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Sample records for network support handover

  1. Secure Media Independent Handover Message Transport in Heterogeneous Networks

    Directory of Open Access Journals (Sweden)

    Cho Choong-Ho

    2009-01-01

    Full Text Available The IEEE 802.21 framework for Media Independent Handover (MIH provides seamless vertical handover support for multimode mobile terminals. MIH messages are exchanged over various wireless media between mobile terminals and access networks to facilitate seamless handover. This calls for the need to secure MIH messages against network security threats in the wireless medium. In this paper, we first analyze IPSec/IKEv2 and DTLS security solution for secure MIH message transport. We show that handover latency can be an impediment to the use of IPSec and DTLS solutions. To overcome the handover overhead and hence minimize authentication time, a new secure MIH message transport solution, referred as MIHSec in this paper, is proposed. Experimental results are obtained for MIH between WLAN and Ethernet networks and the impacts of MIH message security on the handover latency are evaluated for IPSec, DTLS, and MIHSec security solutions. The effectiveness of MIHSec is demonstrated.

  2. Optimization of mobile IPv6-based handovers to support VoIP services in wireless heterogeneous networks

    DEFF Research Database (Denmark)

    Fathi, Hanane; Chakraborty, Shyam; Prasad, Ramjee

    2007-01-01

    The support of the voice over Internet Protocol (VoIP) services in next-generation wireless systems requires the coupling of mobility with quality of service. The mobile node can experience disruptions or even intermittent disconnections of an ongoing real-time session due to handovers. The durat......The support of the voice over Internet Protocol (VoIP) services in next-generation wireless systems requires the coupling of mobility with quality of service. The mobile node can experience disruptions or even intermittent disconnections of an ongoing real-time session due to handovers...... at layer 3. Using analytical models, the authors evaluate MIPv4, MIPv6, fast MIPv6 (FMIPv6), and hierarchical MIPv6 (HMIPv6) and compare their performances in terms of handover delay for VoIP services. To optimize the handover delay, the authors propose to use the adaptive retransmission timer described...

  3. Handover Framework for Relay Enhanced LTE Networks

    DEFF Research Database (Denmark)

    Teyeb, Oumer Mohammed; Van Phan, Vinh; Raaf, Bernhard

    2009-01-01

    Relaying is one of the proposed technologies for future releases of UTRAN Long Term Evolution (LTE) networks. Introducing relaying is expected to increase the coverage and capacity of LTE networks. In order to enable relaying, the architecture, protocol and radio resource management procedures...... of LTE, such as handover, have to be modified. A user can be handed over not only between two base stations, but also between relays and base stations, and between two relays. With the introduction of relaying, there is a need for a new procedure to hand over a relay and all its associated users...... to another base station, allowing a flexible and dynamic relay deployment. In this paper, we extend the LTE release 8 handover mechanisms so that it can accommodate these new handover functionalities in a flexible manner....

  4. Knapsack--TOPSIS Technique for Vertical Handover in Heterogeneous Wireless Network.

    Directory of Open Access Journals (Sweden)

    E M Malathy

    Full Text Available In a heterogeneous wireless network, handover techniques are designed to facilitate anywhere/anytime service continuity for mobile users. Consistent best-possible access to a network with widely varying network characteristics requires seamless mobility management techniques. Hence, the vertical handover process imposes important technical challenges. Handover decisions are triggered for continuous connectivity of mobile terminals. However, bad network selection and overload conditions in the chosen network can cause fallout in the form of handover failure. In order to maintain the required Quality of Service during the handover process, decision algorithms should incorporate intelligent techniques. In this paper, a new and efficient vertical handover mechanism is implemented using a dynamic programming method from the operation research discipline. This dynamic programming approach, which is integrated with the Technique to Order Preference by Similarity to Ideal Solution (TOPSIS method, provides the mobile user with the best handover decisions. Moreover, in this proposed handover algorithm a deterministic approach which divides the network into zones is incorporated into the network server in order to derive an optimal solution. The study revealed that this method is found to achieve better performance and QoS support to users and greatly reduce the handover failures when compared to the traditional TOPSIS method. The decision arrived at the zone gateway using this operational research analytical method (known as the dynamic programming knapsack approach together with Technique to Order Preference by Similarity to Ideal Solution yields remarkably better results in terms of the network performance measures such as throughput and delay.

  5. 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.

  6. 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.

  7. 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.

  8. Handover Based IMS Registration Scheme for Next Generation Mobile Networks

    Directory of Open Access Journals (Sweden)

    Shireen Tahira

    2017-01-01

    Full Text Available Next generation mobile networks aim to provide faster speed and more capacity along with energy efficiency to support video streaming and massive data sharing in social and communication networks. In these networks, user equipment has to register with IP Multimedia Subsystem (IMS which promises quality of service to the mobile users that frequently move across different access networks. After each handover caused due to mobility, IMS provides IPSec Security Association establishment and authentication phases. The main issue is that unnecessary reregistration after every handover results in latency and communication overhead. To tackle these issues, this paper presents a lightweight Fast IMS Mobility (FIM registration scheme that avoids unnecessary conventional registration phases such as security associations, authentication, and authorization. FIM maintains a flag to avoid deregistration and sends a subsequent message to provide necessary parameters to IMS servers after mobility. It also handles the change of IP address for user equipment and transferring the security associations from old to new servers. We have validated the performance of FIM by developing a testbed consisting of IMS servers and user equipment. The experimental results demonstrate the performance supremacy of FIM. It reduces media disruption time, number of messages, and packet loss up to 67%, 100%, and 61%, respectively, as compared to preliminaries.

  9. An Intelligent Handover Management System for Future Generation Wireless Networks

    Directory of Open Access Journals (Sweden)

    Kassar Meriem

    2008-01-01

    Full Text Available Abstract Future generation wireless networks should provide to mobile users the best connectivity to services anywhere at anytime. The most challenging problem is the seamless intersystem/vertical mobility across heterogeneous wireless networks. In order to answer it, a vertical handover management system is needed. In our paper, we propose an intelligent solution answering user requirements and ensuring service continuity. We focus on a vertical handover decision strategy based on the context-awareness concept. The given strategy chooses the appropriate time and the most suitable access network among those available to perform a handover. It uses advanced decision algorithms (for more efficiency and intelligence and it is governed by handover policies as decision rules (for more flexibility and optimization. To maintain a seamless service continuity, handover execution is based on mobile IP functionalities. We study our decision system in a case of a 3G/UMTS-WLAN scenario and we discuss all the handover decision issues in our solution.

  10. Location Assisted Handover Optimization for Heterogeneous Wireless Networks

    DEFF Research Database (Denmark)

    Nielsen, Jimmy Jessen; Madsen, Tatiana Kozlova; Schwefel, Hans-Peter

    2011-01-01

    Mobile users typically experience better connectivity if their mobile device performs handover to an available WiFi network rather than using a cellular network. For a moving user the window of opportunity is limited and the timing of the handover is therefore crucial. In this work we propose two...... of these algorithms for a mobile user in an urban scenario with ubiquitous cellular coverage and 250 WiFi APs/km2, and compared the results to a hysteresis-based greedy algorithm and the case of ”always cellular-connected”. Our results show that the proposed look-ahead algorithms outperform the hysteresis...

  11. Advanced mobility handover for mobile IPv6 based wireless networks.

    Science.gov (United States)

    Safa Sadiq, Ali; Fisal, Norsheila Binti; Ghafoor, Kayhan Zrar; Lloret, Jaime

    2014-01-01

    We propose an Advanced Mobility Handover scheme (AMH) in this paper for seamless mobility in MIPv6-based wireless networks. In the proposed scheme, the mobile node utilizes a unique home IPv6 address developed to maintain communication with other corresponding nodes without a care-of-address during the roaming process. The IPv6 address for each MN during the first round of AMH process is uniquely identified by HA using the developed MN-ID field as a global permanent, which is identifying uniquely the IPv6 address of MN. Moreover, a temporary MN-ID is generated by access point each time an MN is associated with a particular AP and temporarily saved in a developed table inside the AP. When employing the AMH scheme, the handover process in the network layer is performed prior to its default time. That is, the mobility handover process in the network layer is tackled by a trigger developed AMH message to the next access point. Thus, a mobile node keeps communicating with the current access point while the network layer handover is executed by the next access point. The mathematical analyses and simulation results show that the proposed scheme performs better as compared with the existing approaches.

  12. Advanced Mobility Handover for Mobile IPv6 Based Wireless Networks

    Science.gov (United States)

    Safa Sadiq, Ali; Fisal, Norsheila Binti; Ghafoor, Kayhan Zrar; Lloret, Jaime

    2014-01-01

    We propose an Advanced Mobility Handover scheme (AMH) in this paper for seamless mobility in MIPv6-based wireless networks. In the proposed scheme, the mobile node utilizes a unique home IPv6 address developed to maintain communication with other corresponding nodes without a care-of-address during the roaming process. The IPv6 address for each MN during the first round of AMH process is uniquely identified by HA using the developed MN-ID field as a global permanent, which is identifying uniquely the IPv6 address of MN. Moreover, a temporary MN-ID is generated by access point each time an MN is associated with a particular AP and temporarily saved in a developed table inside the AP. When employing the AMH scheme, the handover process in the network layer is performed prior to its default time. That is, the mobility handover process in the network layer is tackled by a trigger developed AMH message to the next access point. Thus, a mobile node keeps communicating with the current access point while the network layer handover is executed by the next access point. The mathematical analyses and simulation results show that the proposed scheme performs better as compared with the existing approaches. PMID:25614890

  13. Data-Driven Handover Optimization in Next Generation Mobile Communication Networks

    Directory of Open Access Journals (Sweden)

    Po-Chiang Lin

    2016-01-01

    Full Text Available Network densification is regarded as one of the important ingredients to increase capacity for next generation mobile communication networks. However, it also leads to mobility problems since users are more likely to hand over to another cell in dense or even ultradense mobile communication networks. Therefore, supporting seamless and robust connectivity through such networks becomes a very important issue. In this paper, we investigate handover (HO optimization in next generation mobile communication networks. We propose a data-driven handover optimization (DHO approach, which aims to mitigate mobility problems including too-late HO, too-early HO, HO to wrong cell, ping-pong HO, and unnecessary HO. The key performance indicator (KPI is defined as the weighted average of the ratios of these mobility problems. The DHO approach collects data from the mobile communication measurement results and provides a model to estimate the relationship between the KPI and features from the collected dataset. Based on the model, the handover parameters, including the handover margin and time-to-trigger, are optimized to minimize the KPI. Simulation results show that the proposed DHO approach could effectively mitigate mobility problems.

  14. UPPGHA: Uniform Privacy Preservation Group Handover Authentication Mechanism for mMTC in LTE-A Networks

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    Jin Cao

    2018-01-01

    Full Text Available Machine Type Communication (MTC, as one of the most important wireless communication technologies in the future wireless communication, has become the new business growth point of mobile communication network. It is a key point to achieve seamless handovers within Evolved-Universal Terrestrial Radio Access Network (E-UTRAN for massive MTC (mMTC devices in order to support mobility in the Long Term Evolution-Advanced (LTE-A networks. When mMTC devices simultaneously roam from a base station to a new base station, the current handover mechanisms suggested by the Third-Generation Partnership Project (3GPP require several handover signaling interactions, which could cause the signaling load over the access network and the core network. Besides, several distinct handover procedures are proposed for different mobility scenarios, which will increase the system complexity. In this paper, we propose a simple and secure uniform group-based handover authentication scheme for mMTC devices based on the multisignature and aggregate message authentication code (AMAC techniques, which is to fit in with all of the mobility scenarios in the LTE-A networks. Compared with the current 3GPP standards, our scheme can achieve a simple authentication process with robust security protection including privacy preservation and thus avoid signaling congestion. The correctness of the proposed group handover authentication protocol is formally proved in the Canetti-Krawczyk (CK model and verified based on the AVISPA and SPAN.

  15. Enhancing PMIPv6 for Better Handover Performance among Heterogeneous Wireless Networks in a Micromobility Domain

    Directory of Open Access Journals (Sweden)

    Magagula LinohA

    2010-01-01

    Full Text Available This paper analyzes the reduction of handover delay in a network-based localized mobility management framework assisted by IEEE 802.21 MIH services. It compares the handover signaling procedures with host-based localized MIPv6 (HMIPv6, with network-based localized MIPv6 (PMIPv6, and with PMIPv6 assisted by IEEE 802.21 to show how much handover delay reduction can be achieved. Furthermore, the paper proposes and gives an in-depth analysis of PMIPv6 optimized with a handover coordinator (HC, which is a network-based entity, to further improve handover performance in terms of handover delay and packet loss while maintaining minimal signaling overhead in the air interface among converged heterogeneous wireless networks. Simulation and analytical results show that indeed handover delay and packet loss are reduced.

  16. Modeling and Simulation of Handover Scheme in Integrated EPON-WiMAX Networks

    DEFF Research Database (Denmark)

    Yan, Ying; Dittmann, Lars

    2011-01-01

    In this paper, we tackle the seamless handover problem in integrated optical wireless networks. Our model applies for the convergence network of EPON and WiMAX and a mobilityaware signaling protocol is proposed. The proposed handover scheme, Integrated Mobility Management Scheme (IMMS), is assisted...... by enhancing the traditional MPCP signaling protocol, which cooperatively collects mobility information from the front-end wireless network and makes centralized bandwidth allocation decisions in the backhaul optical network. The integrated network architecture and the joint handover scheme are simulated using...... OPNET modeler. Results show validation of the protocol, i.e., integrated handover scheme gains better network performances....

  17. Cross-Layer Handover Scheme for Multimedia Communications in Next Generation Wireless Networks

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    Lin Chun-Cheng

    2010-01-01

    Full Text Available In order to achieve seamless handover for real-time applications in the IP Multimedia Subsystem (IMS of next generation network, a multiprotocol combined handover mechanism is proposed in this paper. We combine SIP (Session Initiation Protocol, FMIP (Fast Mobile IPv6 Protocol, and MIH (Media Independent Handover protocols by cross-layer design and optimize those protocols' signaling flows to improve the performance of vertical handover. Theoretical analysis and simulation results illustrate that our proposed mechanism performs better than the original SIP and MIH combined handover mechanism in terms of service interruption time and packet loss.

  18. 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.

  19. 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.

  20. 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

  1. 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...

  2. Interprofessional communication supporting clinical handover in emergency departments: An observation study.

    Science.gov (United States)

    Redley, Bernice; Botti, Mari; Wood, Beverley; Bucknall, Tracey

    2017-08-01

    Poor interprofessional communication poses a risk to patient safety at change-of-shift in emergency departments (EDs). The purpose of this study was to identify and describe patterns and processes of interprofessional communication impacting quality of ED change-of-shift handovers. Observation of 66 change-of-shift handovers at two acute hospital EDs in Victoria, Australia. Focus groups with 34 nurse participants complemented the observations. Qualitative data analysis involved content and thematic methods. Four structural components of ED handover processes emerged represented by (ABCD): (1) Antecedents; (2) Behaviours and interactions; (3) Content; and (4) Delegation of ongoing care. Infrequent and ad hoc interprofessional communication and discipline-specific handover content and processes emerged as specific risks to patient safety at change-of-shift handovers. Three themes related to risky and effective practices to support interprofessional communications across the four stages of ED handovers emerged: 1) standard processes and practices, 2) teamwork and interactions and 3) communication activities and practices. Unreliable interprofessional communication can impact the quality of change-of-shift handovers in EDs and poses risk to patient safety. Structured reflective analysis of existing practices can identify opportunities for standardisation, enhanced team practices and effective communication across four stages of the handover process to support clinicians to enhance local handover practices. Future research should test and refine models to support analysis of practice, and identify and test strategies to enhance ED interprofessional communication to support clinical handovers. Copyright © 2017 College of Emergency Nursing Australasia. Published by Elsevier Ltd. All rights reserved.

  3. Regressive Prediction Approach to Vertical Handover in Fourth Generation Wireless Networks

    Directory of Open Access Journals (Sweden)

    Abubakar M. Miyim

    2014-11-01

    Full Text Available The over increasing demand for deployment of wireless access networks has made wireless mobile devices to face so many challenges in choosing the best suitable network from a set of available access networks. Some of the weighty issues in 4G wireless networks are fastness and seamlessness in handover process. This paper therefore, proposes a handover technique based on movement prediction in wireless mobile (WiMAX and LTE-A environment. The technique enables the system to predict signal quality between the UE and Radio Base Stations (RBS/Access Points (APs in two different networks. Prediction is achieved by employing the Markov Decision Process Model (MDPM where the movement of the UE is dynamically estimated and averaged to keep track of the signal strength of mobile users. With the help of the prediction, layer-3 handover activities are able to occur prior to layer-2 handover, and therefore, total handover latency can be reduced. The performances of various handover approaches influenced by different metrics (mobility velocities were evaluated. The results presented demonstrate good accuracy the proposed method was able to achieve in predicting the next signal level by reducing the total handover latency.

  4. A Velocity-Aware Handover Trigger in Two-Tier Heterogeneous Networks

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    Asmae Ait Mansour

    2018-01-01

    Full Text Available The unexpected change in user equipment (UE velocity is recognized as the primary explanation for poor handover quality. In order to resolve this issue, while limiting ping-pong (PP events we carefully and dynamically optimized handover parameters for each UE unit according to its velocity and the coverage area of the access point (AP. In order to recognize any variations in velocity, we applied Allan variance (AVAR to the received signal strength (RSS from the serving AP. To assess our approach, it was essential to configure a heterogeneous network context (LTE-WiFi and interconnect Media-Independent Handover (MIH and Proxy Mobile IPv6 (PMIPv6 for seamless handover. Reproduction demonstrated that our approach does not only result in a gain in relatively accurate velocity but in addition reduces the number of PP and handover failures (HOFs.

  5. 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.

  6. 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.

  7. On a handover algorithm in a PCS1900/ GSM/DCS1800 Network

    DEFF Research Database (Denmark)

    Wigard, Jeroen; Nielsen, Thomas Toftegaard; Michaelsen, Per-Henrik

    1999-01-01

    the performance. It is shown that the capacity gain from traffic reason handover is depending on the size of the cell overlap, the number of channels per cell and on how uniform the traffic is spread geographically over the network. Simulations show that even in a situation with uniformly distributed traffic......Traffic reason handover is a functionality that distributes the traffic out over the network according to the traffic load. This can decrease the blocking and thus increase the quality of service (QoS). Its potential gain is analytically calculated and network simulations are performed to evaluate......, which is the worst case situation, the use of traffic reason handover decreases the blocking...

  8. A New Privacy-Preserving Handover Authentication Scheme for Wireless Networks.

    Science.gov (United States)

    Wang, Changji; Yuan, Yuan; Wu, Jiayuan

    2017-06-20

    Handover authentication is a critical issue in wireless networks, which is being used to ensure mobile nodes wander over multiple access points securely and seamlessly. A variety of handover authentication schemes for wireless networks have been proposed in the literature. Unfortunately, existing handover authentication schemes are vulnerable to a few security attacks, or incur high communication and computation costs. Recently, He et al. proposed a handover authentication scheme PairHand and claimed it can resist various attacks without rigorous security proofs. In this paper, we show that PairHand does not meet forward secrecy and strong anonymity. More seriously, it is vulnerable to key compromise attack, where an adversary can recover the private key of any mobile node. Then, we propose a new efficient and provably secure handover authentication scheme for wireless networks based on elliptic curve cryptography. Compared with existing schemes, our proposed scheme can resist key compromise attack, and achieves forward secrecy and strong anonymity. Moreover, it is more efficient in terms of computation and communication.

