection, risk of bias assessment and data extraction. We grouped the support surfaces according to their characteristics and formed evidence networks using these groups. We used network meta-analysis to estimate the relative effects and effectiveness ranking of the groups for the outcomes of pressure ulcer incidence and participant comfort. GRADE was used to assess the certainty of evidence. Main results We included 65 studies in the review. The network for assessing pressure ulcer incidence comprised evidence of low or very low certainty for most network contrasts. There was moderate-certainty evidence that powered active air surfaces and powered hybrid air surfaces probably reduce pressure ulcer incidence compared with standard hospital surfaces (risk ratios (RR) 0.42, 95% confidence intervals (CI) 0.29 to 0.63; 0.22, 0.07 to 0.66, respectively). The network for comfort suggested that powered active air-surfaces are probably slightly less comfortable than standard hospital mattresses (RR 0.80, 95% CI 0.69 to 0.94; moderate-certainty evidence). Conclusions This is the first network meta-analysis of the effects of support surfaces for pressure ulcer prevention. Powered active air-surfaces probably reduce pressure ulcer incidence, but are probably less comfortable than standard

Support surfaces for pressure ulcer prevention: A network meta-analysis.

Science.gov (United States)

Shi, Chunhu; Dumville, Jo C; Cullum, Nicky

2018-01-01

Pressure ulcers are a prevalent and global issue and support surfaces are widely used for preventing ulceration. However, the diversity of available support surfaces and the lack of direct comparisons in RCTs make decision-making difficult. To determine, using network meta-analysis, the relative effects of different support surfaces in reducing pressure ulcer incidence and comfort and to rank these support surfaces in order of their effectiveness. We conducted a systematic review, using a literature search up to November 2016, to identify randomised trials comparing support surfaces for pressure ulcer prevention. Two reviewers independently performed study selection, risk of bias assessment and data extraction. We grouped the support surfaces according to their characteristics and formed evidence networks using these groups. We used network meta-analysis to estimate the relative effects and effectiveness ranking of the groups for the outcomes of pressure ulcer incidence and participant comfort. GRADE was used to assess the certainty of evidence. We included 65 studies in the review. The network for assessing pressure ulcer incidence comprised evidence of low or very low certainty for most network contrasts. There was moderate-certainty evidence that powered active air surfaces and powered hybrid air surfaces probably reduce pressure ulcer incidence compared with standard hospital surfaces (risk ratios (RR) 0.42, 95% confidence intervals (CI) 0.29 to 0.63; 0.22, 0.07 to 0.66, respectively). The network for comfort suggested that powered active air-surfaces are probably slightly less comfortable than standard hospital mattresses (RR 0.80, 95% CI 0.69 to 0.94; moderate-certainty evidence). This is the first network meta-analysis of the effects of support surfaces for pressure ulcer prevention. Powered active air-surfaces probably reduce pressure ulcer incidence, but are probably less comfortable than standard hospital surfaces. Most prevention evidence was of low or

Support surfaces for pressure ulcer prevention: A network meta-analysis.

Directory of Open Access Journals (Sweden)

Chunhu Shi

Full Text Available Pressure ulcers are a prevalent and global issue and support surfaces are widely used for preventing ulceration. However, the diversity of available support surfaces and the lack of direct comparisons in RCTs make decision-making difficult.To determine, using network meta-analysis, the relative effects of different support surfaces in reducing pressure ulcer incidence and comfort and to rank these support surfaces in order of their effectiveness.We conducted a systematic review, using a literature search up to November 2016, to identify randomised trials comparing support surfaces for pressure ulcer prevention. Two reviewers independently performed study selection, risk of bias assessment and data extraction. We grouped the support surfaces according to their characteristics and formed evidence networks using these groups. We used network meta-analysis to estimate the relative effects and effectiveness ranking of the groups for the outcomes of pressure ulcer incidence and participant comfort. GRADE was used to assess the certainty of evidence.We included 65 studies in the review. The network for assessing pressure ulcer incidence comprised evidence of low or very low certainty for most network contrasts. There was moderate-certainty evidence that powered active air surfaces and powered hybrid air surfaces probably reduce pressure ulcer incidence compared with standard hospital surfaces (risk ratios (RR 0.42, 95% confidence intervals (CI 0.29 to 0.63; 0.22, 0.07 to 0.66, respectively. The network for comfort suggested that powered active air-surfaces are probably slightly less comfortable than standard hospital mattresses (RR 0.80, 95% CI 0.69 to 0.94; moderate-certainty evidence.This is the first network meta-analysis of the effects of support surfaces for pressure ulcer prevention. Powered active air-surfaces probably reduce pressure ulcer incidence, but are probably less comfortable than standard hospital surfaces. Most prevention evidence was

Networks in Later Life: An Examination of Race Differences in Social Support Networks.

Science.gov (United States)

Peek, M. Kristen; O'Neill, Gregory S.

2001-01-01

Considers race differences in the determinants of social support network characteristics using data from Established Populations for Epidemiological Studies of the Elderly. Focuses on the extent to which race differences in network dimensions are present and whether variations can be attributed to social structural positions held. Results indicate…

SAM: Secure Access of Media Independent Information Service with User Anonymity

Directory of Open Access Journals (Sweden)

Li Guangsong

2010-01-01

Full Text Available Seamless handover across different access technologies is very important in the future wireless networks. To optimize vertical handover in heterogeneous networks, IEEE 802.21 standard defines Media Independent Handover (MIH services. The MIH services can be a new target to attackers, which will be the main concern for equipment vendors and service providers. In this paper, we focus specifically on security of Media Independent Information Service (MIIS and present a new access authentication scheme with user anonymity for MIIS. The protocol can be used to establish a secure channel between the mobile node and the information server. Security and performance of the protocol are also analyzed in this paper.

Social Support and Social Networks in COPD: A Scoping Review.

Science.gov (United States)

Barton, Christopher; Effing, Tanya W; Cafarella, Paul

2015-01-01

A scoping review was conducted to determine the size and nature of the evidence describing associations between social support and networks on health, management and clinical outcomes amongst patients with COPD. Searches of PubMed, PsychInfo and CINAHL were undertaken for the period 1966-December 2013. A descriptive synthesis of the main findings was undertaken to demonstrate where there is current evidence for associations between social support, networks and health outcomes, and where further research is needed. The search yielded 318 papers of which 287 were excluded after applying selection criteria. Two areas emerged in which there was consistent evidence of benefit of social support; namely mental health and self-efficacy. There was inconsistent evidence for a relationship between perceived social support and quality of life, physical functioning and self-rated health. Hospital readmission was not associated with level of perceived social support. Only a small number of studies (3 articles) have reported on the social network of individuals with COPD. There remains a need to identify the factors that promote and enable social support. In particular, there is a need to further understand the characteristics of social networks within the broader social structural conditions in which COPD patients live and manage their illness.

An Assessment of the Emerging Networks of Support for Street ...

African Journals Online (AJOL)

Nigeria, being asignatory to the Convention on the Rights of the Child (UNCRC, 1989) promulgated the Child Rights Act 2003, which aimed at ameliorating the condition of street children in Nigeria. In line with this, there are emerging networks of support for street children. The extent to which these support networks are ...

Performance analysis of IMS based LTE and WIMAX integration architectures

Directory of Open Access Journals (Sweden)

A. Bagubali

2016-12-01

Full Text Available In the current networking field many research works are going on regarding the integration of different wireless technologies, with the aim of providing uninterrupted connectivity to the user anywhere, with high data rates due to increased demand. However, the number of objects like smart devices, industrial machines, smart homes, connected by wireless interface is dramatically increasing due to the evolution of cloud computing and internet of things technology. This Paper begins with the challenges involved in such integrations and then explains the role of different couplings and different architectures. This paper also gives further improvement in the LTE and Wimax integration architectures to provide seamless vertical handover and flexible quality of service for supporting voice, video, multimedia services over IP network and mobility management with the help of IMS networks. Evaluation of various parameters like handover delay, cost of signalling, packet loss,, is done and the performance of the interworking architecture is analysed from the simulation results. Finally, it concludes that the cross layer scenario is better than the non cross layer scenario.

The design and networking of dynamic satellite constellations for global mobile communication systems

Science.gov (United States)

Cullen, Cionaith J.; Benedicto, Xavier; Tafazolli, Rahim; Evans, Barry

1993-01-01

Various design factors for mobile satellite systems, whose aim is to provide worldwide voice and data communications to users with hand-held terminals, are examined. Two network segments are identified - the ground segment (GS) and the space segment (SS) - and are seen to be highly dependent on each other. The overall architecture must therefore be adapted to both of these segments, rather than each being optimized according to its own criteria. Terrestrial networks are grouped and called the terrestrial segment (TS). In the SS, of fundamental importance is the constellation altitude. The effect of the altitude on decisions such as constellation design choice and on network aspects like call handover statistics are fundamental. Orbit resonance is introduced and referred to throughout. It is specifically examined for its useful properties relating to GS/SS connectivities.

Dynamic Load Balancing with Handover in Hybrid Li-Fi and Wi-Fi Networks

OpenAIRE

Haas, Harald; Wang, Yunlu

2015-01-01

In this paper, a hybrid network combining lightfidelity (Li-Fi) with a radio frequency (RF) wireless fidelity(Wi-Fi) network is considered. An additional tier of very smallLi-Fi attocells which utilise the visible light spectrum offers asignificant increase in wireless data throughput in an indoorenvironment while at the same time providing room illumination.Importantly, there is no interference between Li-Fi and Wi-Fi.A Li-Fi attocell covers a significantly smaller area than a Wi-Fi access p...

Impact of mobility on call block, call drops and optimal cell size in small cell networks

OpenAIRE

Ramanath , Sreenath; Voleti , Veeraruna Kavitha; Altman , Eitan

2011-01-01

We consider small cell networks and study the impact of user mobility. Assuming Poisson call arrivals at random positions with random velocities, we discuss the characterization of handovers at the boundaries. We derive explicit expressions for call block and call drop probabilities using tools from spatial queuing theory. We also derive expressions for the average virtual server held up time. These expressions are used to derive optimal cell sizes for various profile of velocities in small c...

The social support and social network characteristics of smokers in methadone maintenance treatment.

Science.gov (United States)

de Dios, Marcel Alejandro; Stanton, Cassandra A; Caviness, Celeste M; Niaura, Raymond; Stein, Michael

2013-01-01

Previous studies have shown social support and social network variables to be important factors in smoking cessation treatment. Tobacco use is highly prevalent among individuals in methadone maintenance treatment (MMT). However, smoking cessation treatment outcomes in this vulnerable subpopulation have been poor and social support and social network variables may contribute. The current study examined the social support and social network characteristics of 151 MMT smokers involved in a randomized clinical trial of smoking cessation treatments. Participants were 50% women and 78% Caucasian. A high proportion (57%) of MMT smokers had spouses or partners who smoke and over two-thirds of households (68.5%) included at least one smoker. Our sample was characterized by relatively small social networks, but high levels of general social support and quitting support. The number of cigarettes per day was found to be positively associated with the number of smokers in the social network (r = .239, p social support and social networks of smokers in MMT.

Satisfaction with support versus size of network: differential effects of social support on psychological distress in parents of pediatric cancer patients.

Science.gov (United States)

Harper, Felicity W K; Peterson, Amy M; Albrecht, Terrance L; Taub, Jeffrey W; Phipps, Sean; Penner, Louis A

2016-05-01

This study examined the direct and buffering effects of social support on longer-term global psychological distress among parents coping with pediatric cancer. In both sets of analyses, we examined whether these effects depended on the dimension of social support provided (i.e., satisfaction with support versus size of support network). Participants were 102 parents of pediatric cancer patients. At study entry, parents reported their trait anxiety, depression, and two dimensions of their social support network (satisfaction with support and size of support network). Parents subsequently reported their psychological distress in 3- and 9-month follow-up assessments. Parents' satisfaction with support had a direct effect on longer-term psychological distress; satisfaction was negatively associated with distress at both follow-ups. In contrast, size of support network buffered (moderated) the impact of trait anxiety and depression on later distress. Parents with smaller support networks and higher levels of trait anxiety and depression at baseline had higher levels of psychological distress at both follow-ups; for parents with larger support networks, there was no relationship. Social support can attenuate psychological distress in parents coping with pediatric cancer; however, the nature of the effect depends on the dimension of support. Whereas interventions that focus on increasing satisfaction with social support may benefit all parents, at-risk parents will likely benefit from interventions that ensure they have an adequate number of support resources. Copyright © 2015 John Wiley & Sons, Ltd.

Examining the Relationships Between Education, Social Networks and Democratic Support With ABM

Science.gov (United States)

Drucker, Nick; Campbell, Kenyth

2011-01-01

This paper introduces an agent-based model that explores the relationships between education, social networks, and support for democratic ideals. This study examines two factors thai affect democratic support, education, and social networks. Current theory concerning these two variables suggests that positive relationships exist between education and democratic support and between social networks and the spread of ideas. The model contains multiple variables of democratic support, two of which are evaluated through experimentation. The model allows individual entities within the system to make "decisions" about their democratic support independent of one another. The agent based approach also allows entities to utilize their social networks to spread ideas. Current theory supports experimentation results. In addion , these results show the model is capable of reproducing real world outcomes. This paper addresses the model creation process and the experimentation procedure, as well as future research avenues and potential shortcomings of the model

Modern Social Support Structures: Online Social Networks and their Implications for Social Workers

Directory of Open Access Journals (Sweden)

Kala Chakradhar

2009-03-01

Full Text Available Mapping and assessing social networks and the quality of their social support is a valuable intervention strategy for social workers. These networks have now spread onto the digital realm in the form of Online Social Networks (OSNs. This study investigated the nature of social support provided by such networks to their users in a rural mid-South University (USA and explored parallels with the current understanding of social support in conventional social networks. A web-based survey administered to college students revealed that users of these online networks were predominantly undergraduate first year students, female, single, unemployed and from a variety of academic disciplines. The examination of the components of OSNs appears to mirror those of offline networks. They also seem to complement the effects of each other while contributing to an individual's support system. The paper concludes with critical implications of such online social networking for University students and social workers in practice and education.

Towards integrated crisis support of regional emergency networks.

Science.gov (United States)

Caro, D H

1999-01-01

Emergency and crisis management pose multidimensional information systems challenges for communities across North America. In the quest to reduce mortality and morbidity risks and to increase the level of crisis preparedness, regional emergency management networks have evolved. Integrated Crisis Support Systems (ICSS) are enabling information technologies that assist emergency managers by enhancing the ability to strategically manage and control these regional emergency networks efficiently and effectively. This article underscores the ICCS development, control and leadership issues and their promising implications for regional emergency management networks.

Towards the Engineering of Dependable P2P-Based Network Control — The Case of Timely Routing Control Messages

Science.gov (United States)

Tutschku, Kurt; Nakao, Akihiro

This paper introduces a methodology for engineering best-effort P2P algorithms into dependable P2P-based network control mechanism. The proposed method is built upon an iterative approach consisting of improving the original P2P algorithm by appropriate mechanisms and of thorough performance assessment with respect to dependability measures. The potential of the methodology is outlined by the example of timely routing control for vertical handover in B3G wireless networks. In detail, the well-known Pastry and CAN algorithms are enhanced to include locality. By showing how to combine algorithmic enhancements with performance indicators, this case study paves the way for future engineering of dependable network control mechanisms through P2P algorithms.

Social Support Networks Among Diverse Sexual Minority Populations

Science.gov (United States)

Frost, David M.; Meyer, Ilan H.; Schwartz, Sharon

2016-01-01

This paper reports a study of the function and composition of social support networks among diverse lesbian, gay and bisexual (LGB) men and women (n = 396) in comparison to their heterosexual peers (n = 128). Data were collected using a structured social support network matrix in a community sample recruited in New York City. Our findings show that gay and bisexual men may rely on “chosen families” within LGBT communities more so than lesbian and bisexual women. Both heterosexuals and LGBs relied less on family and more on other people (e.g., friends, co-workers) for everyday social support (e.g., recreational and social activities, talking about problems). Providers of everyday social support were most often of the same sexual orientation and race/ethnicity as participants. In seeking major support (e.g., borrowing large sums of money), heterosexual men and women along with lesbian and bisexual women relied primarily on their families, but gay and bisexual men relied primarily on other LGB individuals. Racial/ethnic minority LGBs relied on LGB similar others at the same rate at White LGBs but, notably, racial/ethnic minority LGBs reported receiving fewer dimensions of support. PMID:26752447

Support Networks for the Greek Family with Preschool or School-Age Disabled Children

Science.gov (United States)

Tsibidaki, Assimina; Tsamparli, Anastasia

2007-01-01

Introduction: The interaction of the family with disabled children with the support networks is a research area of high interest (Hendriks, De Moor, Oud & Savelberg, 2000). It has been shown that support networks may prove to be very helpful for a family and especially for a family with a disabled child. Support networks play a primordial role…

Social Networks, Interpersonal Social Support, and Health Outcomes: A Health Communication Perspective

OpenAIRE

Wright, Kevin

2016-01-01

This manuscript discusses the development, impact, and several major research findings of studies in the area of social network support and health outcomes. The review focuses largely on the development of online social support networks and the ways in which they may interact with face-to-face support networks to influence physical and psychological health outcomes. The manuscript discusses this area, and it presents a research agenda for future work in this area from an Associate Editor’s pe...

Research on intrusion detection based on Kohonen network and support vector machine

Science.gov (United States)

Shuai, Chunyan; Yang, Hengcheng; Gong, Zeweiyi

2018-05-01

In view of the problem of low detection accuracy and the long detection time of support vector machine, which directly applied to the network intrusion detection system. Optimization of SVM parameters can greatly improve the detection accuracy, but it can not be applied to high-speed network because of the long detection time. a method based on Kohonen neural network feature selection is proposed to reduce the optimization time of support vector machine parameters. Firstly, this paper is to calculate the weights of the KDD99 network intrusion data by Kohonen network and select feature by weight. Then, after the feature selection is completed, genetic algorithm (GA) and grid search method are used for parameter optimization to find the appropriate parameters and classify them by support vector machines. By comparing experiments, it is concluded that feature selection can reduce the time of parameter optimization, which has little influence on the accuracy of classification. The experiments suggest that the support vector machine can be used in the network intrusion detection system and reduce the missing rate.

Municipal consultants’ participation in building networks to support science teachers’ work

DEFF Research Database (Denmark)

Sillasen, Martin Krabbe; Valero, Paola

2013-01-01

This paper focuses particularly on the role of municipal science consultants in developing and maintaining network activities and connections among primary school science teachers. The hypothesis is that consultants play a crucial role in supporting strategic planning, and sustaining contacts...... and activities within professional learning networks. The research is framed by a project that involved 80 primary science teachers in 20 schools. The aim of the project was to develop network activities that facilitate sustainable change of the participating schools’ collective culture and practice of science...... science consultants’ participation in supporting network activities enable the participants to share and develop teaching activities....

Core Support to Global Development Network (GND) - Phase II ...

International Development Research Centre (IDRC) Digital Library (Canada)

The Global Development Network (GDN) was launched by the World Bank in 1999 on the premise that good policy research, properly applied, can accelerate development and improve people's lives. Working mainly through regional networks, GDN supports economic and, increasingly, social science research in and on ...

Interaction patterns of nurturant support exchanged in online health social networking.

