WorldWideScience

Sample records for networked environment healthcare

  1. Integrated Environment for Ubiquitous Healthcare and Mobile IPv6 Networks

    Science.gov (United States)

    Cagalaban, Giovanni; Kim, Seoksoo

    The development of Internet technologies based on the IPv6 protocol will allow real-time monitoring of people with health deficiencies and improve the independence of elderly people. This paper proposed a ubiquitous healthcare system for the personalized healthcare services with the support of mobile IPv6 networks. Specifically, this paper discusses the integration of ubiquitous healthcare and wireless networks and its functional requirements. This allow an integrated environment where heterogeneous devices such a mobile devices and body sensors can continuously monitor patient status and communicate remotely with healthcare servers, physicians, and family members to effectively deliver healthcare services.

  2. A Survey on Wireless Body Area Networks for eHealthcare Systems in Residential Environments

    Directory of Open Access Journals (Sweden)

    Mohammad Ghamari

    2016-06-01

    Full Text Available Current progress in wearable and implanted health monitoring technologies has strong potential to alter the future of healthcare services by enabling ubiquitous monitoring of patients. A typical health monitoring system consists of a network of wearable or implanted sensors that constantly monitor physiological parameters. Collected data are relayed using existing wireless communication protocols to a base station for additional processing. This article provides researchers with information to compare the existing low-power communication technologies that can potentially support the rapid development and deployment of WBAN systems, and mainly focuses on remote monitoring of elderly or chronically ill patients in residential environments.

  3. Energy efficient routing in mobile ad-hoc networks for Healthcare Environments

    OpenAIRE

    Sohail Abid; Imran Shafi; Shahid Abid

    2013-01-01

    The modern and innovative medical applications based on wireless network are being developed in the commercial sectors as well as in research. The emerging wireless networks are rapidly becoming a fundamental part of medical solutions due to increasing accessibility for healthcare professionals/patients reducing healthcare costs. Discovering the routes among hosts that are energy efficient without compromise on smooth communication is desirable. This work investigates energy efficiency of som...

  4. Mobile healthcare in the home environment.

    Science.gov (United States)

    Price, Sheila; Summers, Ron

    2006-01-01

    Mobile healthcare provision in the home environment presents many challenges. Patients are becoming more informed about the management of chronic conditions and the use of technology to support the process is rising. Issues such as system interoperability, cost, security and training all have to be addressed to ensure effective use of mobile devices within the home healthcare arena. An aging population will impact upon traditional healthcare delivery methods.

  5. Architecture Capabilities to Improve Healthcare Environments

    Science.gov (United States)

    Ebrahimi, Ali; Mardomi, Karim; Hassanpour Rahimabad, Kasra

    2013-01-01

    Background The physical environment of healthcare buildings has great importance in issues such as patient safety, functional efficiency, user satisfaction, healthcare outcomes, and energy and resources consumption. Objectives The present study assesses physical environments of Iranian healthcare buildings. Materials and Methods This study was performed using a descriptive-analytical method. Data collection was carried out via a written questionnaire. Results Based on the findings of this study, "functional efficiency", "user satisfaction", "environmental issues", "patient safety”, “accountability in incidents and disasters", and "flexibility" are regarded as the most issues in the country's hospitals. Also, none of the parameters is "without any problem" and has a "desirable status". Conclusions According to the responses, all of the healthcare buildings in this research had flaws in their physical environment, which require attention. Thus, it is necessary to review and pay more attention to the architecture of the country's healthcare buildings. PMID:24350145

  6. Group profile management in ubiquitous healthcare environment.

    Science.gov (United States)

    Fengou, Maria-Anna; Mantas, Georgios; Lymberopoulos, Dimitrios

    2012-01-01

    Nowadays, ubiquitous healthcare is of utmost importance in the patient-centric model. Furthermore, the personalization of ubiquitous healthcare services plays a very important role to make the patient-centric model a reality. The personalization of the ubiquitous healthcare services is based on the profiles of the entities participating in these services. In this paper, we propose a group profile management system in a ubiquitous healthcare environment. The proposed system is responsible for the dynamic creation of a group profile and its management.

  7. Multiprocessor Neural Network in Healthcare.

    Science.gov (United States)

    Godó, Zoltán Attila; Kiss, Gábor; Kocsis, Dénes

    2015-01-01

    A possible way of creating a multiprocessor artificial neural network is by the use of microcontrollers. The RISC processors' high performance and the large number of I/O ports mean they are greatly suitable for creating such a system. During our research, we wanted to see if it is possible to efficiently create interaction between the artifical neural network and the natural nervous system. To achieve as much analogy to the living nervous system as possible, we created a frequency-modulated analog connection between the units. Our system is connected to the living nervous system through 128 microelectrodes. Two-way communication is provided through A/D transformation, which is even capable of testing psychopharmacons. The microcontroller-based analog artificial neural network can play a great role in medical singal processing, such as ECG, EEG etc.

  8. Enhanced security services for enabling pan-European healthcare networks.

    Science.gov (United States)

    Blobel, B; Pharow, P; Engel, K

    2001-01-01

    Establishing the Shared Care environment, communication and co-operation between healthcare establishments involved must be provided in a trustworthy way. This challenge is even more important for health networks using the Internet. In that context, services assuring both communication security and application security must be provided. Especially in the e-health environment, additionally to identity-related services certifying data or properties of principals, trustworthiness or authorisation for objects, components and functions must be established by Trusted Third Parties (TTP). Within the European Commission's Information Society Technologies (IST) Programme, the HARP project provides the "HARP Cross-Security Platform (HCSP)" needed in the open Web environment of pan-European networks. The solutions are under implementation and evaluation in the German ONCONET enabling a trustworthy framework for both health professionals and patients as well as supporting clinical studies.

  9. PKI security in large-scale healthcare networks

    OpenAIRE

    Mantas, G.; Lymberopoulos, D.; Komninos, N.

    2012-01-01

    During the past few years a lot of PKI (Public Key Infrastructures) infrastructures have been proposed for healthcare networks in order to ensure secure communication services and exchange of data among healthcare professionals. However, there is a plethora of challenges in these healthcare PKI infrastructures. Especially, there are a lot of challenges for PKI infrastructures deployed over large-scale healthcare networks. In this paper, we propose a PKI infrastructure to ensure security in a ...

  10. PKI security in large-scale healthcare networks.

    Science.gov (United States)

    Mantas, Georgios; Lymberopoulos, Dimitrios; Komninos, Nikos

    2012-06-01

    During the past few years a lot of PKI (Public Key Infrastructures) infrastructures have been proposed for healthcare networks in order to ensure secure communication services and exchange of data among healthcare professionals. However, there is a plethora of challenges in these healthcare PKI infrastructures. Especially, there are a lot of challenges for PKI infrastructures deployed over large-scale healthcare networks. In this paper, we propose a PKI infrastructure to ensure security in a large-scale Internet-based healthcare network connecting a wide spectrum of healthcare units geographically distributed within a wide region. Furthermore, the proposed PKI infrastructure facilitates the trust issues that arise in a large-scale healthcare network including multi-domain PKI infrastructures.

  11. Informatics and Nursing in a Post-Nursing Informatics World: Future Directions for Nurses in an Automated, Artificially Intelligent, Social-Networked Healthcare Environment.

    Science.gov (United States)

    Booth, Richard G

    2016-01-01

    The increased adoption and use of technology within healthcare and society has influenced the nursing informatics specialty in a multitude of fashions. Namely, the nursing informatics specialty currently faces a range of important decisions related to its knowledge base, established values and future directions - all of which are in need of development and future-proofing. In light of the increased use of automation, artificial intelligence and big data in healthcare, the specialty must also reconceptualize the roles of both nurses and informaticians to ensure that the nursing profession is ready to operate within future digitalized healthcare ecosystems. To explore these goals, the author of this manuscript outlines an examination of technological advancements currently taking place within healthcare, and also proposes implications for the nursing role and the nursing informatics specialty. Finally, recommendations and insights towards how the roles of nurses and informaticians might evolve or be shaped in the growing post-nursing informatics era are presented. Copyright © 2016 Longwoods Publishing.

  12. Managing change within the healthcare environment.

    Science.gov (United States)

    Lipcamon, James D

    2003-01-01

    In the healthcare environment, there are many catalysts for change, including federal and state regulations, increased utilization, patients' expectations, competition, declining reimbursement and the technologist shortage. Regardless of what organization you work in, change creates pressure internally. This is especially true of organizations that have not had to deal with much change. The three most common responses are: 1) senior managers tend to isolate themselves from the effects of change on staff members; 2) middle managers tend to feel squeezed between the need to implement change and the need to support staff members; and 3) employees tend to feel attacked and betrayed by change. The following five steps will help you work with your staff as you introduce and implement change: prepare your employees, plan thoroughly, develop a transitional line of authority, stay flexible during implementation, and encourage self-management, acknowledging those who helped make the change work. When change is implemented, it is important to understand that people will move through four stages of reaction: denial, resistance, exploration and commitment. As a general rule, individuals will go through all four stages, but the speed at which they move through them will be different. Managers need to assist employees who get stuck in certain stages. To implement change as successfully as possible, follow these four steps: communicate about change, deal with resistance, increase team involvement, and use visionary leadership.

  13. BANip: Enabling Remote Healthcare Monitoring with Body Area Networks

    NARCIS (Netherlands)

    Dokovski, N.T.; van Halteren, Aart; Widya, I.A.; Guelfi, Nicolas; Astesiano, Egidio; Reggio, Gianna

    2004-01-01

    This paper presents a Java service platform for mobile healthcare that enables remote health monitoring using 2.5/3G public wireless networks. The platform complies with todayrsquos healthcare delivery models, in particular it incorporates some functionality of a healthcare call center, a

  14. Aspects of healthcare computer networks security in the education of students of medicine and healthcare management

    OpenAIRE

    Mircheva, Iskra

    2001-01-01

    Preserving privacy and confidentiality of medical data has always been a fundamental question in medicine and healthcare. Information technologies state even greater requirements to medical data security, especially when, as expected, medical data should be transferred between the different healthcare providers using specialized or public computer networks. The presented paper outlines some basic requirements to healthcare networks security, with which the future medical specialists should ...

  15. Social Networks and the Environment

    OpenAIRE

    Julio Videras

    2013-01-01

    This review discusses empirical research on social networks and the environment; it summarizes findings from representative studies and the conceptual frameworks social scientists use to examine the role of social networks. The article presents basic concepts in social network analysis, summarizes common challenges of empirical research on social networks, and outlines areas for future research. Finally, the article discusses the normative and positive meanings of social networks.

  16. Networking for the Environment

    DEFF Research Database (Denmark)

    Dickel, Petra; Hörisch, Jacob; Ritter, Thomas

    2018-01-01

    from 248 technology-based start-ups shows that those firms with a strong external environmental orientation have significantly higher networking frequencies and build larger networks. Conversely, a strong internal environmental orientation is linked to smaller networks. Thus, the results highlight......Although the public debate on the environmental orientation of firms has intensified, there is a lack of understanding about the consequences of that orientation, especially in terms of its impact on firms' networking behavior. In order to fill this gap, this paper analyzes the impact of external...... and internal environmental orientation on start-ups’ network characteristics, because networks are both vital for the success of start-ups and resource demanding. More specifically, the effects of environmental orientation on networking frequency and network size among start-ups are analyzed. Empirical data...

  17. NASA's unique networking environment

    Science.gov (United States)

    Johnson, Marjory J.

    1988-01-01

    Networking is an infrastructure technology; it is a tool for NASA to support its space and aeronautics missions. Some of NASA's networking problems are shared by the commercial and/or military communities, and can be solved by working with these communities. However, some of NASA's networking problems are unique and will not be addressed by these other communities. Individual characteristics of NASA's space-mission networking enviroment are examined, the combination of all these characteristics that distinguish NASA's networking systems from either commercial or military systems is explained, and some research areas that are important for NASA to pursue are outlined.

  18. Learning teams and networks: using information technology as a means of managing work process development in healthcare organizations.

    Science.gov (United States)

    Korhonen, Vesa; Paavilainen, Eija

    2002-01-01

    This article focuses on the introduction of team learning and shared knowledge creation using computer-based learning environments and teams as networks in the development of healthcare organizations. Using computer technology, care units can be considered learning teams and the hospital a network of those learning teams. Team learning requires that the healthcare workers' intellectual capital and personal competence be viewed as an important resource in developing the quality of action of the entire healthcare organization.

  19. An artificial neural networks approach in managing healthcare.

    Science.gov (United States)

    Okoroh, Michael Iheoma; Ilozor, Benedict Dozie; Gombera, Peter

    2007-01-01

    Hospitals as learning organisations have evolved through complex phases of service failures and continuous service improvement to meet the business needs of a varied continuum of care customers. This paper explores the use of Artificial Neural Network (ANN) in the development of a decision support system to manage healthcare non-clinical services. The information (postal questionnaires and repertory grid interviews) used to develop the input to the National Healthcare Service Facilities Risk Exposure System (NHSFRES) was articulated from 60 experienced healthcare operators. The system provides a reasonable early warning signal to the healthcare managers, and can be used by decision makers to evaluate the severity of risks on healthcare non clinical business operations. The advantage of using NHSFRES is that healthcare managers can provide their own risk assessment values (point score system) based on their own healthcare management business knowledge/judgement and corporate objectives.

  20. Environment Aware Cellular Networks

    KAUST Repository

    Ghazzai, Hakim

    2015-02-01

    The unprecedented rise of mobile user demand over the years have led to an enormous growth of the energy consumption of wireless networks as well as the greenhouse gas emissions which are estimated currently to be around 70 million tons per year. This significant growth of energy consumption impels network companies to pay huge bills which represent around half of their operating expenditures. Therefore, many service providers, including mobile operators, are looking for new and modern green solutions to help reduce their expenses as well as the level of their CO2 emissions. Base stations are the most power greedy element in cellular networks: they drain around 80% of the total network energy consumption even during low traffic periods. Thus, there is a growing need to develop more energy-efficient techniques to enhance the green performance of future 4G/5G cellular networks. Due to the problem of traffic load fluctuations in cellular networks during different periods of the day and between different areas (shopping or business districts and residential areas), the base station sleeping strategy has been one of the main popular research topics in green communications. In this presentation, we present several practical green techniques that provide significant gains for mobile operators. Indeed, combined with the base station sleeping strategy, these techniques achieve not only a minimization of the fossil fuel consumption but also an enhancement of mobile operator profits. We start with an optimized cell planning method that considers varying spatial and temporal user densities. We then use the optimal transport theory in order to define the cell boundaries such that the network total transmit power is reduced. Afterwards, we exploit the features of the modern electrical grid, the smart grid, as a new tool of power management for cellular networks and we optimize the energy procurement from multiple energy retailers characterized by different prices and pollutant

  1. Cochrane review abstracts: The psychological effects of the physical healthcare environment on healthcare personnel

    NARCIS (Netherlands)

    Dijkstra, K.; Pieterse, Marcel E.

    2011-01-01

    Background: The physical healthcare environment is capable of affecting patients. This concept of 'healing environments' refers to the psychological impact of environmental stimuli through sensory perceptions. It excludes more physiological effects such as those produced by ergonomic (i.e. fall

  2. The psychological effects of the physical healthcare environment on healthcare personnel.

    NARCIS (Netherlands)

    Tanja-Dijkstra, Karin; Pieterse, Marcel E.

    2011-01-01

    The physical healthcare environment is capable of affecting patients. This concept of 'healing environments' refers to the psychological impact of environmental stimuli through sensory perceptions. It excludes more physiological effects such as those produced by ergonomic (i.e. fall prevention) or

  3. The psychological effects of the physical healthcare environment on healthcare personnel

    NARCIS (Netherlands)

    Dijkstra, K.; Pieterse, Marcel E.

    2011-01-01

    Background: The physical healthcare environment is capable of affecting patients. This concept of 'healing environments' refers to the psychological impact of environmental stimuli through sensory perceptions. It excludes more physiological effects such as those produced by ergonomic (i.e. fall

  4. Channel agnostic healthcare for resource constrained environments

    CSIR Research Space (South Africa)

    Alberts, Ronell

    2015-01-01

    Full Text Available . This paper outlines the various technical and operational considerations associated with the conceptualization of a middleware platform for mobile enablement and its application in the health environment as a mobile health monitoring system for community...