  9. A Bio-Inspired QoS-Oriented Handover Model in Heterogeneous Wireless Networks

    Directory of Open Access Journals (Sweden)

    Daxin Tian

    2014-01-01

    Full Text Available We propose a bio-inspired model for making handover decision in heterogeneous wireless networks. It is based on an extended attractor selection model, which is biologically inspired by the self-adaptability and robustness of cellular response to the changes in dynamic environments. The goal of the proposed model is to guarantee multiple terminals’ satisfaction by meeting the QoS requirements of those terminals’ applications, and this model also attempts to ensure the fairness of network resources allocation, in the meanwhile, to enable the QoS-oriented handover decision adaptive to dynamic wireless environments. Some numerical simulations are preformed to validate our proposed bio-inspired model in terms of adaptive attractor selection in different noisy environments. And the results of some other simulations prove that the proposed handover scheme can adapt terminals’ network selection to the varying wireless environment and benefits the QoS of multiple terminal applications simultaneously and automatically. Furthermore, the comparative analysis also shows that the bio-inspired model outperforms the utility function based handover decision scheme in terms of ensuring a better QoS satisfaction and a better fairness of network resources allocation in dynamic heterogeneous wireless networks.

  10. 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.

  11. 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

  12. 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.

  13. 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.

  14. 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.

  15. 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.

  16. 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...

  17. 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...

  18. 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.

  19. 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.

  20. 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

  1. 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.

  2. 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

  3. 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...

  4. 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.

  5. 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).

  6. 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

  7. 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 ...

  8. 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...

  9. 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...

  10. 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.

  11. 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.

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

  14. 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%.

  15. 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.

  16. 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.

  17. 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

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

    Science.gov (United States)

    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.

  19. 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

  20. 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.

  1. 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.

  2. Training on handover of patient care within UK medical schools

    Directory of Open Access Journals (Sweden)

    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.

  3. Supporting seamless mobility for P2P live streaming.

    Science.gov (United States)

    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.

  4. Supporting Seamless Mobility for P2P Live Streaming

    Directory of Open Access Journals (Sweden)

    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.

  5. 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...

  6. Patients' perceptions of safety and quality of maternity clinical handover

    Directory of Open Access Journals (Sweden)

    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

  7. Keep handovers in the office.

    Science.gov (United States)

    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.

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

    Directory of Open Access Journals (Sweden)

    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.

  9. 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 ...

  10. 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.

  11. 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...

  12. 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.

  13. 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

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

    Science.gov (United States)

    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.

  15. 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

  16. 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

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

    Science.gov (United States)

    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/.

  18. Passing the Baton: An Experimental Study of Shift Handover

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

  20. 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...

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

    Directory of Open Access Journals (Sweden)

    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.

  2. Improved Association and Disassociation Scheme for Enhanced WLAN Handover and VHO

    Directory of Open Access Journals (Sweden)

    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.

  3. 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.

  4. 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...

  5. 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

  6. 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.

  7. 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).

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

    Directory of Open Access Journals (Sweden)

    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.

  9. Improving Learner Handovers in Medical Education.

    Science.gov (United States)

    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.

  10. 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.

  11. 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.

  12. 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.

  13. 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.

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

    Science.gov (United States)

    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).

  15. 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.

  16. 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.

  17. Development of an orthopedic surgery trauma patient handover checklist.

    Science.gov (United States)

    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.

  18. [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.

  19. 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...

  20. Network Support for Group Coordination

    Science.gov (United States)

    2000-01-01

    telecommuting and ubiquitous computing [40], the advent of networked multimedia, and less expensive technology have shifted telecollaboration into...of Computer Engineering,Santa Cruz,CA,95064 8. PERFORMING ORGANIZATION REPORT NUMBER 9. SPONSORING/ MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10...participants A and B, the payoff structure for choosing two actions i and j is P = Aij + Bij . If P = 0, then the interaction is called a zero -sum game, and

  1. Building an Alumni Support Network

    Science.gov (United States)

    Grant, Karli A.

    2008-01-01

    Alumni can be visible or invisible, engaged or disengaged. They can speak highly of their college experience--or not. Most colleges find that alumni, regardless of their opinions and experiences, represent a vast, often untapped body of potential support. With a little nurturing, administrators can use relationships with former students and…

  2. Supporting rights and nurturing networks

    DEFF Research Database (Denmark)

    Wilson, Fiona; Eyben, Rosalind

    2006-01-01

    The article explores how a bilateral aid donor (British DFID) managed their organizational and relational work when the local office (in Peru) put rights at the centre of their policy. Taking the example of DFID support to alternative thinking in the health sector, critical questions are raised...

  3. 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.

  4. 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:…

  5. 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,

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

    Science.gov (United States)

    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.

  7. 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.

  8. 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....

  9. 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…

  10. 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...

  11. 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

  12. 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.

  13. 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...

  14. 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.

  15. 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.

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. 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....

  3. 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...

  4. 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.

  5. Management of Information Supporting Collaborative Networks

    Science.gov (United States)

    Afsarmanesh, Hamideh; Camarinha-Matos, Luis M.

    Dynamic creation of opportunity-based goal-oriented Collaborative Networks (CNs), among organizations or individuals, requires the availability of a variety of up-to-date information. In order to effectively address the complexity, dynamism, and scalability of actors, domains, and operations in opportunity-based CNs, pre-establishment of properly administrated strategic CNs is required. Namely, to effectively support creation/operation of opportunity-based VOs (Virtual Organizations) operating in certain domain, the pre-establishment of a VBE (Virtual organizations Breeding Environment) for that domain plays a crucial role and increases their chances of success. Administration of strategic CN environments however is challenging and requires an advanced set of inter-related functionalities, developed on top of strong management of their information. With the emphasis on information management aspects, a number of generic challenges for the CNs and especially for the administration of VBEs are introduced in the paper.

  6. 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.

  7. 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.

  8. 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.

  9. 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.

  10. 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

  11. Licensing Support Network: An Electronic Discovery System

    International Nuclear Information System (INIS)

    Gil, A. V.; Jensen, D.; McKinnon, B.

    2002-01-01

    The necessary authorization for the U. S. Department of Energy's (DOE) Office of Civilian Radioactive Waste Management (OCRWM) to submit a License Application (LA) is contingent upon the policy process defined in the Nuclear Waste Policy Act, as amended (NWPA), with some steps yet to occur. In spite of this uncertainty, the DOE must take prudent and appropriate action now, and over the next several years, to prepare for submittal of an application and to facilitate the U. S. Nuclear Regulatory Commission (NRC) review of this application, if the Yucca Mountain site is recommended and approved for repository development. One of these steps the DOE has taken involves working with the NRC's Advisory Review Panel to develop Licensing Support Network (LSN) requirements and guidelines. The NRC has made a prototype of the LSN web page available at www.LSNNET.gov. The OCRWM part of the LSN currently has an indefinite life cycle and may need to remain in existence until the repository is closed, which could be as long as 325 years

  12. Yucca Mountain licensing support network archive assistant.

    Energy Technology Data Exchange (ETDEWEB)

    Dunlavy, Daniel M.; Bauer, Travis L.; Verzi, Stephen J.; Basilico, Justin Derrick; Shaneyfelt, Wendy

    2008-03-01

    This report describes the Licensing Support Network (LSN) Assistant--a set of tools for categorizing e-mail messages and documents, and investigating and correcting existing archives of categorized e-mail messages and documents. The two main tools in the LSN Assistant are the LSN Archive Assistant (LSNAA) tool for recategorizing manually labeled e-mail messages and documents and the LSN Realtime Assistant (LSNRA) tool for categorizing new e-mail messages and documents. This report focuses on the LSNAA tool. There are two main components of the LSNAA tool. The first is the Sandia Categorization Framework, which is responsible for providing categorizations for documents in an archive and storing them in an appropriate Categorization Database. The second is the actual user interface, which primarily interacts with the Categorization Database, providing a way for finding and correcting categorizations errors in the database. A procedure for applying the LSNAA tool and an example use case of the LSNAA tool applied to a set of e-mail messages are provided. Performance results of the categorization model designed for this example use case are presented.

  13. 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...

  14. Technical Support DLA Apparel Research Network

    National Research Council Canada - National Science Library

    Guthrie, Jeffrey

    2002-01-01

    The Defense Logistics Agency's Research and Development Enterprise Division established a network of universities, equipment suppliers, apparel manufacturers, industry consultants and software developers...

  15. Group Coordination Support in Networked Multimedia Systems

    National Research Council Canada - National Science Library

    Dommel, Hans-Peter

    1999-01-01

    .... In this dissertation, we address network control and coordination functions to orchestrate synchronous multimedia groupwork, establishing a sharing discipline on multimedia resources and guaranteeing...

  16. Specification and Support of Adaptable Networked Multimedia

    NARCIS (Netherlands)

    D.C.A. Bulterman (Dick)

    1993-01-01

    htmlabstractAccessing multimedia information in a networked environment introduces problems that don't exist when the same information is accessed locally. These problems include: competing for network resources within and across applications, synchronizing data arrivals from various sources within

  17. New networking solutions support GEANT2

    CERN Multimedia

    2006-01-01

    "Researchers across the globe are benefiting from new advanced networking solutions, deployed as part of the GEANT2. For the first time, scientists collaborating on the world's largest particle physics experiment, the Large Hadron Collider (LHC), now have access to point-to-point network connections between distributed research centres." (1 page)

  18. 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

  19. Future networks and technologies supporting innovative communications

    DEFF Research Database (Denmark)

    Prasad, Ramjee

    2012-01-01

    -communications (WISDOM) that combines the aspects of personal- and cognitive radio- networks to let seamlessly bridge the virtual and physical worlds offering a constant level of all-senses, context-based, rich communication experience over fixed and wireless networks for the end users while realizing a new generation......Within a fully interconnected world, the distinct relationship between end users, consumers and providers rapidly changes towards a scenario of collaboration and competition of multiple parties within one system. ‘Convergence’, ‘ubiquitous’ and ‘smart’ are key words describing future networks...

  20. 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, ...

  1. 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 ...

  2. Performance Monitoring Techniques Supporting Cognitive Optical Networking

    DEFF Research Database (Denmark)

    Caballero Jambrina, Antonio; Borkowski, Robert; Zibar, Darko

    2013-01-01

    High degree of heterogeneity of future optical networks, such as services with different quality-of-transmission requirements, modulation formats and switching techniques, will pose a challenge for the control and optimization of different parameters. Incorporation of cognitive techniques can help...... to solve this issue by realizing a network that can observe, act, learn and optimize its performance, taking into account end-to-end goals. In this letter we present the approach of cognition applied to heterogeneous optical networks developed in the framework of the EU project CHRON: Cognitive...... Heterogeneous Reconfigurable Optical Network. We focus on the approaches developed in the project for optical performance monitoring, which enable the feedback from the physical layer to the cognitive decision system by providing accurate description of the performance of the established lightpaths....

  3. 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.

  4. 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.

  5. 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.

  6. Social Network Supported Process Recommender System

    Directory of Open Access Journals (Sweden)

    Yanming Ye

    2014-01-01

    Full Text Available Process recommendation technologies have gained more and more attention in the field of intelligent business process modeling to assist the process modeling. However, most of the existing technologies only use the process structure analysis and do not take the social features of processes into account, while the process modeling is complex and comprehensive in most situations. This paper studies the feasibility of social network research technologies on process recommendation and builds a social network system of processes based on the features similarities. Then, three process matching degree measurements are presented and the system implementation is discussed subsequently. Finally, experimental evaluations and future works are introduced.

  7. Social network supported process recommender system.

    Science.gov (United States)

    Ye, Yanming; Yin, Jianwei; Xu, Yueshen

    2014-01-01

    Process recommendation technologies have gained more and more attention in the field of intelligent business process modeling to assist the process modeling. However, most of the existing technologies only use the process structure analysis and do not take the social features of processes into account, while the process modeling is complex and comprehensive in most situations. This paper studies the feasibility of social network research technologies on process recommendation and builds a social network system of processes based on the features similarities. Then, three process matching degree measurements are presented and the system implementation is discussed subsequently. Finally, experimental evaluations and future works are introduced.

  8. 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.

  9. 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.

  10. 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

  11. Business Process Modeling Languages Supporting Collaborative Networks

    NARCIS (Netherlands)

    Soleimani Malekan, H.; Afsarmanesh, H.; Hammoudi, S.; Maciaszek, L.A.; Cordeiro, J.; Dietz, J.L.G.

    2013-01-01

    Formalizing the definition of Business Processes (BPs) performed within each enterprise is fundamental for effective deployment of their competencies and capabilities within Collaborative Networks (CN). In our approach, every enterprise in the CN is represented by its set of BPs, so that other

  12. Management of information supporting Collaborative Networks

    NARCIS (Netherlands)

    Afsarmanesh, H.; Camarinha-Matos, L.M.

    2009-01-01

    Dynamic creation of opportunity-based goal-oriented Collaborative Networks (CNs), among organizations or individuals, requires the availability of a variety of up-to-date information. In order to effectively address the complexity, dynamism, and scalability of actors, domains, and operations in

  13. 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.

  14. Flexible Decision Support in Dynamic Interorganizational Networks

    NARCIS (Netherlands)

    J. Collins (John); W. Ketter (Wolfgang); M. Gini (Maria)

    2008-01-01

    textabstractAn effective Decision Support System (DSS) should help its users improve decision-making in complex, information-rich, environments. We present a feature gap analysis that shows that current decision support technologies lack important qualities for a new generation of agile business

  15. Distributed Emulation in Support of Large Networks

    Science.gov (United States)

    2016-06-01

    Provider LTE Long Term Evolution MB Megabyte MIPS Microprocessor without Interlocked Pipeline Stages MRT Multi-Threaded Routing Toolkit NPS Naval...environment, modifications to a network, protocol, or model can be executed – and the effects measured – without affecting real-world users or services...produce their results when analyzing performance of Long Term Evolution ( LTE ) gateways [3]. Many research scenarios allow problems to be represented

  16. 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

  17. 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...

  18. 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.

  19. 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)

  20. MINDS - Medical Information Network Decision Support System

    National Research Council Canada - National Science Library

    Armenian, H. K

    2008-01-01

    .... The increase in and complexity of medical data at various levels of resolution has increased the need for system level advancements in clinical decision support systems that provide computer-aided...

  1. 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.

  2. 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 ...

  3. 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...

  4. 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.

  5. 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.

  6. 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.

  7. Construction of an institutional network for homeless support: weaving networks

    Directory of Open Access Journals (Sweden)

    Zulma Giraldo Rátiva

    2007-04-01

    Conclusion. Within the detected institutions different levels from attention for the population exist inhabitant and ex-inhabitant of infantile and adult street (prevention, promotion, rehabilitation in addition to support and pursuit by these institutions within the Public and Deprived sector.

  8. 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.

  9. HANDOVER MANAGEABILITY AND PERFORMANCE MODELING IN

    African Journals Online (AJOL)

    SOFTLINKS DIGITAL

    gone beyond their early intentions. They now found use in the ..... A Protocol is a set of rules ... The sender of the message cannot reject that the ..... 507932,. [6] Avolio, M. F., (1994), Network Security: Building Internetwork Firewalls, Business.

  10. Gender differences in brain networks supporting empathy.

    Science.gov (United States)

    Schulte-Rüther, Martin; Markowitsch, Hans J; Shah, N Jon; Fink, Gereon R; Piefke, Martina

    2008-08-01

    Females frequently score higher on standard tests of empathy, social sensitivity, and emotion recognition than do males. It remains to be clarified, however, whether these gender differences are associated with gender specific neural mechanisms of emotional social cognition. We investigated gender differences in an emotion attribution task using functional magnetic resonance imaging. Subjects either focused on their own emotional response to emotion expressing faces (SELF-task) or evaluated the emotional state expressed by the faces (OTHER-task). Behaviorally, females rated SELF-related emotions significantly stronger than males. Across the sexes, SELF- and OTHER-related processing of facial expressions activated a network of medial and lateral prefrontal, temporal, and parietal brain regions involved in emotional perspective taking. During SELF-related processing, females recruited the right inferior frontal cortex and superior temporal sulcus stronger than males. In contrast, there was increased neural activity in the left temporoparietal junction in males (relative to females). When performing the OTHER-task, females showed increased activation of the right inferior frontal cortex while there were no differential activations in males. The data suggest that females recruit areas containing mirror neurons to a higher degree than males during both SELF- and OTHER-related processing in empathic face-to-face interactions. This may underlie facilitated emotional "contagion" in females. Together with the observation that males differentially rely on the left temporoparietal junction (an area mediating the distinction between the SELF and OTHERS) the data suggest that females and males rely on different strategies when assessing their own emotions in response to other people.

  11. 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.

  12. 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...

  13. 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.

  14. 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.

  15. 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...

  16. 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...

  17. 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.

  18. 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

  19. 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

  20. 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.

  1. 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...

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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...

  7. 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.

  8. 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

  9. 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.

  10. 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.

  11. 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.

  12. 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.

  13. 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…

  14. 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

  15. 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

  16. 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…

  17. 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

  18. 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…

  19. 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).

  20. 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

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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...

  7. 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....

  8. 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.

  9. 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....

  10. 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

  11. 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.

  12. 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

  13. 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....

  14. 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.

  15. 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

  16. 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

  17. 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.

  18. 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 ...

  19. Burst switched optical networks supporting legacy and future service types

    DEFF Research Database (Denmark)

    Franzl, Gerald; Hayat, Faisal; Holynski, Tomasz

    2011-01-01

    Focusing on the principles and the paradigm of OBS an overview addressing expectable performance and application issues is presented. Proposals on OBS were published over a decade and the presented techniques spread into many directions. The paper comprises discussions of several challenges that ...... and found capable to overcome shortcomings of recent proposals. In conclusion, an OBS that offers different connection types may support most client demands within a sole optical network layer....

  20. 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

  1. 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.

  2. 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

  3. 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.

  4. 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.

  5. 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...

  6. 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.

  7. 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....

  8. 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.

  9. 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

  10. 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.

  11. 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....

  12. A Survey on Mobility Support in Wireless Body Area Networks

    Directory of Open Access Journals (Sweden)

    Beom-Su Kim

    2017-04-01

    Full Text Available Wireless Body Area Networks (WBANs have attracted research interests from the community, as more promising healthcare applications have a tendency to employ them as underlying network technology. While taking design issues, such as small size hardware as well as low power computing, into account, a lot of research has been proposed to accomplish the given tasks in WBAN. However, since most of the existing works are basically developed by assuming all nodes in the static state, these schemes therefore cannot be applied in real scenarios where network topology between sensor nodes changes frequently and unexpectedly according to human moving behavior. However, as far as the authors know, there is no survey paper to focus on research challenges for mobility support in WBAN yet. To address this deficiency, in this paper, we present the state-of-the-art approaches and discuss the important features of related to mobility in WBAN. We give an overview of mobility model and categorize the models as individual and group. Furthermore, an overview of networking techniques in the recent literature and summary are compiled for comparison in several aspects. The article also suggests potential directions for future research in the field.