Science.gov (United States)

Chuang, Katherine Y; Yang, Christopher C

2012-05-03

Expressing emotion in online support communities is an important aspect of enabling e-patients to connect with each other and expand their social resources. Indirectly it increases the amount of support for coping with health issues. Exploring the supportive interaction patterns in online health social networking would help us better understand how technology features impacts user behavior in this context. To build on previous research that identified different types of social support in online support communities by delving into patterns of supportive behavior across multiple computer-mediated communication formats. Each format combines different architectural elements, affecting the resulting social spaces. Our research question compared communication across different formats of text-based computer-mediated communication provided on the MedHelp.org health social networking environment. We identified messages with nurturant support (emotional, esteem, and network) across three different computer-mediated communication formats (forums, journals, and notes) of an online support community for alcoholism using content analysis. Our sample consisted of 493 forum messages, 423 journal messages, and 1180 notes. Nurturant support types occurred frequently among messages offering support (forum comments: 276/412 messages, 67.0%; journal posts: 65/88 messages, 74%; journal comments: 275/335 messages, 82.1%; and notes: 1002/1180 messages, 84.92%), but less often among messages requesting support. Of all the nurturing supports, emotional (ie, encouragement) appeared most frequently, with network and esteem support appearing in patterns of varying combinations. Members of the Alcoholism Community appeared to adapt some traditional face-to-face forms of support to their needs in becoming sober, such as provision of encouragement, understanding, and empathy to one another. The computer-mediated communication format may have the greatest influence on the supportive interactions

Intelligent Configuration of Social Support Networks around Depressed Persons

NARCIS (Netherlands)

Aziz, A.A.; Klein, M.C.A.; Treur, J.

2011-01-01

Helping someone who is depressed can be very important to the depressed person. A number of supportive family members or friends can often make a big difference. This paper addresses how a social support network can be formed, taking the needs of the support recipient and the possibilities of the

Social networking in online support groups for health: how online social networking benefits patients.

Science.gov (United States)

Chung, Jae Eun

2014-01-01

An increasing number of online support groups (OSGs) have embraced the features of social networking. So far, little is known about how patients use and benefit from these features. By implementing the uses-and-gratifications framework, the author conducted an online survey with current users of OSGs to examine associations among motivation, use of specific features of OSG, and support outcomes. Findings suggest that OSG users make selective use of varied features depending on their needs, and that perceptions of receiving emotional and informational support are associated more with the use of some features than others. For example, those with strong motivation for social interaction use diverse features of OSG and make one-to-one connections with other users by friending. In contrast, those with strong motivation for information seeking limit their use primarily to discussion boards. Results also show that online social networking features, such as friending and sharing of personal stories on blogs, are helpful in satisfying the need for emotional support. The present study sheds light on online social networking features in the context of health-related OSGs and provides practical lessons on how to improve the capacity of OSGs to serve the needs of their users.

Cohort Differences in Received Social Support in Later Life: The Role of Network Type.

Science.gov (United States)

Suanet, Bianca; Antonucci, Toni C

2017-07-01

The objective is to assess cohort differences in received emotional and instrumental support in relation to network types. The main guiding hypothesis is that due to increased salience of non-kin with recent social change, those in friend-focused and diverse network types receive more support in later birth cohorts than earlier birth cohorts. Data from the Longitudinal Aging Study Amsterdam are employed. We investigate cohort differences in total received emotional and instrumental support in a series of linear regression models comparing birth cohorts aged 55-64, 65-74, 75-84, and 85-94 across three time periods (1992, 2002, and 2012). Four network types (friend, family, restricted, and diverse) are identified. Friend-focused networks are more common in later birth cohorts, restrictive networks less common. Those in friend-focused networks in later cohorts report receiving more emotional and instrumental support. No differences in received support are evident upon diverse networks. The increased salience of non-kin is reflected in an increase in received emotional and instrumental support in friend-focused networks in later birth cohorts. The preponderance of non-kin in networks should not be perceived as a deficit model for social relationships as restrictive networks are declining across birth cohorts. © The Author 2016. Published by Oxford University Press on behalf of The Gerontological Society of America. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Support for Protests in Latin America: Classifications and the Role of Online Networking

Directory of Open Access Journals (Sweden)

Rachel R. Mourão

2016-09-01

Full Text Available In recent years, Latin Americans marched the streets in a wave of protests that swept almost every country in the region. Yet few studies have assessed how Latin Americans support various forms of protest, and how new technologies affect attitudes toward protest tactics. Using data from the Latin American Public Opinion Project (N = 37,102, cluster analyses grouped citizens into four distinct groups depending on their support for protests. Most Latin Americans support moderate forms of protest, rejecting more radical tactics. Online networking is associated with support for both moderate and radical protests. But those who support only moderate protests use online networking sites more than Latin Americans as a whole, while those who support radical protests use online networking sites significantly less. Our findings suggest that only peaceful and legal demonstrations have been normalized in the region, and online networking foments support for moderate protest tactics.

Fracture network modeling and GoldSim simulation support

International Nuclear Information System (INIS)

Sugita, Kenichiro; Dershowitz, William

2004-01-01

During Heisei-15, Golder Associates provided support for JNC Tokai through discrete fracture network data analysis and simulation of the MIU Underground Rock Laboratory, participation in Task 6 of the Aespoe Task Force on Modelling of Groundwater Flow and Transport, and development of methodologies for analysis of repository site characterization strategies and safety assessment. MIU Underground Rock Laboratory support during H-15 involved development of new discrete fracture network (DFN) models for the MIU Shoba-sama Site, in the region of shaft development. Golder developed three DFN models for the site using discrete fracture network, equivalent porous medium (EPM), and nested DFN/EPM approaches. Each of these models were compared based upon criteria established for the multiple modeling project (MMP). Golder supported JNC participation in Task 6AB, 6D and 6E of the Aespoe Task Force on Modelling of Groundwater Flow and Transport during H-15. For Task 6AB, Golder implemented an updated microstructural model in GoldSim, and used this updated model to simulate the propagation of uncertainty from experimental to safety assessment time scales, for 5 m scale transport path lengths. Task 6D and 6E compared safety assessment (PA) and experimental time scale simulations in a 200 m scale discrete fracture network. For Task 6D, Golder implemented a DFN model using FracMan/PA Works, and determined the sensitivity of solute transport to a range of material property and geometric assumptions. For Task 6E, Golder carried out demonstration FracMan/PA Works transport calculations at a 1 million year time scale, to ensure that task specifications are realistic. The majority of work for Task 6E will be carried out during H-16. During H-15, Golder supported JNC's Total System Performance Assessment (TSPO) strategy by developing technologies for the analysis of precipitant concentration. These approaches were based on the GoldSim precipitant data management features, and were

QoS support over ultrafast TDM optical networks

Science.gov (United States)

Narvaez, Paolo; Siu, Kai-Yeung; Finn, Steven G.

1999-08-01

HLAN is a promising architecture to realize Tb/s access networks based on ultra-fast optical TDM technologies. This paper presents new research results on efficient algorithms for the support of quality of service over the HLAN network architecture. In particular, we propose a new scheduling algorithm that emulates fair queuing in a distributed manner for bandwidth allocation purpose. The proposed scheduler collects information on the queue of each host on the network and then instructs each host how much data to send. Our new scheduling algorithm ensures full bandwidth utilization, while guaranteeing fairness among all hosts.

Network-aware support for mobile distributed teams

NARCIS (Netherlands)

Kleij, R. van der; Jong, A. de; Brake, G.M. te; Greefe, T.E.

2009-01-01

An experiment evaluated network-aware support to increase understanding of the factors that are important for successful teamwork in mobile geographically dispersed teams of first responders. Participants performed a simulated search and rescue team task and were equipped with a digitized map and

BRAIN NETWORKS. Correlated gene expression supports synchronous activity in brain networks.

Science.gov (United States)

Richiardi, Jonas; Altmann, Andre; Milazzo, Anna-Clare; Chang, Catie; Chakravarty, M Mallar; Banaschewski, Tobias; Barker, Gareth J; Bokde, Arun L W; Bromberg, Uli; Büchel, Christian; Conrod, Patricia; Fauth-Bühler, Mira; Flor, Herta; Frouin, Vincent; Gallinat, Jürgen; Garavan, Hugh; Gowland, Penny; Heinz, Andreas; Lemaître, Hervé; Mann, Karl F; Martinot, Jean-Luc; Nees, Frauke; Paus, Tomáš; Pausova, Zdenka; Rietschel, Marcella; Robbins, Trevor W; Smolka, Michael N; Spanagel, Rainer; Ströhle, Andreas; Schumann, Gunter; Hawrylycz, Mike; Poline, Jean-Baptiste; Greicius, Michael D

2015-06-12

During rest, brain activity is synchronized between different regions widely distributed throughout the brain, forming functional networks. However, the molecular mechanisms supporting functional connectivity remain undefined. We show that functional brain networks defined with resting-state functional magnetic resonance imaging can be recapitulated by using measures of correlated gene expression in a post mortem brain tissue data set. The set of 136 genes we identify is significantly enriched for ion channels. Polymorphisms in this set of genes significantly affect resting-state functional connectivity in a large sample of healthy adolescents. Expression levels of these genes are also significantly associated with axonal connectivity in the mouse. The results provide convergent, multimodal evidence that resting-state functional networks correlate with the orchestrated activity of dozens of genes linked to ion channel activity and synaptic function. Copyright © 2015, American Association for the Advancement of Science.

Nationwide Network of TalentPoints: The Hungarian Approach to Talent Support

Science.gov (United States)

Csermely, Peter; Rajnai, Gabor; Sulyok, Katalin

2013-01-01

In 2006 a novel approach to talent support was promoted by several talent support programmes in Hungary. The new idea was a network approach. The nationwide network of so-called TalentPoints and its framework, the Hungarian Genius Program, gained substantial European Union funding in 2009, and today it is growing rapidly. A novel concept of talent…

Seamless interworking architecture for WBAN in heterogeneous wireless networks with QoS guarantees.

Science.gov (United States)

Khan, Pervez; Ullah, Niamat; Ullah, Sana; Kwak, Kyung Sup

2011-10-01

The IEEE 802.15.6 standard is a communication standard optimized for low-power and short-range in-body/on-body nodes to serve a variety of medical, consumer electronics and entertainment applications. Providing high mobility with guaranteed Quality of Service (QoS) to a WBAN user in heterogeneous wireless networks is a challenging task. A WBAN uses a Personal Digital Assistant (PDA) to gather data from body sensors and forwards it to a remote server through wide range wireless networks. In this paper, we present a coexistence study of WBAN with Wireless Local Area Networks (WLAN) and Wireless Wide Area Networks (WWANs). The main issue is interworking of WBAN in heterogenous wireless networks including seamless handover, QoS, emergency services, cooperation and security. We propose a Seamless Interworking Architecture (SIA) for WBAN in heterogenous wireless networks based on a cost function. The cost function is based on power consumption and data throughput costs. Our simulation results show that the proposed scheme outperforms typical approaches in terms of throughput, delay and packet loss rate.

The structural and functional brain networks that support human social networks.

Science.gov (United States)

Noonan, M P; Mars, R B; Sallet, J; Dunbar, R I M; Fellows, L K

2018-02-20

Social skills rely on a specific set of cognitive processes, raising the possibility that individual differences in social networks are related to differences in specific brain structural and functional networks. Here, we tested this hypothesis with multimodality neuroimaging. With diffusion MRI (DMRI), we showed that differences in structural integrity of particular white matter (WM) tracts, including cingulum bundle, extreme capsule and arcuate fasciculus were associated with an individual's social network size (SNS). A voxel-based morphology analysis demonstrated correlations between gray matter (GM) volume and SNS in limbic and temporal lobe regions. These structural changes co-occured with functional network differences. As a function of SNS, dorsomedial and dorsolateral prefrontal cortex showed altered resting-state functional connectivity with the default mode network (DMN). Finally, we integrated these three complementary methods, interrogating the relationship between social GM clusters and specific WM and resting-state networks (RSNs). Probabilistic tractography seeded in these GM nodes utilized the SNS-related WM pathways. Further, the spatial and functional overlap between the social GM clusters and the DMN was significantly closer than other control RSNs. These integrative analyses provide convergent evidence of the role of specific circuits in SNS, likely supporting the adaptive behavior necessary for success in extensive social environments. Crown Copyright © 2018. Published by Elsevier B.V. All rights reserved.

A Location-Aware Vertical Handoff Algorithm for Hybrid Networks

KAUST Repository

Mehbodniya, Abolfazl

2010-07-01

One of the main objectives of wireless networking is to provide mobile users with a robust connection to different networks so that they can move freely between heterogeneous networks while running their computing applications with no interruption. Horizontal handoff, or generally speaking handoff, is a process which maintains a mobile user\\'s active connection as it moves within a wireless network, whereas vertical handoff (VHO) refers to handover between different types of networks or different network layers. Optimizing VHO process is an important issue, required to reduce network signalling and mobile device power consumption as well as to improve network quality of service (QoS) and grade of service (GoS). In this paper, a VHO algorithm in multitier (overlay) networks is proposed. This algorithm uses pattern recognition to estimate user\\'s position, and decides on the handoff based on this information. For the pattern recognition algorithm structure, the probabilistic neural network (PNN) which has considerable simplicity and efficiency over existing pattern classifiers is used. Further optimization is proposed to improve the performance of the PNN algorithm. Performance analysis and comparisons with the existing VHO algorithm are provided and demonstrate a significant improvement with the proposed algorithm. Furthermore, incorporating the proposed algorithm, a structure is proposed for VHO from the medium access control (MAC) layer point of view. © 2010 ACADEMY PUBLISHER.

Providing QoS guarantee in 3G wireless networks

Science.gov (United States)

Chuah, MooiChoo; Huang, Min; Kumar, Suresh

2001-07-01

The third generation networks and services present opportunities to offer multimedia applications and services that meet end-to-end quality of service requirements. In this article, we present UMTS QoS architecture and its requirements. This includes the definition of QoS parameters, traffic classes, the end-to-end data delivery model, and the mapping of end-to-end services to the services provided by the network elements of the UMTS. End-to-end QoS of a user flow is achieved by the combination of the QoS control over UMTS Domain and the IP core Network. In the Third Generation Wireless network, UMTS bearer service manager is responsible to manage radio and transport resources to QoS-enabled applications. The UMTS bearer service consists of the Radio Access Bearer Service between Mobile Terminal and SGSN and Core Network bearer service between SGSN and GGSN. The Radio Access Bearer Service is further realized by the Radio Bearer Service (mostly air interface) and Iu bearer service. For the 3G air interface, one can provide differentiated QoS via intelligent burst allocation scheme, adaptive spreading factor control and weighted fair queueing scheduling algorithms. Next, we discuss the requirements for the transport technologies in the radio access network to provide differentiated QoS to multiple classes of traffic. We discuss both ATM based and IP based transport solutions. Last but not least, we discuss how QoS mechanism is provided in the core network to ensure e2e quality of service requirements. We discuss how mobile terminals that use RSVP as QoS signaling mechanisms can be are supported in the 3G network which may implement only IETF diffserv mechanism. . We discuss how one can map UMTS QoS classes with IETF diffserv code points. We also discuss 2G/3G handover scenarios and how the 2G/3G QoS parameters can be mapped.

Combined centralised and distributed mechanism for utilisation of node association in broadband wireless network

Science.gov (United States)

Ulvan, A.; Ulvan, M.; Pranoto, H.

2018-02-01

Mobile broadband wireless access system has the stations that might be fixed, nomadic or mobile. Regarding the mobility, the node association procedure is critical for network entry as well as network re-entry during handover. The flexibility and utilisation of MAC protocols scheduling have an important role. The standard provides the Partition Scheme as the scheduling mechanism which separates the allocation of minislots for scheduling. However, minislots cannot be flexibly reserved for centralised and distributed scheduling. In this paper we analysed the scheduling mechanism to improve the utilisation of minislots allocation during the exchange of MAC massages. The centralised and distributed scheduling is implemented in some topology scenarios. The result shows the proposed mechanism has better performance for node association than partition scheme.

Social networks, social support and psychiatric symptoms: social determinants and associations within a multicultural community population.

Science.gov (United States)

Smyth, Natasha; Siriwardhana, Chesmal; Hotopf, Matthew; Hatch, Stephani L

2015-07-01

Little is known about how social networks and social support are distributed within diverse communities and how different types of each are associated with a range of psychiatric symptoms. This study aims to address such shortcomings by: (1) describing the demographic and socioeconomic characteristics of social networks and social support in a multicultural population and (2) examining how each is associated with multiple mental health outcomes. Data is drawn from the South East London Community Health Study; a cross-sectional study of 1,698 adults conducted between 2008 and 2010. The findings demonstrate variation in social networks and social support by socio-demographic factors. Ethnic minority groups reported larger family networks but less perceived instrumental support. Older individuals and migrant groups reported lower levels of particular network and support types. Individuals from lower socioeconomic groups tended to report less social networks and support across the indicators measured. Perceived emotional and instrumental support, family and friend network size emerged as protective factors for common mental disorder, personality dysfunction and psychotic experiences. In contrast, both social networks and social support appear less relevant for hazardous alcohol use. The findings both confirm established knowledge that social networks and social support exert differential effects on mental health and furthermore suggest that the particular type of social support may be important. In contrast, different types of social network appear to impact upon poor mental health in a more uniform way. Future psychosocial strategies promoting mental health should consider which social groups are vulnerable to reduced social networks and poor social support and which diagnostic groups may benefit most.

The Role of Informal Support Networks in Teaching the Nature of Science

Science.gov (United States)

Herman, Benjamin C.; Olson, Joanne K.; Clough, Michael P.

2017-06-01

This study reports the participation of 13 secondary science teachers in informal support networks and how that participation was associated with their nature of science (NOS) teaching practices 2 to 5 years after having graduated from the same science teacher education program. The nine teachers who participated in informal support networks taught the NOS at high/medium levels, while the four non-participating teachers taught the NOS at low levels. The nine high/medium NOS implementation teachers credited the informal support networks for maintaining/heightening their sense of responsibility for teaching NOS and for helping them navigate institutional constraints that impede effective NOS instruction. Several high/medium NOS instruction implementers initially struggled to autonomously frame and resolve the complexities experienced in schools and thus drew from the support networks to engage in more sophisticated forms of teacher decision-making. In contrast, the NOS pedagogical decisions of the four teachers not participating in support networks were governed primarily by the expectations and constraints experienced in their schools. Implications of this study include the need for reconsidering the structure of teacher mentorship programs to ensure they do not promote archaic science teaching practices that are at odds with reform efforts in science education.

Flexible brain network reconfiguration supporting inhibitory control.

Science.gov (United States)

Spielberg, Jeffrey M; Miller, Gregory A; Heller, Wendy; Banich, Marie T

2015-08-11

The ability to inhibit distracting stimuli from interfering with goal-directed behavior is crucial for success in most spheres of life. Despite an abundance of studies examining regional brain activation, knowledge of the brain networks involved in inhibitory control remains quite limited. To address this critical gap, we applied graph theory tools to functional magnetic resonance imaging data collected while a large sample of adults (n = 101) performed a color-word Stroop task. Higher demand for inhibitory control was associated with restructuring of the global network into a configuration that was more optimized for specialized processing (functional segregation), more efficient at communicating the output of such processing across the network (functional integration), and more resilient to potential interruption (resilience). In addition, there were regional changes with right inferior frontal sulcus and right anterior insula occupying more central positions as network hubs, and dorsal anterior cingulate cortex becoming more tightly coupled with its regional subnetwork. Given the crucial role of inhibitory control in goal-directed behavior, present findings identifying functional network organization supporting inhibitory control have the potential to provide additional insights into how inhibitory control may break down in a wide variety of individuals with neurological or psychiatric difficulties.

Social network, social support, and risk of incident stroke: Atherosclerosis Risk in Communities study.

Science.gov (United States)

Nagayoshi, Mako; Everson-Rose, Susan A; Iso, Hiroyasu; Mosley, Thomas H; Rose, Kathryn M; Lutsey, Pamela L

2014-10-01

Having a small social network and lack of social support have been associated with incident coronary heart disease; however, epidemiological evidence for incident stroke is limited. We assessed the longitudinal association of a small social network and lack of social support with risk of incident stroke and evaluated whether the association was partly mediated by vital exhaustion and inflammation. The Atherosclerosis Risk in Communities study measured social network and social support in 13 686 men and women (mean, 57 years; 56% women; 24% black; 76% white) without a history of stroke. Social network was assessed by the 10-item Lubben Social Network Scale and social support by a 16-item Interpersonal Support Evaluation List-Short Form. During a median follow-up of 18.6 years, 905 incident strokes occurred. Relative to participants with a large social network, those with a small social network had a higher risk of stroke (hazard ratio [95% confidence interval], 1.44 [1.02-2.04]) after adjustment for demographics, socioeconomic variables, marital status, behavioral risk factors, and major stroke risk factors. Vital exhaustion, but not inflammation, partly mediated the association between a small social network and incident stroke. Social support was unrelated to incident stroke. In this sample of US community-dwelling men and women, having a small social network was associated with excess risk of incident stroke. As with other cardiovascular conditions, having a small social network may be associated with a modestly increased risk of incident stroke. © 2014 American Heart Association, Inc.