  5. Architectural approach for quality and safety aware healthcare social networks.

    Science.gov (United States)

    López, Diego M; Blobel, Bernd; González, Carolina

    2012-01-01

    Quality of information and privacy and safety issues are frequently identified as main limitations to make most benefit from social media in healthcare. The objective of the paper is to contribute to the analysis of healthcare social networks (SN), and online healthcare social network services (SNS) by proposing a formal architectural analysis of healthcare SN and SNS, considering the complexity of both systems, but stressing on quality, safety and usability aspects. Quality policies are necessary to control the quality of content published by experts and consumers. Privacy and safety policies protect against inappropriate use of information and users responsibility for sharing information. After the policies are established and documented, a proof of concept online SNS supporting primary healthcare promotion is presented in the paper.

  6. RNEDE: Resilient Network Design Environment

    Energy Technology Data Exchange (ETDEWEB)

    Venkat Venkatasubramanian, Tanu Malik, Arun Giridh; Craig Rieger; Keith Daum; Miles McQueen

    2010-08-01

    Modern living is more and more dependent on the intricate web of critical infrastructure systems. The failure or damage of such systems can cause huge disruptions. Traditional design of this web of critical infrastructure systems was based on the principles of functionality and reliability. However, it is increasingly being realized that such design objectives are not sufficient. Threats, disruptions and faults often compromise the network, taking away the benefits of an efficient and reliable design. Thus, traditional network design parameters must be combined with self-healing mechanisms to obtain a resilient design of the network. In this paper, we present RNEDEa resilient network design environment that that not only optimizes the network for performance but tolerates fluctuations in its structure that result from external threats and disruptions. The environment evaluates a set of remedial actions to bring a compromised network to an optimal level of functionality. The environment includes a visualizer that enables the network administrator to be aware of the current state of the network and the suggested remedial actions at all times.

  7. Social Networks and High Healthcare Utilization: Building Resilience Through Analysis

    Science.gov (United States)

    2016-09-01

    3. REPORT TYPE AND DATES COVERED Master’s thesis 4. TITLE AND SUBTITLE SOCIAL NETWORKS AND HIGH HEALTHCARE UTILIZATION: BUILDING RESILIENCE...28 3. Evaluating Network Type ...........................................................29 4. Density and Path...studied by showing “ galaxies ” of highly connected individuals and their associated lines of flow, or “emotions,” expressed graphically by links and

  8. Design research and the globalization of healthcare environments.

    Science.gov (United States)

    Shepley, Mardelle McCuskey; Song, Yilin

    2014-01-01

    Global healthcare practice has expanded in the past 20 years. At the same time the incorporation of research into the design process has gained prominence as a best practice among architects. The authors of this study investigated the status of design research in a variety of international settings. We intended to answer the question, "how pervasive is healthcare design research outside of the United States?" The authors reviewed the international literature on the design of healthcare facilities. More than 500 international studies and conference proceedings were incorporated in this literature review. A team of five research assistants searched multiple databases comparing approximately 16 keywords to geographic location. Some of those keywords included: evidence-based design, salutogenic design, design research, and healthcare environment. Additional articles were gathered by contacting prominent researchers and asking for their personal assessment of local health design research studies. While there are design researchers in most parts of the world, the majority of studies focus on the needs of populations in developed countries and generate guidelines that have significant cost and cultural implications that prohibit their implementation in developing countries. Additionally, the body of literature discussing the role of culture in healthcare environments is extremely limited. Design researchers must address the cultural implications of their studies. Additionally, we need to expand our research objectives to address healthcare design in countries that have not been previous considered. © 2014 Vendome Group, LLC.

  9. Properties of healthcare teaming networks as a function of network construction algorithms.

    Science.gov (United States)

    Zand, Martin S; Trayhan, Melissa; Farooq, Samir A; Fucile, Christopher; Ghoshal, Gourab; White, Robert J; Quill, Caroline M; Rosenberg, Alexander; Barbosa, Hugo Serrano; Bush, Kristen; Chafi, Hassan; Boudreau, Timothy

    2017-01-01

    Network models of healthcare systems can be used to examine how providers collaborate, communicate, refer patients to each other, and to map how patients traverse the network of providers. Most healthcare service network models have been constructed from patient claims data, using billing claims to link a patient with a specific provider in time. The data sets can be quite large (106-108 individual claims per year), making standard methods for network construction computationally challenging and thus requiring the use of alternate construction algorithms. While these alternate methods have seen increasing use in generating healthcare networks, there is little to no literature comparing the differences in the structural properties of the generated networks, which as we demonstrate, can be dramatically different. To address this issue, we compared the properties of healthcare networks constructed using different algorithms from 2013 Medicare Part B outpatient claims data. Three different algorithms were compared: binning, sliding frame, and trace-route. Unipartite networks linking either providers or healthcare organizations by shared patients were built using each method. We find that each algorithm produced networks with substantially different topological properties, as reflected by numbers of edges, network density, assortativity, clustering coefficients and other structural measures. Provider networks adhered to a power law, while organization networks were best fit by a power law with exponential cutoff. Censoring networks to exclude edges with less than 11 shared patients, a common de-identification practice for healthcare network data, markedly reduced edge numbers and network density, and greatly altered measures of vertex prominence such as the betweenness centrality. Data analysis identified patterns in the distance patients travel between network providers, and a striking set of teaming relationships between providers in the Northeast United States and

  10. A reliable RFID mutual authentication scheme for healthcare environments.

    Science.gov (United States)

    Wu, Zhen-Yu; Chen, Lichin; Wu, Ju-Chuan

    2013-04-01

    Radio frequency identification (RFID) applications have the potential to increase the reliability of healthcare environments. However, there are obvious security and privacy concerns with regard to storing personal and medical data in RFID tags, and the lack of secure authentication systems in healthcare environments remains as a challenge the further use of this technology, one that touches on issues of confidentiality, unforgeability, location privacy, and scalability. This study proposes a novel mutual authentication protocol that considers all of these issues and solves the tradeoff between location privacy and scalability in healthcare environments. A formal proof and analysis is demonstrated to prove the effectiveness of the proposed scheme, and that high reliability has and can be easily deployed and managed. This study also provides a scenario example that applied proposed protocol in the newborn care and management. The result shows that the proposed scheme solves the related tradeoff problem, and is capable of providing both location privacy and scalability. To apply the authentication scheme proposed in this work would be able to increase confidence in future implementations of RFID systems in healthcare environments.

  11. Emerging Trends in Healthcare Adoption of Wireless Body Area Networks.

    Science.gov (United States)

    Rangarajan, Anuradha

    2016-01-01

    Real-time personal health monitoring is gaining new ground with advances in wireless communications. Wireless body area networks (WBANs) provide a means for low-powered sensors, affixed either on the human body or in vivo, to communicate with each other and with external telecommunication networks. The healthcare benefits of WBANs include continuous monitoring of patient vitals, measuring postacute rehabilitation time, and improving quality of medical care provided in medical emergencies. This study sought to examine emerging trends in WBAN adoption in healthcare. To that end, a systematic literature survey was undertaken against the PubMed database. The search criteria focused on peer-reviewed articles that contained the keywords "wireless body area network" and "healthcare" or "wireless body area network" and "health care." A comprehensive review of these articles was performed to identify adoption dimensions, including underlying technology framework, healthcare subdomain, and applicable lessons-learned. This article benefits healthcare technology professionals by identifying gaps in implementation of current technology and highlighting opportunities for improving products and services.

  12. Supporting nurses' transition to rural healthcare environments through mentorship.

    Science.gov (United States)

    Rohatinsky, Noelle K; Jahner, Sharleen

    2016-01-01

    The global shortage of rural healthcare professionals threatens the access these communities have to adequate healthcare resources. Barriers to recruitment and retention of nurses in rural facilities include limited resources, professional development opportunities, and interpersonal ties to the area. Mentorship programs have been used to successfully recruit and retain rural nurses. This study aimed to explore (i) employee perceptions of mentorship in rural healthcare organizations, (ii) the processes involved in creating mentoring relationships in rural healthcare organizations, and (iii) the organizational features supporting and inhibiting mentorship in rural healthcare organizations. This study was conducted in one rural health region in Saskatchewan, Canada. Volunteer participants who were employed at one rural healthcare facility were interviewed. A semi-structured interview guide that focused on exploring and gaining an understanding of participants' perceptions of mentorship in rural communities was employed. Data were analyzed using interpretive description methodology, which places high value on participants' subjective perspective and knowledge of their experience. All seven participants were female and employed as registered nurses or licensed practical nurses. Participants recognized that the rural environment offered unique challenges and opportunities for the transition of nurses new to rural healthcare. Participants believed mentorships facilitated this transition and were vital to the personal and professional success of new employees. Specifically, their insights indicated that this transition was influenced by three factors: rural community influences, organizational influences, and mentorship program influences. Facilitators for mentorships hinged on the close working relationships that facilitated the development of trust. Barriers to mentorship included low staff numbers, limited selection of volunteer mentors, and lack of mentorship

  13. Territories of Engagement in the Design of Ecohumanist Healthcare Environments.

    Science.gov (United States)

    Peters, Terri; Verderber, Stephen

    2017-01-01

    Increasingly, architectural and allied designers, engineers, and healthcare facility administrators are being challenged to demonstrate success in adroitly identifying and contextualizing ever-shifting and expanding spheres of knowledge with respect to the role of energy conservation and carbon neutrality in healthcare treatment environments and their immediate exterior environs. This calls for making sense of an unprecedented volume of information on building energy usage and interdigitizing complex and at times contradictory goals with the daily requirements of building occupants. Ecohumanist Design Strategies: In response, a multidimensional framework is put forth with the aim of advancing theory and practice in the realm of designers', direct caregivers', and administrators' engagement with ecohumanist design strategies in the creation of ecohumanist healthcare environments. Ten territories for engagement are presented that both individually and collectively express salient themes and streams of inquiry in theory and practice, within an operative framework placing the patient, the patient's significant others, and the caregiver at the center of the relationship between the built environment and occupant well-being.

  14. Social network analysis in healthcare settings: a systematic scoping review.

    Science.gov (United States)

    Chambers, Duncan; Wilson, Paul; Thompson, Carl; Harden, Melissa

    2012-01-01

    Social network analysis (SNA) has been widely used across a range of disciplines but is most commonly applied to help improve the effectiveness and efficiency of decision making processes in commercial organisations. We are utilising SNA to inform the development and implementation of tailored behaviour-change interventions to improve the uptake of evidence into practice in the English National Health Service. To inform this work, we conducted a systematic scoping review to identify and evaluate the use of SNA as part of an intervention to support the implementation of change in healthcare settings. We searched ten bibliographic databases to October 2011. We also searched reference lists, hand searched selected journals and websites, and contacted experts in the field. To be eligible for the review, studies had to describe and report the results of an SNA performed with healthcare professionals (e.g. doctors, nurses, pharmacists, radiographers etc.) and others involved in their professional social networks. We included 52 completed studies, reported in 62 publications. Almost all of the studies were limited to cross sectional descriptions of networks; only one involved using the results of the SNA as part of an intervention to change practice. We found very little evidence for the potential of SNA being realised in healthcare settings. However, it seems unlikely that networks are less important in healthcare than other settings. Future research should seek to go beyond the merely descriptive to implement and evaluate SNA-based interventions.

  15. Developing a succession plan: the North Bronx Healthcare Network.

    Science.gov (United States)

    Soares, Denise C

    2002-12-01

    After 3 years of reorganizing a nursing department, surviving 2 very successful Joint Commission on Accreditation of Healthcare Organizations (JCAHO) visits, developing an outcomes-based leadership program for head nurses, and assisting a large health care network navigate change, a nurse executive stops to think about succession planning. The challenge to develop a plan includes her own history, others' definitions, and finally developing her own definition and plan. Included are the complications of planning within a network that includes long-term and loyal employees. Finally, the steps to achieving that plan are outlined with the goal of having the nursing department continue to flourish and survive in a diverse network system.

  16. Two RFID standard-based security protocols for healthcare environments.

    Science.gov (United States)

    Picazo-Sanchez, Pablo; Bagheri, Nasour; Peris-Lopez, Pedro; Tapiador, Juan E

    2013-10-01

    Radio Frequency Identification (RFID) systems are widely used in access control, transportation, real-time inventory and asset management, automated payment systems, etc. Nevertheless, the use of this technology is almost unexplored in healthcare environments, where potential applications include patient monitoring, asset traceability and drug administration systems, to mention just a few. RFID technology can offer more intelligent systems and applications, but privacy and security issues have to be addressed before its adoption. This is even more dramatical in healthcare applications where very sensitive information is at stake and patient safety is paramount. In Wu et al. (J. Med. Syst. 37:19, 43) recently proposed a new RFID authentication protocol for healthcare environments. In this paper we show that this protocol puts location privacy of tag holders at risk, which is a matter of gravest concern and ruins the security of this proposal. To facilitate the implementation of secure RFID-based solutions in the medical sector, we suggest two new applications (authentication and secure messaging) and propose solutions that, in contrast to previous proposals in this field, are fully based on ISO Standards and NIST Security Recommendations.

  17. Properties of healthcare teaming networks as a function of network construction algorithms

    Science.gov (United States)

    Trayhan, Melissa; Farooq, Samir A.; Fucile, Christopher; Ghoshal, Gourab; White, Robert J.; Quill, Caroline M.; Rosenberg, Alexander; Barbosa, Hugo Serrano; Bush, Kristen; Chafi, Hassan; Boudreau, Timothy

    2017-01-01

    Network models of healthcare systems can be used to examine how providers collaborate, communicate, refer patients to each other, and to map how patients traverse the network of providers. Most healthcare service network models have been constructed from patient claims data, using billing claims to link a patient with a specific provider in time. The data sets can be quite large (106–108 individual claims per year), making standard methods for network construction computationally challenging and thus requiring the use of alternate construction algorithms. While these alternate methods have seen increasing use in generating healthcare networks, there is little to no literature comparing the differences in the structural properties of the generated networks, which as we demonstrate, can be dramatically different. To address this issue, we compared the properties of healthcare networks constructed using different algorithms from 2013 Medicare Part B outpatient claims data. Three different algorithms were compared: binning, sliding frame, and trace-route. Unipartite networks linking either providers or healthcare organizations by shared patients were built using each method. We find that each algorithm produced networks with substantially different topological properties, as reflected by numbers of edges, network density, assortativity, clustering coefficients and other structural measures. Provider networks adhered to a power law, while organization networks were best fit by a power law with exponential cutoff. Censoring networks to exclude edges with less than 11 shared patients, a common de-identification practice for healthcare network data, markedly reduced edge numbers and network density, and greatly altered measures of vertex prominence such as the betweenness centrality. Data analysis identified patterns in the distance patients travel between network providers, and a striking set of teaming relationships between providers in the Northeast United States and

  18. Cloud Image Data Center for Healthcare Network in Taiwan.

    Science.gov (United States)

    Weng, Shao-Jen; Lai, Lai-Shiun; Gotcher, Donald; Wu, Hsin-Hung; Xu, Yeong-Yuh; Yang, Ching-Wen

    2016-04-01

    This paper investigates how a healthcare network in Taiwan uses a practical cloud image data center (CIDC) to communicate with its constituent hospital branches. A case study approach was used. The study was carried out in the central region of Taiwan, with four hospitals belonging to the Veterans Hospital healthcare network. The CIDC provides synchronous and asynchronous consultation among these branches. It provides storage, platforms, and services on demand to the hospitals. Any branch-client can pull up the patient's medical images from any hospital off this cloud. Patients can be examined at the branches, and the images and reports can be further evaluated by physicians in the main Taichung Veterans General Hospital (TVGH) to enhance the usage and efficiency of equipment in the various branches, thereby shortening the waiting time of patients. The performance of the CIDC over 5 years shows: (1) the total number of cross-hospital images accessed with CDC in the branches was 132,712; and (2) TVGH assisted the branches in keying in image reports using the CIDC 4,424 times; and (3) Implementation of the system has improved management, efficiency, speed and quality of care. Therefore, the results lead to the recommendation of continuing and expanding the cloud computing architecture to improve information sharing among branches in the healthcare network.