  13. 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)

  14. 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

  15. 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

  16. Eco label and integrated product policies. Supporting companies by networking

    International Nuclear Information System (INIS)

    Frey, M.; Iraldo, F.

    1999-01-01

    In 1998 IEFE Bocconi University (Italy) carried out a project for the diffusion of the European Commission Eco label, the certification of the environmental quality of products. What clearly emerges from this experience is that some Italian SMEs, among the most innovative and market-oriented, are prone and ready to grasp the opportunities connected with the Eco label adoption. The more these enterprises are capable of starting up a network of socio-institutional actors eager to support them in promoting the environmental quality of their products, the more they succeed in exploiting the above mentioned opportunities [it

  17. 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.

  18. Incremental Support Vector Machine Framework for Visual Sensor Networks

    Directory of Open Access Journals (Sweden)

    Yuichi Motai

    2007-01-01

    Full Text Available Motivated by the emerging requirements of surveillance networks, we present in this paper an incremental multiclassification support vector machine (SVM technique as a new framework for action classification based on real-time multivideo collected by homogeneous sites. The technique is based on an adaptation of least square SVM (LS-SVM formulation but extends beyond the static image-based learning of current SVM methodologies. In applying the technique, an initial supervised offline learning phase is followed by a visual behavior data acquisition and an online learning phase during which the cluster head performs an ensemble of model aggregations based on the sensor nodes inputs. The cluster head then selectively switches on designated sensor nodes for future incremental learning. Combining sensor data offers an improvement over single camera sensing especially when the latter has an occluded view of the target object. The optimization involved alleviates the burdens of power consumption and communication bandwidth requirements. The resulting misclassification error rate, the iterative error reduction rate of the proposed incremental learning, and the decision fusion technique prove its validity when applied to visual sensor networks. Furthermore, the enabled online learning allows an adaptive domain knowledge insertion and offers the advantage of reducing both the model training time and the information storage requirements of the overall system which makes it even more attractive for distributed sensor networks communication.

  19. 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…

  20. 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.

  1. 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.

  2. CLIPS based decision support system for water distribution networks

    Directory of Open Access Journals (Sweden)

    K. Sandeep

    2011-10-01

    Full Text Available The difficulty in knowledge representation of a water distribution network (WDN problem has contributed to the limited use of artificial intelligence (AI based expert systems (ES in the management of these networks. This paper presents a design of a Decision Support System (DSS that facilitates "on-demand'' knowledge generation by utilizing results of simulation runs of a suitably calibrated and validated hydraulic model of an existing aged WDN corresponding to emergent or even hypothetical but likely scenarios. The DSS augments the capability of a conventional expert system by integrating together the hydraulic modelling features with heuristics based knowledge of experts under a common, rules based, expert shell named CLIPS (C Language Integrated Production System. In contrast to previous ES, the knowledge base of the DSS has been designed to be dynamic by superimposing CLIPS on Structured Query Language (SQL. The proposed ES has an inbuilt calibration module that enables calibration of an existing (aged WDN for the unknown, and unobservable, Hazen-Williams C-values. In addition, the daily run and simulation modules of the proposed ES further enable the CLIPS inference engine to evaluate the network performance for any emergent or suggested test scenarios. An additional feature of the proposed design is that the DSS integrates computational platforms such as MATLAB, open source Geographical Information System (GIS, and a relational database management system (RDBMS working under the umbrella of the Microsoft Visual Studio based common user interface. The paper also discusses implementation of the proposed framework on a case study and clearly demonstrates the utility of the application as an able aide for effective management of the study network.

  3. 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.

  4. Supporting tactical intelligence using collaborative environments and social networking

    Science.gov (United States)

    Wollocko, Arthur B.; Farry, Michael P.; Stark, Robert F.

    2013-05-01

    Modern military environments place an increased emphasis on the collection and analysis of intelligence at the tactical level. The deployment of analytical tools at the tactical level helps support the Warfighter's need for rapid collection, analysis, and dissemination of intelligence. However, given the lack of experience and staffing at the tactical level, most of the available intelligence is not exploited. Tactical environments are staffed by a new generation of intelligence analysts who are well-versed in modern collaboration environments and social networking. An opportunity exists to enhance tactical intelligence analysis by exploiting these personnel strengths, but is dependent on appropriately designed information sharing technologies. Existing social information sharing technologies enable users to publish information quickly, but do not unite or organize information in a manner that effectively supports intelligence analysis. In this paper, we present an alternative approach to structuring and supporting tactical intelligence analysis that combines the benefits of existing concepts, and provide detail on a prototype system embodying that approach. Since this approach employs familiar collaboration support concepts from social media, it enables new-generation analysts to identify the decision-relevant data scattered among databases and the mental models of other personnel, increasing the timeliness of collaborative analysis. Also, the approach enables analysts to collaborate visually to associate heterogeneous and uncertain data within the intelligence analysis process, increasing the robustness of collaborative analyses. Utilizing this familiar dynamic collaboration environment, we hope to achieve a significant reduction of time and skill required to glean actionable intelligence in these challenging operational environments.

  5. Toward Predicting Social Support Needs in Online Health Social Networks.

    Science.gov (United States)

    Choi, Min-Je; Kim, Sung-Hee; Lee, Sukwon; Kwon, Bum Chul; Yi, Ji Soo; Choo, Jaegul; Huh, Jina

    2017-08-02

    While online health social networks (OHSNs) serve as an effective platform for patients to fulfill their various social support needs, predicting the needs of users and providing tailored information remains a challenge. The objective of this study was to discriminate important features for identifying users' social support needs based on knowledge gathered from survey data. This study also provides guidelines for a technical framework, which can be used to predict users' social support needs based on raw data collected from OHSNs. We initially conducted a Web-based survey with 184 OHSN users. From this survey data, we extracted 34 features based on 5 categories: (1) demographics, (2) reading behavior, (3) posting behavior, (4) perceived roles in OHSNs, and (5) values sought in OHSNs. Features from the first 4 categories were used as variables for binary classification. For the prediction outcomes, we used features from the last category: the needs for emotional support, experience-based information, unconventional information, and medical facts. We compared 5 binary classifier algorithms: gradient boosting tree, random forest, decision tree, support vector machines, and logistic regression. We then calculated the scores of the area under the receiver operating characteristic (ROC) curve (AUC) to understand the comparative effectiveness of the used features. The best performance was AUC scores of 0.89 for predicting users seeking emotional support, 0.86 for experience-based information, 0.80 for unconventional information, and 0.83 for medical facts. With the gradient boosting tree as our best performing model, we analyzed the strength of individual features in predicting one's social support need. Among other discoveries, we found that users seeking emotional support tend to post more in OHSNs compared with others. We developed an initial framework for automatically predicting social support needs in OHSNs using survey data. Future work should involve nonsurvey

  6. 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

  7. 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

  8. 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....

  9. 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.

  10. 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.

  11. 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.

  12. Coherent oscillatory networks supporting short-term memory retention.

    Science.gov (United States)

    Payne, Lisa; Kounios, John

    2009-01-09

    Accumulating evidence suggests that top-down processes, reflected by frontal-midline theta-band (4-8 Hz) electroencephalogram (EEG) oscillations, strengthen the activation of a memory set during short-term memory (STM) retention. In addition, the amplitude of posterior alpha-band (8-13 Hz) oscillations during STM retention is thought to reflect a mechanism that protects fragile STM activations from interference by gating bottom-up sensory inputs. The present study addressed two important questions about these phenomena. First, why have previous studies not consistently found memory set-size effects on frontal-midline theta? Second, how does posterior alpha participate in STM retention? To answer these questions, large-scale network connectivity during STM retention was examined by computing EEG wavelet coherence during the retention period of a modified Sternberg task using visually-presented letters as stimuli. The results showed (a) increasing theta-band coherence between frontal-midline and left temporal-parietal sites with increasing memory load, and (b) increasing alpha-band coherence between midline parietal and left temporal/parietal sites with increasing memory load. These findings support the view that theta-band coherence, rather than amplitude, is the key factor in selective top-down strengthening of the memory set and demonstrate that posterior alpha-band oscillations associated with sensory gating are involved in STM retention by participating in the STM network.

  13. Content-aware network storage system supporting metadata retrieval

    Science.gov (United States)

    Liu, Ke; Qin, Leihua; Zhou, Jingli; Nie, Xuejun

    2008-12-01

    Nowadays, content-based network storage has become the hot research spot of academy and corporation[1]. In order to solve the problem of hit rate decline causing by migration and achieve the content-based query, we exploit a new content-aware storage system which supports metadata retrieval to improve the query performance. Firstly, we extend the SCSI command descriptor block to enable system understand those self-defined query requests. Secondly, the extracted metadata is encoded by extensible markup language to improve the universality. Thirdly, according to the demand of information lifecycle management (ILM), we store those data in different storage level and use corresponding query strategy to retrieval them. Fourthly, as the file content identifier plays an important role in locating data and calculating block correlation, we use it to fetch files and sort query results through friendly user interface. Finally, the experiments indicate that the retrieval strategy and sort algorithm have enhanced the retrieval efficiency and precision.

  14. 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.

  15. 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.

  16. 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.

  17. Combining morphological analysis and Bayesian networks for strategic decision support

    Directory of Open Access Journals (Sweden)

    A de Waal

    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 problem spaces. BNs are graphical models which consist of a qualitative and quantitative part. The qualitative part is a cause-and-effect, or causal graph. The quantitative part depicts the strength of the causal relationships between variables. Combining MA and BN, as two phases in a modelling process, allows us to gain the benefits of both of these methods. The strength of MA lies in defining, linking and internally evaluating the parameters of problem spaces and BN modelling allows for the definition and quantification of causal relationships between variables. Short summaries of MA and BN are provided in this paper, followed by discussions how these two computer aided methods may be combined to better facilitate modelling procedures. A simple example is presented, concerning a recent application in the field of environmental decision support.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. Backend solutions for AA in the MUSE network supporting FMC

    NARCIS (Netherlands)

    Neerbos, A.N.R. van; Prins, M.; Melander, B.; Pimilla Larrucea, I.; Thakur, M.J.; Fredricx, F.

    2007-01-01

    The European MUSE project investigated fixed-mobile convergence from the perspective of an unbundled fixed network. A major part of the work consisted of finding solutions for the authentication and authorisation of users who roam from their home network to a visited network. This paper shows how AA

  3. 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.

  4. 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...

  5. 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

  6. 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.

  7. 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.

  8. 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.

  9. 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

  10. Abstraction networks for terminologies: Supporting management of "big knowledge".

    Science.gov (United States)

    Halper, Michael; Gu, Huanying; Perl, Yehoshua; Ochs, Christopher

    2015-05-01

    Terminologies and terminological systems have assumed important roles in many medical information processing environments, giving rise to the "big knowledge" challenge when terminological content comprises tens of thousands to millions of concepts arranged in a tangled web of relationships. Use and maintenance of knowledge structures on that scale can be daunting. The notion of abstraction network is presented as a means of facilitating the usability, comprehensibility, visualization, and quality assurance of terminologies. An abstraction network overlays a terminology's underlying network structure at a higher level of abstraction. In particular, it provides a more compact view of the terminology's content, avoiding the display of minutiae. General abstraction network characteristics are discussed. Moreover, the notion of meta-abstraction network, existing at an even higher level of abstraction than a typical abstraction network, is described for cases where even the abstraction network itself represents a case of "big knowledge." Various features in the design of abstraction networks are demonstrated in a methodological survey of some existing abstraction networks previously developed and deployed for a variety of terminologies. The applicability of the general abstraction-network framework is shown through use-cases of various terminologies, including the Systematized Nomenclature of Medicine - Clinical Terms (SNOMED CT), the Medical Entities Dictionary (MED), and the Unified Medical Language System (UMLS). Important characteristics of the surveyed abstraction networks are provided, e.g., the magnitude of the respective size reduction referred to as the abstraction ratio. Specific benefits of these alternative terminology-network views, particularly their use in terminology quality assurance, are discussed. Examples of meta-abstraction networks are presented. The "big knowledge" challenge constitutes the use and maintenance of terminological structures that

  11. Application of modern technology for fieldwork support in network operations

    International Nuclear Information System (INIS)

    Eggen, Arnt Ove; Langdal, Bjoern Inge

    2006-04-01

    Demands for rational and efficient operation and management in several business sectors such as power-, oil- and gas industry, telecommunication, water and multi-utility has lead to big changes for personnel in charge of managing the infrastructure and for the field-workers. Contractors providing services for the large power network companies do not have the local knowledge about construction projects, and there are increased demands on efficiency related to completion, documentation and reporting. This implies a need for transmission of knowledge and experiences between office and the field, and support for fieldwork in the form of applications using various technological possibilities. Field solutions that have well-developed technical and organisational properties will make administration of the infrastructure more efficient, and raise the quality of the work. The choice of mobile service will always be a compromise between several different wishes and needs. The properties of hardware, software and communication options will often influence possible choices in the respective fields. As an important step in testing of hardware, software and communication, some prototypes have been developed for Pocket Pc. The prototypes 'Befaring' and 'HelikopterBefaring' have been chosen because they contain many of the elements that are important in a mobile solution. In addition a prototype for internet applications has been developed ('HelikopterBefaringMottak') and a Windows application ('HelikopterBefaringPresentasjon') in order to visualise the received and managed information sent from the mobile units. The technological development both in software, hardware, GPS and mobile telephones is extremely rapid, and the first mobile solutions with Pocket Pc, mobile telephone and GPS in one integrated unit is already on the market (ml)

  12. 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.

  13. 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.

  14. How Might Better Network Theories Support School Leadership Research?

    Science.gov (United States)

    Hadfield, Mark; Jopling, Michael

    2012-01-01

    This article explores how recent research in education has applied different aspects of "network" theory to the study of school leadership. Constructs from different network theories are often used because of their perceived potential to clarify two perennial issues in leadership research. The first is the relative importance of formal and…

  15. Remote but Not Removed: Professional Networks That Support Rural Educators

    Science.gov (United States)

    Parsley, Danette

    2018-01-01

    The Northwest Rural Innovation and Student Engagement (NW RISE) Network connects rural educators in the Pacific Northwest to help them succeed in the profession and overcome the challenges caused by teacher isolation. In this article, the author takes stock of what was learned in the four years since the network was established. She also shares…

  16. Supporting Communities in Programmable Grid Networks: gTBN

    NARCIS (Netherlands)

    Christea, M.L; Strijkers, R.J.; Marchal, D.; Gommans, L.; Laat, C. de; Meijer, R.J.

    2009-01-01

    Abstract—This paper presents the generalised Token Based Networking (gTBN) architecture, which enables dynamic binding of communities and their applications to specialised network services. gTBN uses protocol independent tokens to provide decoupling of authorisation from time of usage as well as

  17. 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....

  18. 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…

  19. 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)

  20. 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.

  1. 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.

  2. Women and AIDS Support Network: mutual support to change community norms.

    Science.gov (United States)

    Ray, S

    1992-01-01

    A group of women formed the Women and AIDS Support Network (WASN) in Zimbabwe in June 1989 to improve women;s self-esteem and confidence and to bring about changes in attitudes and reactions toward AIDS-related problems. Both HIV-positive and HIV-negative women are WASN members. Women have limited control over sexual relationships. Women who know their partners are having intercourse with other women have few options, e.g., they may depend on their partners. A family council settles marital disagreements, but husbands do not always cooperate. Increased peer pressure could change societal acceptance of male infidelity to positive attitudes toward friendship and partnership in marriage. Therefore, WASN explores sexual relationships, especially control and power in them. These discussions should lead to affirmation of positive behavior. For example, men can promote condom use and monogamy to their male peers. They can also talk to their partners and their sons about HIV. Rural women should not blame urban women for their partner's HIV status. WASN also targets schoolgirls. Most early and some current messages of AIDS campaigns reinforces the dichotomy of good and bad women, supported by an earlier link between urban women and sexually transmitted diseases. Yet, they ignored men's role in HIV transmission. WASN speaks out against such negative images, e.g., dramas that depict the HIV-infected woman as evil and the innocent as good while the man worries about which woman infected him instead of feeling awful about infecting other women. WASN also addressee AIDS-related discrimination on the job and stigmatization issues. It now is conducting 2 research projects: information needs of urban and rural women and capacities of family support systems to assist HIV-positive women.

  3. 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

  4. "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.

  5. 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

  6. Computer-Supported Modelling of Multi modal Transportation Networks Rationalization

    Directory of Open Access Journals (Sweden)

    Ratko Zelenika

    2007-09-01

    Full Text Available This paper deals with issues of shaping and functioning ofcomputer programs in the modelling and solving of multimoda Itransportation network problems. A methodology of an integrateduse of a programming language for mathematical modellingis defined, as well as spreadsheets for the solving of complexmultimodal transportation network problems. The papercontains a comparison of the partial and integral methods ofsolving multimodal transportation networks. The basic hypothesisset forth in this paper is that the integral method results inbetter multimodal transportation network rationalization effects,whereas a multimodal transportation network modelbased on the integral method, once built, can be used as the basisfor all kinds of transportation problems within multimodaltransport. As opposed to linear transport problems, multimodaltransport network can assume very complex shapes. This papercontains a comparison of the partial and integral approach totransp01tation network solving. In the partial approach, astraightforward model of a transp01tation network, which canbe solved through the use of the Solver computer tool within theExcel spreadsheet inteiface, is quite sufficient. In the solving ofa multimodal transportation problem through the integralmethod, it is necessmy to apply sophisticated mathematicalmodelling programming languages which supp01t the use ofcomplex matrix functions and the processing of a vast amountof variables and limitations. The LINGO programming languageis more abstract than the Excel spreadsheet, and it requiresa certain programming knowledge. The definition andpresentation of a problem logic within Excel, in a manner whichis acceptable to computer software, is an ideal basis for modellingin the LINGO programming language, as well as a fasterand more effective implementation of the mathematical model.This paper provides proof for the fact that it is more rational tosolve the problem of multimodal transportation networks by

  7. 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…

  8. 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…

  9. 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…

  10. 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…

  11. 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…

  12. 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.

  13. 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.

  14. 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.

  15. 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

  16. 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

  17. distance tracking scheme for seamless handover in ims-based

    African Journals Online (AJOL)

    userpc

    Mobile Node (MN) in a network cell are proactively tracked in order to determine the exact .... The parameter εi is a correction factor for effective mobile antenna height, which is a function of .... Wireless Networks: Ad Hoc, Vehicular and.

  18. 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.

  19. Using Bayesian networks to support decision-focused information retrieval

    Energy Technology Data Exchange (ETDEWEB)

    Lehner, P.; Elsaesser, C.; Seligman, L. [Mitre Corp., McLean, VA (United States)

    1996-12-31

    This paper has described an approach to controlling the process of pulling data/information from distributed data bases in a way that is specific to a persons specific decision making context. Our prototype implementation of this approach uses a knowledge-based planner to generate a plan, an automatically constructed Bayesian network to evaluate the plan, specialized processing of the network to derive key information items that would substantially impact the evaluation of the plan (e.g., determine that replanning is needed), automated construction of Standing Requests for Information (SRIs) which are automated functions that monitor changes and trends in distributed data base that are relevant to the key information items. This emphasis of this paper is on how Bayesian networks are used.

  20. 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.