Network Provisioning for High Speed Vehicles Moving along Predictable Routes - Part 1: Spiderman Handover

OpenAIRE

Maureira , Juan-Carlos; Dujovne , Diego; Dalle , Olivier

2009-01-01

This report presents our on-going work on a new system designed to provide a continuous network connectivity to communicating devices located on-board a vehicle moving at ”high speed” with a predictable trajectory such as trains, subways or buses. The devices on-board the vehicle form a sub-network called the ”in-motion network”. This system we propose is composed of two parts. The mobile part, called Spiderman Device (SD), installed on the roof of the vehicle, and the fixed part is composed ...

Social support networks and eating disorders: an integrative review of the literature

Directory of Open Access Journals (Sweden)

Leonidas C

2014-05-01

Full Text Available Carolina Leonidas, Manoel Antônio dos Santos Department of Psychology, Faculty of Philosophy, Sciences and Letters of Ribeirão Preto, University of São Paulo, Brazil Aims: This study aimed to analyze the scientific literature about social networks and social support in eating disorders (ED. Methods: By combining keywords, an integrative review was performed. It included publications from 2006–2013, retrieved from the MEDLINE, LILACS, PsycINFO, and CINAHL databases. The selection of articles was based on preestablished inclusion and exclusion criteria. Results: A total of 24 articles were selected for data extraction. There was a predominance of studies that used nonexperimental and descriptive designs, and which were published in international journals. This review provided evidence of the fact that fully consolidated literature regarding social support and social networks in patients with ED is not available, given the small number of studies dedicated to the subject. We identified evidence that the family social network of patients with ED has been widely explored by the literature, although there is a lack of studies about other networks and sources of social support outside the family. Conclusion: The evidence presented in this study shows the need to include other social networks in health care. This expansion beyond family networks would include significant others – such as friends, colleagues, neighbors, people from religious groups, among others – who could help the individual coping with the disorder. The study also highlights the need for future research on this topic, as well as a need for greater investment in publications on the various dimensions of social support and social networks. Keywords: eating disorders, social networks, social support, family relations, peer relations

Social networks of HIV-positive women and their association with social support and depression symptoms.

Science.gov (United States)

Cederbaum, Julie A; Rice, Eric; Craddock, Jaih; Pimentel, Veronica; Beaver, Patty

2017-02-01

Social support is important to the mental health and well-being of HIV-positive women. Limited information exists about the specific structure and composition of HIV-positive women's support networks or associations of these network properties with mental health outcomes. In this pilot study, the authors examine whether support network characteristics were associated with depressive symptoms. Survey and network data were collected from HIV-positive women (N = 46) via a web-based survey and an iPad application in August 2012. Data were analyzed using multivariate linear regression models in SAS. Depressive symptoms were positively associated with a greater number of doctors in a woman's network; having more HIV-positive network members was associated with less symptom reporting. Women who reported more individuals who could care for them had more family support. Those who reported feeling loved were less likely to report disclosure stigma. This work highlighted that detailed social network data can increase our understanding of social support so as to identify interventions to support the mental health of HIV-positive women. Most significant is the ongoing need for support from peers.

Social support networks and eating disorders: an integrative review of the literature.

Science.gov (United States)

Leonidas, Carolina; Dos Santos, Manoel Antônio

2014-01-01

This study aimed to analyze the scientific literature about social networks and social support in eating disorders (ED). By combining keywords, an integrative review was performed. It included publications from 2006-2013, retrieved from the MEDLINE, LILACS, PsycINFO, and CINAHL databases. The selection of articles was based on preestablished inclusion and exclusion criteria. A total of 24 articles were selected for data extraction. There was a predominance of studies that used nonexperimental and descriptive designs, and which were published in international journals. This review provided evidence of the fact that fully consolidated literature regarding social support and social networks in patients with ED is not available, given the small number of studies dedicated to the subject. We identified evidence that the family social network of patients with ED has been widely explored by the literature, although there is a lack of studies about other networks and sources of social support outside the family. The evidence presented in this study shows the need to include other social networks in health care. This expansion beyond family networks would include significant others - such as friends, colleagues, neighbors, people from religious groups, among others - who could help the individual coping with the disorder. The study also highlights the need for future research on this topic, as well as a need for greater investment in publications on the various dimensions of social support and social networks.

Network characteristics, perceived social support, and psychological adjustment in mothers of children with autism spectrum disorder.

Science.gov (United States)

Benson, Paul R

2012-12-01

This study examined the characteristics of the support networks of 106 mothers of children with ASD and their relationship to perceived social support, depressed mood, and subjective well-being. Using structural equation modeling, two competing sets of hypotheses were assessed: (1) that network characteristics would impact psychological adjustment directly, and (2) that network effects on adjustment would be indirect, mediated by perceived social support. Results primarily lent support to the latter hypotheses, with measures of network structure (network size) and function (proportion of network members providing emotional support) predicting increased levels of perceived social support which, in turn, predicted decreased depressed mood and increased well-being. Results also indicated that increased interpersonal strain in the maternal network was directly and indirectly associated with increased maternal depression, while being indirectly linked to reduced well-being. Study limitations and implications are discussed.

Effects of Social Support Network Size on Mortality Risk: Considerations by Diabetes Status.

Science.gov (United States)

Loprinzi, Paul D; Ford, M Allison

2018-05-01

Previous work demonstrates that social support is inversely associated with mortality risk. Less research, however, has examined the effects of the size of the social support network on mortality risk among those with and without diabetes, which was the purpose of this study. Data from the 1999-2008 National Health and Nutrition Examination Survey were used, with participants followed through 2011. This study included 1,412 older adults (≥60 years of age) with diabetes and 5,872 older adults without diabetes. The size of the social support network was assessed via self-report and reported as the number of participants' close friends. Among those without diabetes, various levels of social support network size were inversely associated with mortality risk. However, among those with diabetes, only those with a high social support network size (i.e., at least six close friends) had a reduced risk of all-cause mortality. That is, compared to those with zero close friends, those with diabetes who had six or more close friends had a 49% reduced risk of all-cause mortality (hazard ratio 0.51, 95% CI 0.27-0.94). To mitigate mortality risk, a greater social support network size may be needed for those with diabetes.

Communication competence, social support, and depression among college students: a model of facebook and face-to-face support network influence.

Science.gov (United States)

Wright, Kevin B; Rosenberg, Jenny; Egbert, Nicole; Ploeger, Nicole A; Bernard, Daniel R; King, Shawn

2013-01-01

This study examined the influence of the social networking site Facebook and face-to-face support networks on depression among (N = 361) college students. The authors used the Relational Health Communication Competence Model as a framework for examining the influence of communication competence on social support network satisfaction and depression. Moreover, they examined the influence of interpersonal and social integrative motives as exogenous variables. On the basis of previous work, the authors propose and test a theoretical model using structural equation modeling. The results indicated empirical support for the model, with interpersonal motives predicting increased face-to-face and computer-mediated competence, increased social support satisfaction with face-to-face and Facebook support, and lower depression scores. The implications of the findings for theory, key limitations, and directions for future research are discussed.

Social networks, social support mechanisms, and quality of life after breast cancer diagnosis.

Science.gov (United States)

Kroenke, Candyce H; Kwan, Marilyn L; Neugut, Alfred I; Ergas, Isaac J; Wright, Jaime D; Caan, Bette J; Hershman, Dawn; Kushi, Lawrence H

2013-06-01

We examined mechanisms through which social relationships influence quality of life (QOL) in breast cancer survivors. This study included 3,139 women from the Pathways Study who were diagnosed with breast cancer from 2006 to 2011 and provided data on social networks (the presence of a spouse or intimate partner, religious/social ties, volunteering, and numbers of close friends and relatives), social support (tangible support, emotional/informational support, affection, positive social interaction), and QOL, measured by the FACT-B, approximately 2 months post diagnosis. We used logistic models to evaluate associations between social network size, social support, and lower versus higher than median QOL scores. We further stratified by stage at diagnosis and treatment. In multivariate-adjusted analyses, women who were characterized as socially isolated had significantly lower FACT-B (OR = 2.18, 95 % CI: 1.72-2.77), physical well-being (WB) (OR = 1.61, 95 % CI: 1.27-2.03), functional WB (OR = 2.08, 95 % CI: 1.65-2.63), social WB (OR = 3.46, 95 % CI: 2.73-4.39), and emotional WB (OR = 1.67, 95 % CI: 1.33-2.11) scores and higher breast cancer symptoms (OR = 1.48, 95 % CI: 1.18-1.87) compared with socially integrated women. Each social network member independently predicted higher QOL. Simultaneous adjustment for social networks and social support partially attenuated associations between social networks and QOL. The strongest mediator and type of social support that was most predictive of QOL outcomes was "positive social interaction." However, each type of support was important depending on outcome, stage, and treatment status. Larger social networks and greater social support were related to higher QOL after a diagnosis of breast cancer. Effective social support interventions need to evolve beyond social-emotional interventions and need to account for disease severity and treatment status.

Social support network characteristics of incarcerated women with co-occurring major depressive and substance use disorders.

Science.gov (United States)

Nargiso, Jessica E; Kuo, Caroline C; Zlotnick, Caron; Johnson, Jennifer E

2014-01-01

The nature of social support available to incarcerated women is not well-understood, particularly among women at high risk of negative outcomes, including women dually diagnosed with Major Depressive Disorder and a Substance Use Disorder (MDD-SUD). Descriptive statistics and paired-tests were conducted on 60 incarcerated MDD-SUD women receiving in-prison substance use and depression treatments to characterize the women's social networks, including the strength of support, network characteristics, and types of support provided as well as to determine what aspects of social support may be amenable to change during incarceration and post-release. Study results showed that, on average, women perceived they had moderately supportive individuals in their lives, although more than a quarter of the sample could not identify any regular supporters in their network at baseline. During incarceration, women's social networks significantly increased in general supportiveness, and decreased in network size and percentage of substance users in their networks. Participants maintained positive social support gains post-release in most areas while also significantly increasing the size of their support network post-release. Findings suggest that there are aspects of incarcerated MDD-SUD women's social networks that are amenable to change during incarceration and post-release and provide insight into treatment targets for this vulnerable population.

Social Networks, Psychosocial Adaptation, and Preventive/Developmental Interventions: The Support Development Workshop.

Science.gov (United States)

Todd, David M.

The Support Development Group is an approach which explores and develops a theory for the relationship between network characteristics and notions of psychosocial adaptation. The approach is based on the assumption that teaching people to view their social world in network terms can be helpful to them. The Support Development Workshop is presented…

Software/hardware distributed processing network supporting the Ada environment

Science.gov (United States)

Wood, Richard J.; Pryk, Zen

1993-09-01

A high-performance, fault-tolerant, distributed network has been developed, tested, and demonstrated. The network is based on the MIPS Computer Systems, Inc. R3000 Risc for processing, VHSIC ASICs for high speed, reliable, inter-node communications and compatible commercial memory and I/O boards. The network is an evolution of the Advanced Onboard Signal Processor (AOSP) architecture. It supports Ada application software with an Ada- implemented operating system. A six-node implementation (capable of expansion up to 256 nodes) of the RISC multiprocessor architecture provides 120 MIPS of scalar throughput, 96 Mbytes of RAM and 24 Mbytes of non-volatile memory. The network provides for all ground processing applications, has merit for space-qualified RISC-based network, and interfaces to advanced Computer Aided Software Engineering (CASE) tools for application software development.

International Nuclear Security Education Network (INSEN) and the Nuclear Security Training and Support Centre (NSSC) Network

International Nuclear Information System (INIS)

Nikonov, Dmitriy

2013-01-01

International Nuclear Security Education Network established in 2010: A partnership between the IAEA and universities, research institutions and other stakeholders - •Promotion of nuclear security education; • Development of educational materials; • Professional development for faculty members; • Collaborative research and resource sharing. Currently over 90 members from 38 member states. Mission: to enhance global nuclear security by developing, sharing and promoting excellence in nuclear security education. Nuclear Security Support Centre: Primary objectives are: • Develop human resources through the implementation of a tailored training programme; • Develop a network of experts; • Provide technical support for lifecycle equipment management and scientific support for the detection of and the response to nuclear security events

Community detection in complex networks using proximate support vector clustering

Science.gov (United States)

Wang, Feifan; Zhang, Baihai; Chai, Senchun; Xia, Yuanqing

2018-03-01

Community structure, one of the most attention attracting properties in complex networks, has been a cornerstone in advances of various scientific branches. A number of tools have been involved in recent studies concentrating on the community detection algorithms. In this paper, we propose a support vector clustering method based on a proximity graph, owing to which the introduced algorithm surpasses the traditional support vector approach both in accuracy and complexity. Results of extensive experiments undertaken on computer generated networks and real world data sets illustrate competent performances in comparison with the other counterparts.

Fracture network modeling and GoldSim simulation support

International Nuclear Information System (INIS)

Sugita, Kenichiro; Dershowitz, William

2003-01-01

During Heisei-14, Golder Associates provided support for JNC Tokai through data analysis and simulation of the MIU Underground Rock Laboratory, participation in Task 6 of the Aespoe Task Force on Modelling of Groundwater Flow and Transport, and analysis of repository safety assessment technologies including cell networks for evaluation of the disturbed rock zone (DRZ) and total systems performance assessment (TSPA). MIU Underground Rock Laboratory support during H-14 involved discrete fracture network (DFN) modelling in support of the Multiple Modelling Project (MMP) and the Long Term Pumping Test (LPT). Golder developed updated DFN models for the MIU site, reflecting updated analyses of fracture data. Golder also developed scripts to support JNC simulations of flow and transport pathways within the MMP. Golder supported JNC participation in Task 6 of the Aespoe Task Force on Modelling of Groundwater Flow and Transport during H-14. Task 6A and 6B compared safety assessment (PA) and experimental time scale simulations along a pipe transport pathway. Task 6B2 extended Task 6B simulations from 1-D to 2-D. For Task 6B2, Golder carried out single fracture transport simulations on a wide variety of generic heterogeneous 2D fractures using both experimental and safety assessment boundary conditions. The heterogeneous 2D fractures were implemented according to a variety of in plane heterogeneity patterns. Multiple immobile zones were considered including stagnant zones, infillings, altered wall rock, and intact rock. During H-14, JNC carried out extensive studies of the distributed rock zone (DRZ) surrounding repository tunnels and drifts. Golder supported this activity be evaluating the calculation time necessary for simulating a reference heterogeneous DRZ cell network for a range of computational strategies. To support the development of JNC's total system performance assessment (TSPA) strategy, Golder carried out a review of the US DOE Yucca Mountain Project TSPA. This

Support network for families of children and adolescents with visual impairment: strengths and weaknesses.

Science.gov (United States)

Barbieri, Mayara Caroline; Broekman, Gabriela Van Der Zwaan; Souza, Renata Olzon Dionysio de; Lima, Regina Aparecida Garcia de; Wernet, Monika; Dupas, Giselle

2016-10-01

This study aimed to understand the interactions established between social support networks and families that have children and adolescents with visual impairment, in two different cities in the state of Sao Paulo, Brazil. This was a qualitative, descriptive study with symbolic interactionism as a theoretical framework. A genogram, ecomap and semi-structured interviews with 18 families were used. The method adopted for data analysis was narrative analysis. Two themes were found: potentials derived from the relationship with the support network, and, counterpoints in the support network. The family members accessed other members of their own family, friends, spiritual and cultural activities, health services, government institutions, and philanthropic organizations as support networks. The weakness in health services support is an obstacle to comprehensive healthcare for children and adolescents living in city A. In city B, other possibilities exist because it has a reference service. Despite the weaknesses in the support network in both cities, the family articulates and develops a foundation so that they can provide the best situation possible for their child or adolescent. It is up to health professionals to provide support to families and empower them to care for their members.

Ad hoc Sensor Networks to Support Maritime Interdiction Operations

OpenAIRE

Osmundson, John; Bordetsky, Alex

2014-01-01

Networking sensors, decision centers, and boarding parties supports success in Maritime Interdiction Operations. Led by a team from Naval Post-graduate School (NPS), experiments were conducted in 2012 to test the use of ad-hoc, self-forming communication networks to link sensors, people, and decision centers. The experiments involved international participants and successfully shared valuable biometric and radiological sensor data between boarding parties and decis...

In-House Communication Support System Based on the Information Propagation Model Utilizes Social Network

Science.gov (United States)

Takeuchi, Susumu; Teranishi, Yuuichi; Harumoto, Kaname; Shimojo, Shinji

Almost all companies are now utilizing computer networks to support speedier and more effective in-house information-sharing and communication. However, existing systems are designed to support communications only within the same department. Therefore, in our research, we propose an in-house communication support system which is based on the “Information Propagation Model (IPM).” The IPM is proposed to realize word-of-mouth communication in a social network, and to support information-sharing on the network. By applying the system in a real company, we found that information could be exchanged between different and unrelated departments, and such exchanges of information could help to build new relationships between the users who are apart on the social network.

A support network typology for application in older populations with a preponderance of multigenerational households.

Science.gov (United States)

Burholt, Vanessa; Dobbs, Christine

2014-08-01

This paper considers the support networks of older people in populations with a preponderance of multigenerational households and examines the most vulnerable network types in terms of loneliness and isolation. Current common typologies of support networks may not be sensitive to differences within and between different cultures. This paper uses cross-sectional data drawn from 590 elders (Gujaratis, Punjabis and Sylhetis) living in the United Kingdom and South Asia. Six variables were used in K-means cluster analysis to establish a new network typology. Two logistic regression models using loneliness and isolation as dependent variables assessed the contribution of the new network type to wellbeing. Four support networks were identified: 'Multigenerational Households: Older Integrated Networks', 'Multigenerational Households: Younger Family Networks', 'Family and Friends Integrated Networks' and 'Non-kin Restricted Networks'. Older South Asians with 'Non-kin Restricted Networks' were more likely to be lonely and isolated compared to others. Using network typologies developed with individualistically oriented cultures, distributions are skewed towards more robust network types and could underestimate the support needs of older people from familistic cultures, who may be isolated and lonely and with limited informal sources of help. The new typology identifies different network types within multigenerational households, identifies a greater proportion of older people with vulnerable networks and could positively contribute to service planning.

Personal support networks, social capital, and risk of relapse among individuals treated for substance use issues.

Science.gov (United States)

Panebianco, Daria; Gallupe, Owen; Carrington, Peter J; Colozzi, Ivo

2016-01-01

The success of treatment for substance use issues varies with personal and social factors, including the composition and structure of the individual's personal support network. This paper describes the personal support networks and social capital of a sample of Italian adults after long-term residential therapeutic treatment for substance use issues, and analyses network correlates of post-treatment substance use (relapse). Using a social network analysis approach, data were obtained from structured interviews (90-120 min long) with 80 former clients of a large non-governmental therapeutic treatment agency in Italy providing voluntary residential treatments and rehabilitation services for substance use issues. Participants had concluded the program at least six months prior. Data were collected on socio-demographic variables, addiction history, current drug use status (drug-free or relapsed), and the composition and structure of personal support networks. Factors related to risk of relapse were assessed using bivariate and multivariate logistic regression models. A main goal of this study was to identify differences between the support network profiles of drug free and relapsed participants. Drug free participants had larger, less dense, more heterogeneous and reciprocal support networks, and more brokerage social capital than relapsed participants. Additionally, a lower risk of relapse was associated with higher socio-economic status, being married/cohabiting, and having network members with higher socio-economic status, who have greater occupational heterogeneity, and reciprocate support. Post-treatment relapse was found to be negatively associated with the socioeconomic status and occupational heterogeneity of ego's support network, reciprocity in the ties between ego and network members, and a support network in which the members are relatively loosely connected with one another (i.e., ego possesses "brokerage social capital"). These findings suggest the

Biobjective Optimization of Radio Access Technology Selection and Resource Allocation in Heterogeneous Wireless Networks

DEFF Research Database (Denmark)

Zakrzewska, Anna; D’Andreagiovanni, Fabio; Ruepp, Sarah Renée

2013-01-01

, in order to include handover as an additional decision dimension. Furthermore, the solution algorithm that we propose refines a heuristic solution approach recently proposed in literature, by considering a real joint optimization of the considered resources. The simulation study shows that the new model...... leads to a significant reduction in handover frequency, when compared to a traditional scheme based on maximum SNR....