  19. Utilize common criteria methodology for secure ubiquitous healthcare environment.

    Science.gov (United States)

    Yu, Yao-Chang; Hou, Ting-Wei

    2012-06-01

    RFID technology is widely used in healthcare environments to ensure patient safety. Therefore, the testing of RFID tags, such as performance tests and security evaluations, is necessary to ensure inter-operational functional compatibility with standards. A survey of the literature shows that while standards that are around RFID performance tests have been addressed, but the same is not true for security evaluations. Therefore, in this paper, we introduce the Common Criteria security evaluation methodology, also known as ISO/IEC 15408, for the security evaluation of RFID tags and propose a framework as a minimal requirement for RFID tags to improve security assurance.

  20. Decision making in high-velocity environments: implications for healthcare.

    Science.gov (United States)

    Stepanovich, P L; Uhrig, J D

    1999-01-01

    Healthcare can be considered a high-velocity environment and, as such, can benefit from research conducted in other industries regarding strategic decision making. Strategic planning is not only relevant to firms in high-velocity environments, but is also important for high performance and survival. Specifically, decision-making speed seems to be instrumental in differentiating between high and low performers; fast decision makers outperform slow decision makers. This article outlines the differences between fast and slow decision makers, identifies five paralyses that can slow decision making in healthcare, and outlines the role of a planning department in circumventing these paralyses. Executives can use the proposed planning structure to improve both the speed and quality of strategic decisions. The structure uses planning facilitators to avoid the following five paralyses: 1. Analysis. Decision makers can no longer afford the luxury of lengthy, detailed analysis but must develop real-time systems that provide appropriate, timely information. 2. Alternatives. Many alternatives (beyond the traditional two or three) need to be considered and the alternatives must be evaluated simultaneously. 3. Group Think. Decision makers must avoid limited mind-sets and autocratic leadership styles by seeking out independent, knowledgeable counselors. 4. Process. Decision makers need to resolve conflicts through "consensus with qualification," as opposed to waiting for everyone to come on board. 5. Separation. Successful implementation requires a structured process that cuts across disciplines and levels.

  1. Sensor anomaly detection in wireless sensor networks for healthcare.

    Science.gov (United States)

    Haque, Shah Ahsanul; Rahman, Mustafizur; Aziz, Syed Mahfuzul

    2015-04-15

    Wireless Sensor Networks (WSN) are vulnerable to various sensor faults and faulty measurements. This vulnerability hinders efficient and timely response in various WSN applications, such as healthcare. For example, faulty measurements can create false alarms which may require unnecessary intervention from healthcare personnel. Therefore, an approach to differentiate between real medical conditions and false alarms will improve remote patient monitoring systems and quality of healthcare service afforded by WSN. In this paper, a novel approach is proposed to detect sensor anomaly by analyzing collected physiological data from medical sensors. The objective of this method is to effectively distinguish false alarms from true alarms. It predicts a sensor value from historic values and compares it with the actual sensed value for a particular instance. The difference is compared against a threshold value, which is dynamically adjusted, to ascertain whether the sensor value is anomalous. The proposed approach has been applied to real healthcare datasets and compared with existing approaches. Experimental results demonstrate the effectiveness of the proposed system, providing high Detection Rate (DR) and low False Positive Rate (FPR).

  2. Adaptation of the oral health version of an instrument for diagnosing the healthcare network?s stage of development

    National Research Council Canada - National Science Library

    Leal, Daniele Lopes; Paiva, Saul Martins; Werneck, Marcos Azeredo Furquim; Oliveira, Ana Cristina Borges de

    2014-01-01

    .... The current study aimed to describe the stages in the adaptation of the oral healthcare version of an instrument to evaluate the stage of development in the healthcare network under the Unified National Health System (SUS...

  3. Message generation facilities for interoperability in pervasive healthcare environments

    NARCIS (Netherlands)

    Cardoso de Moraes, J.L.; Lopes de Souza, Wanderley; Ferreira Pires, Luis; do Prado, Antonio Francisco

    Novel information and communication technologies enable the construction of systems that allow the provision of new healthcare services anywhere, at any time, and to anyone. Since these healthcare systems may offer their healthcare records in different electronic formats, the openEHR foundation

  4. Islam and the healthcare environment: designing patient rooms.

    Science.gov (United States)

    Kopec, D A K; Han, Li

    2008-01-01

    Islam and the Muslim population are often the source of much misunderstanding and media-influenced misconceptions. Muslim patients who enter the healthcare environment are often weak and likely to experience feelings of vulnerability. Because of the complex and interwoven nature of culture and religion in a person's identity, it is important to consider patient belief systems and values when designing a patient's immediate environment. Through an exploration of literature related to culture and diversity and the beliefs and value system of the Muslim population, the authors were able to identify flexible design initiatives that could accommodate an array of cultural and spiritual practices. Islam and the Muslim population were chosen as the points of reference for this study because of the strong influence of the religion on the culture, and because of the many nuances that differ from the dominant culture within the United States. From these points of reference, a hypothetical design was developed for a patient room that considers differing notions of privacy, alternatives for cultural and religious practices, and ways to include symbolic meaning derived from attributes such as color.

  5. Access control management for e-Healthcare in cloud environment

    Directory of Open Access Journals (Sweden)

    Lili Sun

    2014-03-01

    Full Text Available Data outsourcing is a major component for cloud computing that allows data owners to distribute resources to external services for users and organizations who can apply the resources. A crucial problem for owners is how to make sure their sensitive information accessed by legitimate users only using the trusted services but not authorized to read the actual information. With the increased development of cloud computing, it brings challenges for data security and access control when outsourcing users’ data and sharing sensitive data in cloud environment since it is not within the same trusted domain as data owners’. Access control policies have become an important issue in the security filed in cloud computing. Semantic web technologies represent much richer forms of relationships among users, resources and actions among different web applications such as clouding computing. However, Semantic web applications pose new requirements for security mechanisms especially in the access control models. This paper addresses existing access control methods and presents a semantic based access control model which considers semantic relations among different entities in cloud computing environment. We have enriched the research for semantic web technology with role-based access control that is able to be applied in the field of medical information system or e-Healthcare system. This work shows how the semantic web technology provides efficient solutions for the management of complex and distributed data in heterogeneous systems, and it can be used in the medical information systems as well.

  6. Wearable and Implantable Wireless Sensor Network Solutions for Healthcare Monitoring

    Science.gov (United States)

    Darwish, Ashraf; Hassanien, Aboul Ella

    2011-01-01

    Wireless sensor network (WSN) technologies are considered one of the key research areas in computer science and the healthcare application industries for improving the quality of life. The purpose of this paper is to provide a snapshot of current developments and future direction of research on wearable and implantable body area network systems for continuous monitoring of patients. This paper explains the important role of body sensor networks in medicine to minimize the need for caregivers and help the chronically ill and elderly people live an independent life, besides providing people with quality care. The paper provides several examples of state of the art technology together with the design considerations like unobtrusiveness, scalability, energy efficiency, security and also provides a comprehensive analysis of the various benefits and drawbacks of these systems. Although offering significant benefits, the field of wearable and implantable body sensor networks still faces major challenges and open research problems which are investigated and covered, along with some proposed solutions, in this paper. PMID:22163914

  7. Moral learning in an integrated social and healthcare service network.

    Science.gov (United States)

    Visse, Merel; Widdershoven, Guy A M; Abma, Tineke A

    2012-09-01

    The traditional organizational boundaries between healthcare, social work, police and other non-profit organizations are fading and being replaced by new relational patterns among a variety of disciplines. Professionals work from their own history, role, values and relationships. It is often unclear who is responsible for what because this new network structure requires rules and procedures to be re-interpreted and re-negotiated. A new moral climate needs to be developed, particularly in the early stages of integrated services. Who should do what, with whom and why? Departing from a relational and hermeneutic perspective, this article shows that professionals in integrated service networks embark upon a moral learning process when starting to work together for the client's benefit. In this context, instrumental ways of thinking about responsibilities are actually counterproductive. Instead, professionals need to find out who they are in relation to other professionals, what core values they share and what responsibilities derive from these aspects. This article demonstrates moral learning by examining the case of an integrated social service network. The network's development and implementation were supported by responsive evaluation, enriched by insights of care ethics and hermeneutic ethics.

  8. Wearable and Implantable Wireless Sensor Network Solutions for Healthcare Monitoring

    Directory of Open Access Journals (Sweden)

    Ashraf Darwish

    2011-05-01

    Full Text Available Wireless sensor network (WSN technologies are considered one of the key research areas in computer science and the healthcare application industries for improving the quality of life. The purpose of this paper is to provide a snapshot of current developments and future direction of research on wearable and implantable body area network systems for continuous monitoring of patients. This paper explains the important role of body sensor networks in medicine to minimize the need for caregivers and help the chronically ill and elderly people live an independent life, besides providing people with quality care. The paper provides several examples of state of the art technology together with the design considerations like unobtrusiveness, scalability, energy efficiency, security and also provides a comprehensive analysis of the various benefits and drawbacks of these systems. Although offering significant benefits, the field of wearable and implantable body sensor networks still faces major challenges and open research problems which are investigated and covered, along with some proposed solutions, in this paper.

  9. An authentication scheme to healthcare security under wireless sensor networks.

    Science.gov (United States)

    Hsiao, Tsung-Chih; Liao, Yu-Ting; Huang, Jen-Yan; Chen, Tzer-Shyong; Horng, Gwo-Boa

    2012-12-01

    In recent years, Taiwan has been seeing an extension of the average life expectancy and a drop in overall fertility rate, initiating our country into an aged society. Due to this phenomenon, how to provide the elderly and patients with chronic diseases a suitable healthcare environment has become a critical issue presently. Therefore, we propose a new scheme that integrates healthcare services with wireless sensor technology in which sensor nodes are employed to measure patients' vital signs. Data collected from these sensor nodes are then transmitted to mobile devices of the medical staff and system administrator, promptly enabling them to understand the patients' condition in real time, which will significantly improve patients' healthcare quality. As per the personal data protection act, patients' vital signs can only be accessed by authorized medical staff. In order to protect patients', the system administrator will verify the medical staff's identity through the mobile device using a smart card and password mechanism. Accordingly, only the verified medical staff can obtain patients' vital signs data such as their blood pressure, pulsation, and body temperature, etc.. Besides, the scheme includes a time-bounded characteristic that allows the verified staff access to data without having to have to re-authenticate and re-login into the system within a set period of time. Consequently, the time-bounded property also increases the work efficiency of the system administrator and user.

  10. Cybersecurity and privacy issues for socially integrated mobile healthcare applications operating in a multi-cloud environment.

    Science.gov (United States)

    Al-Muhtadi, Jalal; Shahzad, Basit; Saleem, Kashif; Jameel, Wasif; Orgun, Mehmet A

    2017-05-01

    Social media has enabled information-sharing across massively large networks of people without spending much financial resources and time that are otherwise required in the print and electronic media. Mobile-based social media applications have overwhelmingly changed the information-sharing perspective. However, with the advent of such applications at an unprecedented scale, the privacy of the information is compromised to a larger extent if breach mitigation is not adequate. Since healthcare applications are also being developed for mobile devices so that they also benefit from the power of social media, cybersecurity privacy concerns for such sensitive applications have become critical. This article discusses the architecture of a typical mobile healthcare application, in which customized privacy levels are defined for the individuals participating in the system. It then elaborates on how the communication across a social network in a multi-cloud environment can be made more secure and private, especially for healthcare applications.

  11. Shared-decision making in designing new healthcare environments : ready to take off for improved quality

    OpenAIRE

    Elf, Marie; Fr?st, Peter; Lindahl, G?ran; Wijk, Helle

    2015-01-01

    Background Successful implementation of new methods and models of healthcare to achieve better patient outcomes and safe, person-centered care is dependent on the physical environment of the healthcare architecture in which the healthcare is provided. Thus, decisions concerning healthcare architecture are critical because it affects people and work processes for many years and requires a long-term financial commitment from society. In this paper, we describe and suggest several strategies (cr...

  12. Physical environmental stimuli that turn healthcare facilities into healing environments through psychologically mediated effects: systematic review

    NARCIS (Netherlands)

    Dijkstra, K.; Pieterse, Marcel E.; Pruyn, Adriaan T.H.

    2006-01-01

    Aim: This paper reports a systematic review to determine the effects of physical environmental stimuli in healthcare settings on the health and well-being of patients. Background: The concept of healing environments suggests that the physical environment of the healthcare setting can encourage the

  13. Physical environmental stimuli that turn healthcare facilities into healing environments through psychologically mediated effects : Systematic review

    NARCIS (Netherlands)

    Dijkstra, Karin; Pieterse, Marcel E.; Pruyn, Ad

    2006-01-01

    Aim. This paper reports a systematic review to determine the effects of physical environmental stimuli in healthcare settings on the health and well-being of patients. Background. The concept of healing environments suggests that the physical environment of the healthcare setting can encourage the

  14. Finding What Works: Leadership Competencies for the Changing Healthcare Environment

    Science.gov (United States)

    Herd, Ann M.; Adams-Pope, Brittany L.; Bowers, Amanda; Sims, Brittany

    2016-01-01

    As the world of healthcare changes rapidly, healthcare leaders and managers must hone their leadership competencies in order to remain effective in their organizations. With changes such as the Affordable Care Act, increasing medical school costs, decreased graduation rates, and increased needs for care, how are current and future healthcare…

  15. Design Quality in the Context of Healthcare Environments: A Scoping Review.

    Science.gov (United States)

    Anåker, Anna; Heylighen, Ann; Nordin, Susanna; Elf, Marie

    2017-07-01

    We explored the concept of design quality in relation to healthcare environments. In addition, we present a taxonomy that illustrates the wide range of terms used in connection with design quality in healthcare. High-quality physical environments can promote health and well-being. Developments in healthcare technology and methodology put high demands on the design quality of care environments, coupled with increasing expectations and demands from patients and staff that care environments be person centered, welcoming, and accessible while also supporting privacy and security. In addition, there are demands that decisions about the design of healthcare architecture be based on the best available information from credible research and the evaluation of existing building projects. The basic principles of Arksey and O'Malley's model of scoping review design were used. Data were derived from literature searches in scientific databases. A total of 18 articles and books were found that referred to design quality in a healthcare context. Design quality of physical healthcare environments involves three different themes: (i) environmental sustainability and ecological values, (ii) social and cultural interactions and values, and (iii) resilience of the engineering and building construction. Design quality was clarified herein with a definition. Awareness of what is considered design quality in relation to healthcare architecture could help to design healthcare environments based on evidence. To operationalize the concept, its definition must be clear and explicit and able to meet the complex needs of the stakeholders in a healthcare context, including patients, staff, and significant others.

  16. Requirements and System Architecture for a Healthcare Wireless Body Area Network

    DEFF Research Database (Denmark)

    Hansen, Finn Overgaard; Toftegaard, Thomas Skjødeberg

    Wireless body area networks enable new opportunities for personal healthcare monitoring and personal healthcare applications. This paper presents a comprehensive set of requirements and challenges for building a wireless body area network to support diverse user groups and a corresponding set...... of healthcare applications. Based on the identified requirements, the paper presents an architecture for a wireless body area network and describes how this architecture is connected to an existing it-infrastructure supporting healthcare at home. Finally the paper presents our on-going research with development...

  17. Wireless Body Area Network in a Ubiquitous Healthcare System for Physiological Signal Monitoring and Health Consulting

    OpenAIRE

    Joonyoung Jung; Kiryong Ha; Jeonwoo Lee; Youngsung Kim; Daeyoung Kim

    2008-01-01

    We developed a ubiquitous healthcare system consisted of aphysiological signal devices, a mobile system, a device provider system, a healthcare service provider system, a physician system, and a healthcare personal system. In this system, wireless body area network (WBAN) such as ZigBee is used to communicate between physiological signal devices and the mobile system. WBAN device needs a specific function for ubiquitous healthcare application. We propose a scanning algorithm, dynamic discover...

  18. [The regionalized healthcare network in Santa Catarina State, Brazil, from 2011 to 2015: governance system and oral healthcare].