  1. Existing PON Infrastructure Supported Hybrid Fiber-Wireless Sensor Networks

    DEFF Research Database (Denmark)

    Yu, Xianbin; Zhao, Ying; Deng, Lei

    2012-01-01

    We propose a hybrid fiber wireless sensor network based on the existing PON infrastructure. The feasibility of remote sensing and PON convergence is experimentally proven by transmitting direct-sequence spread-spectrum wireless sensing and 2.5Gbps GPON signals.......We propose a hybrid fiber wireless sensor network based on the existing PON infrastructure. The feasibility of remote sensing and PON convergence is experimentally proven by transmitting direct-sequence spread-spectrum wireless sensing and 2.5Gbps GPON signals....

  2. 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....

  3. Supporting differentiated quality of service in optical burst switched networks

    Science.gov (United States)

    Zhou, Bin; Bassiouni, Mostafa A.

    2006-01-01

    We propose and evaluate two new schemes for providing differentiated services in optical burst switched (OBS) networks. The two new schemes are suitable for implementation in OBS networks using just-in-time (JIT) or just-enough-time (JET) scheduling protocols. The first scheme adjusts the size of the search space for a free wavelength based on the priority level of the burst. A simple equation is used to divide the search spectrum into two parts: a base part and an adjustable part. The size of the adjustable part increases as the priority of the burst becomes higher. The scheme is very easy to implement and does not demand any major software or hardware resources in optical cross-connects. The second scheme reduces the dropping probability of bursts with higher priorities through the use of different proactive discarding rates in the network access station (NAS) of the source node. Our extensive simulation tests using JIT show that both schemes are capable of providing tangible quality of service (QoS) differentiation without negatively impacting the throughput of OBS networks.

  4. Peer Review of Assessment Network: Supporting Comparability of Standards

    Science.gov (United States)

    Booth, Sara; Beckett, Jeff; Saunders, Cassandra

    2016-01-01

    Purpose: This paper aims to test the need in the Australian higher education (HE) sector for a national network for the peer review of assessment in response to the proposed HE standards framework and propose a sector-wide framework for calibrating and assuring achievement standards, both within and across disciplines, through the establishment of…

  5. Adaptive Information Access on Multiple Applications Support Wireless Sensor Networks

    DEFF Research Database (Denmark)

    Tobgay, Sonam; Olsen, Rasmus Løvenstein; Prasad, Ramjee

    2014-01-01

    information is challenged by dynamic nature of information elements. These challenges are more prominent in case of wireless sensor network (WSN) applications, as the information that the sensor node collects are mostly dynamic in nature (say, temperature). Therefore, it is likely that there can be a mismatch...

  6. Adaptive Information Access in Multiple Applications Support Wireless Sensor Network

    DEFF Research Database (Denmark)

    Tobgay, Sonam; Olsen, Rasmus Løvenstein; Prasad, Ramjee

    2012-01-01

    Nowadays, due to wide applicability of Wireless Sensor Network (WSN) added by the low cost sensor devices, its popularity among the researchers and industrialists are very much visible. A substantial amount of works can be seen in the literature on WSN which are mainly focused on application...

  7. Fast demand response in support of the active distribution network

    NARCIS (Netherlands)

    MacDougall, P.; Heskes, P.; Crolla, P.; Burt, G.; Warmer, C.

    2013-01-01

    Demand side management has traditionally been investigated for "normal" operation services such as balancing and congestion management. However they potentially could be utilized for Distributed Network Operator (DNO) services. This paper investigates and validates the use of a supply and demand

  8. Early Career Academic Staff Support: Evaluating Mentoring Networks

    Science.gov (United States)

    Thomas, J. Denard; Lunsford, Laura Gail; Rodrigues, Helena A.

    2015-01-01

    Which academics benefit from participation in formal mentoring programmes? This study examined the needs and mentoring networks of new academics with evaluative data from a pilot mentoring programme. Themes from these data point towards re-envisioning initiatives for academic staff development. First, an examination of the expansion of mentoring…

  9. 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.

  10. Utilizing Social Network Analysis in Support of Nation Building

    Science.gov (United States)

    2011-03-01

    Commission . . . . . . . . 4-8 IEC Independent Election Commission . . . . . . . . . . . . 4-8 AISA Afghanistan Investment Support Agency...source sample are either in the government or connected to it through the Afghanistan Investment Support Agency ( AISA ). This agency represents an... edition , 1980. 25. Jock Covey, Michael J. Dziedzic, and Leonard R. Hawley. The Quest for Viable Peace: International Intervention and Strategies for

  11. Educational Designs Supporting Student Engagement Through Network Project Studies

    DEFF Research Database (Denmark)

    Nielsen, Jørgen Lerche

    2016-01-01

    Internationally, new pedagogical approaches emphasizing collaboration or learning in networks have been developed following the introduction of new technologies, especially the spread of social media. It is interesting to see such pedagogical developments in relation to similar approaches......, developed from the traditions of organizing university studies through student-driven project work and problem-driven learning approaches, which have been developed at the Danish universities of Roskilde and Aalborg as early as from the beginning of the 1970s. Specific educational designs integrating...... digital media are discussed, especially focusing on student engagement and the implications of organizing the pedagogical practice as networked project work. The discussions are based on the author’s experiences during 16 years of teaching and supervising at the Danish Master’s Program of ICT and Learning...

  12. Educational designs supporting student engagement through networked project studies

    DEFF Research Database (Denmark)

    Lerche Nielsen, Jørgen; Andreasen, Lars Birch

    2013-01-01

    within a networked learning structure are studying in groups combining on-site seminars with independent and challenging virtually organized project periods, implementing new educational technology, which require teachers who are flexible and aware of the different challenges in the networked environment...... activities that unfold. This interplay is important in order to make a difference, as the experience is that new technologies do not in themselves guarantee increasing learning quality. The chapter will discuss examples of how learners as well as teachers have developed imaginative ways of implementing new...... technological possibilities in educational settings. The examples will include how sometimes seemingly simple technologies can be used in innovative pedagogical ways to increase learners’ involvement. Another example to be discussed in the chapter derives from an online seminar on ICT and Learning...

  13. Object-Oriented Bayesian Networks for a Decision Support System

    OpenAIRE

    Julia Mortera; Paola Vicard; Cecilia Vergari

    2012-01-01

    We study an economic decision problem where the actors are two rms and the Antitrust Authority whose main task is to monitor and prevent rms potential anti-competitive behaviour. The Antitrust Au- thority's decision process is modelled using a Bayesian network whose relational structure and parameters are estimated from data provided by the Authority itself. Several economic variables in uencing this de- cision process are included in the model. We analyse how monitoring by the Antitrust Auth...

  14. 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.

  15. Argonne National Laboratory high performance network support of APS experiments

    International Nuclear Information System (INIS)

    Knot, M.J.; McMahon, R.J.

    1996-01-01

    Argonne National Laboratory is currently positioned to provide access to high performance regional and national networks. Much of the impetus for this effort is the anticipated needs of the upcoming experimental program at the APS. Some APS collaborative access teams (CATs) are already pressing for network speed improvements and security enhancements. Requirements range from the need for high data rate, secure transmission of experimental data, to the desire to establish a open-quote open-quote virtual experimental environment close-quote close-quote at their home institution. In the near future, 155 megabit/sec (Mb/s) national and regional asynchronous transfer mode (ATM) networks will be operational and available to APS users. Full-video teleconferencing, virtual presence operation of experiments, and high speed, secure transmission of data are being tested and, in some cases, will be operational. We expect these efforts to enable a substantial improvement in the speed of processing experimental results as well as an increase in convenience to the APS experimentalist. copyright 1996 American Institute of Physics

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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.

  1. Migration patterns and influence of support networks: A case study of West Africans in the Netherlands

    NARCIS (Netherlands)

    Chelpi-den Hamer, M.

    2008-01-01

    This article explores the influence of support networks in the migration process of West African migrants to the Netherlands. Taking a case-oriented biographic approach, the article analyzes the migration stories of several West African migrants with a focus on the networks that facilitated their

  2. 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

  3. 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

  4. 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

  5. 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.

  6. Academic self-efficacy, growth mindsets, and university students' integration in academic and social support networks

    NARCIS (Netherlands)

    Zander, Lysann; Brouwer, Jasperina; Jansen, Ellen; Crayen, Claudia; Hannover, Bettina

    Combining complete social networks and structural equation modeling, we investigate how two learning-related cognitions, academic self-efficacy and growth mindsets, relate to integration in support networks of 580 university students in 30 seminar groups. We assessed integration as popularity in

  7. 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

  8. 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.

  9. Mentoring Support and Power: A Three Year Predictive Field Study on Protege Networking and Career Success

    Science.gov (United States)

    Blickle, Gerhard; Witzki, Alexander H.; Schneider, Paula B.

    2009-01-01

    Career success of early employees was analyzed from a power perspective and a developmental network perspective. In a predictive field study with 112 employees mentoring support and mentors' power were assessed in the first wave, employees' networking was assessed after two years, and career success (i.e. income and hierarchical position) and…

  10. 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.

  11. 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.

  12. SEDIMENT ANALYSIS NETWORK FOR DECISION SUPPORT (SANDS) LANDSAT GEOLOGICAL SURVEY OF AL (GSA) ANALYSIS V1

    Data.gov (United States)

    National Aeronautics and Space Administration — The Sediment Analysis Network for Decision Support (SANDS) Landsat Geological Survey of AL (GSA) Analysis dataset analyzed changes in the coastal shoreline and...

  13. 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.

  14. 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.

  15. A Belief Network Decision Support Method Applied to Aerospace Surveillance and Battle Management Projects

    National Research Council Canada - National Science Library

    Staker, R

    2003-01-01

    This report demonstrates the application of a Bayesian Belief Network decision support method for Force Level Systems Engineering to a collection of projects related to Aerospace Surveillance and Battle Management...

  16. Application of the network robustness index to identify critical links supporting Vermont's Bulk milk transportation.

    Science.gov (United States)

    2011-08-18

    The food supply chain is an interwoven network consisting of producers, processors, : manufacturers, distributors, retailers, and consumers. With the exception of direct : marketing or community-supported agriculture systems, some or all of these int...

  17. Social Support System in Learning Network for lifelong learners: A Conceptual framework

    NARCIS (Netherlands)

    Nadeem, Danish; Stoyanov, Slavi; Koper, Rob

    2009-01-01

    Nadeem, D., Stoyanov, S., & Koper, R. (2009). Social support system in learning network for lifelong learners: A Conceptual framework [Special issue]. International Journal of Continuing Engineering Education and Life-Long Learning, 19(4/5/6), 337-351.

  18. 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.

  19. Optimization of TTEthernet Networks to Support Best-Effort Traffic

    DEFF Research Database (Denmark)

    Tamas-Selicean, Domitian; Pop, Paul

    2014-01-01

    This paper focuses on the optimization of the TTEthernet communication protocol, which offers three traffic classes: time-triggered (TT), sent according to static schedules, rate-constrained (RC) that has bounded end-to-end latency, and best-effort (BE), the classic Ethernet traffic, with no timing...... guarantees. In our earlier work we have proposed an optimization approach named DOTTS that performs the routing, scheduling and packing / fragmenting of TT and RC messages, such that the TT and RC traffic is schedulable. Although backwards compatibility with classic Ethernet networks is one of TTEthernet...

  20. Overcoming barriers to scheduling embedded generation to support distribution networks

    Energy Technology Data Exchange (ETDEWEB)

    Wright, A.J.; Formby, J.R.

    2000-07-01

    Current scheduling of embedded generation for distribution in the UK is limited and patchy. Some DNOs actively schedule while others do none. The literature on the subject is mainly about accommodating volatile wind output, and optimising island systems, for both cost of supply and network stability. The forthcoming NETA will lower prices, expose unpredictable generation to imbalance markets and could introduce punitive constraint payments on DNOs, but at the same time create a dynamic market for both power and ancillary services from embedded generators. Most renewable generators either run as base load (e.g. waste ) or according to the vagaries of the weather (e.g. wind, hydro), so offer little scope for scheduling other than 'off'. CHP plant is normally heat- led for industrial processes or building needs, but supplementary firing or thermal storage often allow considerable scope for scheduling. Micro-CHP with thermal storage could provide short-term scheduling, but tends to be running anyway during the evening peak. Standby generation appears to be ideal for scheduling, but in practice operators may be unwilling to run parallel with the network, and noise and pollution problems may preclude frequent operation. Statistical analysis can be applied to calculate the reliability of several generators compared to one; with a large number of generators such as micro-CHP reliability of a proportion of load is close to unity. The type of communication for generation used will depend on requirements for bandwidth, cost, reliability and whether it is bundled with other services. With high levels of deeply embedded, small-scale generation using induction machines, voltage control and black start capability will become important concerns on 11 kV and LV networks. This will require increased generation monitoring and remote control of switchgear. Examples of cost benefits from scheduling are given, including deferred reinforcement, increased exports on non

  1. Supporting Dynamic Adaptive Streaming over HTTP in Wireless Meshed Networks using Random Linear Network Coding

    DEFF Research Database (Denmark)

    Hundebøll, Martin; Pedersen, Morten Videbæk; Roetter, Daniel Enrique Lucani

    2014-01-01

    This work studies the potential and impact of the FRANC network coding protocol for delivering high quality Dynamic Adaptive Streaming over HTTP (DASH) in wireless networks. Although DASH aims to tailor the video quality rate based on the available throughput to the destination, it relies...

  2. Software Defined Networking to support IP address mobility in future LTE network

    NARCIS (Netherlands)

    Karimzadeh Motallebi Azar, Morteza; Valtulina, Luca; van den Berg, Hans Leo; Pras, Aiko; Liebsch, Marco; Taleb, Tarik

    2017-01-01

    The existing LTE network architecture dose not scale well to increasing demands due to its highly centralized and hierarchical composition. In this paper we discuss the major modifications required in the current LTE network to realize a decentralized LTE architecture. Next, we develop two IP

  3. 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

  4. 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.

  5. Bayesian networks for clinical decision support in lung cancer care.

    Directory of Open Access Journals (Sweden)

    M Berkan Sesen

    Full Text Available Survival prediction and treatment selection in lung cancer care are characterised by high levels of uncertainty. Bayesian Networks (BNs, which naturally reason with uncertain domain knowledge, can be applied to aid lung cancer experts by providing personalised survival estimates and treatment selection recommendations. Based on the English Lung Cancer Database (LUCADA, we evaluate the feasibility of BNs for these two tasks, while comparing the performances of various causal discovery approaches to uncover the most feasible network structure from expert knowledge and data. We show first that the BN structure elicited from clinicians achieves a disappointing area under the ROC curve of 0.75 (± 0.03, whereas a structure learned by the CAMML hybrid causal discovery algorithm, which adheres with the temporal restrictions, achieves 0.81 (± 0.03. Second, our causal intervention results reveal that BN treatment recommendations, based on prescribing the treatment plan that maximises survival, can only predict the recorded treatment plan 29% of the time. However, this percentage rises to 76% when partial matches are included.

  6. 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.

  7. Creating Efficient Instrumentation Networks to Support Parametric Risk Transfer

    Science.gov (United States)

    Rockett, P.

    2009-04-01

    The development and institutionalisation of Catastrophe modelling during the 1990s opened the way for Catastrophe risk securitization transactions in which catastrophe risk held by insurers is transferred to the capital markets in the form of a bond. Cat Bonds have been one of the few areas of the capital markets in which the risk modelling has remained secure and the returns on the bonds have held up well through the 2008 Credit Crunch. There are three ways of structuring the loss triggers on bonds: ‘indemnity triggers' - reflecting the actual losses to the issuers; ‘index triggers' reflecting the losses to some index such as reported insurance industry loss and ‘parametric triggers' reflecting the parameters of the underlying catastrophe event itself. Indemnity triggers require that the investors trust that the insurer is reporting all their underlying exposures, while both indemnity and index losses may take 1-2 years to settle before all the claims are reported and resolved. Therefore parametric structures have many advantages, in particular in that the bond can be settled rapidly after an event. The challenge is to create parametric indices that closely reflect the actual losses to the insurer - ie that minimise ‘basis risk'. First generation parametric indices had high basis risk as they were crudely based on the magnitude of an earthquake occurring within some defined geographical box, or the intensity of a hurricane relative to the distance of the storm from some location. Second generation triggers involve taking measurements of ground motion or windspeed or flood depths at many locations and weighting each value so that the overall index closely mimics insurance loss. Cat bonds with second generation parametric triggers have been successfully issued for European Windstorm, UK Flood and California and Japan Earthquake. However the spread of second generation parametric structures is limited by the availability of suitable networks of

  8. 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.

  9. Women supporting women: Networked civic engagement to foster ...

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

    “Women supporting Women” is an applied research project led by Fundación ... It will build a participatory governance structure and a learning community integrated ... of female community leaders, and an executive team based at Fundación.

  10. Collaborative networks in support of service-enhanced products

    NARCIS (Netherlands)

    Camarinha-Matos, L.M.; Afsarmanesh, H.; Koelmel, B.

    2011-01-01

    The development and support of highly customized and service-enhanced products requires new organizational structures, involving the manufacturers, customers and local suppliers in a process of co-creation. This requires the implementation of the glocal enterprise notion with value creation from

  11. Support and Maintenance of the International Monitoring System network

    Science.gov (United States)

    Pereira, Jose; Bazarragchaa, Sergelen; Kilgour, Owen; Pretorius, Jacques; Werzi, Robert; Beziat, Guillaume; Hamani, Wacel; Mohammad, Walid; Brely, Natalie

    2014-05-01

    The Monitoring Facilities Support Section of the Provisional Technical Secretariat (PTS) has as its main task to ensure optimal support and maintenance of an array of 321 monitoring stations and 16 radionuclide laboratories distributed worldwide. Raw seismic, infrasonic, hydroacoustic and radionuclide data from these facilities constitutes the basic product delivered by the International Monitoring System (IMS). In the process of maintaining such a wide array of stations of different technologies, the Support Section contributes to ensuring station mission capability. Mission capable data availability according to the IMS requirements should be at least 98% annually (no more than 7 days down time per year per waveform stations - 14 continuous for radionuclide stations) for continuous data sending stations. In this presentation, we will present our case regarding our intervention at stations to address equipment supportability and maintainability, as these are particularly large activities requiring the removal of a substantial part of the station equipment and installation of new equipment. The objective is always to plan these activities while minimizing downtime and continuing to meet all IMS requirements, including those of data availability mentioned above. We postulate that these objectives are better achieved by planning and making use of preventive maintenance, as opposed to "run-to-failure" with associated corrective maintenance. We use two recently upgraded Infrasound Stations (IS39 Palau and IS52 BIOT) as a case study and establish a comparison between these results and several other stations where corrective maintenance was performed, to demonstrate our hypothesis.