Time Course of Brain Network Reconfiguration Supporting Inhibitory Control.

Science.gov (United States)

Popov, Tzvetan; Westner, Britta U; Silton, Rebecca L; Sass, Sarah M; Spielberg, Jeffrey M; Rockstroh, Brigitte; Heller, Wendy; Miller, Gregory A

2018-05-02

Hemodynamic research has recently clarified key nodes and links in brain networks implementing inhibitory control. Although fMRI methods are optimized for identifying the structure of brain networks, the relatively slow temporal course of fMRI limits the ability to characterize network operation. The latter is crucial for developing a mechanistic understanding of how brain networks shift dynamically to support inhibitory control. To address this critical gap, we applied spectrally resolved Granger causality (GC) and random forest machine learning tools to human EEG data in two large samples of adults (test sample n = 96, replication sample n = 237, total N = 333, both sexes) who performed a color-word Stroop task. Time-frequency analysis confirmed that recruitment of inhibitory control accompanied by slower behavioral responses was related to changes in theta and alpha/beta power. GC analyses revealed directionally asymmetric exchanges within frontal and between frontal and parietal brain areas: top-down influence of superior frontal gyrus (SFG) over both dorsal ACC (dACC) and inferior frontal gyrus (IFG), dACC control over middle frontal gyrus (MFG), and frontal-parietal exchanges (IFG, precuneus, MFG). Predictive analytics confirmed a combination of behavioral and brain-derived variables as the best set of predictors of inhibitory control demands, with SFG theta bearing higher classification importance than dACC theta and posterior beta tracking the onset of behavioral response. The present results provide mechanistic insight into the biological implementation of a psychological phenomenon: inhibitory control is implemented by dynamic routing processes during which the target response is upregulated via theta-mediated effective connectivity within key PFC nodes and via beta-mediated motor preparation. SIGNIFICANCE STATEMENT Hemodynamic neuroimaging research has recently clarified regional structures in brain networks supporting inhibitory control. However, due to

State Support: A Prerequisite for Global Health Network Effectiveness Comment on "Four Challenges that Global Health Networks Face".

Science.gov (United States)

Marten, Robert; Smith, Richard D

2017-07-24

Shiffman recently summarized lessons for network effectiveness from an impressive collection of case-studies. However, in common with most global health governance analysis in recent years, Shiffman underplays the important role of states in these global networks. As the body which decides and signs international agreements, often provides the resourcing, and is responsible for implementing initiatives all contributing to the prioritization of certain issues over others, state recognition and support is a prerequisite to enabling and determining global health networks' success. The role of states deserves greater attention, analysis and consideration. We reflect upon the underappreciated role of the state within the current discourse on global health. We present the tobacco case study to illustrate the decisive role of states in determining progress for global health networks, and highlight how states use a legitimacy loop to gain legitimacy from and provide legitimacy to global health networks. Moving forward in assessing global health networks' effectiveness, further investigating state support as a determinant of success will be critical. Understanding how global health networks and states interact and evolve to shape and support their respective interests should be a focus for future research. © 2018 The Author(s); Published by Kerman University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Fracture network modeling and GoldSim simulation support

International Nuclear Information System (INIS)

Sugita, Kenichirou; Dershowitz, W.

2005-01-01

During Heisei-16, Golder Associates provided support for JNC Tokai through discrete fracture network data analysis and simulation of the Mizunami Underground Research Laboratory (MIU), participation in Task 6 of the AEspoe Task Force on Modeling of Groundwater Flow and Transport, and development of methodologies for analysis of repository site characterization strategies and safety assessment. MIU support during H-16 involved updating the H-15 FracMan discrete fracture network (DFN) models for the MIU shaft region, and developing improved simulation procedures. Updates to the conceptual model included incorporation of 'Step2' (2004) versions of the deterministic structures, and revision of background fractures to be consistent with conductive structure data from the DH-2 borehole. Golder developed improved simulation procedures for these models through the use of hybrid discrete fracture network (DFN), equivalent porous medium (EPM), and nested DFN/EPM approaches. For each of these models, procedures were documented for the entire modeling process including model implementation, MMP simulation, and shaft grouting simulation. Golder supported JNC participation in Task 6AB, 6D and 6E of the AEspoe Task Force on Modeling of Groundwater Flow and Transport during H-16. For Task 6AB, Golder developed a new technique to evaluate the role of grout in performance assessment time-scale transport. For Task 6D, Golder submitted a report of H-15 simulations to SKB. For Task 6E, Golder carried out safety assessment time-scale simulations at the block scale, using the Laplace Transform Galerkin method. During H-16, Golder supported JNC's Total System Performance Assessment (TSPA) strategy by developing technologies for the analysis of the use site characterization data in safety assessment. This approach will aid in the understanding of the use of site characterization to progressively reduce site characterization uncertainty. (author)

Performance Evaluation of Distributed Mobility Management Protocols: Limitations and Solutions for Future Mobile Networks

Directory of Open Access Journals (Sweden)

J. Carmona-Murillo

2017-01-01

Full Text Available Mobile Internet data traffic has experienced an exponential growth over the last few years due to the rise of demanding multimedia content and the increasing number of mobile devices. Seamless mobility support at the IP level is envisioned as a key architectural requirement in order to deal with the ever-increasing demand for data and to efficiently utilize a plethora of different wireless access networks. Current efforts from both industry and academia aim to evolve the mobility management protocols towards a more distributed operation to tackle shortcomings of fully centralized approaches. However, distributed solutions face several challenges that can result in lower performance which might affect real-time and multimedia applications. In this paper, we conduct an analytical and simulated evaluation of the main centralized and proposed Distributed Mobility Management (DMM solutions. Our results show that, in some scenarios, when users move at high speed and/or when the mobile node is running long-lasting applications, the DMM approaches incur high signaling cost and long handover latency.

Interfacing Nuclear Security and Safeguards through Education and Support Centre Networks

International Nuclear Information System (INIS)

Nikonov, D.

2015-01-01

This paper presents the work of the International Nuclear Security Education Network (INSEN) and the International Nuclear Security Training and Support Centre Network (NSSC) as the means to achieve sustainable human resource development in member states. The paper also examines how both security and safeguards can benefit from collaborative and coordinated activities when such networks focus on practical achievements. (author)

[Characteristics of social supportive network serving the older female sex workers in Qingdao].

Science.gov (United States)

Xu, Y Q; Li, Y F; Jiang, Z X; Zhang, X J; Yuan, X; Zhang, N; Li, X F; Jiang, B F

2016-02-01

To overview the status of social support on older female sex workers (OFSWs) in Qingdao and to better understand the characteristics of this egocentric social support networks. Ucinet 6 software was used to analyze the characteristics of egocentric social networks which involving 400 OFSWs who were recruited by respondent-driven sampling (RDS) method in Qingdao during March 2014 to June. Structural equation model (SEM) was used for data analysis, fitted test and estimation. A total of 400 OFSWs of Qingdao nominated 1 617 social supportive members, and the average size of egocentric social networks of OFSWs was (4.0 ± 1.5). Among all the alter egos (social support network members of the egos), 613 were female sex workers fellows, accounted for the most important part of all the social ties (37.91%). Characteristics of small size and non-relative relationships were seen more obviously among OFSWs with non-local registration and the ratings of emotional support (4.42±2.38) was significantly lower than the tangible support (5.73 ± 1.69) (Psocial support from friends who were also female sex workers. Stronger the joint strength between egos and alters, greater the homogeneity between the two was seen. Tighter relations among the alter egos, higher degree of average social support of the egos were acquired.

Social networks, social support mechanisms, and quality of life after breast cancer diagnosis

Science.gov (United States)

Kroenke, Candyce H; Kwan, Marilyn L.; Neugut, Alfred I.; Ergas, Isaac J.; Wright, Jaime D.; Caan, Bette J.; Hershman, Dawn; Kushi, Lawrence H.

2013-01-01

Purpose We examined mechanisms through which social relationships influence quality of life (QOL) in breast cancer survivors. Methods This study included 3,139 women from the Pathways Study who were diagnosed with breast cancer from 2006-2011 and provided data on social networks (presence of spouse or intimate partner, religious/social ties, volunteering, and numbers of close friends and relatives), social support (tangible, emotional/informational, affection, positive social interaction), and quality of life (QOL), measured by the FACT-B, approximately two months post-diagnosis. We used logistic models to evaluate associations between social network size, social support, and lower vs. higher than median QOL scores. We further stratified by stage at diagnosis and treatment. Results In multivariate-adjusted analyses, women who were characterized as socially isolated had significantly lower FACT-B (OR=2.18, 95%CI:1.72-2.77), physical well-being (WB) (OR=1.61, 95%CI:1.27-2.03), functional WB (OR=2.08, 95%CI:1.65-2.63), social WB (OR=3.46, 95%CI:2.73-4.39), and emotional WB (OR=1.67, 95%CI:1.33-2.11) scores and higher breast cancer symptoms (OR=1.48, 95%CI:1.18-1.87), compared with socially integrated women. Each social network member independently predicted higher QOL. Simultaneous adjustment for social networks and social support partially attenuated associations between social networks and QOL. The strongest mediator and type of social support that was most predictive of QOL outcomes was “positive social interaction”. However, each type of support was important depending on outcome, stage, and treatment status. Conclusions Larger social networks and greater social support were related to higher QOL after a diagnosis of breast cancer. Effective social support interventions need to evolve beyond social-emotional interventions and need to account for disease severity and treatment status. PMID:23657404

Support for Programming Models in Network-on-Chip-based Many-core Systems

DEFF Research Database (Denmark)

Rasmussen, Morten Sleth

This thesis addresses aspects of support for programming models in Network-on- Chip-based many-core architectures. The main focus is to consider architectural support for a plethora of programming models in a single system. The thesis has three main parts. The first part considers parallelization...... models to be supported by a single architecture. The architecture features a specialized network interface processor which allows extensive configurability of the memory system. Based on this architecture, a detailed implementation of the cache coherent shared memory programming model is presented...

Identifying changes in the support networks of end-of-life carers using social network analysis.

Science.gov (United States)

Leonard, Rosemary; Horsfall, Debbie; Noonan, Kerrie

2015-06-01

End-of-life caring is often associated with reduced social networks for both the dying person and for the carer. However, those adopting a community participation and development approach, see the potential for the expansion and strengthening of networks. This paper uses Knox, Savage and Harvey's definitions of three generations social network analysis to analyse the caring networks of people with a terminal illness who are being cared for at home and identifies changes in these caring networks that occurred over the period of caring. Participatory network mapping of initial and current networks was used in nine focus groups. The analysis used key concepts from social network analysis (size, density, transitivity, betweenness and local clustering) together with qualitative analyses of the group's reflections on the maps. The results showed an increase in the size of the networks and that ties between the original members of the network strengthened. The qualitative data revealed the importance between core and peripheral network members and the diverse contributions of the network members. The research supports the value of third generation social network analysis and the potential for end-of-life caring to build social capital. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Requirements for advanced decision support tools in future distribution network planning

NARCIS (Netherlands)

Grond, M.O.W.; Morren, J.; Slootweg, J.G.

2013-01-01

This paper describes the need and requirements for advanced decision support tools in future network planning from a distribution network operator perspective. The existing tools will no longer be satisfactory for future application due to present developments in the electricity sector that increase

Supports for shock, vibration and seismic isolation for tube networks

International Nuclear Information System (INIS)

Prisecaru, Ilie; Serban, Viorel; Sandrea Madalina

2005-01-01

The paper presents a solution for diminishing the shocks, vibrations and seismic movements in pipe networks, with a simultaneous reduction in the general stress conditions in piping and supports. Total removal or reduction of vibrations is a hard problem which was not yet tackled either theoretically, in the sense of an analytical procedure for the analysis of occurrence and development of shocks and vibrations in complex systems, or practically, since the current supports and dampers cannot provide enough damping within all the frequency ranges met in the technical domain. Stiffness of classical supports do not allow always satisfactory source isolation to prevent propagation from environment of shocks and vibrations, Considering the actual condition met in the nuclear power plants, power plants and thermal power plants, etc. this paper represents a major practical aid because it provides new solutions for diminishing shocks, vibrations and seismic movements. Aiming at diminishing the effects of vibrations in pipe networks, this paper presents the results obtained in the design, construction and testing of new types of supports that include sandwich type components made up of elastic blade packages with controlled distortion provided by the central and peripheral stiff parts called SERB. With the new type of supports, the control of the distortion at static and dynamic loads and the thermal displacements is achieved by the relative movement among the sandwich structure subassemblies and by the sandwich structure distortion controlled by the central and peripheral distorting parts that generate a non - linear geometric response which has an easily controllable stiffness and damping, due to their non - linear geometric behavior. The supports of the new type are adjustable to the load and distortion level without overstressing the component material, due to a non - linear geometric behavior while the contact pressure among the blades is limited to pre-set values. Due

Network support for system initiated checkpoints

Science.gov (United States)

Chen, Dong; Heidelberger, Philip

2013-01-29

A system, method and computer program product for supporting system initiated checkpoints in parallel computing systems. The system and method generates selective control signals to perform checkpointing of system related data in presence of messaging activity associated with a user application running at the node. The checkpointing is initiated by the system such that checkpoint data of a plurality of network nodes may be obtained even in the presence of user applications running on highly parallel computers that include ongoing user messaging activity.

Wireless networks of opportunity in support of secure field operations

Science.gov (United States)

Stehle, Roy H.; Lewis, Mark

1997-02-01

Under funding from the Defense Advanced Research Projects Agency (DARPA) for joint military and law enforcement technologies, demonstrations of secure information transfer in support of law enforcement and military operations other than war, using wireless and wired technology, were held in September 1996 at several locations in the United States. In this paper, the network architecture, protocols, and equipment supporting the demonstration's scenarios are presented, together with initial results, including lessons learned and desired system enhancements. Wireless networks of opportunity encompassed in-building (wireless-LAN), campus-wide (Metricom Inc.), metropolitan (AMPS cellular, CDPD), and national (one- and two-way satellite) systems. Evolving DARPA-sponsored packet radio technology was incorporated. All data was encrypted, using multilevel information system security initiative (MISSI)FORTEZZA technology, for carriage over unsecured and unclassified commercial networks. The identification and authentication process inherent in the security system permitted logging for database accesses and provided an audit trail useful in evidence gathering. Wireless and wireline communications support, to and between modeled crisis management centers, was demonstrated. Mechanisms for the guarded transport of data through the secret-high military tactical Internet were included, to support joint law enforcement and crisis management missions. A secure World Wide Web (WWW) browser forms the primary, user-friendly interface for information retrieval and submission. The WWW pages were structured to be sensitive to the bandwidth, error rate, and cost of the communications medium in use (e.g., the use of and resolution for graphical data). Both still and motion compressed video were demonstrated, along with secure voice transmission from laptop computers in the field. Issues of network bandwidth, airtime costs, and deployment status are discussed.

Organized network for supporting the amateur-scientist co-operation in Finland

Science.gov (United States)

Mäkelä, V.; Haukka, H.; Oksanen, A.; Hentunen, V.-P.

2014-04-01

PROAM network is a working group of Ursa Astronomical Association [1] for supporting Finnish amateur astronomers participating to co-operation projects between professional and amateur astronomers. The network relays the information on projects, maintains professional contacts and arranges training on technical skills for research work.

State Support: A Prerequisite for Global Health Network Effectiveness; Comment on “Four Challenges that Global Health Networks Face”

Directory of Open Access Journals (Sweden)

Robert Marten

2018-03-01

Full Text Available Shiffman recently summarized lessons for network effectiveness from an impressive collection of case-studies. However, in common with most global health governance analysis in recent years, Shiffman underplays the important role of states in these global networks. As the body which decides and signs international agreements, often provides the resourcing, and is responsible for implementing initiatives all contributing to the prioritization of certain issues over others, state recognition and support is a prerequisite to enabling and determining global health networks’ success. The role of states deserves greater attention, analysis and consideration. We reflect upon the underappreciated role of the state within the current discourse on global health. We present the tobacco case study to illustrate the decisive role of states in determining progress for global health networks, and highlight how states use a legitimacy loop to gain legitimacy from and provide legitimacy to global health networks. Moving forward in assessing global health networks’ effectiveness, further investigating state support as a determinant of success will be critical. Understanding how global health networks and states interact and evolve to shape and support their respective interests should be a focus for future research.

Networking support for collaborative virtual reality projects in national, european and international context

OpenAIRE

Hommes, F.; Pless, E.

2004-01-01

The report describes experiences from networking support for two three years virtual reality projects. Networking requirements depending on the virtual reality environment and the planned distributed scenarios are specified and verified in the real network. Networking problems especially due to the collaborative, distributed character of interaction via the Internet are presented.

Reciprocal Family, Friendship and Church Support Networks of African Americans: Findings from the National Survey of American Life.

Science.gov (United States)

Taylor, Robert Joseph; Mouzon, Dawne M; Nguyen, Ann W; Chatters, Linda M

2016-12-01

This study examined reciprocal support networks involving extended family, friends and church members among African Americans. Our analysis examined specific patterns of reciprocal support (i.e., received only, gave only, both gave and received, neither gave or received), as well as network characteristics (i.e., contact and subjective closeness) as correlates of reciprocal support. The analysis is based on the African American sub-sample of the National Survey of American Life (NSAL). Overall, our findings indicate that African Americans are very involved in reciprocal support networks with their extended family, friends and church members. Respondents were most extensively involved in reciprocal supports with extended family members, followed closely by friends and church networks. Network characteristics (i.e., contact and subjective closeness) were significantly and consistently associated with involvement with reciprocal support exchanges for all three networks. These and other findings are discussed in detail. This study complements previous work on the complementary roles of family, friend and congregational support networks, as well as studies of racial differences in informal support networks.

YouTube Social Network as a Business Support

OpenAIRE

Phí, Manh Hoang

2017-01-01

This bachelor thesis is focused on familiarizing the reader with the phenomenon of the YouTube social network and its possibilities for business support. The first chapter of the theoretical part introduces the reader to the basic characteristics of online marketing and its tools. The second chapter is dedicated to the YouTube social network, where the reader first learns about the key moments in YouTube history and current statistical facts. Furthermore the bachelor thesis describes the YouT...

Perception of adult men on their preventive practices and health support networks

Directory of Open Access Journals (Sweden)

Guilherme Oliveira de Arruda

2015-07-01

Full Text Available Objectives: to know the preventive practices adopted by adult men in daily life and to identify health support networks. Methods: a descriptive qualitative study, made during the months of November and December 2012, at two emergency units, along with 32 men aged between 20 and 59 years. Data were collected through semi-structured interviews and subjected to content analysis with thematic modality. Results: men highlighted different preventive practices such as sanitizing hands, eating properly, having screening tests, avoiding psychoactive substance abuse, using personal protective equipment at work and condoms during sex. Most of the participants had nuclear family and its members were their primary support network regarding the health-disease process. Conclusion: it is for health team members to try to leverage the adoption of preventive practices by adult men from the support networks they consider significant.