    Science.gov (United States)

    Godoi, Heloisa; Andrade, Selma Regina de; Mello, Ana Lúcia Schaefer Ferreira de

    2017-09-28

    : The objective was to describe the governance system used in structuring the regionalized healthcare network in Santa Catarina State, Brazil, based on the Bipartite Inter-Managerial Commission (CIB), with a focus on structuring of oral healthcare. This was a qualitative, exploratory-descriptive documental study, based on the foundations of governance as an analytical tool through identification of the dimensions actors, norms, nodal points, and processes. Secondary data were collected from the minutes of CIB meetings held from January 2011 to December 2015. The analysis shows weaknesses in CIB governance in Santa Catarina in relation to regionalized structuring of oral healthcare from a network perspective. Structuring of oral healthcare occurs in parallel to that of other thematic networks in the state and shows the expansion of dental services, especially those with medium complexity, as an effect of the prevailing governance process. The relations established between administrators and decision-making processes allowed recognizing this network's "prescription", since there is little negotiation and local demand, limited more to following recommendations and incentives from the federal/state sphere, intermediated by staff from the State Health Secretariat. Thus, setting a policy agenda for oral healthcare for the population of Santa Catarina is weakened, with a peripheral position in relation to other health programs.

  19. Almutairi's Critical Cultural Competence model for a multicultural healthcare environment.

    Science.gov (United States)

    Almutairi, Adel F; Dahinten, V Susan; Rodney, Patricia

    2015-12-01

    The increasing demographic changes of populations in many countries require an approach for managing the complexity of sociocultural differences. Such an approach could help healthcare organizations to address healthcare disparities and inequities, and promote cultural safety for healthcare providers and patients alike. Almutairi's critical cultural competence (CCC) is a comprehensive approach that holds great promise for managing difficulties arising from sociocultural and linguistic issues during cross-cultural interactions. CCC has addressed the limitations of many other cultural competence approaches that have been discussed in the literature. Therefore, the purpose of this study is to define the construct of CCC and the theoretical components of the CCC. © 2015 John Wiley & Sons Ltd.

  20. Resilience of primary healthcare professionals working in challenging environments: a focus group study.

    Science.gov (United States)

    Matheson, Catriona; Robertson, Helen D; Elliott, Alison M; Iversen, Lisa; Murchie, Peter

    2016-07-01

    The modern primary healthcare workforce needs to be resilient. Early research framed professional resilience as avoiding 'burnout'; however, more recent literature has introduced the concept of positive adaptation to professional challenges, which results in individuals thriving in their role. To explore what primary health professionals working in challenging environments consider to be characteristics of resilience and what promotes or challenges professional resilience. A qualitative focus group in north east Scotland. Five focus groups were held with 20 health professionals (six GPs, nine nurses, four pharmacists, and a practice manager) based in rural or deprived city areas in the north east of Scotland. Inductive thematic analysis identified emerging themes. Personal resilience characteristics identified were optimism, flexibility and adaptability, initiative, tolerance, organisational skills, being a team worker, keeping within professional boundaries, assertiveness, humour, and a sense of self-worth. Workplace challenges were workload, information overload, time pressures, poor communication, challenging patients, and environmental factors (rural location). Promoters of professional resilience were strong management support, teamwork, workplace buffers, and social factors such as friends, family, and leisure activities. A model of health professional resilience is proposed that concurs with existing literature but adds the concept of personal traits being synergistic with workplace features and social networks. These facilitate adaptability and enable individual health professionals to cope with adversity that is inevitably part of the everyday experience of those working in challenging healthcare environments. © British Journal of General Practice 2016.

  1. Building a Network Based Laboratory Environment

    Directory of Open Access Journals (Sweden)

    Sea Shuan Luo

    2009-12-01

    Full Text Available This paper presents a comparative study about the development of a network based laboratory environment in the “Unix introduction” course for the undergraduate students. The study results and the response from the students from 2005 to 2006 will be used to better understand what kind of method is more suitable for students. We also use the data collected to adjust our teaching strategy and try to build up a network based laboratory environment.

  2. Massivizing Networked Virtual Environments on Clouds

    NARCIS (Netherlands)

    Shen, S.

    2015-01-01

    Networked Virtual Environments (NVEs) are virtual environments where physically distributed, Internet-connected users can interact and socialize with others. The most popular NVEs are online games, which have hundreds of millions of users and a global market of tens of billions Euros per year.

  3. Scientific Visualization in High Speed Network Environments

    Science.gov (United States)

    Vaziri, Arsi; Kutler, Paul (Technical Monitor)

    1997-01-01

    In several cases, new visualization techniques have vastly increased the researcher's ability to analyze and comprehend data. Similarly, the role of networks in providing an efficient supercomputing environment have become more critical and continue to grow at a faster rate than the increase in the processing capabilities of supercomputers. A close relationship between scientific visualization and high-speed networks in providing an important link to support efficient supercomputing is identified. The two technologies are driven by the increasing complexities and volume of supercomputer data. The interaction of scientific visualization and high-speed networks in a Computational Fluid Dynamics simulation/visualization environment are given. Current capabilities supported by high speed networks, supercomputers, and high-performance graphics workstations at the Numerical Aerodynamic Simulation Facility (NAS) at NASA Ames Research Center are described. Applied research in providing a supercomputer visualization environment to support future computational requirements are summarized.

  4. Portability and networked learning environments

    NARCIS (Netherlands)

    Collis, Betty; de Diana, I.P.F.

    1994-01-01

    Abstract The portability of educational software is defined as the likelihood of software usage, with or without adaptation, in an educational environment different from that for which it was originally designed and produced. Barriers and research relevant to the portability of electronic learning

  5. Wireless Network of Collaborative Physiological Signal Devices in a U-Healthcare System

    Science.gov (United States)

    Jung, Joonyoung; Kim, Daeyoung

    We designed and implemented collaborative physiological signal devices in a u-healthcare(ubiquitous healthcare) system. In this system, wireless body area network (WBAN) such as ZigBee is used to communicate between physiological signal devices and the mobile system. WBAN device needs a specific function for ubiquitous healthcare application. We show several collaborative physiological devices and propose WBAN mechanism such as a fast scanning algorithm, a dynamic discovery and installation mechanism, a reliable data transmission, a device access control for security, and a healthcare profile for u-healthcare system.

  6. RFID in healthcare environment: electromagnetic compatibility regulatory issues.

    Science.gov (United States)

    Censi, Federica; Calcagnini, Giovanni; Mattei, Eugenio; Triventi, Michele; Bartolini, Pietro

    2010-01-01

    Several wireless technology applications (RFID, WiFi, GSM, GPRS) have been developed to improve patient care, reaching a significant success and diffusion in healthcare. Given the potential development of such a technology, care must be paid on the potential risks deriving from the use of wireless device in healthcare, among which one of the most important is the electromagnetic interference with medical devices. The analysis of the regulatory issues concerning the electromagnetic compatibility of medical devices is essential to evaluate if and how the application of the current standards allows an effective control of the possible risks associated to the electromagnetic interference on medical devices.

  7. Social network analysis of study environment

    Directory of Open Access Journals (Sweden)

    Blaženka Divjak

    2010-06-01

    Full Text Available Student working environment influences student learning and achievement level. In this respect social aspects of students’ formal and non-formal learning play special role in learning environment. The main research problem of this paper is to find out if students' academic performance influences their position in different students' social networks. Further, there is a need to identify other predictors of this position. In the process of problem solving we use the Social Network Analysis (SNA that is based on the data we collected from the students at the Faculty of Organization and Informatics, University of Zagreb. There are two data samples: in the basic sample N=27 and in the extended sample N=52. We collected data on social-demographic position, academic performance, learning and motivation styles, student status (full-time/part-time, attitudes towards individual and teamwork as well as informal cooperation. Afterwards five different networks (exchange of learning materials, teamwork, informal communication, basic and aggregated social network were constructed. These networks were analyzed with different metrics and the most important were betweenness, closeness and degree centrality. The main result is, firstly, that the position in a social network cannot be forecast only by academic success and, secondly, that part-time students tend to form separate groups that are poorly connected with full-time students. In general, position of a student in social networks in study environment can influence student learning as well as her/his future employability and therefore it is worthwhile to be investigated.

  8. Healthcare

    Science.gov (United States)

    Carnevale, Anthony P.; Smith, Nicole; Gulish, Artem; Beach, Bennett H.

    2012-01-01

    This report, provides detailed analyses and projections of occupations in healthcare fields, and wages earned. In addition, the important skills and work values associated with workers in those fields of healthcare are discussed. Finally, the authors analyze the implications of research findings for the racial, ethnic, and class diversity of the…

  9. Translational networks in healthcare? Evidence on the design and initiation of organizational networks for knowledge mobilization.

    Science.gov (United States)

    Fitzgerald, Louise; Harvey, Gill

    2015-08-01

    International attention has focussed on the variations between research evidence and practice in healthcare. This prompted the creation of formalized translational networks consisting of academic-service partnerships. The English Collaborations for Leadership in Applied Health Research and Care (CLAHRCs) are one example of a translational network. Using longitudinal, archival case study data from one CLAHRC over a 3-year period (2008-11), this article explores the relationship between organizational form and the function(s) of a translational network. The article focuses on the research gaps on the effective structures and appropriate governance to support a translational network. Data analysis suggested that the policy of setting up translational networks is insufficient of itself to produce positive translational activity. The data indicate that to leverage the benefits of the whole network, attention must be paid to devising a structure which integrates research production and use and facilitates lateral cross-disciplinary and cross-organizational communication. Equally, appropriate governance arrangements are necessary, particularly in large, multi-stakeholder networks, where shared governance may be questionable. Inappropriate network structure and governance inhibits the potential of the translational network. Finally, the case provides insights into the movement of knowledge within and between network organizations. The data demonstrate that knowledge mobilization extends beyond knowledge translation; knowledge mobilization includes the negotiated utilization of knowledge - a balanced power form of collaboration. Whilst much translational effort is externally focused on the health system, our findings highlight the essential need for the internal negotiation and mobilization of knowledge within academia. Copyright © 2015 Elsevier Ltd. All rights reserved.

  10. INCAS—Interactive Teleconsultation Network for Worldwide Healthcare Services

    Science.gov (United States)

    Castelli, A.; Colombo, C.; Garlaschelli, A.; Pepe, G.

    2001-01-01

    The INCAS Project arises from the needs of an Italian oil company in order to support the doctors responsible for the healthcare in remote drilling sites. The INCAS telemedicine1 system implements a prototype of teleconsultation medical service allowing for the interactive on-line connection with Italian healthcare reference centres in order to: • provide support to the expatriate doctor with the diagnoses and treatment of routine complaints; • contribute to the general improvement of healthcare in remote areas.

  11. The impact of healthcare on the environment: improving sustainability in the health service.

    Science.gov (United States)

    Fitzpatrick, Jane

    As the largest employer in the UK, the NHS has a duty to contribute to sustainability in the UK and minimise the impact of healthcare provision on the environment. Nurses also have a responsibility to ensure their practice makes the best use of resources. This article discusses initiatives aimed at supporting organisations and individuals in reducing the negative impact of healthcare on the environment and on human health and wellbeing.

  12. Design Quality in the Context of Healthcare Environments: A Scoping Review

    Science.gov (United States)

    Heylighen, Ann; Nordin, Susanna; Elf, Marie

    2016-01-01

    Objective: We explored the concept of design quality in relation to healthcare environments. In addition, we present a taxonomy that illustrates the wide range of terms used in connection with design quality in healthcare. Background: High-quality physical environments can promote health and well-being. Developments in healthcare technology and methodology put high demands on the design quality of care environments, coupled with increasing expectations and demands from patients and staff that care environments be person centered, welcoming, and accessible while also supporting privacy and security. In addition, there are demands that decisions about the design of healthcare architecture be based on the best available information from credible research and the evaluation of existing building projects. Method: The basic principles of Arksey and O’Malley’s model of scoping review design were used. Data were derived from literature searches in scientific databases. A total of 18 articles and books were found that referred to design quality in a healthcare context. Results: Design quality of physical healthcare environments involves three different themes: (i) environmental sustainability and ecological values, (ii) social and cultural interactions and values, and (iii) resilience of the engineering and building construction. Design quality was clarified herein with a definition. Conclusions: Awareness of what is considered design quality in relation to healthcare architecture could help to design healthcare environments based on evidence. To operationalize the concept, its definition must be clear and explicit and able to meet the complex needs of the stakeholders in a healthcare context, including patients, staff, and significant others. PMID:28643560

  13. Debriefing and Feedback in the Current Healthcare Environment.

    Science.gov (United States)

    Hunter, Linda A

    2016-01-01

    Over the past several decades, simulation-based learning and postsimulation debriefing have become a mainstay of clinical education in healthcare. With origins in both the military and aviation industries, debriefing in particular has been used across multiple nursing and medicine disciplines to promote team training and reflective learning. Self-reflection and improvement in practice are at the core of effective debriefing. Feedback and simulation experts have continued to develop more effective debriefing strategies. Several models are described in the literature, and healthcare educators now have a variety of resources at their disposal. Many of these debriefing techniques offer thoughtful guidance for providing constructive, real-time clinical feedback to students. Incorporating reflective feedback strategies in clinical learning promotes meaningful learning. This, in turn, will only strengthen the capabilities of students and better prepare them for the complexities they will face in clinical practice.

  14. An intelligent tele-healthcare environment offering person-centric and wellness-maintenance services.

    Science.gov (United States)

    Abidi, S S

    2001-06-01

    Worldwide healthcare delivery trends are undergoing a subtle paradigm shift--patient centered services as opposed to provider centered services and wellness maintenance as opposed to illness management. In this paper we present a Tele-Healthcare project TIDE--Tele-Healthcare Information and Diagnostic Environment. TIDE manifests an 'intelligent' healthcare environment that aims to ensure lifelong coverage of person-specific health maintenance decision-support services--i.e., both wellness maintenance and illness management services--ubiquitously available via the Internet/WWW. Taking on an all-encompassing health maintenance role--spanning from wellness to illness issues--the functionality of TIDE involves the generation and delivery of (a) Personalized, Pro-active, Persistent, Perpetual, and Present wellness maintenance services, and (b) remote diagnostic services for managing noncritical illnesses. Technically, TIDE is an amalgamation of diverse computer technologies--Artificial Intelligence, Internet, Multimedia, Databases, and Medical Informatics--to implement a sophisticated healthcare delivery infostructure.

  15. Security issues in healthcare applications using wireless medical sensor networks: a survey.

    Science.gov (United States)

    Kumar, Pardeep; Lee, Hoon-Jae

    2012-01-01

    Healthcare applications are considered as promising fields for wireless sensor networks, where patients can be monitored using wireless medical sensor networks (WMSNs). Current WMSN healthcare research trends focus on patient reliable communication, patient mobility, and energy-efficient routing, as a few examples. However, deploying new technologies in healthcare applications without considering security makes patient privacy vulnerable. Moreover, the physiological data of an individual are highly sensitive. Therefore, security is a paramount requirement of healthcare applications, especially in the case of patient privacy, if the patient has an embarrassing disease. This paper discusses the security and privacy issues in healthcare application using WMSNs. We highlight some popular healthcare projects using wireless medical sensor networks, and discuss their security. Our aim is to instigate discussion on these critical issues since the success of healthcare application depends directly on patient security and privacy, for ethic as well as legal reasons. In addition, we discuss the issues with existing security mechanisms, and sketch out the important security requirements for such applications. In addition, the paper reviews existing schemes that have been recently proposed to provide security solutions in wireless healthcare scenarios. Finally, the paper ends up with a summary of open security research issues that need to be explored for future healthcare applications using WMSNs.