  12. Enhancing Time Synchronization Support in Wireless Sensor Networks

    Science.gov (United States)

    Tavares Bruscato, Leandro; Heimfarth, Tales; Pignaton de Freitas, Edison

    2017-01-01

    With the emerging Internet of Things (IoT) technology becoming reality, a number of applications are being proposed. Several of these applications are highly dependent on wireless sensor networks (WSN) to acquire data from the surrounding environment. In order to be really useful for most of applications, the acquired data must be coherent in terms of the time in which they are acquired, which implies that the entire sensor network presents a certain level of time synchronization. Moreover, to efficiently exchange and forward data, many communication protocols used in WSN rely also on time synchronization among the sensor nodes. Observing the importance in complying with this need for time synchronization, this work focuses on the second synchronization problem, proposing, implementing and testing a time synchronization service for low-power WSN using low frequency real-time clocks in each node. To implement this service, three algorithms based on different strategies are proposed: one based on an auto-correction approach, the second based on a prediction mechanism, while the third uses an analytical correction mechanism. Their goal is the same, i.e., to make the clocks of the sensor nodes converge as quickly as possible and then to keep them most similar as possible. This goal comes along with the requirement to keep low energy consumption. Differently from other works in the literature, the proposal here is independent of any specific protocol, i.e., it may be adapted to be used in different protocols. Moreover, it explores the minimum number of synchronization messages by means of a smart clock update strategy, allowing the trade-off between the desired level of synchronization and the associated energy consumption. Experimental results, which includes data acquired from simulations and testbed deployments, provide evidence of the success in meeting this goal, as well as providing means to compare these three approaches considering the best synchronization

  13. Enhancing Time Synchronization Support in Wireless Sensor Networks.

    Science.gov (United States)

    Tavares Bruscato, Leandro; Heimfarth, Tales; Pignaton de Freitas, Edison

    2017-12-20

    With the emerging Internet of Things (IoT) technology becoming reality, a number of applications are being proposed. Several of these applications are highly dependent on wireless sensor networks (WSN) to acquire data from the surrounding environment. In order to be really useful for most of applications, the acquired data must be coherent in terms of the time in which they are acquired, which implies that the entire sensor network presents a certain level of time synchronization. Moreover, to efficiently exchange and forward data, many communication protocols used in WSN rely also on time synchronization among the sensor nodes. Observing the importance in complying with this need for time synchronization, this work focuses on the second synchronization problem, proposing, implementing and testing a time synchronization service for low-power WSN using low frequency real-time clocks in each node. To implement this service, three algorithms based on different strategies are proposed: one based on an auto-correction approach, the second based on a prediction mechanism, while the third uses an analytical correction mechanism. Their goal is the same, i.e., to make the clocks of the sensor nodes converge as quickly as possible and then to keep them most similar as possible. This goal comes along with the requirement to keep low energy consumption. Differently from other works in the literature, the proposal here is independent of any specific protocol, i.e., it may be adapted to be used in different protocols. Moreover, it explores the minimum number of synchronization messages by means of a smart clock update strategy, allowing the trade-off between the desired level of synchronization and the associated energy consumption. Experimental results, which includes data acquired from simulations and testbed deployments, provide evidence of the success in meeting this goal, as well as providing means to compare these three approaches considering the best synchronization

  14. Acoustic richness modulates the neural networks supporting intelligible speech processing.

    Science.gov (United States)

    Lee, Yune-Sang; Min, Nam Eun; Wingfield, Arthur; Grossman, Murray; Peelle, Jonathan E

    2016-03-01

    The information contained in a sensory signal plays a critical role in determining what neural processes are engaged. Here we used interleaved silent steady-state (ISSS) functional magnetic resonance imaging (fMRI) to explore how human listeners cope with different degrees of acoustic richness during auditory sentence comprehension. Twenty-six healthy young adults underwent scanning while hearing sentences that varied in acoustic richness (high vs. low spectral detail) and syntactic complexity (subject-relative vs. object-relative center-embedded clause structures). We manipulated acoustic richness by presenting the stimuli as unprocessed full-spectrum speech, or noise-vocoded with 24 channels. Importantly, although the vocoded sentences were spectrally impoverished, all sentences were highly intelligible. These manipulations allowed us to test how intelligible speech processing was affected by orthogonal linguistic and acoustic demands. Acoustically rich speech showed stronger activation than acoustically less-detailed speech in a bilateral temporoparietal network with more pronounced activity in the right hemisphere. By contrast, listening to sentences with greater syntactic complexity resulted in increased activation of a left-lateralized network including left posterior lateral temporal cortex, left inferior frontal gyrus, and left dorsolateral prefrontal cortex. Significant interactions between acoustic richness and syntactic complexity occurred in left supramarginal gyrus, right superior temporal gyrus, and right inferior frontal gyrus, indicating that the regions recruited for syntactic challenge differed as a function of acoustic properties of the speech. Our findings suggest that the neural systems involved in speech perception are finely tuned to the type of information available, and that reducing the richness of the acoustic signal dramatically alters the brain's response to spoken language, even when intelligibility is high. Copyright © 2015 Elsevier

  15. Multi-Criteria Vertical Handover Comparison between Wimax and Wifi

    Directory of Open Access Journals (Sweden)

    Maroua Drissi

    2015-07-01

    Full Text Available In next generation wireless networks, the most tempting feature is the ability of the user to move smoothly over different access networks regardless of the network access technology. In this paper we study the benefit of Multiple Attribute Decision Making (MADM strategies for network selection. We compare three of these methods naming Simple Additive Weighting (SAW, Multiplicative Exponential Weighting (MEW and Technique for Order Preference by Similarity to an Ideal Solution (TOPSIS in a realtime ns-3 simulation. Analytic Hierarchy Process (AHP provides the weights of attributes which allow the comparison in different types of applications. Therefore, we propose a performance evaluation model with a reconfiguration of AHP parameters used in the literature. Simulation results show that the proposed parameters provide an improvement of Delay and offer allowable Packet loss in different types of applications.

  16. 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.

  17. 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.

  18. 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.

  19. 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.

  20. 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

  1. An Analysis for the Use of Research and Education Networks and Commercial Network Vendors in Support of Space Based Mission Critical and Non-Critical Networking

    Science.gov (United States)

    Bradford, Robert N.

    2002-01-01

    Currently, and in the past, dedicated communication circuits and "network services" with very stringent performance requirements are being used to support manned and unmanned mission critical ground operations at GSFC, JSC, MSFC, KSC and other NASA facilities. Because of the evolution of network technology, it is time to investigate using other approaches to providing mission services for space ground operations. The current NASA approach is not in keeping with the evolution of network technologies. In the past decade various research and education networks dedicated to scientific and educational endeavors have emerged, as well as commercial networking providers, that employ advanced networking technologies. These technologies have significantly changed networking in recent years. Significant advances in network routing techniques, various topologies and equipment have made commercial networks very stable and virtually error free. Advances in Dense Wave Division Multiplexing will provide tremendous amounts of bandwidth for the future. The question is: Do these networks, which are controlled and managed centrally, provide a level of service that equals the stringent NASA performance requirements. If they do, what are the implication(s) of using them for critical space based ground operations as they are, without adding high cost contractual performance requirements? A second question is the feasibility of applying the emerging grid technology in space operations. Is it feasible to develop a Space Operations Grid and/or a Space Science Grid? Since these network's connectivity is substantial, both nationally and internationally, development of these sorts of grids may be feasible. The concept of research and education networks has evolved to the international community as well. Currently there are international RENs connecting the US in Chicago to and from Europe, South America, Asia and the Pacific rim, Russia and Canada. And most countries in these areas have their

  2. Embedded Efficiency: A Social Networks Approach to Popular Support and Dark Network Structure

    Science.gov (United States)

    2016-03-01

    Sean F. Everton, and Dan Cunningham. “Dark Network Resilience in a Hostile Environment: Optimizing Centralization and Density.” Criminology , Criminal...33 Sean F. Everton and Dan Cunningham, “Dark Network Resilience in a Hostile Environment: Optimizing Centralization and Density,” Criminology ...Centralization and Density” Criminology , Criminal Justice Law, & Society 16, no. 1 (2015): 1- 20. Gill, Paul, Jeongyoon Lee, Karl R. Rethemeyer, John

  3. Reference models supporting enterprise networks and virtual enterprises

    DEFF Research Database (Denmark)

    Tølle, Martin; Bernus, Peter

    2003-01-01

    This article analyses different types of reference models applicable to support the set up and (re)configuration of Virtual Enterprises (VEs). Reference models are models capturing concepts common to VEs aiming to convert the task of setting up of VE into a configuration task, and hence reducing...... the time needed for VE creation. The reference models are analysed through a mapping onto the Virtual Enterprise Reference Architecture (VERA) based upon GERAM and created in the IMS GLOBEMEN project....

  4. 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

  5. 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)

  6. 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.

  7. Fuzzy Neural Networks for Decision Support in Negotiation

    International Nuclear Information System (INIS)

    Sakas, D. P.; Vlachos, D. S.; Simos, T. E.

    2008-01-01

    There is a large number of parameters which one can take into account when building a negotiation model. These parameters in general are uncertain, thus leading to models which represents them with fuzzy sets. On the other hand, the nature of these parameters makes them very difficult to model them with precise values. During negotiation, these parameters play an important role by altering the outcomes or changing the state of the negotiators. One reasonable way to model this procedure is to accept fuzzy relations (from theory or experience). The action of these relations to fuzzy sets, produce new fuzzy sets which describe now the new state of the system or the modified parameters. But, in the majority of these situations, the relations are multidimensional, leading to complicated models and exponentially increasing computational time. In this paper a solution to this problem is presented. The use of fuzzy neural networks is shown that it can substitute the use of fuzzy relations with comparable results. Finally a simple simulation is carried in order to test the new method.

  8. Suppressing epidemic spreading in multiplex networks with social-support

    Science.gov (United States)

    Chen, Xiaolong; Wang, Ruijie; Tang, Ming; Cai, Shimin; Stanley, H. Eugene; Braunstein, Lidia A.

    2018-01-01

    Although suppressing the spread of a disease is usually achieved by investing in public resources, in the real world only a small percentage of the population have access to government assistance when there is an outbreak, and most must rely on resources from family or friends. We study the dynamics of disease spreading in social-contact multiplex networks when the recovery of infected nodes depends on resources from healthy neighbors in the social layer. We investigate how degree heterogeneity affects the spreading dynamics. Using theoretical analysis and simulations we find that degree heterogeneity promotes disease spreading. The phase transition of the infected density is hybrid and increases smoothly from zero to a finite small value at the first invasion threshold and then suddenly jumps at the second invasion threshold. We also find a hysteresis loop in the transition of the infected density. We further investigate how an overlap in the edges between two layers affects the spreading dynamics. We find that when the amount of overlap is smaller than a critical value the phase transition is hybrid and there is a hysteresis loop, otherwise the phase transition is continuous and the hysteresis loop vanishes. In addition, the edge overlap allows an epidemic outbreak when the transmission rate is below the first invasion threshold, but suppresses any explosive transition when the transmission rate is above the first invasion threshold.

  9. 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.

  10. 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…

  11. [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.

  12. 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.

  13. 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.

  14. 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

  15. 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...

  16. 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.

  17. An Integrated Information Retrieval Support System for Campus Network

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    This paper presents a new integrated information retrieval support system (IIRSS) which can help Web search engines retrieve cross-lingual information from heterogeneous resources stored in multi-databases in Intranet. The IIRSS, with a three-layer architecture, can cooperate with other application servers running in Intranet. By using intelligent agents to collect information and to create indexes on-the-fly, using an access control strategy to confine a user to browsing those accessible documents for him/her through a single portal, and using a new cross-lingual translation tool to help the search engine retrieve documents, the new system provides controllable information access with different authorizations, personalized services, and real-time information retrieval.

  18. 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.

  19. 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.

  20. 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.

  1. 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.

  2. 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

  3. 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)

  4. Social Support and Neighborhood Stressors Among African American Youth: Networks and Relations to Self-Worth.

    Science.gov (United States)

    McMahon, Susan D; Felix, Erika D; Nagarajan, Thara

    2011-06-01

    Although neighborhood stressors have a negative impact on youth, and social support can play a protective role, it is unclear what types and sources of social support may contribute to positive outcomes among at-risk youth. We examined the influences of neighborhood disadvantage and social support on global self-worth among low-income, urban African American youth, both concurrently and longitudinally. We examined social support from both a structural and functional perspective, and tested the main-effects and the stress-buffering models of social support. Participants included 82-130 youth, in 6th-8th grade, who completed self-report measures. Network support results suggest participants received emotional, tangible, and informational support most often from mothers and other female relatives, with friends, fathers, and teachers also playing important roles. Model testing accounted for neighborhood stressors and support from various sources, revealing support from close friends was associated with concurrent self-worth; whereas, parent support predicted self-worth longitudinally, above and beyond initial levels of self-worth. The findings provide evidence for the main-effects model of social support and not the stress-buffering model. Our findings illustrate the importance of extended family networks and the types of support that youth rely upon in African American impoverished communities, as well as how support contributes to global self-worth. Implications and suggestions for future research and intervention are discussed.

  5. 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

  6. 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

  7. 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.

  8. 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.

  9. Pre-service teachers opinions on cloud supported social network

    Directory of Open Access Journals (Sweden)

    Seher Ozcan

    2015-07-01

    Full Text Available Pre-service\tteachers\tare\texpected\tto\tuse\tnew\ttechnologies\tsuch\tas\tGoogle+\twhich\tfacilitates\tcontacting,\tsharing\tin\tcertain\tenvironments\tand\tworking\tcollaboratively\twith\tthe\thelp\tof\tcloud\tsupport\tin\ttheir\tlessons\teffectively.\tThis study aims to examine pre-service teachers’ opinions regarding the use of Google+ to support lesson activities.\tIn\tthis\tstudy\tthe\tdata\twas\tcollected\tusing\tsemi-structured\tinterview\ttechniques\tcarried\tout\twith\tpreservice teachers (n=15\tchosen\tby\tpurposeful sampling.\tThe\tpurposes\tof\tusing\tGoogle+\twere sharing,\tchatting\tand\tcommunication,\twhereas\tGoogle\tDocs\twas\tmostly\tused\tfor\tits\tefficiency,\tinteraction,\tthe\tprudential\tpurpose\tof\tuse\tand\tto\tsupport\tteaching.\tWhen\tthe\tviews\tof\tthe\tpre-service\tteachers\tregarding\tthe\tuse\tof\tGoogle+\twere examined\tit\twas\tfound\tthat\tinterface\tbeing\tthought\tto\tbe\tmore\tcomplex\tthan\tother\tsocial\tnetworks\taffected\tthe teachers’\tfirst\timpressions\tnegatively.\tAs\tthe\tnegative\tfirst\timpression\ttowards\tGoogle+\tchanged\tin\ttime,\tit\twas\tstated to have provided a number of teaching opportunities. Some suggestions regarding the opportunities Google+\toffers\twere\talso\tmade.

  10. 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

  11. 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/

  12. 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

  13. 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

  14. 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.

  15. 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.

  16. Social networks and health among older adults in Lebanon: the mediating role of support and trust.

    Science.gov (United States)

    Webster, Noah J; Antonucci, Toni C; Ajrouch, Kristine J; Abdulrahim, Sawsan

    2015-01-01

    Despite a growing body of literature documenting the influence of social networks on health, less is known in other parts of the world. The current study investigates this link by clustering characteristics of network members nominated by older adults in Lebanon. We then identify the degree to which various types of people exist within the networks. This study further examines how network composition as measured by the proportion of each type (i.e., type proportions) is related to health; and the mediating role of positive support and trust in this process. Data are from the Family Ties and Aging Study (2009). Respondents aged ≥60 were selected (N = 195) for analysis. Three types of people within the networks were identified: Geographically Distant Male Youth, Geographically Close/Emotionally Distant Family, and Close Family. Having more Geographically Distant Male Youth in one's network was associated with health limitations, whereas more Close Family was associated with no health limitations. Positive support mediated the link between type proportions and health limitations, whereas trust mediated the link between type proportions and depressive symptoms. Results document links between the social networks and health of older adults in Lebanon within the context of ongoing demographic transitions. © The Author 2014. 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.

  17. Social Networks and Health Among Older Adults in Lebanon: The Mediating Role of Support and Trust

    Science.gov (United States)

    Antonucci, Toni C.; Ajrouch, Kristine J.; Abdulrahim, Sawsan

    2015-01-01

    Objectives. Despite a growing body of literature documenting the influence of social networks on health, less is known in other parts of the world. The current study investigates this link by clustering characteristics of network members nominated by older adults in Lebanon. We then identify the degree to which various types of people exist within the networks. This study further examines how network composition as measured by the proportion of each type (i.e., type proportions) is related to health; and the mediating role of positive support and trust in this process. Method. Data are from the Family Ties and Aging Study (2009). Respondents aged ≥60 were selected (N = 195) for analysis. Results. Three types of people within the networks were identified: Geographically Distant Male Youth, Geographically Close/Emotionally Distant Family, and Close Family. Having more Geographically Distant Male Youth in one’s network was associated with health limitations, whereas more Close Family was associated with no health limitations. Positive support mediated the link between type proportions and health limitations, whereas trust mediated the link between type proportions and depressive symptoms. Discussion. Results document links between the social networks and health of older adults in Lebanon within the context of ongoing demographic transitions. PMID:25324295

  18. 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.

  19. 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.

  20. 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.

  1. 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

  2. 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.

  3. 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.

  4. Simulation and Proposed Handover Alert Algorithm for Mobile Communication System

    Directory of Open Access Journals (Sweden)

    Muzhir Shaban Al-Ani

    2009-10-01

    Full Text Available this paper deals with the simulation and presentation of a novel approach to design and implementation of algorithm to realize hand over process for a mobile communication system during mobile network. This algorithm performs the ability of the system to extract important information features about the received signal. When the strength of the received signal is dropped below a certain threshold value then an alert process is activated to achieve the continuity of the transmission due to a ready scan which is existed on time.

  5. 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

  6. 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

  7. 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.

  8. 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...

  9. 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

  10. 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.

  11. 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.

  12. Social support and subsequent disability: it is not the size of your network that counts.

    Science.gov (United States)

    McLaughlin, Deirdre; Leung, Janni; Pachana, Nancy; Flicker, Leon; Hankey, Graeme; Dobson, Annette

    2012-09-01

    high levels of social support and engagement may help sustain good health and functional ability. However, the definition of social support in previous research has been inconsistent and findings are mixed. The aim of this analysis was to explore the effect of two aspects of social support on subsequent disability in a group of community dwelling older women and men. data were drawn from two concurrent prospective observational cohort studies of community-based older Australian women (N = 2,013) and men (N = 680). Baseline and follow-up data were drawn from the second (1999) and fifth (2008) surveys of the women and the second (2001) and third (2008) surveys of the men. At baseline, social support was measured by the two subscales (social network and subjective support) of the Duke Social Support Index (DSSI). The outcome measure was Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs). overall, social network size was not associated with subsequent disability in either women or men. After adjusting for health status at baseline, lack of satisfaction with social support was associated with greater difficulties in ADLs and IADLs for both women and men. our results suggest that the provision of social support is insufficient to limit subsequent disability: support provided must be subjectively perceived to be relevant and adequate.