Foreword – Upon the Twentieth Anniversary of the Hong Kong Handover: An Update on State-Civil Societal Relations

Directory of Open Access Journals (Sweden)

Emile Kok-Kheng Yeoh

2017-08-01

Full Text Available 1st July 2017 is the twentieth anniversary of the handover of Hong Kong by Great Britain to the People’s Republic of China, thus ending 156 years of British Crown rule (from 1841 to 1997, though from 1941 to 1945 it was actually under the Japanese occupation. Then on 28th September 2014 a surprised sociopolitical event erupted that arguably marked a most important milestone in Hong Kong’s post-1997 development when pro-democracy protestors occupied the Admiralty, Causeway Bay, Mong Kok and Tsim Sha Tsui areas of Hong Kong. This momentous campaign, dubbed by the world media as the “Umbrella Movement”, was initially planned out earlier by the “Occupy Central with Love and Peace” (OCLP movement, but launched earlier than scheduled when overtaken by the development of events, metamorphosised into unprecedented scale of demonstrations in multiple locations. One can of course argue that the post-Mao China has changed so much, and that the economic success brought about by ditching Maoist central command economy for rugged capitalist market economy has legitimised the CCP’s continued monopoly of political power, but how would one explain the reaction of the Hong Kong people, especially the major part of the intelligentsia and the younger generation – that fear for and that distaste towards the CCP regime? How would one explain their reaction towards the death of persecuted dissidents, be they Li Wangyang, Cao Shunli or Liu Xiaobo, and towards Beijing’s creeping authoritarian intervention in Hong Kong’s governance, be it introduction of brainwashing school curriculum extoling the CCP, time-and-again interpretation of the Basic Law, or kidnapping of Hong Kong booksellers and publishers? How would one explain the eruption of 2014’s Occupy Campaign a.k.a. Umbrella Movement? It is to answer such questions and to delve analytically into the complex State-civil societal relations twenty years after the Handover, background of determining

Five-year trajectories of social networks and social support in older adults with major depression.

Science.gov (United States)

Voils, Corrine I; Allaire, Jason C; Olsen, Maren K; Steffens, David C; Hoyle, Rick H; Bosworth, Hayden B

2007-12-01

Research with nondepressed adults suggests that social networks and social support are stable over the life course until very late age. This may not hold true for older adults with depression. We examined baseline status and trajectories of social networks and social support at the group and individual levels over five years. The sample consisted of 339 initially depressed adults aged 59 or older (M = 69 years) enrolled in a naturalistic study of depression. Measures of social ties, including social network size, frequency of interaction, instrumental support, and subjective support, were administered at baseline and yearly for five years. Latent growth curve models were estimated for each aspect of social ties. On average, social network size and frequency of interaction were low at baseline and remained stable over time, whereas subjective and instrumental support were high at baseline yet increased over time. There was significant variation in the direction and rate of change over time, which was not predicted by demographic or clinical factors. Because increasing social networks may be ineffective and may not be possible for a portion of people who already receive maximal support, interventions to increase social support may only work for a portion of older depressed adults.

Adaptive control of call acceptance in WCDMA network

Directory of Open Access Journals (Sweden)

Milan Manojle Šunjevarić

2013-10-01

characteristic in networks with hard capacities. For systems with so-called "Soft" capacity, there is no direct relationship between the number of users and available capacity for incoming requests, and the number of served users depends on the SIR threshold. However, there is the algorithm that follows a very simple approach in which decisions about access are based only on the number of users already present in the system. The use of the algorithm represents a direct mapping of strategies from 2G systems in which the capacity is limited  with hard boundaries, and a decision is made on the basis of already admitted users in the system. The methods of resource management used in modern wireless networks In previous research of access control algorithms in wireless networks, in the broadest terms, two basic methods could be used: deterministic and stochastic methods. Deterministic algorithms imply that QoS parameters are one hundred percent guaranteed for the duration of the connection, which is not practical in real systems. In the stochastic CAC algorithms, QoS cannot be guaranteed one hundred percent, but instead, with a certain probability. Resource reservation Methods with reserved channels, or generally speaking the reserved resources, are known in the literature as Guard Channel or GC methods. Algorithms with static reservation often result in poor utilization of resources. Algorithms with dynamic thresholds have the threshold that adapts to real  needs (for example, if at the particular location many requests for handover connections appear, then the part of the resources saved for handover can dynamically be increased. Influence of the OVSF codes distribution method to the number of accepted requests in the WCDMA network The OVSF codes are used in WCDMA networks to support different transmission rates for multimedia services. They are variable in length, and using a smaller factor achieves higher transmission rates. In recent years, a significant number of papers have

Support networks and people with physical disabilities: social inclusion and access to health services.

Science.gov (United States)

Holanda, Cristina Marques de Almeida; De Andrade, Fabienne Louise Juvêncio Paes; Bezerra, Maria Aparecida; Nascimento, João Paulo da Silva; Neves, Robson da Fonseca; Alves, Simone Bezerra; Ribeiro, Kátia Suely Queiroz Silva

2015-01-01

This study seeks to identify the formation of social support networks of people with physical disabilities, and how these networks can help facilitate access to health services and promote social inclusion. It is a cross-sectional study, with data collected via a form applied to physically disabled persons over eighteen years of age registered with the Family Health Teams of the municipal district of João Pessoa in the state of Paraíba. It was observed that the support networks of these individuals predominantly consist of family members (parents, siblings, children, spouses) and people outside the family (friends and neighbors). However, 50% of the interviewees declared that they could not count on any support from outside the family. It was observed that the support network contributes to access to the services and participation in social groups. However, reduced social inclusion was detected, due to locomotion difficulties, this being the main barrier to social interaction. Among those individuals who began to interact in society, the part played by social support was fundamental.

Association of Social Support Network Size With Receipt of Cataract Surgery in Older Adults.

Science.gov (United States)

Stagg, Brian C; Choi, HwaJung; Woodward, Maria A; Ehrlich, Joshua R

2018-04-01

Cataract-related vision impairment is an important public health issue that tends to affect older adults. Little is known about the association between older adults' social support networks and their likelihood of receiving cataract surgery. To determine if older adults with smaller social support networks are less likely to receive cataract surgery. Retrospective cohort study. The National Health and Aging Trends Study, a nationally representative US survey, administered annually from 2011 to 2015 to a cohort of Medicare beneficiaries 65 years and older with no cataract surgery prior to the start of the study. Multivariable logistic regression was performed to evaluate if the number of persons in an individual's social support network influenced whether that individual received cataract surgery during a given year of the study. Overall, 3448 participants were interviewed from 2011 to 2015 for a total of 9760 observations. Of these observations, 3084 (weighted, 38.81%; 95% CI, 37.28-40.35) were aged 70 to 74 years, 5211 (weighted, 52.32%; 95% CI, 50.19-54.44) were women; 5899 (weighted, 78.53%; 95% CI, 76.29-80.61) were white, 2249 (weighted, 9.55%; 95% CI, 8.45-10.78) were black, 537 (weighted, 7.18%; 95% CI, 5.88-8.73) were Hispanic, and 303 (weighted, 4.74%; 95% CI, 3.56-62.9) reported other races. Medicare beneficiaries with smaller social support networks (0-2 individuals) were less likely to receive cataract surgery in a given year (adjusted odds ratio, 0.60; 95% CI, 0.37-0.96) than those with larger support networks (≥3 individuals). The adjusted predicted proportion of Medicare beneficiaries undergoing cataract surgery was 4.7% (95% CI, 2.7%-6.7%) and 7.5% (95% CI, 6.9%-8.1%) for those with small and large social support networks, respectively. Having fewer non-spouse/partner family members in the support network was associated with decreased odds of receiving cataract surgery (adjusted odds ratio, 0.60; 95% CI, 0.43-0.85), but having spouses

From LTE to 5G for Connected Mobility

DEFF Research Database (Denmark)

Lauridsen, Mads; Gimenez, Lucas Chavarria; Rodriguez Larrad, Ignacio

2017-01-01

been initiated. In this article, we measure how current LTE network implementations perform in comparison with the initial LTE requirements. The target is to identify certain key performance indicators that have suboptimal implementations and therefore lend themselves to careful consideration when...... time, and coverage of four operational LTE networks based on 19,000 km of drive tests covering a mixture of rural, suburban, and urban environments. The measurements have been collected using commercial radio network scanners and measurement smartphones. Even though LTE has low air interface delays......, the measurements reveal that core network delays compromise the overall round-trip time design requirement. LTE's breakbefore- make handover implementation causes a data interruption at each handover of 40 ms at the median level. While this is in compliance with the LTE requirements, and lower values are certainly...

Quantitative Safety and Security Analysis from a Communication Perspective

Directory of Open Access Journals (Sweden)

Boris Malinowsky

2015-12-01

Full Text Available This paper introduces and exemplifies a trade-off analysis of safety and security properties in distributed systems. The aim is to support analysis for real-time communication and authentication building blocks in a wireless communication scenario. By embedding an authentication scheme into a real-time communication protocol for safety-critical scenarios, we can rely on the protocol’s individual safety and security properties. The resulting communication protocol satisfies selected safety and security properties for deployment in safety-critical use-case scenarios with security requirements. We look at handover situations in a IEEE 802.11 wireless setup between mobile nodes and access points. The trade-offs involve application-layer data goodput, probability of completed handovers, and effect on usable protocol slots, to quantify the impact of security from a lower-layer communication perspective on the communication protocols. The results are obtained using the network simulator ns-3.

A network architecture supporting consistent rich behavior in collaborative interactive applications.

Science.gov (United States)

Marsh, James; Glencross, Mashhuda; Pettifer, Steve; Hubbold, Roger

2006-01-01

Network architectures for collaborative virtual reality have traditionally been dominated by client-server and peer-to-peer approaches, with peer-to-peer strategies typically being favored where minimizing latency is a priority, and client-server where consistency is key. With increasingly sophisticated behavior models and the demand for better support for haptics, we argue that neither approach provides sufficient support for these scenarios and, thus, a hybrid architecture is required. We discuss the relative performance of different distribution strategies in the face of real network conditions and illustrate the problems they face. Finally, we present an architecture that successfully meets many of these challenges and demonstrate its use in a distributed virtual prototyping application which supports simultaneous collaboration for assembly, maintenance, and training applications utilizing haptics.

Mobility support and networking for women in STEM

Science.gov (United States)

Avellis, Giovanna; Didenkulova, Ira

2017-04-01

Mobility support for women in STEM (Science, Technology, Engineering and Mathematics) career is an increasingly important issue in today's world. Cutting edge research tends to be undertaken via international collaboration, often within networks built up by moving to a new country. In addition, many of today's funding opportunities are geared towards international cooperation. There have been quite a few debates and several projects based on extended surveys to understand the role and impact of mobility on a scientific career. Although in general it is true that these issues are sensitive to the country and the scientific field for example, it is believed by the scientific community at least, that there is a connection between mobility and scientific excellence. Rewarding mobility is becoming a concern at the European level because mechanisms to measure in the best and objective way possible scientific excellence are not homogeneous. But still mobility is a key issue to strengthen a researcher's scientific curriculum and be recognised at the international level. Women have been widely recognised as a source of untapped potential. Different steps have been taken so far for a deeper understanding of barriers and different obstacles faced by women in the Science field. Present calls in the Science in Society panel in HORIZON 2020 deal with the horizontal and vertical segregation experienced by women in their careers and best practices to manage these issues. The general aim is to foster women participation in all scientific fields with particular regard to male dominated disciplines as STEM and increase the number and the effective representation of women in decision-making positions, to help also speed up the whole process. Mobility has demonstrated to be partly gender sensitive and this needs to be addressed in some way in order to ensure at least equal opportunities to male and female scientists regarding possibilities and benefits offered by mobility programmes

A model for the electronic support of practice-based research networks.

Science.gov (United States)

Peterson, Kevin A; Delaney, Brendan C; Arvanitis, Theodoros N; Taweel, Adel; Sandberg, Elisabeth A; Speedie, Stuart; Richard Hobbs, F D

2012-01-01

The principal goal of the electronic Primary Care Research Network (ePCRN) is to enable the development of an electronic infrastructure to support clinical research activities in primary care practice-based research networks (PBRNs). We describe the model that the ePCRN developed to enhance the growth and to expand the reach of PBRN research. Use cases and activity diagrams were developed from interviews with key informants from 11 PBRNs from the United States and United Kingdom. Discrete functions were identified and aggregated into logical components. Interaction diagrams were created, and an overall composite diagram was constructed describing the proposed software behavior. Software for each component was written and aggregated, and the resulting prototype application was pilot tested for feasibility. A practical model was then created by separating application activities into distinct software packages based on existing PBRN business rules, hardware requirements, network requirements, and security concerns. We present an information architecture that provides for essential interactions, activities, data flows, and structural elements necessary for providing support for PBRN translational research activities. The model describes research information exchange between investigators and clusters of independent data sites supported by a contracted research director. The model was designed to support recruitment for clinical trials, collection of aggregated anonymous data, and retrieval of identifiable data from previously consented patients across hundreds of practices. The proposed model advances our understanding of the fundamental roles and activities of PBRNs and defines the information exchange commonly used by PBRNs to successfully engage community health care clinicians in translational research activities. By describing the network architecture in a language familiar to that used by software developers, the model provides an important foundation for the

Social support and social network as intermediary social determinants of dental caries in adolescents.

Science.gov (United States)

Fontanini, Humberto; Marshman, Zoe; Vettore, Mario

2015-04-01

The aim of this study was to investigate the association between intermediary social determinants, namely social support and social network with dental caries in adolescents. An adapted version of the WHO social determinants of health conceptual framework was used to organize structural and intermediary social determinants of dental caries into six blocks including perceived social support and number of social networks. A cross-sectional study was conducted with a representative sample of 542 students between 12 and 14 years of age in public schools located in the city of Dourados, Brazil in 2012. The outcome variables were caries experience (DMFT ≥ 1) and current dental caries (component D of DMFT ≥ 1) recorded by a calibrated dentist. Individual interviews were performed to collect data on perceived social support and numbers of social networks from family and friends and covariates. Multivariate Poisson regressions using hierarchical models were conducted. The prevalence of adolescents with caries experience and current dental caries was 55.2% and 32.1%, respectively. Adolescents with low numbers of social networks and low levels of social support from family (PR 1.47; 95% CI = 1.01-2.14) were more likely to have DMFT ≥ 1. Current dental caries was associated with low numbers of social networks and low levels of social support from family (PR 2.26; 95% CI = 1.15-4.44). Social support and social network were influential psychosocial factors to dental caries in adolescents. This finding requires confirmation in other countries but potentially has implications for programmes to promote oral health. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

The influence of social networks on self-management support: a metasynthesis.

Science.gov (United States)

Vassilev, Ivaylo; Rogers, Anne; Kennedy, Anne; Koetsenruijter, Jan

2014-07-15

There is increasing recognition that chronic illness management (CIM) is not just an individual but a collective process where social networks can potentially make a considerable contribution to improving health outcomes for people with chronic illness. However, the mechanisms (processes, activities) taking place within social networks are insufficiently understood. The aim of this review was to focus on identifying the mechanisms linking social networks with CIM. Here we consider network mechanisms as located within a broader social context that shapes practices, behaviours, and the multiplicity of functions and roles that network members fulfil. A systematic search of qualitative studies was undertaken on Medline, Embase, and Web for papers published between 1st January 2002 and 1st December 2013. Eligible for inclusion were studies dealing with diabetes, and with conditions or health behaviours relevant for diabetes management; and studies exploring the relationship between social networks, self-management, and deprivation. 25 papers met the inclusion criteria. A qualitative metasynthesis was undertaken and the review followed a line of argument synthesis. The main themes identified were: 1) sharing knowledge and experiences in a personal community; 2) accessing and mediation of resources; 3) self-management support requires awareness of and ability to deal with network relationships. These translated into line of argument synthesis in which three network mechanisms were identified. These were network navigation (identifying and connecting with relevant existing resources in a network), negotiation within networks (re-shaping relationships, roles, expectations, means of engagement and communication between network members), and collective efficacy (developing a shared perception and capacity to successfully perform behaviour through shared effort, beliefs, influence, perseverance, and objectives). These network mechanisms bring to the fore the close

Ecological Networks and Community Attachment and Support Among Recently Resettled Refugees.

Science.gov (United States)

Soller, Brian; Goodkind, Jessica R; Greene, R Neil; Browning, Christopher R; Shantzek, Cece

2018-03-25

Interventions aimed at enhancing mental health are increasingly centered around promoting community attachment and support. However, few have examined and tested the specific ecological factors that give rise to these key community processes. Drawing from insights from the ecological network perspective, we tested whether spatial and social overlap in routine activity settings (e.g., work, school, childcare) with fellow ethnic community members is associated with individuals' attachment to their ethnic communities and access to social resources embedded in their communities. Data on routine activity locations drawn from the Refugee Well-Being Project (based in a city in the Southwestern United States) were used to reconstruct the ecological networks of recently resettled refugee communities, which were two-mode networks that comprise individuals and their routine activity locations. Results indicated that respondents' community attachment and support increased with their ecological network extensity-which taps the extent to which respondents share routine activity locations with other community members. Our study highlights a key ecological process that potentially enhances individuals' ethnic community attachment that extends beyond residential neighborhoods. © Society for Community Research and Action 2018.

Contingent association between the size of the social support network and osteoporosis among Korean elderly women.

Science.gov (United States)

Lee, Seungwon; Seo, Da Hea; Kim, Kyoung Min; Lee, Eun Young; Kim, Hyeon Chang; Kim, Chang Oh; Youm, Yoosik; Rhee, Yumie

2017-01-01

To investigate the association between the number of personal ties (or the size of the social support network) and the incidence of osteoporosis among older women in Korea. Data from the Korean Urban Rural Elderly Study were used. Bone density was measured by dual-energy X-ray absorptiometry at the lumbar spine (L1-L4) and femur neck. T-score, the standardized bone density compared with what is normally expected in a healthy young adult, was measured and the presence of osteoporosis was determined, if the T-score was social support network size was measured by self-responses (number of confidants and spouse). Of the 1,846 participants, 44.9% were diagnosed with osteoporosis. The association between the social support network size and the incidence of osteoporosis was curvilinear in both bivariate and multivariate analyses. Having more people in one's social support network size was associated with lower risk of osteoporosis until it reached around four. Increasing the social support network size beyond four, in contrast, was associated with a higher risk of osteoporosis. This association was contingent on the average intimacy level of the social network. At the highest average intimacy level ("extremely close"), increasing the number of social support network members from one to six was associated with linear decrease in the predicted probability of osteoporosis from 45% to 30%. However, at the lowest average intimacy level ("not very close"), the predicted probability of osteoporosis dramatically increased from 48% to 80% as the size of the social network increased from one to six. Our results show that maintaining a large and intimate social support network is associated with a lower risk of osteoporosis among elderly Korean women, while a large but less-intimate social relationship is associated with a higher risk.

Integrated Multimedia Based Intelligent Group Decision Support System for Electrical Power Network

Directory of Open Access Journals (Sweden)

Ajay Kumar Saxena

2002-05-01

Full Text Available Electrical Power Network in recent time requires an intelligent, virtual environment based decision process for the coordination of all its individual elements and the interrelated tasks. Its ultimate goal is to achieve maximum productivity and efficiency through the efficient and effective application of generation, transmission, distribution, pricing and regulatory systems. However, the complexity of electrical power network and the presence of conflicting multiple goals and objectives postulated by various groups emphasized the need of an intelligent group decision support system approach in this field. In this paper, an Integrated Multimedia based Intelligent Group Decision Support System (IM1GDSS is presented, and its main components are analyzed and discussed. In particular attention is focused on the Data Base, Model Base, Central Black Board (CBB and Multicriteria Futuristic Decision Process (MFDP module. The model base interacts with Electrical Power Network Load Forecasting and Planning (EPNLFP Module; Resource Optimization, Modeling and Simulation (ROMAS Module; Electrical Power Network Control and Evaluation Process (EPNCAEP Module, and MFDP Module through CBB for strategic planning, management control, operational planning and transaction processing. The richness of multimedia channels adds a totally new dimension in a group decision making for Electrical Power Network. The proposed IMIGDSS is a user friendly, highly interactive group decision making system, based on efficient intelligent and multimedia communication support for group discussions, retrieval of content and multi criteria decision analysis.