  16. Security Issues in Healthcare Applications Using Wireless Medical Sensor Networks: A Survey

    Science.gov (United States)

    Kumar, Pardeep; Lee, Hoon-Jae

    2012-01-01

    Healthcare applications are considered as promising fields for wireless sensor networks, where patients can be monitored using wireless medical sensor networks (WMSNs). Current WMSN healthcare research trends focus on patient reliable communication, patient mobility, and energy-efficient routing, as a few examples. However, deploying new technologies in healthcare applications without considering security makes patient privacy vulnerable. Moreover, the physiological data of an individual are highly sensitive. Therefore, security is a paramount requirement of healthcare applications, especially in the case of patient privacy, if the patient has an embarrassing disease. This paper discusses the security and privacy issues in healthcare application using WMSNs. We highlight some popular healthcare projects using wireless medical sensor networks, and discuss their security. Our aim is to instigate discussion on these critical issues since the success of healthcare application depends directly on patient security and privacy, for ethic as well as legal reasons. In addition, we discuss the issues with existing security mechanisms, and sketch out the important security requirements for such applications. In addition, the paper reviews existing schemes that have been recently proposed to provide security solutions in wireless healthcare scenarios. Finally, the paper ends up with a summary of open security research issues that need to be explored for future healthcare applications using WMSNs. PMID:22368458

  17. Spatial Distribution Characteristics of Healthcare Facilities in Nanjing: Network Point Pattern Analysis and Correlation Analysis.

    Science.gov (United States)

    Ni, Jianhua; Qian, Tianlu; Xi, Changbai; Rui, Yikang; Wang, Jiechen

    2016-08-18

    The spatial distribution of urban service facilities is largely constrained by the road network. In this study, network point pattern analysis and correlation analysis were used to analyze the relationship between road network and healthcare facility distribution. The weighted network kernel density estimation method proposed in this study identifies significant differences between the outside and inside areas of the Ming city wall. The results of network K-function analysis show that private hospitals are more evenly distributed than public hospitals, and pharmacy stores tend to cluster around hospitals along the road network. After computing the correlation analysis between different categorized hospitals and street centrality, we find that the distribution of these hospitals correlates highly with the street centralities, and that the correlations are higher with private and small hospitals than with public and large hospitals. The comprehensive analysis results could help examine the reasonability of existing urban healthcare facility distribution and optimize the location of new healthcare facilities.

  18. Healthcare students' evaluation of the clinical learning environment and supervision - a cross-sectional study.

    Science.gov (United States)

    Pitkänen, Salla; Kääriäinen, Maria; Oikarainen, Ashlee; Tuomikoski, Anna-Maria; Elo, Satu; Ruotsalainen, Heidi; Saarikoski, Mikko; Kärsämänoja, Taina; Mikkonen, Kristina

    2018-03-01

    The purpose of clinical placements and supervision is to promote the development of healthcare students´ professional skills. High-quality clinical learning environments and supervision were shown to have significant influence on healthcare students´ professional development. This study aimed to describe healthcare students` evaluation of the clinical learning environment and supervision, and to identify the factors that affect these. The study was performed as a cross-sectional study. The data (n = 1973) were gathered through an online survey using the Clinical Learning Environment, Supervision and Nurse Teacher scale during the academic year 2015-2016 from all healthcare students (N = 2500) who completed their clinical placement at a certain university hospital in Finland. The data were analysed using descriptive statistics and binary logistic regression analysis. More than half of the healthcare students had a named supervisor and supervision was completed as planned. The students evaluated the clinical learning environment and supervision as 'good'. The students´ readiness to recommend the unit to other students and the frequency of separate private unscheduled sessions with the supervisor were the main factors that affect healthcare students` evaluation of the clinical learning environment and supervision. Individualized and goal-oriented supervision in which the student had a named supervisor and where supervision was completed as planned in a positive environment that supported learning had a significant impact on student's learning. The clinical learning environment and supervision support the development of future healthcare professionals' clinical competence. The supervisory relationship was shown to have a significant effect on the outcomes of students' experiences. We recommend the planning of educational programmes for supervisors of healthcare students for the enhancement of supervisors' pedagogical competencies in supervising students in

  19. ESRD QIP - National Healthcare Safety Network Healthcare Personnel Influenza Vaccination - Payment Year 2018

    Data.gov (United States)

    U.S. Department of Health & Human Services — This dataset includes facility details, measure score, and the state and national average measure scores for the NHSN healthcare personnel influenza vaccination...

  20. Social Environments, Sexual Networking and Adolescents ...

    African Journals Online (AJOL)

    This study investigated adolescents' social environments, different strategies manipulated for sexual networking and the effect on adolescents' heterosexual relationship in Lagos metropolis. The total sample for the study comprised 80 male and female adolescents randomly selected from two mixed secondary schools.

  1. Managing records in networked environment using EDRMS ...

    African Journals Online (AJOL)

    Managing records in networked environment using EDRMS applications: a case study of Rand Water. ... and archival story of Rand Water representing water sector challenges and opportunities that organisations such as this are faced with in consideration of the ever-improving technologies and strategies at their disposal.

  2. An enhanced healthcare system in mobile cloud computing environment

    Directory of Open Access Journals (Sweden)

    Jemal Hanen

    2016-07-01

    Full Text Available Abstract Mobile cloud computing (MCC is a new technology for mobile web services. Accordingly, we assume that MCC is likely to be of the heart of healthcare transformation. MCC offers new kinds of services and facilities for patients and caregivers. In this regard, we have tried to propose a new mobile medical web service system. To this end, we implement a medical cloud multi-agent system (MCMAS solution for polyclinic ESSALEMA Sfax—TUNISIA, using Google’s Android operating system. The developed system has been assessing using the CloudSim Simulator. This paper presents initial results of the system in practice. In fact the proposed solution shows that the MCMAS has a commanding capability to cope with the problem of traditional application. The performance of the MCMAS is compared with the traditional system in polyclinic ESSALEMA which showed that this prototype yields better recital than using usual application.

  3. The construction of a public key infrastructure for healthcare information networks in Japan.

    Science.gov (United States)

    Sakamoto, N

    2001-01-01

    The digital signature is a key technology in the forthcoming Internet society for electronic healthcare as well as for electronic commerce. Efficient exchanges of authorized information with a digital signature in healthcare information networks require a construction of a public key infrastructure (PKI). In order to introduce a PKI to healthcare information networks in Japan, we proposed a development of a user authentication system based on a PKI for user management, user authentication and privilege management of healthcare information systems. In this paper, we describe the design of the user authentication system and its implementation. The user authentication system provides a certification authority service and a privilege management service while it is comprised of a user authentication client and user authentication serves. It is designed on a basis of an X.509 PKI and is implemented with using OpenSSL and OpenLDAP. It was incorporated into the financial information management system for the national university hospitals and has been successfully working for about one year. The hospitals plan to use it as a user authentication method for their whole healthcare information systems. One implementation of the system is free to the national university hospitals with permission of the Japanese Ministry of Education, Culture, Sports, Science and Technology. Another implementation is open to the other healthcare institutes by support of the Medical Information System Development Center (MEDIS-DC). We are moving forward to a nation-wide construction of a PKI for healthcare information networks based on it.

  4. tEACH - European network for teaching communication in healthcare

    DEFF Research Database (Denmark)

    Nielsen, Annegrethe

    (efteruddannelse af læger) & Annegrethe Nielsen (jordemoderuddannelsen), Danmark – alle medlemmer af tEACH Baggrund European Association of Communication in Healthcare (EACH, www.each.eu) blev stiftet i 2001 som et fælles europæisk samarbejde omkring kommunikation på sundhedsområdet. Kommunikationsundervisning er...

  5. Moral learning in an integrated social and healthcare service network

    NARCIS (Netherlands)

    Visse, M.A.; Widdershoven, G.A.; Abma, T.A.

    2012-01-01

    The traditional organizational boundaries between healthcare, social work, police and other non-profit organizations are fading and being replaced by new relational patterns among a variety of disciplines. Professionals work from their own history, role, values and relationships. It is often unclear

  6. Internet of Things (IoT Based Design of a Secure and Lightweight Body Area Network (BAN Healthcare System

    Directory of Open Access Journals (Sweden)

    Yong-Yuan Deng

    2017-12-01

    Full Text Available As sensor networks and cloud computation technologies have rapidly developed over recent years, many services and applications integrating these technologies into daily life have come together as an Internet of Things (IoT. At the same time, aging populations have increased the need for expanded and more efficient elderly care services. Fortunately, elderly people can now wear sensing devices which relay data to a personal wireless device, forming a body area network (BAN. These personal wireless devices collect and integrate patients’ personal physiological data, and then transmit the data to the backend of the network for related diagnostics. However, a great deal of the information transmitted by such systems is sensitive data, and must therefore be subject to stringent security protocols. Protecting this data from unauthorized access is thus an important issue in IoT-related research. In regard to a cloud healthcare environment, scholars have proposed a secure mechanism to protect sensitive patient information. Their schemes provide a general architecture; however, these previous schemes still have some vulnerability, and thus cannot guarantee complete security. This paper proposes a secure and lightweight body-sensor network based on the Internet of Things for cloud healthcare environments, in order to address the vulnerabilities discovered in previous schemes. The proposed authentication mechanism is applied to a medical reader to provide a more comprehensive architecture while also providing mutual authentication, and guaranteeing data integrity, user untraceability, and forward and backward secrecy, in addition to being resistant to replay attack.

  7. Internet of Things (IoT) Based Design of a Secure and Lightweight Body Area Network (BAN) Healthcare System.

    Science.gov (United States)

    Deng, Yong-Yuan; Chen, Chin-Ling; Tsaur, Woei-Jiunn; Tang, Yung-Wen; Chen, Jung-Hsuan

    2017-12-15

    As sensor networks and cloud computation technologies have rapidly developed over recent years, many services and applications integrating these technologies into daily life have come together as an Internet of Things (IoT). At the same time, aging populations have increased the need for expanded and more efficient elderly care services. Fortunately, elderly people can now wear sensing devices which relay data to a personal wireless device, forming a body area network (BAN). These personal wireless devices collect and integrate patients' personal physiological data, and then transmit the data to the backend of the network for related diagnostics. However, a great deal of the information transmitted by such systems is sensitive data, and must therefore be subject to stringent security protocols. Protecting this data from unauthorized access is thus an important issue in IoT-related research. In regard to a cloud healthcare environment, scholars have proposed a secure mechanism to protect sensitive patient information. Their schemes provide a general architecture; however, these previous schemes still have some vulnerability, and thus cannot guarantee complete security. This paper proposes a secure and lightweight body-sensor network based on the Internet of Things for cloud healthcare environments, in order to address the vulnerabilities discovered in previous schemes. The proposed authentication mechanism is applied to a medical reader to provide a more comprehensive architecture while also providing mutual authentication, and guaranteeing data integrity, user untraceability, and forward and backward secrecy, in addition to being resistant to replay attack.

  8. The Importance of Specific Workplace Environment Characteristics for Maximum Health and Performance: Healthcare Workers' Perspective.

    Science.gov (United States)

    Zadeh, Rana Sagha; Shepley, Mardelle M; Owora, Arthur Hamie; Dannenbaum, Martha C; Waggener, Laurie T; Chung, Susan Sung Eun

    2017-12-08

    To examine the importance of specific workplace environment characteristics for maximum health and performance, assigned by healthcare employees, and how they relate to the nature of their work. A cross-sectional mixed-method study was conducted with content analysis and robust regression models to examine the relationship between workplace environment characteristics and perceived importance in promoting health and performance. Our findings suggest that perceptions of key environment characteristics that safeguard health and performance in healthcare workplaces may vary by employee sex, setting, and nature of healthcare work involved. Theme and model descriptions of the influence of these factors on participant perceptions are provided. Employee feedback on workplace characteristics that impact health and performance could be instrumental in determining the priorities of workplace design.

  9. Policy entrepreneurship and policy networks in healthcare systems - the case of Israel's pediatric dentistry reform.

    Science.gov (United States)

    Cohen, Nissim; Horev, Tuvia

    2017-01-01

    Can the entry of a policy entrepreneur challenge the equilibrium of a policy network and promote changes that might clash with the goals of powerful civil-servants and/or interest groups and, if so, why and how? Our goal is to examine two sides of the same coin: how does an in-depth analysis of Israel's dental care reform enrich our understanding of policy networks and policy entrepreneurship? Second, how does the literature on policy networks and policy entrepreneurship help us understand this reform? Based on a theoretical framework that appears in the literature of policy entrepreneurship and policy networks, we analyze the motivations, goals and strategies of the main actors involved in the process of reforming pediatric dental care in Israel. We demonstrate how a policy entrepreneur navigated within a policy network and managed to promote a reform that, until his appearance, no one else in that network had succeeded in enacting. Our goals are advanced through a case study of a reform in pediatric dentistry implemented in Israel in 2010. It rests on textual analyses of the literature, reports, committee minutes, parliamentary proceedings, print and online media, and updates in relevant legislation and case law between 2009 and 2015. In addition, the case study draws on the insights of one of the authors (TH), who played a role in the reform process. Historical circumstances and the Israeli public's longstanding lack of interest in changing the existing model as well as interest groups that preferred the dominance of the private sector in the dental healthcare system kept that area out of the services supplied, universally, under the National Health Insurance Law. This situation changed significantly following the publication in 2007 of a policy analysis that contributed to shifts in the motivations and balance of power within the policy network, which in turn prepared the ground for a policy change. In this environment a determined policy entrepreneur, who

  10. Policy entrepreneurship and policy networks in healthcare systems - the case of Israel's pediatric dentistry reform.

    Science.gov (United States)

    Cohen, Nissim; Horev, Tuvia

    2017-04-21

    Can the entry of a policy entrepreneur challenge the equilibrium of a policy network and promote changes that might clash with the goals of powerful civil-servants and/or interest groups and, if so, why and how? Our goal is to examine two sides of the same coin: how does an in-depth analysis of Israel's dental care reform enrich our understanding of policy networks and policy entrepreneurship? Second, how does the literature on policy networks and policy entrepreneurship help us understand this reform? Based on a theoretical framework that appears in the literature of policy entrepreneurship and policy networks, we analyze the motivations, goals and strategies of the main actors involved in the process of reforming pediatric dental care in Israel. We demonstrate how a policy entrepreneur navigated within a policy network and managed to promote a reform that, until his appearance, no one else in that network had succeeded in enacting. Our goals are advanced through a case study of a reform in pediatric dentistry implemented in Israel in 2010. It rests on textual analyses of the literature, reports, committee minutes, parliamentary proceedings, print and online media, and updates in relevant legislation and case law between 2009 and 2015. In addition, the case study draws on the insights of one of the authors (TH), who played a role in the reform process. Historical circumstances and the Israeli public's longstanding lack of interest in changing the existing model as well as interest groups that preferred the dominance of the private sector in the dental healthcare system kept that area out of the services supplied, universally, under the National Health Insurance Law. This situation changed significantly following the publication in 2007 of a policy analysis that contributed to shifts in the motivations and balance of power within the policy network, which in turn prepared the ground for a policy change. In this environment a determined policy entrepreneur, who

  11. Mentor experiences of international healthcare students' learning in a clinical environment: A systematic review.

    Science.gov (United States)

    Mikkonen, Kristina; Elo, Satu; Tuomikoski, Anna-Maria; Kääriäinen, Maria

    2016-05-01

    Globalisation has brought new possibilities for international growth in education and professional mobility among healthcare professionals. There has been a noticeable increase of international degree programmes in non-English speaking countries in Europe, creating clinical learning challenges for healthcare students. The aim of this systematic review was to describe mentors' experiences of international healthcare students' learning in a clinical environment. The objective of the review was to identify what influences the success or failure of mentoring international healthcare students when learning in the clinical environment, with the ultimate aim being to promote optimal mentoring practice. A systematic review was conducted according to the guidelines of the Centre for Reviews and Dissemination. Seven electronic databases were used to search for the published results of previous research: CINAHL, Medline Ovid, Scopus, the Web of Science, Academic Search Premiere, Eric, and the Cochrane Library. Search inclusion criteria were planned in the PICOS review format by including peer-reviewed articles published in any language between 2000 and 2014. Five peer-reviewed articles remained after the screening process. The results of the original studies were analysed using a thematic synthesis. The results indicate that a positive intercultural mentor enhanced reciprocal learning by improving the experience of international healthcare students and reducing stress in the clinical environment. Integrating international healthcare students into work with domestic students was seen to be important for reciprocal learning and the avoidance of discrimination. Many healthcare students were found to share similar experiences of mentoring and learning irrespective of their cultural background. However, the role of a positive intercultural mentor was found to make a significant difference for international students: such mentors advocated and mediated cultural differences and

  12. A Trust Assessment mechanism for Ubiquitous Healthcare environment employing cloud theory.

    Science.gov (United States)

    Athanasiou, G; Fengou, M-A; Beis, A; Lymberopoulos, D

    2015-08-01

    Mental healthcare domain highlights the significance of trustworthiness between patient and psychiatrist for treatment process. In this paper, the issue of assessing psychiatrist trustworthiness from patient perspective, within a Ubiquitous Healthcare (UH) environment, is addressed. To meet that challenge, a Trust Assessment mechanism mimicking human cognitive judgment, is proposed. The exploitation of innovative fuzzy-probabilistic transformation model, denoted as cloud, for mechanism deployment enables fuzziness as well as adhered randomness of cognitive perception and assessment to be captured. A set of simulations within MATLAB software environment verify the introduced mechanism efficiency.