  13. SANDS: a service-oriented architecture for clinical decision support in a National Health Information Network.

    Science.gov (United States)

    Wright, Adam; Sittig, Dean F

    2008-12-01

    In this paper, we describe and evaluate a new distributed architecture for clinical decision support called SANDS (Service-oriented Architecture for NHIN Decision Support), which leverages current health information exchange efforts and is based on the principles of a service-oriented architecture. The architecture allows disparate clinical information systems and clinical decision support systems to be seamlessly integrated over a network according to a set of interfaces and protocols described in this paper. The architecture described is fully defined and developed, and six use cases have been developed and tested using a prototype electronic health record which links to one of the existing prototype National Health Information Networks (NHIN): drug interaction checking, syndromic surveillance, diagnostic decision support, inappropriate prescribing in older adults, information at the point of care and a simple personal health record. Some of these use cases utilize existing decision support systems, which are either commercially or freely available at present, and developed outside of the SANDS project, while other use cases are based on decision support systems developed specifically for the project. Open source code for many of these components is available, and an open source reference parser is also available for comparison and testing of other clinical information systems and clinical decision support systems that wish to implement the SANDS architecture. The SANDS architecture for decision support has several significant advantages over other architectures for clinical decision support. The most salient of these are:

  14. 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.

  15. Late Departures from Paper-Based to Supported Networked Learning in South Africa: Lessons Learned

    Science.gov (United States)

    Kok, Illasha; Beter, Petra; Esterhuizen, Hennie

    2018-01-01

    Fragmented connectivity in South Africa is the dominant barrier for digitising initiatives. New insights surfaced when a university-based nursing programme introduced tablets within a supportive network learning environment. A qualitative, explorative design investigated adult nurses' experiences of the realities when moving from paper-based…

  16. Effects of the ISIS Recommender System for Navigation Support in Self-Organised Learning Networks

    Science.gov (United States)

    Drachsler, Hendrik; Hummel, Hans; van den Berg, Bert; Eshuis, Jannes; Waterink, Wim; Nadolski, Rob; Berlanga, Adriana; Boers, Nanda; Koper, Rob

    2009-01-01

    The need to support users of the Internet with the selection of information is becoming more important. Learners in complex, self-organising Learning Networks have similar problems and need guidance to find and select most suitable learning activities, in order to attain their lifelong learning goals in the most efficient way. Several research…

  17. Can a Social Networking Site Support Afterschool Group Learning of Mandarin?

    Science.gov (United States)

    Yang, Yang; Crook, Charles; O'Malley, Claire

    2014-01-01

    Schools are often encouraged to facilitate extra-curricular learning within their own premises. This study addresses the potential of social networking sites (SNS) for supporting such out-of-class study. Given concerns that learning on these sites may happen at a surface level, we adopted self-determination theory for designing a social networking…

  18. The influence of personal networks and social support on study attainment of students in university education

    NARCIS (Netherlands)

    Eggens, Lilian; van der Werf, M. P. C.; Bosker, R. J.

    In this paper, the influence of personal networks and social support on study attainment of students in university education is examined. Furthermore, the paper aimed at clarifying the possible mediating role of achievement motivation, time spent on studying and working, procrastination and

  19. GMPLS control plane extensions in support of flex-grid enabled elastic optical networks

    DEFF Research Database (Denmark)

    Turus, Ioan; Fagertun, Anna Manolova; Dittmann, Lars

    2013-01-01

    of generalized labels format and enable enhancements for the wavelength selection procedures. OSPF-TE enables the creation of spectrum databases based on novel LSA sub-TLV attributes capable of advertising spectrum status. Based on the implemented extensions, we propose and evaluate advanced distributed spectrum...... allocation schemes and strategies for dynamic routing algorithms in support of flex-grid optical networks....

  20. Distributed generation in the Dutch LV network - self-supporting residential area

    NARCIS (Netherlands)

    Mes, M.; Vanalme, G.M.A.; Myrzik, J.M.A.; Bongaerts, M.; Verbong, G.P.J.; Kling, W.L.

    2008-01-01

    A self-supporting residential area is seen as an alternative operational approach of power supply in low voltage (LV) networks. The intention of the new approach is to exploit the advantages of distributed generation (DG) and avoid the difficulties, that come with DG when implemented in the

  1. A Contextualised Multi-Platform Framework to Support Blended Learning Scenarios in Learning Networks

    NARCIS (Netherlands)

    De Jong, Tim; Fuertes, Alba; Schmeits, Tally; Specht, Marcus; Koper, Rob

    2008-01-01

    De Jong, T., Fuertes, A., Schmeits, T., Specht, M., & Koper, R. (2009). A Contextualised Multi-Platform Framework to Support Blended Learning Scenarios in Learning Networks. In D. Goh (Ed.), Multiplatform E-Learning Systems and Technologies: Mobile Devices for Ubiquitous ICT-Based Education (pp.

  2. Artificial neural network decision support systems for new product development project selection

    NARCIS (Netherlands)

    Thieme, R.J.; Song, Michael; Calantone, R.J.

    2000-01-01

    The authors extend and develop an artificial neural network decision support system and demonstrate how it can guide managers when they make complex new product development decisions. The authors use data from 612 projects to compare this new method with traditional methods for predicting various

  3. Social Embeddedness and Late-Life Parenthood : Community Activity, Close Ties, and Support Networks

    NARCIS (Netherlands)

    Wenger, G. Clare; Dykstra, Pearl A.; Melkas, Tuula; Knipscheer, Kees C.P.M.

    2007-01-01

    This article focuses on the ways in which patterns of marriage and fertility shape older people’s involvement in community groups and their support networks. The data are from Australia, Finland, Germany, Israel, Japan, the Netherlands, Spain, the United Kingdom, and the United States. Findings show

  4. Social embeddedness and late-life parenthood: community activity, close ties and support networks

    NARCIS (Netherlands)

    Wenger, G.; Dykstra, P.A.; Melkas, T.; Knipscheer, K.

    2007-01-01

    This article focuses on the ways in which patterns of marriage and fertility shape older people’s involvement in community groups and their support networks. The data are from Australia, Finland, Germany, Israel, Japan, the Netherlands, Spain, the United Kingdom, and the United States. Findings show

  5. Social embeddedness and late-life parenthood: Community activity, close ties, and support networks

    NARCIS (Netherlands)

    Wenger, G.C.; Dykstra, P.A.; Melkas, T.; Knipscheer, C.P.M.

    2007-01-01

    This article focuses on the ways in which patterns of marriage and fertility shape older people's involvement in community groups and their support networks. The data are from Australia, Finland, Germany, Israel, Japan, the Netherlands, Spain, the United Kingdom, and the United States. Findings show

  6. Social Embeddedness and Late-Life Parenthood: Community Activity, Close Ties, and Support Networks

    Science.gov (United States)

    Wenger, G. Clare; Dykstra, Pearl A.; Melkas, Tuula; Knipscheer, Kees C. P. M.

    2007-01-01

    This article focuses on the ways in which patterns of marriage and fertility shape older people's involvement in community groups and their support networks. The data are from Australia, Finland, Germany, Israel, Japan, the Netherlands, Spain, the United Kingdom, and the United States. Findings show that childless older adults, regardless of…

  7. Actor-network-theory perspective on a forestry decision support system design

    NARCIS (Netherlands)

    Boerboom, L.G.J.; Ferritti, V.

    2014-01-01

    Use of decision support systems (DSS) has thus far been framed as a social process of adoption or technical process of usability. We analyze the development of a DSS as a process of institutionalization of new as well as drift of existing practices. We write an Actor-Network-Theory (ANT) account,

  8. Project team formation support for self-directed learners in social learning networks

    NARCIS (Netherlands)

    Spoelstra, Howard; Van Rosmalen, Peter; Sloep, Peter

    2012-01-01

    Spoelstra, H., Van Rosmalen, P., & Sloep, P. B. (2012). Project team formation support for self-directed learners in social learning networks. In P. Kommers, P. Isaias, & N. Bessis (Eds.), Proceedings of the IADIS International Conference on Web Based Communities and Social Media (ICWBC & SM 2012)

  9. Bayesian networks for clinical decision support: A rational approach to dynamic decision-making under uncertainty

    NARCIS (Netherlands)

    Gerven, M.A.J. van

    2007-01-01

    This dissertation deals with decision support in the context of clinical oncology. (Dynamic) Bayesian networks are used as a framework for (dynamic) decision-making under uncertainty and applied to a variety of diagnostic, prognostic, and treatment problems in medicine. It is shown that the proposed

  10. An Implementation of a Twitter-Supported Personal Learning Network to Individualize Teacher Professional Development

    Science.gov (United States)

    Deyamport, W. H., III.

    2013-01-01

    In this action research study, eight teachers at an elementary school were trained in the use of Twitter to support the development of a personal learning network as a strategy to address non-differentiated professional development at the school. The main research question for this study was: In what ways, if any, can the use of a…

  11. Analysis of Voltage Support by Electric Vehicles and Photovoltaic in a Real Danish Low Voltage Network

    DEFF Research Database (Denmark)

    Knezovic, Katarina; Marinelli, Mattia; Juul Møller, René

    2014-01-01

    of incorporating electric vehicles (EVs) in a low voltage distribution network with high penetration of photovoltaic installations (PVs), and focuses on analysing potential voltage support functions from EVs and PVs. In addition, the paper evaluates the benefits that reactive power control may provide...

  12. How an existing telecommunications network can support the deployment of smart meters in a water utility?

    Directory of Open Access Journals (Sweden)

    Samuel de Barros Moraes

    2015-12-01

    Full Text Available This case study, based on interviews and technical analysis of a Brazilian water utility with more than 10 million clients, aims to understand what kind of adjusts on a telecommunications network, developed for operational and corporate use, demands to support a smart metering system, identifying this synergies and challenges.

  13. Measuring young children's perceptions of support, control, and maintenance in their own social networks

    NARCIS (Netherlands)

    Boosman, K.P.A.; Van der Meulen, Matty; Van Geert, P. L. C.; Jackson, A.E.

    2002-01-01

    Thirty-eight children (aged 3;7-7;6) and one of their parents took part in a study concerning children perceptions of their social networks. The study made use of a newly developed instrument-the Support, Control and Maintenance Pictures Interview (SCAMPI). The SCAMPI offers an individualized

  14. Genotet: An Interactive Web-based Visual Exploration Framework to Support Validation of Gene Regulatory Networks.

    Science.gov (United States)

    Yu, Bowen; Doraiswamy, Harish; Chen, Xi; Miraldi, Emily; Arrieta-Ortiz, Mario Luis; Hafemeister, Christoph; Madar, Aviv; Bonneau, Richard; Silva, Cláudio T

    2014-12-01

    Elucidation of transcriptional regulatory networks (TRNs) is a fundamental goal in biology, and one of the most important components of TRNs are transcription factors (TFs), proteins that specifically bind to gene promoter and enhancer regions to alter target gene expression patterns. Advances in genomic technologies as well as advances in computational biology have led to multiple large regulatory network models (directed networks) each with a large corpus of supporting data and gene-annotation. There are multiple possible biological motivations for exploring large regulatory network models, including: validating TF-target gene relationships, figuring out co-regulation patterns, and exploring the coordination of cell processes in response to changes in cell state or environment. Here we focus on queries aimed at validating regulatory network models, and on coordinating visualization of primary data and directed weighted gene regulatory networks. The large size of both the network models and the primary data can make such coordinated queries cumbersome with existing tools and, in particular, inhibits the sharing of results between collaborators. In this work, we develop and demonstrate a web-based framework for coordinating visualization and exploration of expression data (RNA-seq, microarray), network models and gene-binding data (ChIP-seq). Using specialized data structures and multiple coordinated views, we design an efficient querying model to support interactive analysis of the data. Finally, we show the effectiveness of our framework through case studies for the mouse immune system (a dataset focused on a subset of key cellular functions) and a model bacteria (a small genome with high data-completeness).

  15. 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

  16. 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

  17. 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.

  18. 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.

  19. 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.

  20. Large-Scale Brain Networks Supporting Divided Attention across Spatial Locations and Sensory Modalities.

    Science.gov (United States)

    Santangelo, Valerio

    2018-01-01

    implicated during divided attention across spatial locations and sensory modalities, pointing out the importance of investigating effective connectivity of large-scale brain networks supporting complex behavior.

  1. Large-Scale Brain Networks Supporting Divided Attention across Spatial Locations and Sensory Modalities

    Directory of Open Access Journals (Sweden)

    Valerio Santangelo

    2018-02-01

    brain networks implicated during divided attention across spatial locations and sensory modalities, pointing out the importance of investigating effective connectivity of large-scale brain networks supporting complex behavior.

  2. 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.

  3. Disaster preparedness networks in rural Midwest communities: Organizational roles, collaborations, and support for older residents.

    Science.gov (United States)

    Ashida, Sato; Zhu, Xi; Robinson, Erin L; Schroer, Audrey

    2018-05-17

    This study investigated the roles and interconnections among community organizations belonging to local disaster coalitions in Midwest in supporting older residents. Representatives from 44 organizations participated in one-time survey. Most were non-profit (68%) or federal/state/local government agencies (23%). The analyses of 761 relationships showed stronger collaborations in assessment (average strength=2.88 on a 5-point scale), emergency response (2.72), and planning (2.61); and weaker collaborations in co-sponsoring programs (1.71) and supporting older residents (2.03). The extent of collaboration (network density) to support older adults was also low. Coalitions may enhance network density and centralization by developing sub-committee structure and strengthening existing collaborations.

  4. Developing an effective adaptive monitoring network to support integrated coastal management in a multiuser nature reserve

    Directory of Open Access Journals (Sweden)

    Pim Vugteveen

    2015-03-01

    Full Text Available We elaborate the necessary conceptual and strategic elements for developing an effective adaptive monitoring network to support Integrated Coastal Management (ICM in a multiuser nature reserve in the Dutch Wadden Sea Region. We discuss quality criteria and enabling actions essential to accomplish and sustain monitoring excellence to support ICM. The Wadden Sea Long-Term Ecosystem Research project (WaLTER was initiated to develop an adaptive monitoring network and online data portal to better understand and support ICM in the Dutch Wadden Sea Region. Our comprehensive approach integrates ecological and socioeconomic data and links research-driven and policy-driven monitoring for system analysis using indicators of pressures, state, benefits, and responses. The approach and concepts we elaborated are transferable to other coastal regions to accomplish ICM in complex social-ecological systems in which scientists, multisectoral stakeholders, resource managers, and governmental representatives seek to balance long-term ecological, economic, and social objectives within natural limits.

  5. A Self-Organizing Spatial Clustering Approach to Support Large-Scale Network RTK Systems.

    Science.gov (United States)

    Shen, Lili; Guo, Jiming; Wang, Lei

    2018-06-06

    The network real-time kinematic (RTK) technique can provide centimeter-level real time positioning solutions and play a key role in geo-spatial infrastructure. With ever-increasing popularity, network RTK systems will face issues in the support of large numbers of concurrent users. In the past, high-precision positioning services were oriented towards professionals and only supported a few concurrent users. Currently, precise positioning provides a spatial foundation for artificial intelligence (AI), and countless smart devices (autonomous cars, unmanned aerial-vehicles (UAVs), robotic equipment, etc.) require precise positioning services. Therefore, the development of approaches to support large-scale network RTK systems is urgent. In this study, we proposed a self-organizing spatial clustering (SOSC) approach which automatically clusters online users to reduce the computational load on the network RTK system server side. The experimental results indicate that both the SOSC algorithm and the grid algorithm can reduce the computational load efficiently, while the SOSC algorithm gives a more elastic and adaptive clustering solution with different datasets. The SOSC algorithm determines the cluster number and the mean distance to cluster center (MDTCC) according to the data set, while the grid approaches are all predefined. The side-effects of clustering algorithms on the user side are analyzed with real global navigation satellite system (GNSS) data sets. The experimental results indicate that 10 km can be safely used as the cluster radius threshold for the SOSC algorithm without significantly reducing the positioning precision and reliability on the user side.

  6. Changes in support networks in late middle age: the extension of gender and educational differences.

    Science.gov (United States)

    Fischer, Claude S; Beresford, Lauren

    2015-01-01

    This paper tests whether differences by gender and by educational attainment in contact with friends and family and in support expected from friends and family narrow or widen in late middle age. The data are drawn from about 4,800 members of the Wisconsin Longitudinal Survey who answered questions about their frequency of contact with social ties and expectations of 3 kinds of help in both 1993, when they were in their early 50s, and again in 2004. Using lagged dependent variable models, we find that between their 50s and 60s women's network advantages over men and college graduates' network advantages over high school graduates in frequency of social contact widened. The same was roughly true as well for expectations of social support, although here the divergences depended partly on the type of the support: Women gained relative to men in "talk" support and in help from nonkin if ill, but lost ground in financial support. The college-educated gained ground in all sorts of support from nonkin. These results reinforce concern that late middle age is a period when men and the less educated become yet more disadvantaged in social support, making attention to connectedness yet more critical. © The Author 2014. 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.

  7. 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.

  8. Application of structured support vector machine backpropagation to a convolutional neural network for human pose estimation.

    Science.gov (United States)

    Witoonchart, Peerajak; Chongstitvatana, Prabhas

    2017-08-01

    In this study, for the first time, we show how to formulate a structured support vector machine (SSVM) as two layers in a convolutional neural network, where the top layer is a loss augmented inference layer and the bottom layer is the normal convolutional layer. We show that a deformable part model can be learned with the proposed structured SVM neural network by backpropagating the error of the deformable part model to the convolutional neural network. The forward propagation calculates the loss augmented inference and the backpropagation calculates the gradient from the loss augmented inference layer to the convolutional layer. Thus, we obtain a new type of convolutional neural network called an Structured SVM convolutional neural network, which we applied to the human pose estimation problem. This new neural network can be used as the final layers in deep learning. Our method jointly learns the structural model parameters and the appearance model parameters. We implemented our method as a new layer in the existing Caffe library. Copyright © 2017 Elsevier Ltd. All rights reserved.

  9. 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...

  10. 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.

  11. Go Ask Alice: Uncovering the Role of a University Partner in an Informal Science Curriculum Support Network

    Science.gov (United States)

    Baker-Doyle, Kira J.

    2013-01-01

    This article describes a study from the Linking Instructors Networks of Knowledge in Science Education project, which aims to examine the informal science curriculum support networks of teachers in a school-university curriculum reform partnership. We used social network analysis and qualitative methods to reveal characteristics of the informal…

  12. Network support, technology use, depression, and ART adherence among HIV-positive MSM of color.

    Science.gov (United States)

    Holloway, I W; Tan, D; Dunlap, S L; Palmer, L; Beougher, S; Cederbaum, J A

    2017-09-01

    Depression is associated with poor antiretroviral therapy (ART) adherence among people living with HIV/AIDS. This relationship may be moderated by an individual's social network characteristics. Our study sought to examine social network correlates of treatment adherence among HIV-positive men recruited from social service agencies throughout Los Angeles County (N = 150) to inform technology-driven social support interventions for this population. We administered egocentric social network and computer-assisted survey interviews focused on demographic characteristics, health history, depressive symptoms, and ART adherence, where adherence was assessed by the number of reasons participants missed taking their medication, if ever. Significant univariate correlates of adherence were included in a multivariable regression analysis, where the moderating effect of having a network member who reminds participants to take their HIV medication on the relationship between depression and adherence was tested. Over 60% of participants reported clinically significant depressive symptoms; this was significantly associated with lower adherence among those without someone in their social network to remind them about taking their HIV medication, even after adjusting for covariates in an ordinary least squares regression (adjusted mean difference b = -1.61, SE = 0.42, p = 0.0003). Having a network member who reminds participants to take their ART medication significantly ameliorated the negative association between depression and treatment adherence, especially for those reporting greater depressive symptoms (p = 0.0394). Additionally, participants demonstrated high rates of technology use to communicate with social network members. In order to achieve the aims of the National HIV/AIDS Strategy, innovative interventions addressing mental health to improve ART adherence are needed. Network strategies that leverage technology may be helpful for improving ART

  13. Collectivism culture, HIV stigma and social network support in Anhui, China: a path analytic model.

    Science.gov (United States)

    Zang, Chunpeng; Guida, Jennifer; Sun, Yehuan; Liu, Hongjie

    2014-08-01

    HIV stigma is rooted in culture and, therefore, it is essential to investigate it within the context of culture. The objective of this study was to examine the interrelationships among individualism-collectivism, HIV stigma, and social network support. A social network study was conducted among 118 people living with HIVAIDS in China, who were infected by commercial plasma donation, a nonstigmatized behavior. The Individualism-Collectivism Interpersonal Assessment Inventory (ICIAI) was used to measure cultural norms and values in the context of three social groups, family members, friends, and neighbors. Path analyses revealed (1) a higher level of family ICIAI was significantly associated with a higher level of HIV self-stigma (β=0.32); (2) a higher level of friend ICIAI was associated with a lower level of self-stigma (β=-035); (3) neighbor ICIAI was associated with public stigma (β=-0.61); (4) self-stigman was associated with social support from neighbors (β=-0.27); and (5) public stigma was associated with social support from neighbors (β=-0.24). This study documents that HIV stigma may mediate the relationship between collectivist culture and social network support, providing an empirical basis for interventions to include aspects of culture into HIV intervention strategies.