Support to women who denounce experiences of violence based on her social network

Directory of Open Access Journals (Sweden)

Letícia Becker Vieira

2015-10-01

Full Text Available Objective: to analyze the possibilities of help/support through the mapping and acknowledgement of the social network of women who denounce experiences of violence at a Police Precinct for Women.Method: qualitative study based on the theoretical-methodological framework of Lia Sanicola's Social Network, through interviews with 19 women.Results: the analysis of the network maps evidenced that the primary social network was more present than the secondary on and, despite consisting of significant relations, it demonstrates limitations. The women access the secondary network occasionally in the violence problem and/or its repercussions in their life and health. The discrete presence of the health network in the composition of the social network was revealed and, when mentioned, the relation between the health professional and the woman was characterized as fragile.Conclusion: the importance of the social network relates to the creation of spaces of help/support for the women beyond the moment of the aggression, which accompany them throughout their process of emancipation from an experience annulled by violence, considering that each woman acts and makes decisions in the relational context when she is ready for it.

Admission Control for Multiservices Traffic in Hierarchical Mobile IPv6 Networks by Using Fuzzy Inference System

Directory of Open Access Journals (Sweden)

Jung-Shyr Wu

2012-01-01

Full Text Available CAC (Call Admission Control plays a significant role in providing QoS (Quality of Service in mobile wireless networks. In addition to much research that focuses on modified Mobile IP to get better efficient handover performance, CAC should be introduced to Mobile IP-based network to guarantee the QoS for users. In this paper, we propose a CAC scheme which incorporates multiple traffic types and adjusts the admission threshold dynamically using fuzzy control logic to achieve better usage of resources. The method can provide QoS in Mobile IPv6 networks with few modifications on MAP (Mobility Anchor Point functionality and slight change in BU (Binding Update message formats. According to the simulation results, the proposed scheme presents good performance of voice and video traffic at the expenses of poor performance on data traffic. It is evident that these CAC schemes can reduce the probability of the handoff dropping and the cell overload and limit the probability of the new call blocking.

A decision support system for pre-earthquake planning of lifeline networks

Energy Technology Data Exchange (ETDEWEB)

Liang, J.W. [Tianjin Univ. (China). Dept. of Civil Engineering

1996-12-01

This paper describes the frame of a decision support system for pre-earthquake planning of gas and water networks. The system is mainly based on the earthquake experiences and lessons from the 1976 Tangshan earthquake. The objective of the system is to offer countermeasures and help make decisions for seismic strengthening, remaking, and upgrading of gas and water networks.

Decision Support System for Hepatitis Disease Diagnosis using Bayesian Network

Directory of Open Access Journals (Sweden)

Shamshad Lakho

2017-12-01

Full Text Available Medical judgments are tough and challenging as the decisions are often based on the deficient and ambiguous information. Moreover, the result of decision process has direct effects on human lives. The act of human decision declines in emergency situations due to the complication, time limit, and high risks. Therefore, provision of medical diagnosis plays a dynamic role, specifically in the preliminary stage when a physician has limited diagnosis experience and identifies the directions to be taken for the treatment process. Computerized Decision Support Systems have brought a revolution in the medical diagnosis. These automatic systems support the diagnosticians in the course of diagnosis. The major role of Decision Support Systems is to support the medical personnel in decision-making procedures regarding disease diagnosis and treatment recommendation. The proposed system provides easy support in Hepatitis disease recognition. The system is developed using the Bayesian network model. The physician provides the input to the system in the form of symptoms stated by the patient. These signs and symptoms match with the casual relationships present in the knowledge model. The Bayesian network infers conclusion from the knowledge model and calculates the probability of occurrence of Hepatitis B, C and D disorders.

Predictors of change in social networks, support and satisfaction following a first episode psychosis: A cohort study.

Science.gov (United States)

Renwick, Laoise; Owens, Liz; Lyne, John; O'Donoghue, Brian; Roche, Eric; Drennan, Jonathan; Sheridan, Ann; Pilling, Mark; O'Callaghan, Eadbhard; Clarke, Mary

2017-11-01

Diminished social networks are common in psychosis but few studies have measured these comprehensively and prospectively to determine how networks and support evolve during the early phase. There is little information regarding perceived support in the early phase of illness. The aim of this study was to describe social support, networks and perceived satisfaction, explore the clinical correlates of these outcomes and examine whether phases of untreated psychosis are linked with social network variables to determine potential opportunities for intervention. During the study period, we assessed 222 people with first-episode psychosis at entry into treatment using valid and reliable measures of diagnosis, positive and negative symptoms, periods of untreated psychosis and prodrome and premorbid adjustment. For follow-up we contacted participants to conduct a second assessment (n=158). There were 97 people who participated which represented 61% of those eligible. Social network and support information obtained at both time points included the number of friends, self-reported satisfaction with support and social network size and clinician's evaluation of the degree of support received through networks. Mixed effects modelling determined the contribution of potential explanatory variables to social support measured. A number of clinical variables were linked with social networks, support and perceived support and satisfaction. The size of networks did not change over time but those with no friends and duration of untreated psychosis was significantly longer for those with no friends at entry into treatment (n=129, Median=24.5mths, IQR=7.25-69.25; Mann-Whitney U=11.78, p=0.008). Social support at baseline and at one year was predicted by homelessness (t=-2.98, p=0.001, CI -4.74 to -1.21), duration of untreated psychosis (t=-0.86, p=0.031, CI -1.65 to -0.08) and premorbid adjustment (t=-2.26, p=0.017, CI -4.11 to -0.42). Social support improved over time but the duration

Developing electricity distribution networks and their regulation to support sustainable energy

International Nuclear Information System (INIS)

Shaw, Rita; Attree, Mike; Jackson, Tim

2010-01-01

A more sustainable energy system will alter the current patterns of electricity demand and generation. This means technical, commercial and regulatory change for electricity network systems such as distribution networks. This paper traces the links in Great Britain between changes in energy policy since privatisation, changes in the objectives of the electricity regulator and changes in the objectives of the distribution networks and their owners, the distribution network operators (DNOs). The paper identifies tensions in regulatory policy and suggests reforms to the regulatory framework to support a lower-carbon future. DNOs are licensed regional infrastructure providers. In addition to their network services, the network companies can potentially deliver public policy objectives to facilitate heat infrastructure, energy-efficiency and distributed renewables. The paper identifies the potential benefits of a novel approach to facilitating renewable energy feed-in tariffs for electricity and heat, using DNOs.

Social networks, time homeless, and social support: A study of men on Skid Row.

Science.gov (United States)

Green, Harold D; Tucker, Joan S; Golinelli, Daniela; Wenzel, Suzanne L

2013-12-18

Homeless men are frequently unsheltered and isolated, disconnected from supportive organizations and individuals. However, little research has investigated these men's social networks. We investigate the structure and composition of homeless men's social networks, vis-a-vis short- and long-term homelessness with a sample of men drawn randomly from meal lines on Skid Row in Los Angeles. Men continuously homeless for the past six months display networks composed of riskier members when compared to men intermittently homeless during that time. Men who report chronic, long-term homelessness display greater social network fragmentation when compared to non-chronically homeless men. While intermittent homelessness affects network composition in ways that may be addressable with existing interventions, chronic homelessness fragments networks, which may be more difficult to address with those interventions. These findings have implications for access to social support from network members which, in turn, impacts the resources homeless men require from other sources such as the government or NGOs.

Data forwarding mechanism for supporting real-time services during relocations in UMTS systems

Science.gov (United States)

Cai, Wei; Liao, Xianglong; Zheng, Liang; Liu, Zehong

2004-04-01

To minimize the interruption during the handovers or relocations invoked by subscribers moving is a very critical factor to enhance the performance of the UMTS systems. We know that the 2G systems have been optimized to minimize the interruption of speech during handovers by two main technologies: one is the bi-casting for the DL traffic and the other is the fast radio resynchronization by the UE for the UL traffic. In the UMTS systems, we have also implemented lossless relocations for non real-time services with high reliability by data buffering in the source RNC and target RNC for the UE. However, the UMTS systems support four QoS classes traffic flow: conversational class, streaming class, interactive class and background class. The main distinguishing factor between these QoS classes is how delay sensitive the traffic is: Conversational and Streaming classes are mainly used to carry real-time traffic flows, like video telephony, interactive and background classes are mainly used by traditional Internet applications like WWW, E-mail and FTP. It"s essential to provide the solutions for supporting real-time services to meet the requirement for QoS in UMTS systems. Apparently, the Data buffering mechanism is not adapted to real-time services because of it"s delay may exceed the basic requirement for real-time services. Under this background, the paper discussed two data forwarding solutions for real-time services from the PS domain in the UMTS systems: packet duplication and Core Network bi-casting. The former mechanism does not require any new procedures, messages nor information elements. The later mechanism requires that the GGSN or SGSN is able to bi-cast the DL traffic to the target RNC according to the relocations involving two SGSNs or just involving one SGSN. It also implicitly shows that we need change procedures at the nodes SGSN, GGSN and RNC which are involved in the relocation procedure based on existing procedures that we have already designed if

Fracture Network Modeling and GoldSim Simulation Support

OpenAIRE

杉田 健一郎; Dershowiz, W.

2003-01-01

During Heisei-14, Golder Associates provided support for JNC Tokai through data analysis and simulation of the MIU Underground Rock Laboratory, participation in Task 6 of the Aspo Task Force on Modelling of Groundwater Flow and Transport, and analysis of repository safety assessment technologies including cell networks for evaluation of the disturbed rock zone (DRZ) and total systems performance assessment (TSPA).

Network Financial Support and Conflict as Predictors of Depressive Symptoms among a Highly Disadvantaged Population

Science.gov (United States)

Knowlton, Amy R.; Latkin, Carl A.

2007-01-01

The study examined multiple dimensions of social support as predictors of depressive symptoms among a highly vulnerable population. Social network analysis was used to assess perceived and enacted dimensions of support (emotional, financial, instrumental), network conflict, closeness, and composition. Participants were 393 current and former…

Informal support networks of low-income senior women living alone: evidence from Fort St. John, BC.

Science.gov (United States)

Ryser, Laura; Halseth, Greg

2011-01-01

Within the context of an aging Canadian rural and small-town landscape, there is a growing trend of low-income senior women living alone. While there is a perception that rural seniors have well-developed social networks to meet their daily needs, some research suggests that economic and social restructuring processes have impacted the stability of seniors' support networks in small places. While much of the research on seniors' informal networks focuses upon small towns in decline, booming resource economies can also produce challenges for low-income senior women living alone due to both a higher cost of living and the retrenchment of government and service supports. Under such circumstances, an absence of informal supports can impact seniors' health and quality of life and may lead to premature institutionalization. Drawing upon a household survey in Fort St. John, British Columbia, we explore informal supports used by low-income senior women living alone in this different context of the Canadian landscape. Our findings indicate that these women not only have a support network that is comparable to other groups, but that they are also more likely to draw upon such supports to meet their independent-living needs. These women rely heavily on family support, however, and greater efforts are needed to diversify both their formal and informal sources of support as small family networks can quickly become overwhelmed.

Social networks, work and network-based resources for the management of long-term conditions: a framework and study protocol for developing self-care support

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Kapadia Dharmi

2011-05-01

Full Text Available Abstract Background Increasing the effective targeting and promotion of self-care support for long-term conditions requires more of a focus on patient contexts and networks. The aim of this paper is to describe how within a programme of research and implementation, social networks are viewed as being centrally involved in the mobilisation and deployment of resources in the management of a chronic condition. This forms the basis of a novel approach to understanding, designing, and implementing new forms of self-management support. Methods Drawing on evidence syntheses about social networks and capital and the role of information in self-management, we build on four conceptual approaches to inform the design of our research on the implementation of self-care support for people with long-term conditions. Our approach takes into consideration the form and content of social networks, notions of chronic illness work, normalisation process theory (NPT, and the whole systems informing self-management engagement (WISE approach to self-care support. Discussion The translation and implementation of a self-care agenda in contemporary health and social context needs to acknowledge and incorporate the resources and networks operating in patients' domestic and social environments and everyday lives. The latter compliments the focus on healthcare settings for developing and delivering self-care support by viewing communities and networks, as well as people suffering from long-term conditions, as a key means of support for managing long-term conditions. By focusing on patient work and social-network provision, our aim is to open up a second frontier in implementation research, to translate knowledge into better chronic illness management, and to shift the emphasis towards support that takes place outside formal health services.

Does Artificial Neural Network Support Connectivism's Assumptions?

Science.gov (United States)

AlDahdouh, Alaa A.

2017-01-01

Connectivism was presented as a learning theory for the digital age and connectivists claim that recent developments in Artificial Intelligence (AI) and, more specifically, Artificial Neural Network (ANN) support their assumptions of knowledge connectivity. Yet, very little has been done to investigate this brave allegation. Does the advancement…

Supporting Control Room Operators in Highly Automated Future Power Networks

DEFF Research Database (Denmark)

Chen, Minjiang; Catterson, Victoria; Syed, Mazheruddin

2017-01-01

Operating power systems is an extremely challenging task, not least because power systems have become highly interconnected, as well as the range of network issues that can occur. It is therefore a necessity to develop decision support systems and visualisation that can effectively support the hu...... the human operators for decisionmaking in the complex and dynamic environment of future highly automated power system. This paper aims to investigate the decision support functions associated with frequency deviation events for the proposed Web of Cells concept....

Size of the social network versus quality of social support: which is more protective against PTSD?

Science.gov (United States)

Platt, Jonathan; Keyes, Katherine M; Koenen, Karestan C

2014-08-01

Supportive social networks are important to the post-traumatic response process. However, the effects of social network structure may be distinct from the perceived function of those networks. The present study examined the relative importance of role diversity and perceived strength of social support in mitigating post-traumatic stress disorder (PTSD). Data were drawn from respondents who report lifetime potentially traumatic events in the National Epidemiologic Survey on Alcohol and Related Conditions (N = 31,650). The Social Network Index (SNI) was used to measure the diversity of social connections. The Interpersonal Support Evaluation List (ISEL-12) was used to measure the perceived availability of social support within the network. Odds of current PTSD were compared among individuals representing four dichotomous types of social support: high diversity/high perceived strength, high diversity/low perceived strength, low diversity/high perceived strength, and low diversity/low perceived strength to examine which type of support is more protective against PTSD. Unadjusted odds of PTSD were 1.59 (95 % CI 1.39-1.82) for those with low versus high perceived support strength, and 1.10 (0.94-1.28) among those with non-diverse versus diverse social networks. Compared to the reference group (high diversity/high perceived strength), the adjusted odds of current PTSD were higher for two groups: low diversity/low perceived strength (OR = 1.62; 1.33-1.99), and low diversity/high perceived strength (OR = 1.57; 1.3-1.91). The high diversity/low perceived strength group had no greater odds of PTSD (OR = 1.02; 0.81-1.28). The diversity of a social network is potentially more protective against PTSD than the perception of strong social support. This suggests that programs, which engage individuals in social groups and activities may effectively attenuate the risk of PTSD. A better understanding of how these networks operate with respect to PTSD prevention and mitigation holds

Network and social support in family care of children with diabetes.

Science.gov (United States)

Pennafort, Viviane Peixoto Dos Santos; Queiroz, Maria Veraci Oliveira; Nascimento, Lucila Castanheira; Guedes, Maria Vilani Cavalcante

2016-01-01

to understand the influence of network and social support in the care of a child with type 1 diabetes. qualitative study, with assumptions of ethnonursing, conducted in a reference service specialized in the treatment of diabetes, in 2014, in the city of Fortaleza, state of Ceará, Brazil. Twenty-six members of the family and their respective school children participated in the study. The process of collection and analysis followed the observation-participation-reflection model. the analytical categories showed that the social network in the care of children with diabetes helped sharing of information and experiences, moments of relaxation and aid in the acquisition of supplies for treatment, with positive repercussions in the family context, generating well-being and confidence in the care of children with diabetes. the cultural care provided by nurses strengthens the network and social support because it encourages autonomy in the promotion of the quality of life of children with type 1 diabetes and their families.

Developing electricity distribution networks and their regulation to support sustainable energy

Energy Technology Data Exchange (ETDEWEB)

Shaw, Rita; Attree, Mike [Electricity North West Ltd., 304 Bridgewater Place, Birchwood, Warrington, Cheshire WA3 6XG (United Kingdom); Jackson, Tim [RESOLVE, Centre for Environmental Strategy D3, University of Surrey, Guildford, Surrey GU2 7XH (United Kingdom)

2010-10-15

A more sustainable energy system will alter the current patterns of electricity demand and generation. This means technical, commercial and regulatory change for electricity network systems such as distribution networks. This paper traces the links in Great Britain between changes in energy policy since privatisation, changes in the objectives of the electricity regulator and changes in the objectives of the distribution networks and their owners, the distribution network operators (DNOs). The paper identifies tensions in regulatory policy and suggests reforms to the regulatory framework to support a lower-carbon future. DNOs are licensed regional infrastructure providers. In addition to their network services, the network companies can potentially deliver public policy objectives to facilitate heat infrastructure, energy-efficiency and distributed renewables. The paper identifies the potential benefits of a novel approach to facilitating renewable energy feed-in tariffs for electricity and heat, using DNOs. (author)

Source and Size of Social Support Network on Sedentary Behavior Among Older Adults.

Science.gov (United States)

Loprinzi, Paul D; Crush, Elizabeth A

2018-01-01

To examine the association of source of social support and size of social support network on sedentary behavior among older adults. Cross-sectional. National Health and Nutrition Examination Survey 2003 to 2006. 2519 older adults (60+ years). Sedentary behavior was assessed via accelerometry over a 7-day period. Social support was assessed via self-report. Sources evaluated include spouse, son, daughter, sibling, neighbor, church member, and friend. Regarding size of social network, participants were asked, "In general, how many close friends do you have?" Multivariable linear regression. After adjustment, there was no evidence of an association between the size of social support network and sedentary behavior. With regard to specific sources of social support, spousal social support was associated with less sedentary behavior (β = -11.6; 95% confidence interval: -20.7 to -2.5), with evidence to suggest that this was only true for men. Further, an inverse association was observed between household size and sedentary behavior, with those having a greater number of individuals in the house having lower levels of sedentary behavior. These associations occurred independent of moderate-to-vigorous physical activity, age, gender, race-ethnicity, measured body mass index, total cholesterol, self-reported smoking status, and physician diagnosis of congestive heart failure, coronary artery disease, stroke, cancer, hypertension, or diabetes. Spouse-specific emotion-related social support (particularly for men) and household size were associated with less sedentary behavior.

Pemodelan dan Verifikasi Formal Pengaruh Mobility pattern Terhadap Handoff Latency pada Jaringan WiMAX

Directory of Open Access Journals (Sweden)

I Nym Saputra Wahyu Wijaya

2016-01-01

Full Text Available In order to decrease handoff latency and increase the successful of HHO conventional scheme, a development of handover scheme is done in standard protocol WiMAX IEEE 802.16e by adding mobility pattern. The superiority of handover scheme with mobility pattern can reduce handoff latency up to 50%, mean while the weakness of this scheme is a wrong act in determining target base station are often happen. Simulation can not showing the cause of that error. So, we do formal verification in to hard handover model with mobility pattern.             In this research, behaviour system is modeled with continuous-time Markov chain (CTMC. The model is foccused to aproximating the influence of mobility pattern in to handoff latency from WiMAX hard handover mechanism. In order to set up a series markov chain models handover system can follow steps, such as: represents the state space, give a number in all transitions, generate the rate transition matrix (infinitesimal generator.             Probabilistic model checking in the research are using quantitative properties and qualitative properties. Formal verification concerning properties has relation with handover in WiMAX network showing that 70% from mobile station which doing scanning with mobility pattern are success doing handover. 24% of them doing scanning conventional as a result of wrongness in act determining target base station, so handoff latency which is pictured will bigger than a system that is only use conventional scanning method.

Social networks and social support for healthy eating among Latina breast cancer survivors: implications for social and behavioral interventions.