  13. A secure RFID mutual authentication protocol for healthcare environments using elliptic curve cryptography.

    Science.gov (United States)

    Jin, Chunhua; Xu, Chunxiang; Zhang, Xiaojun; Zhao, Jining

    2015-03-01

    Radio Frequency Identification(RFID) is an automatic identification technology, which can be widely used in healthcare environments to locate and track staff, equipment and patients. However, potential security and privacy problems in RFID system remain a challenge. In this paper, we design a mutual authentication protocol for RFID based on elliptic curve cryptography(ECC). We use pre-computing method within tag's communication, so that our protocol can get better efficiency. In terms of security, our protocol can achieve confidentiality, unforgeability, mutual authentication, tag's anonymity, availability and forward security. Our protocol also can overcome the weakness in the existing protocols. Therefore, our protocol is suitable for healthcare environments.

  14. Requirements for a Network Storage Service in a supercomputer environment

    Energy Technology Data Exchange (ETDEWEB)

    Kelly, S.M.

    1991-09-26

    Sandia National Laboratories has completed a requirements study for a networked mass storage system. The areas of user functionality, network connectivity, and performance were analyzed to determine specifications for a Network Storage Service to operate in supercomputer environment. 4 refs.

  15. Leadership of healthcare commissioning networks in England: a mixed-methods study on clinical commissioning groups

    Science.gov (United States)

    Zachariadis, Markos; Oborn, Eivor; Barrett, Michael; Zollinger-Read, Paul

    2013-01-01

    Objective To explore the relational challenges for general practitioner (GP) leaders setting up new network-centric commissioning organisations in the recent health policy reform in England, we use innovation network theory to identify key network leadership practices that facilitate healthcare innovation. Design Mixed-method, multisite and case study research. Setting Six clinical commissioning groups and local clusters in the East of England area, covering in total 208 GPs and 1 662 000 population. Methods Semistructured interviews with 56 lead GPs, practice managers and staff from the local health authorities (primary care trusts, PCT) as well as various healthcare professionals; 21 observations of clinical commissioning group (CCG) board and executive meetings; electronic survey of 58 CCG board members (these included GPs, practice managers, PCT employees, nurses and patient representatives) and subsequent social network analysis. Main outcome measures Collaborative relationships between CCG board members and stakeholders from their healthcare network; clarifying the role of GPs as network leaders; strengths and areas for development of CCGs. Results Drawing upon innovation network theory provides unique insights of the CCG leaders’ activities in establishing best practices and introducing new clinical pathways. In this context we identified three network leadership roles: managing knowledge flows, managing network coherence and managing network stability. Knowledge sharing and effective collaboration among GPs enable network stability and the alignment of CCG objectives with those of the wider health system (network coherence). Even though activities varied between commissioning groups, collaborative initiatives were common. However, there was significant variation among CCGs around the level of engagement with providers, patients and local authorities. Locality (sub) groups played an important role because they linked commissioning decisions with

  16. Leadership of healthcare commissioning networks in England: a mixed-methods study on clinical commissioning groups.

    Science.gov (United States)

    Zachariadis, Markos; Oborn, Eivor; Barrett, Michael; Zollinger-Read, Paul

    2013-01-01

    To explore the relational challenges for general practitioner (GP) leaders setting up new network-centric commissioning organisations in the recent health policy reform in England, we use innovation network theory to identify key network leadership practices that facilitate healthcare innovation. Mixed-method, multisite and case study research. Six clinical commissioning groups and local clusters in the East of England area, covering in total 208 GPs and 1 662 000 population. Semistructured interviews with 56 lead GPs, practice managers and staff from the local health authorities (primary care trusts, PCT) as well as various healthcare professionals; 21 observations of clinical commissioning group (CCG) board and executive meetings; electronic survey of 58 CCG board members (these included GPs, practice managers, PCT employees, nurses and patient representatives) and subsequent social network analysis. Collaborative relationships between CCG board members and stakeholders from their healthcare network; clarifying the role of GPs as network leaders; strengths and areas for development of CCGs. Drawing upon innovation network theory provides unique insights of the CCG leaders' activities in establishing best practices and introducing new clinical pathways. In this context we identified three network leadership roles: managing knowledge flows, managing network coherence and managing network stability. Knowledge sharing and effective collaboration among GPs enable network stability and the alignment of CCG objectives with those of the wider health system (network coherence). Even though activities varied between commissioning groups, collaborative initiatives were common. However, there was significant variation among CCGs around the level of engagement with providers, patients and local authorities. Locality (sub) groups played an important role because they linked commissioning decisions with patient needs and brought the leaders closer to frontline stakeholders

  17. RFID of next generation network for enhancing customer relationship management in healthcare industries.

    Science.gov (United States)

    Alzahrani, Ahmed; Qureshi, Muhammad Shuaib; Thayananthan, Vijey

    2017-10-23

    This paper aims to analyze possible next generation of networked radio frequency identification (NGN-RFID) system for customer relationship management (CRM) in healthcare industries. Customer relationship and its management techniques in a specific healthcare industry are considered in this development. The key objective of using NGN-RFID scheme is to enhance the handling of patients' data to improve the CRM efficiency in healthcare industries. The proposed NGN-RFID system is one of the valid points to improve the ability of CRM by analyzing different prior and current traditional approaches. The legacy of customer relationship management will be improved by using this modern NGN-RFID technology without affecting the novelty.

  18. Barriers to healthcare coordination in market-based and decentralized public health systems: a qualitative study in healthcare networks of Colombia and Brazil

    Science.gov (United States)

    Vargas, Ingrid; Mogollón-Pérez, Amparo Susana; De Paepe, Pierre; Ferreira da Silva, Maria Rejane; Unger, Jean-Pierre; Vázquez, María-Luisa

    2016-01-01

    Although integrated healthcare networks (IHNs) are promoted in Latin America in response to health system fragmentation, few analyses on the coordination of care across levels in these networks have been conducted in the region. The aim is to analyse the existence of healthcare coordination across levels of care and the factors influencing it from the health personnel’ perspective in healthcare networks of two countries with different health systems: Colombia, with a social security system based on managed competition and Brazil, with a decentralized national health system. A qualitative, exploratory and descriptive–interpretative study was conducted, based on a case study of healthcare networks in four municipalities. Individual semi-structured interviews were conducted with a three stage theoretical sample of (a) health (112) and administrative (66) professionals of different care levels, and (b) managers of providers (42) and insurers (14). A thematic content analysis was conducted, segmented by cases, informant groups and themes. The results reveal poor clinical information transfer between healthcare levels in all networks analysed, with added deficiencies in Brazil in the coordination of access and clinical management. The obstacles to care coordination are related to the organization of both the health system and the healthcare networks. In the health system, there is the existence of economic incentives to compete (exacerbated in Brazil by partisan political interests), the fragmentation and instability of networks in Colombia and weak planning and evaluation in Brazil. In the healthcare networks, there are inadequate working conditions (temporary and/or part-time contracts) which hinder the use of coordination mechanisms, and inadequate professional training for implementing a healthcare model in which primary care should act as coordinator in patient care. Reforms are needed in these health systems and networks in order to modify incentives

  19. Barriers to healthcare coordination in market-based and decentralized public health systems: a qualitative study in healthcare networks of Colombia and Brazil.

    Science.gov (United States)

    Vargas, Ingrid; Mogollón-Pérez, Amparo Susana; De Paepe, Pierre; Ferreira da Silva, Maria Rejane; Unger, Jean-Pierre; Vázquez, María-Luisa

    2016-07-01

    Although integrated healthcare networks (IHNs) are promoted in Latin America in response to health system fragmentation, few analyses on the coordination of care across levels in these networks have been conducted in the region. The aim is to analyse the existence of healthcare coordination across levels of care and the factors influencing it from the health personnel' perspective in healthcare networks of two countries with different health systems: Colombia, with a social security system based on managed competition and Brazil, with a decentralized national health system. A qualitative, exploratory and descriptive-interpretative study was conducted, based on a case study of healthcare networks in four municipalities. Individual semi-structured interviews were conducted with a three stage theoretical sample of (a) health (112) and administrative (66) professionals of different care levels, and (b) managers of providers (42) and insurers (14). A thematic content analysis was conducted, segmented by cases, informant groups and themes. The results reveal poor clinical information transfer between healthcare levels in all networks analysed, with added deficiencies in Brazil in the coordination of access and clinical management. The obstacles to care coordination are related to the organization of both the health system and the healthcare networks. In the health system, there is the existence of economic incentives to compete (exacerbated in Brazil by partisan political interests), the fragmentation and instability of networks in Colombia and weak planning and evaluation in Brazil. In the healthcare networks, there are inadequate working conditions (temporary and/or part-time contracts) which hinder the use of coordination mechanisms, and inadequate professional training for implementing a healthcare model in which primary care should act as coordinator in patient care. Reforms are needed in these health systems and networks in order to modify incentives, strengthen

  20. Dynamic Optical Networks for Future Internet Environments

    Science.gov (United States)

    Matera, Francesco

    2014-05-01

    This article reports an overview on the evolution of the optical network scenario taking into account the exponential growth of connected devices, big data, and cloud computing that is driving a concrete transformation impacting the information and communication technology world. This hyper-connected scenario is deeply affecting relationships between individuals, enterprises, citizens, and public administrations, fostering innovative use cases in practically any environment and market, and introducing new opportunities and new challenges. The successful realization of this hyper-connected scenario depends on different elements of the ecosystem. In particular, it builds on connectivity and functionalities allowed by converged next-generation networks and their capacity to support and integrate with the Internet of Things, machine-to-machine, and cloud computing. This article aims at providing some hints of this scenario to contribute to analyze impacts on optical system and network issues and requirements. In particular, the role of the software-defined network is investigated by taking into account all scenarios regarding data centers, cloud computing, and machine-to-machine and trying to illustrate all the advantages that could be introduced by advanced optical communications.

  1. Health professional networks as a vector for improving healthcare quality and safety: a systematic review.

    Science.gov (United States)

    Cunningham, Frances C; Ranmuthugala, Geetha; Plumb, Jennifer; Georgiou, Andrew; Westbrook, Johanna I; Braithwaite, Jeffrey

    2012-03-01

    While there is a considerable corpus of theoretical and empirical literature on networks within and outside of the health sector, multiple research questions are yet to be answered. To conduct a systematic review of studies of professionals' network structures, identifying factors associated with network effectiveness and sustainability, particularly in relation to quality of care and patient safety. The authors searched MEDLINE, CINAHL, EMBASE, Web of Science and Business Source Premier from January 1995 to December 2009. A majority of the 26 unique studies identified used social network analysis to examine structural relationships in networks: structural relationships within and between networks, health professionals and their social context, health collaboratives and partnerships, and knowledge sharing networks. Key aspects of networks explored were administrative and clinical exchanges, network performance, integration, stability and influences on the quality of healthcare. More recent studies show that cohesive and collaborative health professional networks can facilitate the coordination of care and contribute to improving quality and safety of care. Structural network vulnerabilities include cliques, professional and gender homophily, and over-reliance on central agencies or individuals. Effective professional networks employ natural structural network features (eg, bridges, brokers, density, centrality, degrees of separation, social capital, trust) in producing collaboratively oriented healthcare. This requires efficient transmission of information and social and professional interaction within and across networks. For those using networks to improve care, recurring success factors are understanding your network's characteristics, attending to its functioning and investing time in facilitating its improvement. Despite this, there is no guarantee that time spent on networks will necessarily improve patient care.

  2. How do we make indoor environments and healthcare settings healthier?

    Science.gov (United States)

    Gilbert, Jack A

    2017-01-01

    It is now well accepted that our modern lifestyle has certain implications for our health (Schaub et al., ), mainly as a result of our willingness to remove ourselves from the biological diversity of our natural environments (Roduit et al., ), while still being drawn inextricably to interact with it (Kellert and Wilson, ). Much of our interaction with the biological world is shaped by our interaction with the microbiological world. The bacteria, fungi, viruses, archaea and protists that comprise the microbiome of this planet, are also key to the development and normal functioning of our bodies. Our immune system is built to shepherd our microbial exposure, ensuring that microbial organisms that we need are kept close (but not too close), and that less-desirable organisms are expelled or killed before they can do too much damage. By moving from a life interacting with nature on a regular basis, to a life in which we isolate ourselves physically from natural microbial exposure, we may have instigated one of the great plagues of the 21st century; chronic immune disorders. © 2016 The Authors. Microbial Biotechnology published by John Wiley & Sons Ltd and Society for Applied Microbiology.

  3. Individual differences in reactions towards color in simulated healthcare environments : The role of stimulus screening ability

    NARCIS (Netherlands)

    Dijkstra, K.; Pieterse, Marcel E.; Pruyn, A. Th H

    The notion that the physical healthcare environment can affect our mood and behavior is well established. Despite this, individual differences in sensitivity to environmental stimuli have not received much attention. With the current research showing the importance of individual differences in

  4. Individual differences in reactions towards color in simulated healthcare environments : The role of stimulus screening ability

    NARCIS (Netherlands)

    Dijkstra, K.; Pieterse, Marcel E.; Pruyn, Adriaan T.H.

    2008-01-01

    The notion that the physical healthcare environment can affect our mood and behavior is well established. Despite this, individual differences in sensitivity to environmental stimuli have not received much attention. With the current research showing the importance of individual differences in

  5. Reducing the Ecological Footprint of Pharmaceutical Usage: Linkages Between Healthcare Practices and the Environment

    Science.gov (United States)

    The design of pharmaceuticals and the practices surrounding the lifecycle of their manufacture and usage are central to minimize their impacts on the environment and increase the sustainability of healthcare. Cradle-to-cradle design, as conceptualized by McDonough and Braungart, ...

  6. Agent-oriented privacy-based information brokering architecture for healthcare environments.

    Science.gov (United States)

    Masaud-Wahaishi, Abdulmutalib; Ghenniwa, Hamada

    2009-01-01

    Healthcare industry is facing a major reform at all levels-locally, regionally, nationally, and internationally. Healthcare services and systems become very complex and comprise of a vast number of components (software systems, doctors, patients, etc.) that are characterized by shared, distributed and heterogeneous information sources with varieties of clinical and other settings. The challenge now faced with decision making, and management of care is to operate effectively in order to meet the information needs of healthcare personnel. Currently, researchers, developers, and systems engineers are working toward achieving better efficiency and quality of service in various sectors of healthcare, such as hospital management, patient care, and treatment. This paper presents a novel information brokering architecture that supports privacy-based information gathering in healthcare. Architecturally, the brokering is viewed as a layer of services where a brokering service is modeled as an agent with a specific architecture and interaction protocol that are appropriate to serve various requests. Within the context of brokering, we model privacy in terms of the entities ability to hide or reveal information related to its identities, requests, and/or capabilities. A prototype of the proposed architecture has been implemented to support information-gathering capabilities in healthcare environments using FIPA-complaint platform JADE.