  14. 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

  15. 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.

  16. Design Methodology of a Sensor Network Architecture Supporting Urgent Information and Its Evaluation

    Science.gov (United States)

    Kawai, Tetsuya; Wakamiya, Naoki; Murata, Masayuki

    Wireless sensor networks are expected to become an important social infrastructure which helps our life to be safe, secure, and comfortable. In this paper, we propose design methodology of an architecture for fast and reliable transmission of urgent information in wireless sensor networks. In this methodology, instead of establishing single complicated monolithic mechanism, several simple and fully-distributed control mechanisms which function in different spatial and temporal levels are incorporated on each node. These mechanisms work autonomously and independently responding to the surrounding situation. We also show an example of a network architecture designed following the methodology. We evaluated the performance of the architecture by extensive simulation and practical experiments and our claim was supported by the results of these experiments.

  17. [Health system sustainability from a network perspective: a proposal to optimize healthy habits and social support].

    Science.gov (United States)

    Marqués Sánchez, Pilar; Fernández Peña, Rosario; Cabrera León, Andrés; Muñoz Doyague, María F; Llopis Cañameras, Jaime; Arias Ramos, Natalia

    2013-01-01

    The search of new health management formulas focused to give wide services is one of the priorities of our present health policies. Those formulas examine the optimization of the links between the main actors involved in public health, ie, users, professionals, local socio-political and corporate agents. This paper is aimed to introduce the Social Network Analysis as a method for analyzing, measuring and interpreting those connections. The knowledge of people's relationships (what is called social networks) in the field of public health is becoming increasingly important at an international level. In fact, countries such as UK, Netherlands, Italy, Australia and U.S. are looking formulas to apply this knowledge to their health departments. With this work we show the utility of the ARS on topics related to sustainability of the health system, particularly those related with health habits and social support, topics included in the 2020 health strategies that underline the importance of the collaborative aspects in networks.

  18. The Relationship Between Use of Social Network Sites, Online Social Support, and Well-Being

    Science.gov (United States)

    2017-01-01

    Abstract. Existing work on the effects of social network sites (SNS) on well-being has often stressed that SNS can help people gain social support from their online networks, which positively affects their well-being. However, the majority of studies in this area have been cross-sectional in nature and/or relied on student samples. Using data from six waves of a longitudinal study with a representative sample of Dutch Internet users, we first examined whether users and nonusers of SNS differ in online social support and well-being (as indicated by life satisfaction and stress). In a second step, we investigated in more detail how SNS use – more specifically, asking for advice and the number of strong ties on these SNS – are related to online social support, stress, and satisfaction with life. Overall, our results provide no evidence for SNS use and online social support affecting either stress or life satisfaction. SNS users reported more online social support than nonusers did, but also higher levels of stress; the two groups did not differ in overall life satisfaction. With regard to the underlying processes, we found positive cross-sectional and longitudinal relationships between asking for advice on SNS and online social support, indicating that SNS can be an effective tool for receiving social support. However, online social support was not related to higher life satisfaction or reduced stress 6 months later; instead, it seems that SNS users with lower life satisfaction and/or higher stress seek more social support online by asking for advice on SNS. PMID:29147141

  19. 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.

  20. Social implications of children's smartphone addiction: The role of support networks and social engagement.

    Science.gov (United States)

    Ihm, Jennifer

    2018-06-05

    Background and aims Most studies have regarded smartphone addiction as a condition stemming from individuals' psychological issues, so research has rarely examined it in relation to a lack of social resources and its social impacts. However, this study reinterprets smartphone addiction as a social problem stemming from a lack of offline social networks and resulting in a decline of social engagement. Methods This study drew on a survey of 2,000 children in Korea consisting of 991 males and 1,009 females with an average age of 12 years old. Using the STATA 14 structural equation modeling program, this study examined the relationships between children's lack of social networks, smartphone addiction, and social engagement. Results Social network variables, such as formal organizational membership, quality of relationship with parents, size of the peer group, and peer support, decrease smartphone addiction. Simply having good relationships and reciprocal feelings with peers do not have any influence on the smartphone addiction. The more the children become addicted to smartphones, the less they participate in social engagement. Discussion and conclusions This study provides a new understanding of smartphone addiction by focusing on its social aspects, augmenting prior studies that have addressed psychological factors. Findings suggest that children's lack of social networks may inhibit comfortable social interactions and feelings of support in the offline environment, which can heighten their desire to escape to smartphones. These children, unlike non-addicts, may not take advantage of the media to enrich their social lives and increase their level of social engagement.

  1. CompareSVM: supervised, Support Vector Machine (SVM) inference of gene regularity networks.

    Science.gov (United States)

    Gillani, Zeeshan; Akash, Muhammad Sajid Hamid; Rahaman, M D Matiur; Chen, Ming

    2014-11-30

    Predication of gene regularity network (GRN) from expression data is a challenging task. There are many methods that have been developed to address this challenge ranging from supervised to unsupervised methods. Most promising methods are based on support vector machine (SVM). There is a need for comprehensive analysis on prediction accuracy of supervised method SVM using different kernels on different biological experimental conditions and network size. We developed a tool (CompareSVM) based on SVM to compare different kernel methods for inference of GRN. Using CompareSVM, we investigated and evaluated different SVM kernel methods on simulated datasets of microarray of different sizes in detail. The results obtained from CompareSVM showed that accuracy of inference method depends upon the nature of experimental condition and size of the network. For network with nodes (SVM Gaussian kernel outperform on knockout, knockdown, and multifactorial datasets compared to all the other inference methods. For network with large number of nodes (~500), choice of inference method depend upon nature of experimental condition. CompareSVM is available at http://bis.zju.edu.cn/CompareSVM/ .

  2. Water demand prediction using artificial neural networks and support vector regression

    CSIR Research Space (South Africa)

    Msiza, IS

    2008-11-01

    Full Text Available Neural Networks and Support Vector Regression Ishmael S. Msiza1, Fulufhelo V. Nelwamondo1,2, Tshilidzi Marwala3 . 1Modelling and Digital Science, CSIR, Johannesburg,SOUTH AFRICA 2Graduate School of Arts and Sciences, Harvard University, Cambridge..., Massachusetts, USA 3School of Electrical and Information Engineering, University of the Witwatersrand, Johannesburg, SOUTH AFRICA Email: imsiza@csir.co.za, nelwamon@fas.harvard.edu, tshilidzi.marwala@wits.ac.za Abstract— Computational Intelligence techniques...

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

    OpenAIRE

    Leonidas, Carolina; dos Santos, Manoel Antônio

    2014-01-01

    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, an...

  4. Enhanced Situational Awareness and Decision Support for Operators of Future Distributed Power Network Architectures

    DEFF Research Database (Denmark)

    Zaher, Ammar S. A. E.; Catterson, V. M.; Syed, M. H.

    2016-01-01

    This paper describes scenarios proposed for a control room decision support system aimed at future power network operators. The purpose is to consider the requirements of the future control room from the perspective of the operator under the conditions of a significant frequency excursion incident....... The control room visualisation and decision support functionality for aiding the operator in restoring the frequency to its target value will be considered. The analysis takes place within the Web-ofCells framework, adopted to deal with power system control through a web of subsystems, called cells, which...

  5. Dynamic Connectivity between Brain Networks Supports Working Memory: Relationships to Dopamine Release and Schizophrenia

    Science.gov (United States)

    Van Snellenberg, Jared X.; Benavides, Caridad; Slifstein, Mark; Wang, Zhishun; Moore, Holly; Abi-Dargham, Anissa

    2016-01-01

    STATEMENT It is unclear how communication between brain networks responds to changing environmental demands during complex cognitive processes. Also, unknown in regard to these network dynamics is the role of neuromodulators, such as dopamine, and whether their dysregulation could underlie cognitive deficits in neuropsychiatric illness. We found that connectivity between brain networks changes with working-memory load and greater increases predict better working memory performance; however, it was not related to capacity for dopamine release in the cortex. Patients with schizophrenia did show dynamic internetwork connectivity; however, this was more weakly associated with successful performance in patients compared with healthy individuals. Our findings indicate that dynamic interactions between brain networks may support the type of flexible adaptations essential to goal-directed behavior. PMID:27076432

  6. Dynamic Connectivity between Brain Networks Supports Working Memory: Relationships to Dopamine Release and Schizophrenia.

    Science.gov (United States)

    Cassidy, Clifford M; Van Snellenberg, Jared X; Benavides, Caridad; Slifstein, Mark; Wang, Zhishun; Moore, Holly; Abi-Dargham, Anissa; Horga, Guillermo

    2016-04-13

    how communication between brain networks responds to changing environmental demands during complex cognitive processes. Also, unknown in regard to these network dynamics is the role of neuromodulators, such as dopamine, and whether their dysregulation could underlie cognitive deficits in neuropsychiatric illness. We found that connectivity between brain networks changes with working-memory load and greater increases predict better working memory performance; however, it was not related to capacity for dopamine release in the cortex. Patients with schizophrenia did show dynamic internetwork connectivity; however, this was more weakly associated with successful performance in patients compared with healthy individuals. Our findings indicate that dynamic interactions between brain networks may support the type of flexible adaptations essential to goal-directed behavior. Copyright © 2016 the authors 0270-6474/16/364378-12$15.00/0.

  7. Competing infant feeding information in mothers' networks: advice that supports v. undermines clinical recommendations.

    Science.gov (United States)

    Ashida, Sato; Lynn, Freda B; Williams, Natalie A; Schafer, Ellen J

    2016-05-01

    To identify the social contextual factors, specifically the presence of information that supports v. undermines clinical recommendations, associated with infant feeding behaviours among mothers in low-income areas. Cross-sectional survey evaluating social support networks and social relationships involved in providing care to the infant along with feeding beliefs and practices. Out-patient paediatric and government-funded (Women, Infants, and Children) clinics in an urban, low-income area of the south-eastern USA. Eighty-one low-income mothers of infants between 0 and 12 months old. Most mothers reported receiving both supportive and undermining advice. The presence of breast-feeding advice that supports clinical recommendations was associated with two infant feeding practices that are considered beneficial to infant health: ever breast-feeding (OR=6·7; 95% CI 1·2, 38·1) and not adding cereal in the infant's bottle (OR=15·9; 95% CI 1·1, 227·4). Advice that undermines clinical recommendations to breast-feed and advice about solid foods were not associated with these behaviours. Efforts to facilitate optimal infant feeding practices may focus on increasing information supportive of clinical recommendations while concentrating less on reducing the presence of undermining information within mothers' networks. Cultural norms around breast-feeding may be stronger than the cultural norms around the introduction of solid foods in mothers' social environments; thus, additional efforts to increase information regarding introduction of solid foods earlier in mothers' infant care career may be beneficial.

  8. Supervision, mentorship and peer networks: how Estonian early career researchers get (or fail to get support

    Directory of Open Access Journals (Sweden)

    Jaana Eigi

    2018-03-01

    Full Text Available The paper analyses issues related to supervision and support of early career researchers in Estonian academia. We use nine focus groups interviews conducted in 2015 with representatives of social sciences in order to identify early career researchers’ needs with respect to support, frustrations they may experience, and resources they may have for addressing them. Our crucial contribution is the identification of wider support networks of peers and colleagues that may compensate, partially or even fully, for failures of official supervision. On the basis of our analysis we argue that support for early career researchers should take into account the resources they already possess but also recognise the importance of wider academic culture, including funding and employment patterns, and the roles of supervisors and senior researchers in ensuring successful functioning of support networks. Through analysing the conditions for the development of early career researchers – producers of knowledge – our paper contributes to social epistemology understood as analysis of specific forms of social organisation of knowledge production.

  9. 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.

  10. Standardization of Brief Inventory of Social Support Exchange Network (BISSEN) in Japan.

    Science.gov (United States)

    Aiba, Miyuki; Tachikawa, Hirokazu; Fukuoka, Yoshiharu; Lebowitz, Adam; Shiratori, Yuki; Doi, Nagafumi; Matsui, Yutaka

    2017-07-01

    This study describes the Brief Inventory of Social Support Exchange Network (BISSEN) as a standardized brief inventory measuring various aspects of social support. We confirmed the reliability and validity for function and direction of support and standardized the BISSEN. For Sample 1, a stratified random sampling method was used to select 5200 residents in Japan. We conducted mail surveys and responses were retrieved from 2274 participants (collection rate 43.7%). Participants completed a questionnaire packet that included BISSEN, suicidal ideation, depression, support seeking, and Multidimensional Scale of Perceived Social Support (MSPSS). Sample 2 surveys for test-retest reliability were conducted on 23 residents at approximately two-week intervals. Participants were asked about gender, age, and BISSEN. First, we assessed the internal consistency, test-retest reliability, construct, convergent, and concurrent validity. McDonald's omega (.73-.92) and test-retest correlations (.78-.85) demonstrated adequate internal consistency and test-retest reliability. Depression, support seeking, and MSPSS were significantly correlated with all scores of BISSEN. The non-suicidal ideation group had significantly more support compared to the suicidal ideation group. Therefore, function and direction of support in BISSEN had sufficient reliability and validity. Next, we standardized BISSEN using Z-scores and percentile rank with respect to each 12 norm groups by age and gender. Copyright © 2017 Elsevier Ireland Ltd. All rights reserved.

  11. 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.

  12. 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.

  13. 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,…

  14. DSSNET, a network of users and developers of decision support systems for emergency response in Europe

    International Nuclear Information System (INIS)

    Salfeld, H.C.; Raskob, W.

    2002-01-01

    Following the Chernobyl accident, computerised systems for off-site management and response in case of a nuclear accident were developed and installed in many European countries. Some of the systems are in use in only one country, whereas other systems have found broader application in Europe. Examples of these systems are IMIS (D), ARGOS (DK), running in Denmark, Lithuania and Poland and RODOS, a real-time on-line decision support system for nuclear emergency management in Europe, which is now installed for operational or test-operational use in many European countries. During the development and installation phases of these decision support systems the necessity emerged, that there is a need for an intensive feedback between developers and users. Therefore, under the 5. Framework Programme of the European Commission a network has been installed to intensify the communication and increase the understanding between the operational community and the many and diverse disciplines involved in RD for improvement, extension and integration of operational decision support systems for nuclear emergency management, called DSSNET. This poster demonstrates how the network is organised, namely with different work groups, exercises and meetings. Each working group addresses one of seven work packages: - Preparation and conduct of exercises (WP1), - User interfaces, results and interaction with decision makers (WP2), - Exchange of data information relevant for decision-making (WP3), System functions, networks and processing of on-line data (WP4), European database (WP5), Coordination of the network (WP6), Hydrological modelling (WP7). Main focus is given to WP4, in which information of on-line monitoring from more than 10 European counties is collected. Information was collated with the help of questionnaires which are send out on a regular basis. The evaluation of the various questionnaires summarises the different systems in use for stack monitoring, retrieving on

  15. 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.

  16. A Self-Organizing Spatial Clustering Approach to Support Large-Scale Network RTK Systems

    Directory of Open Access Journals (Sweden)

    Lili Shen

    2018-06-01

    Full Text Available The network real-time kinematic (RTK technique can provide centimeter-level real time positioning solutions and play a key role in geo-spatial infrastructure. With ever-increasing popularity, network RTK systems will face issues in the support of large numbers of concurrent users. In the past, high-precision positioning services were oriented towards professionals and only supported a few concurrent users. Currently, precise positioning provides a spatial foundation for artificial intelligence (AI, and countless smart devices (autonomous cars, unmanned aerial-vehicles (UAVs, robotic equipment, etc. require precise positioning services. Therefore, the development of approaches to support large-scale network RTK systems is urgent. In this study, we proposed a self-organizing spatial clustering (SOSC approach which automatically clusters online users to reduce the computational load on the network RTK system server side. The experimental results indicate that both the SOSC algorithm and the grid algorithm can reduce the computational load efficiently, while the SOSC algorithm gives a more elastic and adaptive clustering solution with different datasets. The SOSC algorithm determines the cluster number and the mean distance to cluster center (MDTCC according to the data set, while the grid approaches are all predefined. The side-effects of clustering algorithms on the user side are analyzed with real global navigation satellite system (GNSS data sets. The experimental results indicate that 10 km can be safely used as the cluster radius threshold for the SOSC algorithm without significantly reducing the positioning precision and reliability on the user side.

  17. Maintenance and Logistics Support for the International Monitoring System Network of the CTBTO

    Science.gov (United States)

    Haslinger, F.; Brely, N.; Akrawy, M.

    2007-05-01

    The global network of the International Monitoring System (IMS) of the Comprehensive Nuclear-Test-Ban Treaty Organization (CTBTO), once completed, will consist of 321 monitoring facilities of four different technologies: hydroacoustic, seismic, infrasonic, and radionuclide. As of today, about 65% of the installations are completed and contribute data to the products issued by the International Data Centre (IDC) of the CTBTO. In order to accomplish the task to reliably collect evidence for any potential nuclear test explosion anywhere on the planet, all stations are required to perform to very high data availability requirements (at least 98% data availability over a 12-month period). To enable reaching this requirement, a three-layer concept has been developed to allow efficient support of the IMS stations: Operations, Maintenance and Logistics, and Engineering. Within this concept Maintenance and Logistics provide second level support of the stations, whereby problems arising at the station are assigned through the IMS ticket system to Maintenance if they cannot be resolved on the Operations level. Maintenance will then activate the required resources to appropriately address and ultimately resolve the problem. These resources may be equipment support contracts, other third party contracts, or the dispatch of a maintenance team. Engineering Support will be activated if the problem requires redesign of the station or after catastrophic failures when a total rebuild of a station may be necessary. In this model, Logistics Support is responsible for parts replenishment and support contract management. Logistics Support also collects and analyzes relevant failure mode and effect information, develops supportability models, and has the responsibility for document management, obsolescence, risk & quality, and configuration management, which are key elements for efficient station support. Maintenance Support in addition is responsible for maintenance strategies, for

  18. A Social Network Perspective on Peer Supported Learning in MOOCs for Educators

    Directory of Open Access Journals (Sweden)

    Shaun Kellogg

    2014-11-01

    Full Text Available A recent phenomenon in the MOOC space has been the development of courses tailored to educators serving in K-12 settings. MOOCs, particularly as a form of educator professional development, face a number of challenges. Academics, as well as pundits from traditional and new media, have raised a number of concerns about MOOCs, including the lack of instructional and social supports. It is an assumption of this study that challenges arising form this problem of scale can be addressed by leveraging these massive numbers to develop robust online learning communities. This mixed-methods case study addresses critical gaps in the literature and issues of peer support in MOOCs through an examination of the characteristics, mechanisms, and outcomes of peer networks. Findings from this study demonstrate that even with technology as basic as a discussion forum, MOOCs can be leveraged to foster these networks and facilitate peer-supported learning. Although this study was limited to two unique cases along the wide spectrum of MOOCs, the methods applied provide other researchers with an approach for better understanding the dynamic process of peer supported learning in MOOCs.