Science.gov (United States)

Crookes, Danielle M; Shelton, Rachel C; Tehranifar, Parisa; Aycinena, Corina; Gaffney, Ann Ogden; Koch, Pam; Contento, Isobel R; Greenlee, Heather

2016-04-01

Little is known about Latina breast cancer survivors' social networks or their perceived social support to achieve and maintain a healthy diet. This paper describes the social networks and perceived support for healthy eating in a sample of breast cancer survivors of predominantly Dominican descent living in New York City. Spanish-speaking Latina breast cancer survivors enrolled in a randomized controlled trial of a culturally tailored dietary intervention. Social networks were assessed using Cohen's Social Network Index and a modified General Social Survey Social Networks Module that included assessments of shared health promoting behaviors. Perceived social support from family and friends for healthy, food-related behaviors was assessed. Participants' networks consisted predominantly of family and friends. Family members were more likely than other individuals to be identified as close network members. Participants were more likely to share food-related activities than exercise activities with close network members. Perceived social support for healthy eating was high, although perceived support from spouses and children was higher than support from friends. Despite high levels of perceived support, family was also identified as a barrier to eating healthy foods by nearly half of women. Although friends are part of Latina breast cancer survivors' social networks, spouses and children may provide greater support for healthy eating than friends. Involving family members in dietary interventions for Latina breast cancer survivors may tap into positive sources of support for women, which could facilitate uptake and maintenance of healthy eating behaviors.

Online Academic Networks as Knowledge Brokers: The Mediating Role of Organizational Support

Directory of Open Access Journals (Sweden)

Elena-Mădălina Vătămănescu

2018-04-01

Full Text Available Placing online academic networks in the framework of social, cultural and institutional “deterritorialization,” the current paper aims at investigating the functionality of these new forms of transnational and trans-organizational aggregations as knowledge brokers. The emphasis is laid on the influence of human collective intelligence and consistent knowledge flows on research innovation, considering the role of organizational support within higher education systems. In this respect, the research relied on a questionnaire-based survey with 140 academics from European emerging countries, the data collected being processed via a partial least squares structural equation modelling technique. Evidence was brought that, as knowledge brokers, online academic networks are systems aimed to support the access to human collective intelligence and consistent knowledge flows which exert a positive influence on research innovation, both directly and indirectly, by means of formal and informal organizational support. As facilitators of collaborative environments for individuals with specialized knowledge, competence, expertise and experience, online academic networks have set themselves up as an agora for academics worldwide and as an outlet for their acumen and literacy.

Quality of Service in Networks Supporting Cultural Multimedia Applications

Science.gov (United States)

Kanellopoulos, Dimitris N.

2011-01-01

Purpose: This paper aims to provide an overview of representative multimedia applications in the cultural heritage sector, as well as research results on quality of service (QoS) mechanisms in internet protocol (IP) networks that support such applications. Design/methodology/approach: The paper's approach is a literature review. Findings: Cultural…

A Team Formation and Project-based Learning Support Service for Social Learning Networks

NARCIS (Netherlands)

Spoelstra, Howard; Van Rosmalen, Peter; Van de Vrie, Evert; Obreza, Matija; Sloep, Peter

2014-01-01

The Internet affords new approaches to learning. Geographically dispersed self-directed learners can learn in computer-supported communities, forming social learning networks. However, self-directed learners can suffer from a lack of continuous motivation. And surprisingly, social learning networks

The meaning and validation of social support networks for close family of persons with advanced cancer.

Science.gov (United States)

Sjolander, Catarina; Ahlstrom, Gerd

2012-09-17

To strengthen the mental well-being of close family of persons newly diagnosed as having cancer, it is necessary to acquire a greater understanding of their experiences of social support networks, so as to better assess what resources are available to them from such networks and what professional measures are required. The main aim of the present study was to explore the meaning of these networks for close family of adult persons in the early stage of treatment for advanced lung or gastrointestinal cancer. An additional aim was to validate the study's empirical findings by means of the Finfgeld-Connett conceptual model for social support. The intention was to investigate whether these findings were in accordance with previous research in nursing. Seventeen family members with a relative who 8-14 weeks earlier had been diagnosed as having lung or gastrointestinal cancer were interviewed. The data were subjected to qualitative latent content analysis and validated by means of identifying antecedents and critical attributes. The meaning or main attribute of the social support network was expressed by the theme Confirmation through togetherness, based on six subthemes covering emotional and, to a lesser extent, instrumental support. Confirmation through togetherness derived principally from information, understanding, encouragement, involvement and spiritual community. Three subthemes were identified as the antecedents to social support: Need of support, Desire for a deeper relationship with relatives, Network to turn to. Social support involves reciprocal exchange of verbal and non-verbal information provided mainly by lay persons. The study provides knowledge of the antecedents and attributes of social support networks, particularly from the perspective of close family of adult persons with advanced lung or gastrointestinal cancer. There is a need for measurement instruments that could encourage nurses and other health-care professionals to focus on family members

Combining morphological analysis and Bayesian Networks for strategic decision support

CSIR Research Space (South Africa)

De Waal, AJ

2007-12-01

Full Text Available Morphological analysis (MA) and Bayesian networks (BN) are two closely related modelling methods, each of which has its advantages and disadvantages for strategic decision support modelling. MA is a method for defining, linking and evaluating...

Discursive Deployments: Mobilizing Support for Municipal and Community Wireless Networks in the U.S.

Energy Technology Data Exchange (ETDEWEB)

Alvarez, Rosio; Rodriguez, Juana Maria

2008-08-16

This paper examines Municipal Wireless (MW) deployments in the United States. In particular, the interest is in understanding how discourse has worked to mobilize widespread support for MW networks. We explore how local governments discursively deploy the language of social movements to create a shared understanding of the networking needs of communities. Through the process of"framing" local governments assign meaning to the MW networks in ways intended to mobilize support anddemobilize opposition. The mobilizing potential of a frame varies and is dependent on its centrality and cultural resonance. We examine the framing efforts of MW networks by using a sample of Request for Proposals for community wireless networks, semi-structured interviews and local media sources. Prominent values that are central to a majority of the projects and others that are culturally specific are identified and analyzed for their mobilizing potency.

Using ELECTRE TRI to support maintenance of water distribution networks

Directory of Open Access Journals (Sweden)

Flavio Trojan

2012-08-01

Full Text Available Problems encountered in the context of the maintenance management of water supply are evidenced by the lack of decision support models which gives a manager overview of the system. This paper, therefore, develops a model that uses, in its framework, the multicriteria outranking method ELECTRE TRI. The objective is to sort the areas of water flow measurement of a water distribution network, by priority of maintenance, with data collected from an automated system of abnormalities detection. This sorting is designed to support maintenance decisions in terms of the measure more appropriate to be applied per region. To illustrate the proposed model, an application was performed in a city with 100 thousand water connections. With this model it becomes possible to improve the allocation of maintenance measures for regions and mainly to improve the operation of the distribution network.

Attention supports verbal short-term memory via competition between dorsal and ventral attention networks.

Science.gov (United States)

Majerus, Steve; Attout, Lucie; D'Argembeau, Arnaud; Degueldre, Christian; Fias, Wim; Maquet, Pierre; Martinez Perez, Trecy; Stawarczyk, David; Salmon, Eric; Van der Linden, Martial; Phillips, Christophe; Balteau, Evelyne

2012-05-01

Interactions between the neural correlates of short-term memory (STM) and attention have been actively studied in the visual STM domain but much less in the verbal STM domain. Here we show that the same attention mechanisms that have been shown to shape the neural networks of visual STM also shape those of verbal STM. Based on previous research in visual STM, we contrasted the involvement of a dorsal attention network centered on the intraparietal sulcus supporting task-related attention and a ventral attention network centered on the temporoparietal junction supporting stimulus-related attention. We observed that, with increasing STM load, the dorsal attention network was activated while the ventral attention network was deactivated, especially during early maintenance. Importantly, activation in the ventral attention network increased in response to task-irrelevant stimuli briefly presented during the maintenance phase of the STM trials but only during low-load STM conditions, which were associated with the lowest levels of activity in the dorsal attention network during encoding and early maintenance. By demonstrating a trade-off between task-related and stimulus-related attention networks during verbal STM, this study highlights the dynamics of attentional processes involved in verbal STM.

Experiencing Rights within Positive, Person-Centred Support Networks of People with Intellectual Disability in Australia

Science.gov (United States)

Hillman, A.; Donelly, M.; Whitaker, L.; Dew, A.; Stancliffe, R. J.; Knox, M.; Shelley, K.; Parmenter, T. R.

2012-01-01

Background: This research describes issues related to human rights as they arose within the everyday lives of people in nine personal support networks that included adult Australians with an intellectual disability (ID). Method: The research was part of a wider 3-year ethnographic study of nine personal support networks. A major criterion for…

Social Support Theory: A New Framework for Exploring Gender Differences in Business Owner Networks

DEFF Research Database (Denmark)

Neergaard, Helle

The paper argues that to advance knowledge about small firm networks and consider the impact of gender, research should also consider the network experiences of women business owners. To engage in such research, this paper proposes a conceptual model of business owner networking which is informed...... by social support theory....

Social Support Networks and HIV/STI Risk Behaviors Among Latino Immigrants in a New Receiving Environment.

Science.gov (United States)

Althoff, Meghan D; Theall, Katherine; Schmidt, Norine; Hembling, John; Gebrekristos, Hirut T; Thompson, Michelle M; Muth, Stephen Q; Friedman, Samuel R; Kissinger, Patricia

2017-12-01

The objectives of this study were to: (1) describe the quantity and quality of social support networks of Latino immigrants living in a new receiving environment, and (2) determine the role such networks play in their HIV/STI risk behaviors, including substance use. Double incentivized convenience sampling was used to collect egocentric social support network data on 144 Latino immigrants. Latent class analysis was used for data reduction and to identify items best suited to measure quality and quantity of social support. Moderate and high quantity and quality of social support were protective of HIV/STI sexual risk behavior compared to low quantity and quality of support, after adjustment for gender, years in New Orleans and residing with family. Neither measure of social support was associated with binge drinking. The findings suggest that increased quantity and quality of social support decrease HIV/STI sexual risk behaviors but do not influence binge drinking. Interventions that improve the quantity and quality of social support are needed for Latino immigrants.

Evaluation of QoS supported in Network Mobility NEMO environments

International Nuclear Information System (INIS)

Hussien, L F; Abdalla, A H; Habaebi, M H; Khalifa, O O; Hassan, W H

2013-01-01

Network mobility basic support (NEMO BS) protocol is an entire network, roaming as a unit which changes its point of attachment to the Internet and consequently its reachability in the network topology. NEMO BS doesn't provide QoS guarantees to its users same as traditional Internet IP and Mobile IPv6 as well. Typically, all the users will have same level of services without considering about their application requirements. This poses a problem to real-time applications that required QoS guarantees. To gain more effective control of the network, incorporated QoS is needed. Within QoS-enabled network the traffic flow can be distributed to various priorities. Also, the network bandwidth and resources can be allocated to different applications and users. Internet Engineering Task Force (IETF) working group has proposed several QoS solutions for static network such as IntServ, DiffServ and MPLS. These QoS solutions are designed in the context of a static environment (i.e. fixed hosts and networks). However, they are not fully adapted to mobile environments. They essentially demands to be extended and adjusted to meet up various challenges involved in mobile environments. With existing QoS mechanisms many proposals have been developed to provide QoS for individual mobile nodes (i.e. host mobility). In contrary, research based on the movement of the whole mobile network in IPv6 is still undertaking by the IETF working groups (i.e. network mobility). Few researches have been done in the area of providing QoS for roaming networks. Therefore, this paper aims to review and investigate (previous /and current) related works that have been developed to provide QoS in mobile network. Consequently, a new proposed scheme will be introduced to enhance QoS within NEMO environment, achieving by which seamless mobility to users of mobile network node (MNN)

Use of social network to support visually impaired people: A Facebook case study

Directory of Open Access Journals (Sweden)

Gustavo Miranda Caran

Full Text Available The use of Information and Communication Technologies can be seen as an important factor for social inclusion in its different aspects - economic, social, relational and informational, among others. Inclusion potentiality is even more relevant for groups of people who face limiting life conditions which determine social barriers. This study investigated the social support offered to people with disabilities based on the social network analysis method. The research objective was to make the online support dynamics for low vision people, friends and relatives evident, having as case study the Facebook Low Vision group. The social network modelling and quantitative analysis were performed from user data collection, posts, comments and likes. Contents were classified according to the type of support (Emotional or Instrumental and according to its intention (Offered or Requested, represented in graphs as indicators for analysis. Results pointed towards a larger use rate of Instrumental and Offered support although a more intense and comprehensive exchange of Emotional and Requested support was found. Data collection limitations indicate the need for more empirical studies on the social use of socio-technical networks for different types of social support. This theme points to a research agenda about the role of information and communication technologies as a possible condition for inclusion, life quality and well-being of people with disabilities.

Social Networks, Support, and Psychosocial Functioning among American Indian Women in Treatment

Science.gov (United States)

Chong, Jenny; Lopez, Darlene

2005-01-01

The relationship of social networks and social support to the psychosocial functioning (self-efficacy, self-esteem, anxiety, depression, and hostility) of 159 American Indian women undergoing residential substance abuse treatment at Native American Connections was assessed. Social support and active participation by clients' families during…

Social Network Characteristics, Social Support, and Cigarette Smoking among Asian/Pacific Islander Young Adults.

Science.gov (United States)

Pokhrel, Pallav; Fagan, Pebbles; Cassel, Kevin; Trinidad, Dennis R; Kaholokula, Joseph Keawe'aimoku; Herzog, Thaddeus A

2016-06-01

Cigarette smoking may be one of the factors contributing to the high levels of cancer-related mortality experienced by certain Asian/Pacific Islander (A/PI) subgroups (e.g., Native Hawaiian). Given the collectivist cultural orientation attributed to A/PI groups, social strategies are recommended for substance abuse or smoking cessation treatment among A/PI. However, research examining how social network characteristics and social support relate to smoking across A/PI subgroups has been lacking. This study investigated the associations between social network characteristics (e.g., size, composition), perceived social support, and recent cigarette use across Native Hawaiian, Filipino, and East Asian (e.g., Japanese, Chinese) young adults (18-35 year old). Cross-sectional, self-report data were collected from N = 435 participants (M age = 25.6, SD = 8.3; 61% women). Ethnic differences were found in a number of pathways linking social network characteristics, perceived social support, and cigarette smoking. Larger network size was strongly associated with higher perceived social support and lower recent cigarette smoking among Native Hawaiians but not Filipinos or East Asians. Higher perceived social support was associated with lower recent smoking among East Asians and Filipinos but not Native Hawaiians. Implications are discussed with regard to smoking prevention and cessation among A/PI. © Society for Community Research and Action 2016.

Social network: evaluation of the support or containment contexts of lesbian mothers

Directory of Open Access Journals (Sweden)

Firley Poliana da Silva Lúcio

Full Text Available ABSTRACT Objective: To evaluate the social network of lesbian mothers, from the social contexts of support or restraint. Method: Descriptive, exploratory study, of qualitative approach, based on the theoretical reference of Social Network, with eight lesbian mothers selected through Snowball technique, using semi-structured interview. Data analysis was performed with IRAMUTEQ software, through Similarity Analysis. Results: The social network is configured as: 1 Emotional distance and non-acceptance of motherhood by the family members - primary network elements; 2 Interference in the socio-cultural medium for the effectiveness of the mother-child bond - secondary network elements. Final considerations: Social network is grounded on trivialized and negative conceptions that highlight prejudice and disrespect. The discussion of this theme contributes to a greater visibility of those new family arrangements as well as to reduce stigmas e prejudices that pervade the social network components of these women.

Childhood adversity, social support networks and well-being among youth aging out of care: An exploratory study of mediation.

Science.gov (United States)

Melkman, Eran P

2017-10-01

The goals of the present study are to examine the relationship between childhood adversity and adult well-being among vulnerable young adults formerly placed in substitute care, and to investigate how characteristics of their social support networks mediate this association. A sample of 345 Israeli young adults (ages 18-25), who had aged out of foster or residential care, responded to standardized self-report questionnaires tapping their social support network characteristics (e.g., network size or adequacy) vis-à-vis several types of social support (emotional, practical, information and guidance), experiences of childhood adversity, and measures of well-being (psychological distress, loneliness, and life satisfaction). Structural equation modelling (SEM) provided support for the mediating role of social support in the relationship between early adversity and adult well-being. Although network size, frequency of contact with its members, satisfaction with support, and network adequacy, were all negatively related to early adversity, only network adequacy showed a major and consistent contribution to the various measures of well-being. While patterns were similar across the types of support, the effects of practical and guidance support were most substantial. The findings suggest that the detrimental long-term consequences of early adversity on adult well-being are related not only to impaired structural aspects of support (e.g., network size), but also to a decreased ability to recognize available support and mobilize it. Practical and guidance support, more than emotional support, seem to be of critical importance. Copyright © 2017 Elsevier Ltd. All rights reserved.

The Earth Science Women's Network (ESWN): A member-driven network approach to supporting women in the Geosciences

Science.gov (United States)

Hastings, M. G.; Kontak, R.; Adams, A. S.; Barnes, R. T.; Fischer, E. V.; Glessmer, M. S.; Holloway, T.; Marin-Spiotta, E.; Rodriguez, C.; Steiner, A. L.; Wiedinmyer, C.; Laursen, S. L.