  7. The effect of transforming care at the bedside initiative on healthcare teams' work environments.

    Science.gov (United States)

    Lavoie-Tremblay, Mélanie; O'Conner, Patricia; Harripaul, Anastasia; Biron, Alain; Ritchie, Judith; Lavigne, Genevieve L; Baillargeon, Sophie; Ringer, Justin; Macgibbon, Brenda; Taylor-Ducharme, Sharon; Sourdif, Jacynthe

    2014-02-01

    Different initiatives have been implemented in healthcare organizations to improve efficiency, such as transforming care at the bedside (TCAB). However, there are important gaps in understanding the effect of TCAB on healthcare teams' work environments. The specific aim of the study is to describe findings regarding the TCAB initiative effects on healthcare teams' work environments. A pretest and posttest study design was used for this study. The TCAB initiative was implemented in fall 2010 in a university health center in Montreal, Canada. The sample consisted of healthcare workers from four different care units. Statistically significant improvement was observed with the communicating specific information subscale from the measure of processes of care variable, and a significant difference was found between the support from colleagues variable, which was higher at baseline than postprogram. The differences for psychological demand, decisional latitude, and effort-reward were not significant. TCAB is an intervention that allows healthcare teams to implement change to improve patients' and families' outcomes. Ongoing energy should focus on how to improve communication among all members of the team and ensure their support. © 2013 Sigma Theta Tau International.

  8. Rural women and violence situation: access and accessibility limits to the healthcare network.

    Science.gov (United States)

    Costa, Marta Cocco da; Silva, Ethel Bastos da; Soares, Joannie Dos Santos Fachinelli; Borth, Luana Cristina; Honnef, Fernanda

    2017-07-13

    To analyze the access and accessibility to the healthcare network of women dwelling in rural contexts undergoing violence situation, as seen from the professionals' speeches. A qualitative, exploratory, descriptive study with professionals from the healthcare network services about coping with violence in four municipalities in the northern region of Rio Grande do Sul. The information derived from interviews, which have been analyzed by thematic modality. (Lack of) information of women, distance, restricted access to transportation, dependence on the partner and (lack of) attention by professionals to welcome women undergoing violence situation and (non)-articulation of the network are factors that limit the access and, as a consequence, they result in the lack of confrontation of this problem. To bring closer the services which integrate the confrontation network of violence against women and to qualify professionals to welcome these situations are factors that can facilitate the access and adhesion of rural women to the services.

  9. Robots, multi-user virtual environments and healthcare: synergies for future directions.

    Science.gov (United States)

    Moon, Ajung; Grajales, Francisco J; Van der Loos, H F Machiel

    2011-01-01

    The adoption of technology in healthcare over the last twenty years has steadily increased, particularly as it relates to medical robotics and Multi-User Virtual Environments (MUVEs) such as Second Life. Both disciplines have been shown to improve the quality of care and have evolved, for the most part, in isolation from each other. In this paper, we present four synergies between medical robotics and MUVEs that have the potential to decrease resource utilization and improve the quality of healthcare delivery. We conclude with some foreseeable barriers and future research directions for researchers in these fields.

  10. "Using common work environment metrics to improve performance in healthcare organizations": the leadership imperative.

    Science.gov (United States)

    Higgins, E Michael

    2010-01-01

    The authors' proposition to use "common work environment metrics to improve performance in healthcare organizations" is a concept that has merit and whose time has come. Like all good ideas, however, it remains only a good idea until it is acted on and implemented successfully. Healthcare organizations are complex. That complexity must be accounted for in efforts to implement common metrics as a tool to incent fundamental change. The change management challenge is all about the quality of leadership in health organizations: the vision and visible commitment of senior leaders; the determination to support the transformation with effective accountability mechanisms; and the will to solve the limitations of front-line leadership capacity.

  11. Cross-layer fault tolerant data aggregation for improved network delay in healthcare management applications.

    Science.gov (United States)

    Yuan, Xiaojing; Liu, Haoying

    2009-01-01

    The escalation of American health care costs compels a new approach to manage chronic diseases. Wireless sensor networks (WSN) have been applied successfully in remote monitoring in military, aerospace, civil structure, and healthcare. However, existing wireless network framework cannot provide required quality of service (QoS) due to communication device failure, message loss caused by link error, collision, and hidden terminal for personalized disease management applications. In this paper, we present scalable network architecture and an operating mechanism that tolerates network structure changes caused by failure, with the application level data aggregation algorithm able to heal from the failure. We provide close form solutions that can achieve optimized network delay. Performance analysis was done to evaluate the significance of different nodes' failure in both homogeneous and heterogeneous sensor network and the effects of sensing and communication speed on failure impact in heterogeneous sensor networks.

  12. [How it should be enabled network cooperation on healthcare services. Towards an HispaNICE?

    Science.gov (United States)

    Abellán Perpiñán, José María; Martínez Pérez, Jorge Eduardo

    2016-11-01

    Although the Spanish Network of Health Technology Assessment was founded in 2012, it is true that its actual influence on the rationalization of the National Health System's healthcare basket is scarce. The main argument of this article is that the Spanish Network of HTA should work "as if" it was an HispaNICE. That is to say, transferring the NICE's advantages to Spanish context. Copyright © 2016. Publicado por Elsevier España, S.L.U.

  13. RESHEN, a best practice approach for secure healthcare networks in Europe.

    Science.gov (United States)

    Georgoulas, Aggelos; Bourka, Athena; Kaliontzoglou, Alexandros; Polemi, Nineta; Koutsouris, Dimitris

    2003-01-01

    Electronic communication of healthcare related information (in the framework of Regional Healthcare Information Networks), introduces a number of security risks with regard to confidentiality, integrity and availability, which can become quite crucial taking into account its sensitive nature. Public Key Infrastructure (PKI) is acknowledged as an appropriate means for dealing with such risks, as long as all the involved critical factors are first practically assessed. This paper presents a best-practice approach for secure regional healthcare networks in Europe, examining all the identified crucial parameters (technical, organisational, legal/regulatory, medical and business). Our approach is conducted at two levels (the regional and the European), including the integration of PKI-aware security mechanisms (strong authentication, encryption, digital signature, time-stamping) in three regional pilot sites in Greece, Finland and Germany and demonstrating their interconnection in a pan-European architecture. Following the above approach, some major conclusions are excluded, pointing out existing open issues and possible steps forward.

  14. A Benchmarking Analysis of Open-Source Business Intelligence Tools in Healthcare Environments

    Directory of Open Access Journals (Sweden)

    Andreia Brandão

    2016-10-01

    Full Text Available In recent years, a wide range of Business Intelligence (BI technologies have been applied to different areas in order to support the decision-making process. BI enables the extraction of knowledge from the data stored. The healthcare industry is no exception, and so BI applications have been under investigation across multiple units of different institutions. Thus, in this article, we intend to analyze some open-source/free BI tools on the market and their applicability in the clinical sphere, taking into consideration the general characteristics of the clinical environment. For this purpose, six BI tools were selected, analyzed, and tested in a practical environment. Then, a comparison metric and a ranking were defined for the tested applications in order to choose the one that best applies to the extraction of useful knowledge and clinical data in a healthcare environment. Finally, a pervasive BI platform was developed using a real case in order to prove the tool viability.

  15. Amigo - Ambient Intelligence for the networked home environment

    NARCIS (Netherlands)

    Janse, M.D.

    2008-01-01

    The Amigo project develops open, standardized, interoperable middleware and attractive user services for the networked home environment. Fifteen of Europe's leading companies and research organizations in mobile and home networking, software development, consumer electronics and domestic appliances

  16. A secure RFID authentication protocol for healthcare environments using elliptic curve cryptosystem.

    Science.gov (United States)

    Zhao, Zhenguo

    2014-05-01

    With the fast advancement of the wireless communication technology and the widespread use of medical systems, the radio frequency identification (RFID) technology has been widely used in healthcare environments. As the first important protocol for ensuring secure communication in healthcare environment, the RFID authentication protocols derive more and more attentions. Most of RFID authentication protocols are based on hash function or symmetric cryptography. To get more security properties, elliptic curve cryptosystem (ECC) has been used in the design of RFID authentication protocol. Recently, Liao and Hsiao proposed a new RFID authentication protocol using ECC and claimed their protocol could withstand various attacks. In this paper, we will show that their protocol suffers from the key compromise problem, i.e. an adversary could get the private key stored in the tag. To enhance the security, we propose a new RFID authentication protocol using ECC. Detailed analysis shows the proposed protocol not only could overcome weaknesses in Liao and Hsiao's protocol but also has the same performance. Therefore, it is more suitable for healthcare environments.

  17. Patient-centred improvements in health-care built environments: perspectives and design indicators.

    Science.gov (United States)

    Douglas, Calbert H; Douglas, Mary R

    2005-09-01

    To explore patients' perceptions of health-care built environments, to assess how they perceived health-care built facilities and designs. To develop a set of patient-centred indicators by which to appraise future health-care designs. Qualitative and quantitative methodologies, including futures group conferencing, autophotographic study, novice-expert exchanges and a questionnaire survey of a representative sample of past patients. The research was carried out at Salford Royal Hospitals NHS Trust (SRHT), Greater Manchester, UK, selected for the study because of planned comprehensive redevelopment based on the new NHS vision for hospital care and service delivery for the 21st century. Participants included 35 patients who took part in an autophotographic study, eight focus groups engaged in futures conferencing, a sample of past inpatients from the previous 12 months that returned 785 completed postal questionnaires. The futures group provided suggestions for radical improvements which were categorized into transport issues; accessibility and mobility; ground and landscape designs; social and public spaces; homeliness and assurance; cultural diversity; safety and security; personal space and access to outside. Patients' autophotographic study centred on: the quality of the ward design, human interactions, the state and quality of personal space, and facilities for recreation and leisure. The novices' suggestions were organized into categories of elemental factors representing patient-friendly designs. Experts from the architectural and surveying professions and staff at SRHT in turn considered these categories and respective subsets of factors. They agreed with the novices in terms of the headings but differed in prioritizing the elemental factors. The questionnaire survey of past patients provided opinions about ward designs that varied according to where they stayed, single room, bay ward or long open ward. The main concerns were limitation of private space

  18. Performance analysis of multiple Indoor Positioning Systems in a healthcare environment.

    Science.gov (United States)

    Van Haute, Tom; De Poorter, Eli; Crombez, Pieter; Lemic, Filip; Handziski, Vlado; Wirström, Niklas; Wolisz, Adam; Voigt, Thiemo; Moerman, Ingrid

    2016-02-03

    The combination of an aging population and nursing staff shortages implies the need for more advanced systems in the healthcare industry. Many key enablers for the optimization of healthcare systems require provisioning of location awareness for patients (e.g. with dementia), nurses, doctors, assets, etc. Therefore, many Indoor Positioning Systems (IPSs) will be indispensable in healthcare systems. However, although many IPSs have been proposed in literature, most of these have been evaluated in non-representative environments such as office buildings rather than in a hospital. To remedy this, the paper evaluates the performance of existing IPSs in an operational modern healthcare environment: the "Sint-Jozefs kliniek Izegem" hospital in Belgium. The evaluation (data-collecting and data-processing) is executed using a standardized methodology and evaluates the point accuracy, room accuracy and latency of multiple IPSs. To evaluate the solutions, the position of a stationary device was requested at 73 evaluation locations. By using the same evaluation locations for all IPSs the performance of all systems could objectively be compared. Several trends can be identified such as the fact that Wi-Fi based fingerprinting solutions have the best accuracy result (point accuracy of 1.21 m and room accuracy of 98%) however it requires calibration before use and needs 5.43 s to estimate the location. On the other hand, proximity based solutions (based on sensor nodes) are significantly cheaper to install, do not require calibration and still obtain acceptable room accuracy results. As a conclusion of this paper, Wi-Fi based solutions have the most potential for an indoor positioning service in case when accuracy is the most important metric. Applying the fingerprinting approach with an anchor installed in every two rooms is the preferred solution for a hospital environment.

  19. Security Technologies for Open Networking Environments (STONE)

    Energy Technology Data Exchange (ETDEWEB)

    Muftic, Sead

    2005-03-31

    Under this project SETECS performed research, created the design, and the initial prototype of three groups of security technologies: (a) middleware security platform, (b) Web services security, and (c) group security system. The results of the project indicate that the three types of security technologies can be used either individually or in combination, which enables effective and rapid deployment of a number of secure applications in open networking environments. The middleware security platform represents a set of object-oriented security components providing various functions to handle basic cryptography, X.509 certificates, S/MIME and PKCS No.7 encapsulation formats, secure communication protocols, and smart cards. The platform has been designed in the form of security engines, including a Registration Engine, Certification Engine, an Authorization Engine, and a Secure Group Applications Engine. By creating a middleware security platform consisting of multiple independent components the following advantages have been achieved - Object-oriented, Modularity, Simplified Development, and testing, Portability, and Simplified extensions. The middleware security platform has been fully designed and a preliminary Java-based prototype has been created for the Microsoft Windows operating system. The Web services security system, designed in the project, consists of technologies and applications that provide authentication (i.e., single sign), authorization, and federation of identities in an open networking environment. The system is based on OASIS SAML and XACML standards for secure Web services. Its topology comprises three major components: Domain Security Server (DSS) is the main building block of the system Secure Application Server (SAS) Secure Client In addition to the SAML and XACML engines, the authorization system consists of two sets of components An Authorization Administration System An Authorization Enforcement System Federation of identities in multi

  20. Wireless sensor networks in a maritime environment.

    NARCIS (Netherlands)

    Kavelaars, W.; Maris, M.

    2005-01-01

    In the recent years, there has been a lot of research on sensor networks-and their applications. In particular for monitoring large and potentially hostile areas these networks have proven to be very useful. The technique of land-based sensor networks can be extrapolated to sensing buoys at sea or

  1. Analysis of integrated healthcare networks' performance: a contingency-strategic management perspective.

    Science.gov (United States)

    Lin, B Y; Wan, T T

    1999-12-01

    Few empirical analyses have been done in the organizational researches of integrated healthcare networks (IHNs) or integrated healthcare delivery systems. Using a contingency derived contact-process-performance model, this study attempts to explore the relationships among an IHN's strategic direction, structural design, and performance. A cross-sectional analysis of 100 IHNs suggests that certain contextual factors such as market competition and network age and tax status have statistically significant effects on the implementation of an IHN's service differentiation strategy, which addresses coordination and control in the market. An IHN's service differentiation strategy is positively related to its integrated structural design, which is characterized as integration of administration, patient care, and information system across different settings. However, no evidence supports that the development of integrated structural design may benefit an IHN's performance in terms of clinical efficiency and financial viability.

  2. Parallel Evolutionary Peer-to-Peer Networking in Realistic Environments

    Directory of Open Access Journals (Sweden)

    Kei Ohnishi

    2017-01-01

    Full Text Available In the present paper we first conduct simulations of the parallel evolutionary peer-to-peer (P2P networking technique (referred to as P-EP2P that we previously proposed using models of realistic environments to examine if P-EP2P is practical. Environments are here represented by what users have and want in the network, and P-EP2P adapts the P2P network topologies to the present environment in an evolutionary manner. The simulation results show that P-EP2P is hard to adapt the network topologies to some realistic environments. Then, based on the discussions of the results, we propose a strategy for better adaptability of P-EP2P to the realistic environments. The strategy first judges if evolutionary adaptation of the network topologies is likely to occur in the present environment, and if it judges so, it actually tries to achieve evolutionary adaptation of the network topologies. Otherwise, it brings random change to the network topologies. The simulation results indicate that P-EP2P with the proposed strategy can better adapt the network topologies to the realistic environments. The main contribution of the study is to present such a promising way to realize an evolvable network in which the evolution direction is given by users.