  19. Understanding the social and community support networks of American Indian women cancer survivors.

    Science.gov (United States)

    Burnette, Catherine E; Liddell, Jessica; Roh, Soonhee; Lee, Yeon-Shim; Lee, Hee Yun

    2018-04-02

    Cancer is the leading cause of death among American Indian and Alaska Native (AI/AN) women, and although cancer disparities among AI women are alarming, there is little research focused on the topic of social support and cancer treatment and outcomes. A community advisory board was used to develop and administer the project, and a qualitative descriptive study methodology was used. This research was conducted in partnership with two community-based hospitals in the Northern Plains. The sample included 43 AI female cancer survivors who were interviewed with a semi-structured interview guide. The data were analyzed using content analysis. Emergent themes revealed that AI cancer survivors' non-familial support systems included friends (n = 12), support groups (n = 6), churches (n = 10), co-workers (n = 5), communities (n = 4), support from health practitioners (n = 3) and additional forms of support. Results indicate that survivors' networks are diverse, and support broad prevention programs that reach out to churches, community groups, and online forums. These sources of supports can be enhanced through sustainable community-based infrastructures.

  20. 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.

  1. Role of vision loss, functional limitations and the supporting network in depression in a general population.

    Science.gov (United States)

    van Nispen, Ruth M A; Vreeken, Hilde L; Comijs, Hannie C; Deeg, Dorly J H; van Rens, Ger H M B

    2016-02-01

    Although the prevalence of depression in visually impaired older persons is high, the association between vision loss and depression seems to be influenced by factors other than visual impairment. In this study, the role of vision loss, functional limitations and social network characteristics in relation to depressive symptoms was investigated. Cross-sectional data (N = 1237) from the Longitudinal Aging Study Amsterdam were used to investigate the prevalence of depression (Center of Epidemiological Studies-Depression scale) within subgroups with increasing vision loss. In linear regression models, functional limitations and social network characteristics were examined as possible mediators in the association between vision loss and depression. Having a partner was considered to be a potential moderator. Although a significant linear trend was found in the presence of depressive symptoms with 14% in normally sighted, 23% in mild and 37% in severe vision loss (χ(2)(1) = 14.9; p depression. Mediators were functional limitations (p depression, a trend was found with increasing severity of vision loss, indicating the need for more attention in (mental) health care and low-vision rehabilitation. In the general older population, vision loss was not an independent determinant of depression but was mediated by functional limitations and social network size. Rather than receiving actual social support, the idea of having a social network to rely on when needed seemed to be associated with lower levels of depression. © 2015 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

  2. A Cross-Layer Duty Cycle MAC Protocol Supporting a Pipeline Feature for Wireless Sensor Networks

    Directory of Open Access Journals (Sweden)

    Young-Chon Kim

    2011-05-01

    Full Text Available Although the conventional duty cycle MAC protocols for Wireless Sensor Networks (WSNs such as RMAC perform well in terms of saving energy and reducing end-to-end delivery latency, they were designed independently and require an extra routing protocol in the network layer to provide path information for the MAC layer. In this paper, we propose a new cross-layer duty cycle MAC protocol with data forwarding supporting a pipeline feature (P-MAC for WSNs. P-MAC first divides the whole network into many grades around the sink. Each node identifies its grade according to its logical hop distance to the sink and simultaneously establishes a sleep/wakeup schedule using the grade information. Those nodes in the same grade keep the same schedule, which is staggered with the schedule of the nodes in the adjacent grade. Then a variation of the RTS/CTS handshake mechanism is used to forward data continuously in a pipeline fashion from the higher grade to the lower grade nodes and finally to the sink. No extra routing overhead is needed, thus increasing the network scalability while maintaining the superiority of duty-cycling. The simulation results in OPNET show that P-MAC has better performance than S-MAC and RMAC in terms of packet delivery latency and energy efficiency.

  3. Bidirectional QoS support for novelty detection applications based on hierarchical wireless sensor network model

    Science.gov (United States)

    Edwards, Mark; Hu, Fei; Kumar, Sunil

    2004-10-01

    The research on the Novelty Detection System (NDS) (called as VENUS) at the authors' universities has generated exciting results. For example, we can detect an abnormal behavior (such as cars thefts from the parking lot) from a series of video frames based on the cognitively motivated theory of habituation. In this paper, we would like to describe the implementation strategies of lower layer protocols for using large-scale Wireless Sensor Networks (WSN) to NDS with Quality-of-Service (QoS) support. Wireless data collection framework, consisting of small and low-power sensor nodes, provides an alternative mechanism to observe the physical world, by using various types of sensing capabilities that include images (and even videos using Panoptos), sound and basic physical measurements such as temperature. We do not want to lose any 'data query command' packets (in the downstream direction: sink-to-sensors) or have any bit-errors in them since they are so important to the whole sensor network. In the upstream direction (sensors-to-sink), we may tolerate the loss of some sensing data packets. But the 'interested' sensing flow should be assigned a higher priority in terms of multi-hop path choice, network bandwidth allocation, and sensing data packet generation frequency (we hope to generate more sensing data packet for that novel event in the specified network area). The focus of this paper is to investigate MAC-level Quality of Service (QoS) issue in Wireless Sensor Networks (WSN) for Novelty Detection applications. Although QoS has been widely studied in other types of networks including wired Internet, general ad hoc networks and mobile cellular networks, we argue that QoS in WSN has its own characteristics. In wired Internet, the main QoS parameters include delay, jitter and bandwidth. In mobile cellular networks, two most common QoS metrics are: handoff call dropping probability and new call blocking probability. Since the main task of WSN is to detect and report

  4. 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.

  5. 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.

  6. Innovative Improvement and Intensification of Business Relationships Supported by Cooperative Networks

    Science.gov (United States)

    Vančová, Viera; Čambál, Miloš; Cagáňová, Dagmar

    2012-12-01

    Nowadays, the opportunity for companies to be involved in cluster initiatives and international business associations is a major factor that contributes to the increase of their innovative potential. Companies organized in technological clusters have greater access to mutual business contacts, faster information transfer and deployment of advanced technologies. These companies cooperate more frequently with universities and research - development institutions on innovative projects. An important benefit of cluster associations is that they create a suitable environment for innovation and the transfer of knowledge by means of international cooperation and networking. This supportive environment is not easy to access for different small and mediumsized companies, who are not members of any clusters or networks. Supplier-customer business channels expand by means of transnational networks and exchanges of experience. Knowledge potential is broadened and joint innovative projects are developed. Reflecting the growing importance of clusters as driving forces of economic and regional development, a number of cluster policies and initiatives have emerged in the last few decades, oriented to encourage the establishment of new clusters, to support existing clusters, or to assist the development of transnational cooperation. To achieve the goals of the Europe 2020 Strategy, European countries should have an interest in building strong clusters and developing cluster cooperation by sharing specialized research infrastructures and testing facilities and facilitating knowledge transfer for crossborder cooperation. This requires developing a long term joint strategy in order to facilitate the development of open global clusters and innovative small and medium entrepreneurs.

  7. ‘Living' theory: a pedagogical framework for process support in networked learning

    Directory of Open Access Journals (Sweden)

    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.

  8. Family interaction and a supportive social network as salutogenic factors in childhood atopic illness.

    Science.gov (United States)

    Gustafsson, Per A; Kjellman, N-I Max; Björkstén, Bengt

    2002-02-01

    The role of psycho-social factors in the development of allergy was studied prospectively in 82 infants with a family history of atopy. The family participated in a standardized family test when the children were 18 months old. The ability to adjust to demands of the situation ('adaptability'), and the balance between emotional closeness and distance ('cohesion'), were assessed from videotapes by independent raters. Families rated as functional in both of these aspects were classified as 'functional', otherwise as 'dysfunctional'. The social network, life events, atopic symptoms (based on postal inquiries regarding symptoms answered by the parents, and on physical examinations), psychiatric symptoms, and socio-economic circumstances of the families were evaluated when the children were 18 months and 3 years of age. The children were classified as atopic (asthmatic symptoms or eczema) or as non-atopic. All but two children with atopic disease at 3 years of age had atopic disease before 18 months of age, while 32 of 60 children with atopic disease at 18 months of age had no problems by 3 years of age. An unbalanced family interplay at 18 months was associated with a relative risk (RR) of 1.99 for continuing atopic illness at 3 years of age (1.18 eczema on three or more localizations (RR reduced by 4.5%), and the amount of cat allergen in household dust (RR reduced by 3%). Recovery from atopic illness between 18 months and 3 years of age was four times as probable in families with functional interaction and a good social supportive network when children were 18 months of age, than in dysfunctional families with a poor social network (74% versus 20% p emotional distress than did healthy children (p = 0.02). Dysfunctional family interaction patterns were more commonly observed in families of children who at 3 years of age still had atopic symptoms, than in children who had recovered. The patterns included expression of emotion and reaction to the needs of others

  9. FRAMEWORK OF TAILORMADE DRIVING SUPPORT SYSTEMS AND NEURAL NETWORK DRIVER MODEL

    Directory of Open Access Journals (Sweden)

    Toshiya HIROSE, M.S.

    2004-01-01

    Nowadays, tailormade medical treatment is receiving much attention in the field of medical care. It is also desirable for driving support systems to reflect the driving characteristics of individuals as much as possible, begin monitoring the driver when a driver starts driving and calculates the driver model, and supports them with a model that makes the driver feel quite normal. That is the construction of Tailormade Driving Support Systems (TDSS. This research proposes a concept and a framework of TDSS, and presents a driver model that uses a neural network to build the system. As for the feasibility of this system, the research selects braking as a typical constituent element, and illustrates and reviews the results of experiments and simulations.

  10. 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.

  11. Wavelength detection in FBG sensor networks using least squares support vector regression

    Science.gov (United States)

    Chen, Jing; Jiang, Hao; Liu, Tundong; Fu, Xiaoli

    2014-04-01

    A wavelength detection method for a wavelength division multiplexing (WDM) fiber Bragg grating (FBG) sensor network is proposed based on least squares support vector regression (LS-SVR). As a kind of promising machine learning technique, LS-SVR is employed to approximate the inverse function of the reflection spectrum. The LS-SVR detection model is established from the training samples, and then the Bragg wavelength of each FBG can be directly identified by inputting the measured spectrum into the well-trained model. We also discuss the impact of the sample size and the preprocess of the input spectrum on the performance of the training effectiveness. The results demonstrate that our approach is effective in improving the accuracy for sensor networks with a large number of FBGs.

  12. Support Networks among micro entrepreneurial women: comparison between Bangladesh, India and the Southern Mexico

    Directory of Open Access Journals (Sweden)

    Georgina Sato

    2016-02-01

    Full Text Available Microcredit has been seen as a way of helping low-income people, primarily women, to survive, by giving them independence and the resources to create their own businesses. Low-income people have the support of social networks that allow their members to assist each other morally, economically and by sharing information. They also share experiences that make it easier to obtain the income needed for survival. Through their social networks and social capital the poor can use the tools provided by microcredits to improve their living conditions. This document compares the ways in which women in three countries associate, and use microcredits. The countries involved are India, Bangladesh and the South of Mexico.

  13. A conceptual methodology to design a decision support system to leak detection programs in water networks

    International Nuclear Information System (INIS)

    Di Federico, V.; Bottarelli, M.; Di Federico, I.

    2005-01-01

    The paper outlines a conceptual methodology to develop a decision support system to assist technicians managing water networks in selecting the appropriate leak detection method(s). First, the necessary knowledge about the network is recapitulated: location and characteristics of its physical components, but also water demand, breaks in pipes, and water quality data. Second, the water balance in a typical Italian Agency is discussed, suggesting method and procedures to evacuate and/or estimate each term in the mass balance equation. Then the available methods for leak detection are described in detail, from those useful in the pre-localization phase to those commonly adopted to pinpoint pipe failures and allow a rapid repair. Criteria to estimate costs associated with each of these methods are provided. Finally, the proposed structure of the DSS is described [it

  14. The effect of social networking sites on the relationship between perceived social support and depression.

    Science.gov (United States)

    McDougall, Matthew A; Walsh, Michael; Wattier, Kristina; Knigge, Ryan; Miller, Lindsey; Stevermer, Michalene; Fogas, Bruce S

    2016-12-30

    This study examined whether Social Networking Sites (SNSs) have a negative moderator effect on the established relationship between perceived social support and depression in psychiatric inpatients. Survey instruments assessing for depression, perceived social support, and SNS use, were filled out by 301 psychiatric inpatients. Additional data on age, gender, and primary psychiatric diagnosis were collected. A step-wise multiple regression analysis was performed to determine significant interactions. There was no significant interaction of SNS use on the relationship between perceived social support and depression when measured by Social Media Use Integration Scale or by hours of SNS use per day. There was a significant negative relationship between perceived social support and depression, and a significant positive relationship between hours of SNS use per day and depression, measured by the Beck Depression Inventory-II. Limitations include a gender discrepancy among participants, generalizability, recall bias, and SNS measurement. This is the first study to look at SNS use and depression in psychiatric inpatients. SNS use did not affect perceived social support or the protective relationship between perceived social support and depression. Hours of SNS use per day were correlated with depression scores. Future studies between SNS use and depression should quantify daily SNS use. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  15. 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.

  16. Social networks and support in first episode psychosis: exploring the role of loneliness and anxiety

    Science.gov (United States)

    Sündermann, Oliver; Onwumere, Juliana; Kane, Fergus; Morgan, Craig; Kuipers, Elizabeth

    2014-01-01

    PURPOSE To investigate social support and network features in people with first episode psychosis, and to examine anxiety as a possible mediator between loneliness and a rating of paranoia. METHOD Thirty eight people with first-episode psychosis were recruited for a cross-sectional study. Self report questionnaires and structured interviews assessed symptoms, functioning, and qualitative social network and support features. A mood-induction task involved watching anxiety-inducing pictures on a computer screen. Visual analogue scales assessed changes in paranoia, anxiety and loneliness and a mediation analysis was conducted. RESULTS One third of the sample (34%) had no confidant (95% CI 18.4%, 50.0%). The average number of weekly contacts was 3.9, with 2.6 lonely days. Poor perceived social support, loneliness and the absence of a confidant were strongly associated with psychosis and depressive symptoms (.35loneliness and paranoia was mediated through anxiety (ab=.43, z=3.5; pAnxiety may be one pathway through which loneliness affects psychosis. Interventions which focus on this are indicated. PMID:23955376

  17. Social networks and support in first-episode psychosis: exploring the role of loneliness and anxiety.

    Science.gov (United States)

    Sündermann, Oliver; Onwumere, Juliana; Kane, Fergus; Morgan, Craig; Kuipers, Elizabeth

    2014-03-01

    To investigate social support and network features in people with first-episode psychosis, and to examine anxiety as a possible mediator between loneliness and a rating of paranoia. Thirty-eight people with first-episode psychosis were recruited for a cross-sectional study. Self-report questionnaires and structured interviews assessed symptoms, functioning, and qualitative social network and support features. A mood-induction task involved watching anxiety-inducing pictures on a computer screen. Visual analogue scales assessed changes in paranoia, anxiety and loneliness and a mediation analysis was conducted. One-third of the sample (34%) had no confidant [95% CI (18.4, 50.0%)]. The average number of weekly contacts was 3.9, with 2.6 lonely days. Poor perceived social support, loneliness and the absence of a confidant were strongly associated with psychosis and depressive symptoms (0.35 loneliness and paranoia was mediated through anxiety (ab = 0.43, z = 3.5; p Anxiety may be one pathway through which loneliness affects psychosis. Interventions which focus on this are indicated.

  18. Support or competition? How online social networks increase physical activity: A randomized controlled trial

    Directory of Open Access Journals (Sweden)

    Jingwen Zhang, PhD

    2016-12-01

    Full Text Available To identify what features of online social networks can increase physical activity, we conducted a 4-arm randomized controlled trial in 2014 in Philadelphia, PA. Students (n = 790, mean age = 25.2 at an university were randomly assigned to one of four conditions composed of either supportive or competitive relationships and either with individual or team incentives for attending exercise classes. The social comparison condition placed participants into 6-person competitive networks with individual incentives. The social support condition placed participants into 6-person teams with team incentives. The combined condition with both supportive and competitive relationships placed participants into 6-person teams, where participants could compare their team's performance to 5 other teams' performances. The control condition only allowed participants to attend classes with individual incentives. Rewards were based on the total number of classes attended by an individual, or the average number of classes attended by the members of a team. The outcome was the number of classes that participants attended. Data were analyzed using multilevel models in 2014. The mean attendance numbers per week were 35.7, 38.5, 20.3, and 16.8 in the social comparison, the combined, the control, and the social support conditions. Attendance numbers were 90% higher in the social comparison and the combined conditions (mean = 1.9, SE = 0.2 in contrast to the two conditions without comparison (mean = 1.0, SE = 0.2 (p = 0.003. Social comparison was more effective for increasing physical activity than social support and its effects did not depend on individual or team incentives.

  19. An IEEE 802.11 EDCA Model with Support for Analysing Networks with Misbehaving Nodes

    Directory of Open Access Journals (Sweden)

    Szott Szymon

    2010-01-01

    Full Text Available We present a novel model of IEEE 802.11 EDCA with support for analysing networks with misbehaving nodes. In particular, we consider backoff misbehaviour. Firstly, we verify the model by extensive simulation analysis and by comparing it to three other IEEE 802.11 models. The results show that our model behaves satisfactorily and outperforms other widely acknowledged models. Secondly, a comparison with simulation results in several scenarios with misbehaving nodes proves that our model performs correctly for these scenarios. The proposed model can, therefore, be considered as an original contribution to the area of EDCA models and backoff misbehaviour.

  20. Network Regulation and Support Schemes - How Policy Interactions Affect the Integration of Distributed Generation

    DEFF Research Database (Denmark)

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

    2011-01-01

    This article seeks to investigate the interactions between the policy dimensions of support schemes and network regulation and how they affect distributed generation. Firstly, the incentives of distributed generators and distribution system operators are examined. Frequently there exists a trade......-off between the incentives for these two market agents to facilitate the integration of distributed generation. Secondly, the interaction of these policy dimensions is analyzed, including case studies based on five EU Member States. Aspects of operational nature and investments in grid and distributed...