2013-12-01

The Earth Science Women's Network (ESWN) is an organization of women geoscientists, many in the early stages of their careers. The mission of ESWN is to promote success in scientific careers by facilitating career development, community, informal mentoring and support, and professional collaborations. ESWN currently connects nearly 2000 women across the globe, and includes graduate students, postdoctoral scientists, tenure and non-tenure track faculty from diverse colleges and universities, program managers, and government, non-government and industry researchers. In 2009, ESWN received an NSF ADVANCE PAID award, with the primary goals to grow our membership to serve a wider section of the geosciences community, to design and administer career development workshops, to promote professional networking at scientific conferences, and to develop web resources to build connections, collaborations, and peer mentoring for and among women in the Earth Sciences. Now at the end of the grant, ESWN members have reported gains in a number of aspects of their personal and professional lives including: knowledge about career resources; a greater understanding of the challenges facing women in science and resources to overcome them; a sense of community and less isolation; greater confidence in their own career trajectories; professional collaborations; emotional support on a variety of issues; and greater engagement and retention in scientific careers. The new ESWN web center (www.ESWNonline.org), a major development supported by NSF ADVANCE and AGU, was created to facilitate communication and networking among our members. The web center offers a state-of-the-art social networking platform and features: 1) a public site offering information on ESWN, career resources for all early career scientists, and a 'members' spotlight' highlighting members' scientific and professional achievements; and 2) a password protected member area where users can personalize profiles, create and

Examining ISIS Support and Opposition Networks on Twitter

Science.gov (United States)

2016-01-01

Examining ISIS Support and Opposition Networks on Twitter Elizabeth Bodine-Baron, Todd C. Helmus, Madeline Magnuson, Zev Winkelman C O R P O R A T...Syria (ISIS), like no other terrorist organization before, has used Twitter and other social media channels to broadcast its message, inspire followers...and recruit new fighters. Though much less heralded, ISIS opponents have also taken to Twitter to cas- tigate the ISIS message. This report draws on

The Impacts of Network Centrality and Self-Regulation on an E-Learning Environment with the Support of Social Network Awareness

Science.gov (United States)

Lin, Jian-Wei; Huang, Hsieh-Hong; Chuang, Yuh-Shy

2015-01-01

An e-learning environment that supports social network awareness (SNA) is a highly effective means of increasing peer interaction and assisting student learning by raising awareness of social and learning contexts of peers. Network centrality profoundly impacts student learning in an SNA-related e-learning environment. Additionally,…

The meaning and validation of social support networks for close family of persons with advanced cancer

Directory of Open Access Journals (Sweden)

Sjolander Catarina

2012-09-01

Full Text Available Abstract Background To strengthen the mental well-being of close family of persons newly diagnosed as having cancer, it is necessary to acquire a greater understanding of their experiences of social support networks, so as to better assess what resources are available to them from such networks and what professional measures are required. The main aim of the present study was to explore the meaning of these networks for close family of adult persons in the early stage of treatment for advanced lung or gastrointestinal cancer. An additional aim was to validate the study’s empirical findings by means of the Finfgeld-Connett conceptual model for social support. The intention was to investigate whether these findings were in accordance with previous research in nursing. Methods Seventeen family members with a relative who 8–14 weeks earlier had been diagnosed as having lung or gastrointestinal cancer were interviewed. The data were subjected to qualitative latent content analysis and validated by means of identifying antecedents and critical attributes. Results The meaning or main attribute of the social support network was expressed by the theme Confirmation through togetherness, based on six subthemes covering emotional and, to a lesser extent, instrumental support. Confirmation through togetherness derived principally from information, understanding, encouragement, involvement and spiritual community. Three subthemes were identified as the antecedents to social support: Need of support, Desire for a deeper relationship with relatives, Network to turn to. Social support involves reciprocal exchange of verbal and non-verbal information provided mainly by lay persons. Conclusions The study provides knowledge of the antecedents and attributes of social support networks, particularly from the perspective of close family of adult persons with advanced lung or gastrointestinal cancer. There is a need for measurement instruments that could

Energy efficiency in hybrid mobile and wireless networks

Energy Technology Data Exchange (ETDEWEB)

Abbas, Ziaul Haq

2012-07-01

Wireless Internet access is almost pervasive nowadays, and many types of wireless networks can be used to access the Internet. However, along with this growth, there is an even greater concern about the energy consumption and efficiency of mobile devices as well as of the supporting networks, triggering the appearance of the concept of green communication. While some efforts have been made towards this direction, challenges still exist and need to be tackled from diverse perspectives. Cellular networks, WLANs, and ad hoc networks in the form of wireless mesh networks are the most popular technologies for wireless Internet access. The availability of such a variety of access networks has also paved the way to explore synergistic approaches for Internet access, leading to the concept of hybrid networks and relay communications. In addition, many mobile devices are being equipped with multiple interfaces, enabling them to operate in hybrid networks. In contrast, the improvements in the battery technology itself have not matched the pace of the emerging mobile applications. The situation becomes more sophisticated when a mobile device functions also as a relay node to forward other station's data. In the literature, energy efficiency of mobile devices has been addressed from various perspectives such as protocol-level efforts, battery management efforts, etc. However, there is little work on energy efficiency in hybrid mobile and wireless networks and devices with heterogeneous connections. For example, when there are multiple networks available to a mobile device, how to achieve optimum long-term energy consumption of such a device is an open question. Furthermore, in today's cellular networks, micro-, pico-, and femto-cells are the most popular network topologies in order to support high data rate services and high user density. With the growth of such small-cell solutions, the energy consumption of these networks is also becoming an important concern for operators

Constant load supports attenuating shocks and vibrations for networks of pipes submitted to large thermal dilatation

International Nuclear Information System (INIS)

Prisecaru, Ilie; Panait; Adrian; Serban, Viorel; Ciocan, George; Androne, Marian; Florea, Ioana; State, Elena

2004-01-01

Full text: To avoid some drawbacks in the classical supports employed currently in networks of pipes it was conceived, designed, built and experimentally tested a new type of constant load supports which attenuate largely the shocks and vibrations for networks of pipes subjected to large thermal dilatation. These supports are particularly needed for solving the severe problems of the vibrations in networks of pipes in thermoelectric stations, nuclear power plants, or heavy water production plants. These supports allow building networks of new types, more reliable and of lower cost. The new type of support was developed on the basis of a number of patents protected by OSIM. It has a simple structure, ensures a secure functioning without blocking or other kinds of failures and is resistant to a very large variety of stresses. The new type of support of constant load avoids the drawbacks in classical supports i.e. the stress/deformation diagram is practically independent of stress level. The characteristic of the support is geometrically non-linear and presents a plateau with a small slope over a rather large deformation range which results from a serially mounted structure of sandwiches the deformation of which is controlled by a system of deforming central and peripheral pieces. The new supports of constant load, called SERB-PIPE, present a controlled elasticity and a high degree of damping as the package of elastic blades (the sandwich structure) is made of two sub-packages with relative movements what ensure the attenuation of the shocks and vibrations produced by the fluid flow within the pipes and or by seismic motions. By contrast with classical supports, the new supports have a simple structure and a high reliability. Breakdown under stress leading to severe changes in the stress distribution in pipe networks, which could generate overloads in pipes and over-loading in other supports, cannot occur. One can also mention that these supports can be built in a

The effect of social networks and social support on common mental disorders following specific life events.

Science.gov (United States)

Maulik, P K; Eaton, W W; Bradshaw, C P

2010-08-01

This study examined the association between life events and common mental disorders while accounting for social networks and social supports. Participants included 1920 adults in the Baltimore Epidemiologic Catchment Area Cohort who were interviewed in 1993-1996, of whom 1071 were re-interviewed in 2004-2005. Generalized estimating equations were used to analyze the data. Social support from friends, spouse or relatives was associated with significantly reduced odds of panic disorder and psychological distress, after experiencing specific life events. Social networks or social support had no significant stress-buffering effect. Social networks and social support had almost no direct or buffering effect on major depressive disorder, and no effect on generalized anxiety disorder and alcohol abuse or dependence disorder. The significant association between social support and psychological distress, rather than diagnosable mental disorders, highlights the importance of social support, especially when the severity of a mental health related problem is low.

Representational Similarity Analysis Reveals Heterogeneous Networks Supporting Speech Motor Control

DEFF Research Database (Denmark)

Zheng, Zane; Cusack, Rhodri; Johnsrude, Ingrid

The everyday act of speaking involves the complex processes of speech motor control. One important feature of such control is regulation of articulation when auditory concomitants of speech do not correspond to the intended motor gesture. While theoretical accounts of speech monitoring posit...... multiple functional components required for detection of errors in speech planning (e.g., Levelt, 1983), neuroimaging studies generally indicate either single brain regions sensitive to speech production errors, or small, discrete networks. Here we demonstrate that the complex system controlling speech...... is supported by a complex neural network that is involved in linguistic, motoric and sensory processing. With the aid of novel real-time acoustic analyses and representational similarity analyses of fMRI signals, our data show functionally differentiated networks underlying auditory feedback control of speech....

Dissociable intrinsic functional networks support noun-object and verb-action processing.

Science.gov (United States)

Yang, Huichao; Lin, Qixiang; Han, Zaizhu; Li, Hongyu; Song, Luping; Chen, Lingjuan; He, Yong; Bi, Yanchao

2017-12-01

The processing mechanism of verbs-actions and nouns-objects is a central topic of language research, with robust evidence for behavioral dissociation. The neural basis for these two major word and/or conceptual classes, however, remains controversial. Two experiments were conducted to study this question from the network perspective. Experiment 1 found that nodes of the same class, obtained through task-evoked brain imaging meta-analyses, were more strongly connected with each other than nodes of different classes during resting-state, forming segregated network modules. Experiment 2 examined the behavioral relevance of these intrinsic networks using data from 88 brain-damaged patients, finding that across patients the relative strength of functional connectivity of the two networks significantly correlated with the noun-object vs. verb-action relative behavioral performances. In summary, we found that verbs-actions and nouns-objects are supported by separable intrinsic functional networks and that the integrity of such networks accounts for the relative noun-object- and verb-action-selective deficits. Copyright © 2017 Elsevier Inc. All rights reserved.

AWESOME: A widget-based dashboard for awareness-support in Research Networks

NARCIS (Netherlands)

Reinhardt, Wolfgang; Mletzko, Christian; Drachsler, Hendrik; Sloep, Peter

2011-01-01

Reinhardt, W., Mletzko, C., Drachsler, H., & Sloep, P. B. (2011). AWESOME: A widget-based dashboard for awareness-support in Research Networks. In Proceedings of The PLE Conference 2011. July, 11-13, 2011, Southampton, UK.

Network Characteristics, Perceived Social Support, and Psychological Adjustment in Mothers of Children with Autism Spectrum Disorder

Science.gov (United States)

Benson, Paul R.

2012-01-01

This study examined the characteristics of the support networks of 106 mothers of children with ASD and their relationship to perceived social support, depressed mood, and subjective well-being. Using structural equation modeling, two competing sets of hypotheses were assessed: (1) that network characteristics would impact psychological adjustment…

Network operations support systems as a competitive advantage

OpenAIRE

Soh, Andrew K. L.

2005-01-01

The overall purpose of this paper is to perfom an analysis of TELUS and to examine if Network Operation Support Systems (OSS) can provide TELUS with a sustainable competitive advantage. The paper begins with the first three chapter exploring overviews of the components of the Canadian Telecommunications services industry, TELUS and its products, and the markets and revenues. The next chapter is an industry analysis of the industry landscape and its players. Michael Porter's Five Forces model ...

Attitudes of street children to the network of support for them in Nigeria

African Journals Online (AJOL)

Study findings show that 'of' the street children are the major targets by the network of the support since children 'on' the street are still being supported by their families and the assistance received by these children of the street from their peers and homeless adults is preferred to assistance from other support providers.

Friendship networks of inner-city adults: a latent class analysis and multi-level regression of supporter types and the association of supporter latent class membership with supporter and recipient drug use.

Science.gov (United States)

Bohnert, Amy S B; German, Danielle; Knowlton, Amy R; Latkin, Carl A

2010-03-01

Social support is a multi-dimensional construct that is important to drug use cessation. The present study identified types of supportive friends among the social network members in a community-based sample and examined the relationship of supporter-type classes with supporter, recipient, and supporter-recipient relationship characteristics. We hypothesized that the most supportive network members and their support recipients would be less likely to be current heroin/cocaine users. Participants (n=1453) were recruited from low-income neighborhoods with a high prevalence of drug use. Participants identified their friends via a network inventory, and all nominated friends were included in a latent class analysis and grouped based on their probability of providing seven types of support. These latent classes were included as the dependent variable in a multi-level regression of supporter drug use, recipient drug use, and other characteristics. The best-fitting latent class model identified five support patterns: friends who provided Little/No Support, Low/Moderate Support, High Support, Socialization Support, and Financial Support. In bivariate models, friends in the High, Low/Moderate, and Financial Support were less likely to use heroin or cocaine and had less conflict with and were more trusted by the support recipient than friends in the Low/No Support class. Individuals with supporters in those same support classes compared to the Low/No Support class were less likely to use heroin or cocaine, or to be homeless or female. Multivariable models suggested similar trends. Those with current heroin/cocaine use were less likely to provide or receive comprehensive support from friends. Published by Elsevier Ireland Ltd.

Network Operations Support Plan for the Spot 2 mission (revision 1)

Science.gov (United States)

Werbitzky, Victor

1989-01-01

The purpose of this Network Operations Support Plan (NOSP) is to indicate operational procedures and ground equipment configurations for the SPOT 2 mission. The provisions in this document take precedence over procedures or configurations in other documents.

Domestic violence against children and adolescents: social support network perspectives.

Science.gov (United States)

Carlos, Diene Monique; Pádua, Elisabete Matallo Marchesini De; Fernandes, Maria Isabel Domingues; Leitão, Maria Neto da Cruz; Ferriani, Maria das Graças Carvalho

2017-07-20

To identify and analyze the social support network of families involved in violence against children and adolescents, from the perspective of health professionals and families in a municipality of the state of São Paulo, Brazil. This was a qualitative strategic social study, anchored in the paradigm of complexity. Data were collected from 41 health professionals and 15 families using institutional or personal network maps, and semi-structured interviews. Analysis was conducted by organizing the data, constructing theoretical frameworks, and categorizing resulting information. The category "weaving the network" was unveiled, with family experiences and professionals focused on a logic of fragmentation of care. The creation and implementation of public policy are urgently needed to address the needs of this population, by empowering families and communities and developing research that respects the multidimensional nature of the phenomenon.

T-wave end detection using neural networks and Support Vector Machines.

Science.gov (United States)

Suárez-León, Alexander Alexeis; Varon, Carolina; Willems, Rik; Van Huffel, Sabine; Vázquez-Seisdedos, Carlos Román

2018-05-01

In this paper we propose a new approach for detecting the end of the T-wave in the electrocardiogram (ECG) using Neural Networks and Support Vector Machines. Both, Multilayer Perceptron (MLP) neural networks and Fixed-Size Least-Squares Support Vector Machines (FS-LSSVM) were used as regression algorithms to determine the end of the T-wave. Different strategies for selecting the training set such as random selection, k-means, robust clustering and maximum quadratic (Rényi) entropy were evaluated. Individual parameters were tuned for each method during training and the results are given for the evaluation set. A comparison between MLP and FS-LSSVM approaches was performed. Finally, a fair comparison of the FS-LSSVM method with other state-of-the-art algorithms for detecting the end of the T-wave was included. The experimental results show that FS-LSSVM approaches are more suitable as regression algorithms than MLP neural networks. Despite the small training sets used, the FS-LSSVM methods outperformed the state-of-the-art techniques. FS-LSSVM can be successfully used as a T-wave end detection algorithm in ECG even with small training set sizes. Copyright © 2018 Elsevier Ltd. All rights reserved.

Space Network IP Services (SNIS): An Architecture for Supporting Low Earth Orbiting IP Satellite Missions

Science.gov (United States)

Israel, David J.

2005-01-01

The NASA Space Network (SN) supports a variety of missions using the Tracking and Data Relay Satellite System (TDRSS), which includes ground stations in White Sands, New Mexico and Guam. A Space Network IP Services (SNIS) architecture is being developed to support future users with requirements for end-to-end Internet Protocol (IP) communications. This architecture will support all IP protocols, including Mobile IP, over TDRSS Single Access, Multiple Access, and Demand Access Radio Frequency (RF) links. This paper will describe this architecture and how it can enable Low Earth Orbiting IP satellite missions.

The role of remote engagement in supporting boundary chain networks across Alaska

Directory of Open Access Journals (Sweden)

Nathan P. Kettle

2015-01-01

Full Text Available Boundary organizations serve multiple roles in linking science and decision making, including brokering knowledge, supporting local- and cross-level networks, facilitating the co-production of knowledge, and negotiating conflict. Yet they face several challenges in providing services for an ever-increasing number of actors and institutions interested in climate information and adaptation. This study evaluates how the Alaska Center for Climate Assessment and Policy (ACCAP innovated its boundary spanning role to improve outcomes by partnering with other boundary organizations through its ongoing climate webinar series. We utilize the concept of boundary chains to investigate outcomes associated with different extended network connections. Our evaluation is based on the analysis three datasets, including interviews (2013 and two web-based questionnaires (2010 and 2013–2015. Findings from the evaluation reveal several ways that remote engagement via the ACCAP webinar series facilitates learning, decision application, and cross-level network building, and overcomes barriers associated with large geographic distances between communities. In an organic evolution and innovation of the climate webinar series, ACCAP partnered with other boundary organizations to establish satellite hub sites to facilitate in-person gatherings at remote locations, thereby increasing the number and diversity of participants served and supporting local networking within organizations, agencies, and communities. Leveraging complementary resources through the satellite hub sites provided mutual benefits for ACCAP and partnering boundary organizations. These findings advance our understanding of the value of remote engagement in supporting boundary spanning processes and how boundary organizations innovate their roles to build capacity and increase the usability of climate information.

An Agent Model for a Human’s Social Support Network Tie Preference During Depression

NARCIS (Netherlands)

Aziz, A.A.; Klein, M.C.A.; Treur, J.; Baeza-Yates, R.; Lang, J.; Mitra, S.; Parsons, S.; Pasi, G.

2009-01-01

Seeking support from their environment is important for people suffering from a depression. People usually have different social networks to which they are attached with different ties. In this paper, a computational model is presented that describes the selection of network members for seeking

A Multiple Mobility Support Approach (MMSA Based on PEAS for NCW in Wireless Sensor Networks

Directory of Open Access Journals (Sweden)

Bong-Joo Koo

2011-01-01

Full Text Available Wireless Sensor Networks (WSNs can be implemented as one of sensor systems in Network Centric Warfare (NCW. Mobility support and energy efficiency are key concerns for this application, due to multiple mobile users and stimuli in real combat field. However, mobility support approaches that can be adopted in this circumstance are rare. This paper proposes Multiple Mobility Support Approach (MMSA based on Probing Environment and Adaptive Sleeping (PEAS to support the simultaneous mobility of both multiple users and stimuli by sharing the information of stimuli in WSNs. Simulations using Qualnet are conducted, showing that MMSA can support multiple mobile users and stimuli with good energy efficiency. It is expected that the proposed MMSA can be applied to real combat field.

Structural and Supportive Changes in Couples' Family and Friendship Networks across the Transition to Parenthood.

Science.gov (United States)

Bost, Kelly K.; Cox, Martha J.; Burchinal, Margaret R.; Payne, Chris

2002-01-01

Examines patterns of change in family and friend network with parenthood in 137 couples surveyed before the birth of their first child. Husbands and wives who reported larger network sizes and support prior to their first child's birth were more likely to report larger networks after birth. Changes in parents' social systems were related to…

SANDS: an architecture for clinical decision support in a National Health Information Network.

Science.gov (United States)

Wright, Adam; Sittig, Dean F

2007-10-11

A new architecture for clinical decision support called SANDS (Service-oriented Architecture for NHIN Decision Support) is introduced and its performance evaluated. The architecture provides a method for performing clinical decision support across a network, as in a health information exchange. Using the prototype we demonstrated that, first, a number of useful types of decision support can be carried out using our architecture; and, second, that the architecture exhibits desirable reliability and performance characteristics.

Hypothesis Management Framework: a exible design pattern for belief networks in decision support systems

NARCIS (Netherlands)

Gosliga, S.P. van; Voorde, I. van de

2008-01-01

This article discusses a design pattern for building belief networks for application domains in which causal models are hard to construct. In this approach we pursue a modular belief network structure that is easily extended by the users themselves, while remaining reliable for decision support. The

A Hardware-Supported Algorithm for Self-Managed and Choreographed Task Execution in Sensor Networks

Directory of Open Access Journals (Sweden)

Borja Bordel

2018-03-01

Full Text Available Nowadays, sensor networks are composed of a great number of tiny resource-constraint nodes, whose management is increasingly more complex. In fact, although collaborative or choreographic task execution schemes are which fit in the most perfect way with the nature of sensor networks, they are rarely implemented because of the high resource consumption of these algorithms (especially if networks include many resource-constrained devices. On the contrary, hierarchical networks are usually designed, in whose cusp it is included a heavy orchestrator with a remarkable processing power, being able to implement any necessary management solution. However, although this orchestration approach solves most practical management problems of sensor networks, a great amount of the operation time is wasted while nodes request the orchestrator to address a conflict and they obtain the required instructions to operate. Therefore, in this paper it is proposed a new mechanism for self-managed and choreographed task execution in sensor networks. The proposed solution considers only a lightweight gateway instead of traditional heavy orchestrators and a hardware-supported algorithm, which consume a negligible amount of resources in sensor nodes. The gateway avoids the congestion of the entire sensor network and the hardware-supported algorithm enables a choreographed task execution scheme, so no particular node is overloaded. The performance of the proposed solution is evaluated through numerical and electronic ModelSim-based simulations.

‘Living' theory: a pedagogical framework for process support in networked learning

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Philipa Levy

2006-12-01

Full Text Available This paper focuses on the broad outcome of an action research project in which practical theory was developed in the field of networked learning through case-study analysis of learners' experiences and critical evaluation of educational practice. It begins by briefly discussing the pedagogical approach adopted for the case-study course and the action research methodology. It then identifies key dimensions of four interconnected developmental processes–orientation, communication, socialisation and organisation–that were associated with ‘learning to learn' in the course's networked environment, and offers a flavour of participants' experiences in relation to these processes. A number of key evaluation issues that arose are highlighted. Finally, the paper presents the broad conceptual framework for the design and facilitation of process support in networked learning that was derived from this research. The framework proposes a strong, explicit focus on support for process as well as domain learning, and progression from tighter to looser design and facilitation structures for process-focused (as well as domain-focused learning tasks.

Social support networks and depression of women suffering from early-stage breast cancer: a case control study.