  3. A web-based information system for a regional public mental healthcare service network in Brazil.

    Science.gov (United States)

    Yoshiura, Vinicius Tohoru; de Azevedo-Marques, João Mazzoncini; Rzewuska, Magdalena; Vinci, André Luiz Teixeira; Sasso, Ariane Morassi; Miyoshi, Newton Shydeo Brandão; Furegato, Antonia Regina Ferreira; Rijo, Rui Pedro Charters Lopes; Del-Ben, Cristina Marta; Alves, Domingos

    2017-01-01

    Regional networking between services that provide mental health care in Brazil's decentralized public health system is challenging, partly due to the simultaneous existence of services managed by municipal and state authorities and a lack of efficient and transparent mechanisms for continuous and updated communication between them. Since 2011, the Ribeirao Preto Medical School and the XIII Regional Health Department of the Sao Paulo state, Brazil, have been developing and implementing a web-based information system to facilitate an integrated care throughout a public regional mental health care network. After a profound on-site analysis, the structure of the network was identified and a web-based information system for psychiatric admissions and discharges was developed and implemented using a socio-technical approach. An information technology team liaised with mental health professionals, health-service managers, municipal and state health secretariats and judicial authorities. Primary care, specialized community services, general emergency and psychiatric wards services, that comprise the regional mental healthcare network, were identified and the system flow was delineated. The web-based system overcame the fragmentation of the healthcare system and addressed service specific needs, enabling: detailed patient information sharing; active coordination of the processes of psychiatric admissions and discharges; real-time monitoring; the patients' status reports; the evaluation of the performance of each service and the whole network. During a 2-year period of operation, it registered 137 services, 480 health care professionals and 4271 patients, with a mean number of 2835 accesses per month. To date the system is successfully operating and further expanding. We have successfully developed and implemented an acceptable, useful and transparent web-based information system for a regional mental healthcare service network in a medium-income country with a decentralized

  4. A Provably Secure RFID Authentication Protocol Based on Elliptic Curve for Healthcare Environments.

    Science.gov (United States)

    Farash, Mohammad Sabzinejad; Nawaz, Omer; Mahmood, Khalid; Chaudhry, Shehzad Ashraf; Khan, Muhammad Khurram

    2016-07-01

    To enhance the quality of healthcare in the management of chronic disease, telecare medical information systems have increasingly been used. Very recently, Zhang and Qi (J. Med. Syst. 38(5):47, 32), and Zhao (J. Med. Syst. 38(5):46, 33) separately proposed two authentication schemes for telecare medical information systems using radio frequency identification (RFID) technology. They claimed that their protocols achieve all security requirements including forward secrecy. However, this paper demonstrates that both Zhang and Qi's scheme, and Zhao's scheme could not provide forward secrecy. To augment the security, we propose an efficient RFID authentication scheme using elliptic curves for healthcare environments. The proposed RFID scheme is secure under common random oracle model.

  5. Programming secure mobile agents in healthcare environments using role-based permissions.

    Science.gov (United States)

    Georgiadis, C K; Baltatzis, J; Pangalos, G I

    2003-01-01

    The healthcare environment consists of vast amounts of dynamic and unstructured information, distributed over a large number of information systems. Mobile agent technology is having an ever-growing impact on the delivery of medical information. It supports acquiring and manipulating information distributed in a large number of information systems. Moreover is suitable for the computer untrained medical stuff. But the introduction of mobile agents generates advanced threads to the sensitive healthcare information, unless the proper countermeasures are taken. By applying the role-based approach to the authorization problem, we ease the sharing of information between hospital information systems and we reduce the administering part. The different initiative of the agent's migration method, results in different methods of assigning roles to the agent.

  6. A comprehensive Reputation mechanism for ubiquitous healthcare environment exploiting cloud model.

    Science.gov (United States)

    Athanasiou, Georgia; Lymberopoulos, Dimitrios

    2016-08-01

    Absence of trust foundations may outweigh benefits of ubiquitous and personalized mental healthcare supervision provided within a Ubiquitous Healthcare environment (UH). Trust is composed by patient's Personal Interaction Experience (PIE) and social entourage accumulated PIE, i.e. Reputation (R). In this paper, a cloud-based Reputation mechanism is proposed. Since PIE is the elementary trust information source, also an Updating mechanism of PIE, is introduced, in this paper. Cloud materialization of combined mechanisms provides adaptability to UH Providers' dynamic behavior, facilitates detection of milking behaviors and complex malicious attacks while meets the challenge of limited accuracy in case of data sparseness. The effectiveness of the proposed mechanisms is verified via simulation in MATLAB.

  7. Mobility management for SIP sessions in a heterogeneous network environment

    NARCIS (Netherlands)

    Romijn, Willem A.; Plas, Dirk-Jaap; Bijwaard, D.; Meeuwissen, Erik; van Ooijen, Gijs

    2004-01-01

    The next generation of communication networks is expected to create a heterogeneous network environment encompassing an ever-increasing number of different access networks and end-user terminals that will enable the introduction of and provide access to numerous feature-rich end-user services. It is

  8. Enabling IoT: Integration of wireless sensor network for healthcare application using Waspmote

    Science.gov (United States)

    Azmi, Noraini; Kamarudin, Latifah Munirah

    2017-03-01

    The number of patients that require medical assistance is increasing each day while staff-patient ratio is not balanced causing issues such as treatment delay and often leads to patient dissatisfaction. Besides that, healthcare devices are getting complex and challenging for it to be handled and interpreted personally by patient. Lack of staff and challenges in operating the medical devices not only affect patient in hospital but also caused problem to home care patients that require full attention and constant monitoring. This urges for a development of new method or technology. At present, Wireless Sensor Network (WSN) is gaining interest as one of the major components in enabling Internet of Things (IoT) since it offers low cost, low power monitoring besides reducing devices dependency on wires or cable. Although, WSN is initially developed for military application, nowadays, it is being integrated into various applications such as environmental monitoring, smart monitoring and agricultural monitoring. The idea of wireless monitoring with low power consumption motivates researchers to discover the possibility of deploying wireless sensor network for mission critical application such as in healthcare applications. This paper presents the details on the design and development of wireless sensor network using Waspmote from Libelium Inc. for mission critical applications such as healthcare applications.

  9. Using sensor networks to study the effect of peripatetic healthcare workers on the spread of hospital-associated infections.

    Science.gov (United States)

    Hornbeck, Thomas; Naylor, David; Segre, Alberto M; Thomas, Geb; Herman, Ted; Polgreen, Philip M

    2012-11-15

    Super-spreading events, in which an individual with measurably high connectivity is responsible for infecting a large number of people, have been observed. Our goal is to determine the impact of hand hygiene noncompliance among peripatetic (eg, highly mobile or highly connected) healthcare workers compared with less-connected workers. We used a mote-based sensor network to record contacts among healthcare workers and patients in a 20-bed intensive care unit. The data collected from this network form the basis for an agent-based simulation to model the spread of nosocomial pathogens with various transmission probabilities. We identified the most- and least-connected healthcare workers. We then compared the effects of hand hygiene noncompliance as a function of connectedness. The data confirm the presence of peripatetic healthcare workers. Also, agent-based simulations using our real contact network data confirm that the average number of infected patients was significantly higher when the most connected healthcare worker did not practice hand hygiene and significantly lower when the least connected healthcare workers were noncompliant. Heterogeneity in healthcare worker contact patterns dramatically affects disease diffusion. Our findings should inform future infection control interventions and encourage the application of social network analysis to study disease transmission in healthcare settings.

  10. Using a bespoke situated digital kiosk to encourage user participation in healthcare environment design.

    Science.gov (United States)

    Mackrill, J; Marshall, P; Payne, S R; Dimitrokali, E; Cain, R

    2017-03-01

    Involving users through participation in healthcare service and environment design is growing. Existing approaches and toolkits for practitioners and researchers are often paper based involving workshops and other more traditional design approaches such as paper prototyping. The advent of digital technology provides the opportunity to explore new platforms for user participation. This paper presents results from three studies that used a bespoke situated user participation digital kiosk, engaging 33 users in investigating healthcare environment design. The studies, from primary and secondary care settings, allowed participant feedback on each environment and proved a novel, engaging "21st century" way to participate in the appraisal of the design process. The results point toward this as an exciting and growing area of research in developing not just a new method of user participation but also the technology that supports it. Limitations were noted in terms of data validity and engagement with the device. To guide the development of user participation using similar situated digital devices, key lessons and reflections are presented. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  11. Inter-organisational communication networks in healthcare: centralised versus decentralised approaches

    Directory of Open Access Journals (Sweden)

    Habibollah Pirnejad

    2007-05-01

    Full Text Available Background: To afford efficient and high quality care, healthcare providers increasingly need to exchange patient data. The existence of a communication network amongst care providers will help them to exchange patient data more efficiently. Information and communication technology (ICT has much potential to facilitate the development of such a communication network. Moreover, in order to offer integrated care interoperability of healthcare organizations based upon the exchanged data is of crucial importance. However, complications around such a development are beyond technical impediments. Objectives: To determine the challenges and complexities involved in building an Inter-organisational Communication network (IOCN in healthcare and the appropriations in the strategies. Case study: Interviews, literature review, and document analysis were conducted to analyse the developments that have taken place toward building a countrywide electronic patient record and its challenges in The Netherlands. Due to the interrelated nature of technical and non-technical problems, a socio-technical approach was used to analyse the data and define the challenges. Results: Organisational and cultural changes are necessary before technical solutions can be applied. There are organisational, financial, political, and ethicolegal challenges that have to be addressed appropriately. Two different approaches, one “centralised” and the other “decentralised” have been used by Dutch healthcare providers to adopt the necessary changes and cope with these challenges. Conclusion: The best solutions in building an IOCN have to be drawn from both the centralised and the decentralised approaches. Local communication initiatives have to be supervised and supported centrally and incentives at the organisations' interest level have to be created to encourage the stakeholder organisations to adopt the necessary changes.

  12. Patients’ experience of important factors in the healthcare environment in oncology care

    Science.gov (United States)

    Browall, Maria; Koinberg, Ingalill; Falk, Hanna; Wijk, Helle

    2013-01-01

    Background and objective The aim of this study was to describe what factors of the healthcare environment are perceived as being important to patients in oncology care. Design A qualitative design was adopted using focus group interviews. Setting and participants The sample was 11 patients with different cancer diagnoses in an oncology ward at a university hospital in west Sweden. Results Analysis of the patients’ perceptions of the environment indicated a complex entity comprising several aspects. These came together in a structure consisting of three main categories: safety, partnership with the staff, and physical space. The care environment is perceived as a complex entity, made up of several physical and psychosocial aspects, where the physical factors are subordinated by the psychosocial factors. It is clearly demonstrated that the patients’ primary desire was a psychosocial environment where they were seen as a unique person; the patients wanted opportunities for good encounters with staff, fellow patients, and family members, supported by a good physical environment; and the patients valued highly a place to withdraw and rest. Conclusions This study presents those attributes that are valued by cancer patients as crucial and important for the support of their well-being and functioning. The results show that physical aspects were subordinate to psychosocial factors, which emerged strongly as being the most important in a caring environment. PMID:23924604

  13. Patients’ experience of important factors in the healthcare environment in oncology care

    Directory of Open Access Journals (Sweden)

    Helle Wijk

    2013-08-01

    Full Text Available Background and objective. The aim of this study was to describe what factors of the healthcare environment are perceived as being important to patients in oncology care. Design. A qualitative design was adopted using focus group interviews. Setting and participants. The sample was 11 patients with different cancer diagnoses in an oncology ward at a university hospital in west Sweden. Results. Analysis of the patients’ perceptions of the environment indicated a complex entity comprising several aspects. These came together in a structure consisting of three main categories: safety, partnership with the staff, and physical space. The care environment is perceived as a complex entity, made up of several physical and psychosocial aspects, where the physical factors are subordinated by the psychosocial factors. It is clearly demonstrated that the patients’ primary desire was a psychosocial environment where they were seen as a unique person; the patients wanted opportunities for good encounters with staff, fellow patients, and family members, supported by a good physical environment; and the patients valued highly a place to withdraw and rest. Conclusions. This study presents those attributes that are valued by cancer patients as crucial and important for the support of their well-being and functioning. The results show that physical aspects were subordinate to psychosocial factors, which emerged strongly as being the most important in a caring environment.

  14. Wireless sensor networks in a maritime environment

    Science.gov (United States)

    Kavelaars, W.; Maris, M.

    2005-10-01

    In the recent years, there has been a lot of research on sensor networks and their applications. In particular for monitoring large and potentially hostile areas these networks have proven to be very useful. The technique of land-based sensor networks can be extrapolated to sensing buoys at sea or in harbors. This is a novel and intriguing addition to existing maritime monitoring systems. At TNO, much research effort has gone into developing sensor networks. In this paper, the TNOdes sensor network is presented. Its practical employability is demonstrated in a surveillance application deploying 50 nodes. The system is capable of tracking persons in a field, as would be the situation around a military compound. A camera-system is triggered by the sensors and zooms into the detected moving objects. It is described how this system could be modified to create a wireless buoys network. Typical applications of a wireless (and potentially mobile) buoy network are bay-area surveillance, mine detection, identification and ship protection.

  15. iMAGE cloud: medical image processing as a service for regional healthcare in a hybrid cloud environment.

    Science.gov (United States)

    Liu, Li; Chen, Weiping; Nie, Min; Zhang, Fengjuan; Wang, Yu; He, Ailing; Wang, Xiaonan; Yan, Gen

    2016-11-01

    To handle the emergence of the regional healthcare ecosystem, physicians and surgeons in various departments and healthcare institutions must process medical images securely, conveniently, and efficiently, and must integrate them with electronic medical records (EMRs). In this manuscript, we propose a software as a service (SaaS) cloud called the iMAGE cloud. A three-layer hybrid cloud was created to provide medical image processing services in the smart city of Wuxi, China, in April 2015. In the first step, medical images and EMR data were received and integrated via the hybrid regional healthcare network. Then, traditional and advanced image processing functions were proposed and computed in a unified manner in the high-performance cloud units. Finally, the image processing results were delivered to regional users using the virtual desktop infrastructure (VDI) technology. Security infrastructure was also taken into consideration. Integrated information query and many advanced medical image processing functions-such as coronary extraction, pulmonary reconstruction, vascular extraction, intelligent detection of pulmonary nodules, image fusion, and 3D printing-were available to local physicians and surgeons in various departments and healthcare institutions. Implementation results indicate that the iMAGE cloud can provide convenient, efficient, compatible, and secure medical image processing services in regional healthcare networks. The iMAGE cloud has been proven to be valuable in applications in the regional healthcare system, and it could have a promising future in the healthcare system worldwide.

  16. Distributed data networks: a blueprint for Big Data sharing and healthcare analytics.

    Science.gov (United States)

    Popovic, Jennifer R

    2017-01-01

    This paper defines the attributes of distributed data networks and outlines the data and analytic infrastructure needed to build and maintain a successful network. We use examples from one successful implementation of a large-scale, multisite, healthcare-related distributed data network, the U.S. Food and Drug Administration-sponsored Sentinel Initiative. Analytic infrastructure-development concepts are discussed from the perspective of promoting six pillars of analytic infrastructure: consistency, reusability, flexibility, scalability, transparency, and reproducibility. This paper also introduces one use case for machine learning algorithm development to fully utilize and advance the portfolio of population health analytics, particularly those using multisite administrative data sources. © 2016 New York Academy of Sciences.

  17. Key Economic Parameters for an Optimal Pharmacy Network in a Regulated Environment

    Directory of Open Access Journals (Sweden)

    Franjo MLINARIC

    2016-10-01

    Full Text Available Pharmacies are an integral part of the modern healthcare system which strives for a holistic and effi cient care. General practitioners and pharmacists are held in high esteem among local communities as they are the fi rst point of contact when people have health issues. However, a strong demand for health services in developed countries and its present fi nancing schemes undermined the sustainability of the whole health system (8.9% of GDP in 2013 and growing. According to WHO and EU recommendations, the whole healthcare system shall accept a holistic approach and focus on education, prevention and proper medicine consume. Part of this strategy is a seamless care concept, where medical doctors and pharmacists build a team around the well-being of a patient. Financing scheme incentives and KPI’s (key performance indicators will be focused on keeping people healthy, instead of paying for procedures. The future healthcare ecosystem obliges pharmacists to optimize network coverage and to extend health services. Nevertheless, their growth strategy needs to be gradual, considering the present level of network coverage, the low pace of private and public expenditures for medicine and services, and the fact that a new fi nancing model for pharmacies is still unknown. Thus, we expect the development of pharmacy network in regulated environment to be fi nanced predominantly from retained earnings in publicly owned pharmacies and by awarding pharmacy concessions.

  18. User recommendation in healthcare social media by assessing user similarity in heterogeneous network.

    Science.gov (United States)

    Jiang, Ling; Yang, Christopher C

    2017-09-01

    The rapid growth of online health social websites has captured a vast amount of healthcare information and made the information easy to access for health consumers. E-patients often use these social websites for informational and emotional support. However, health consumers could be easily overwhelmed by the overloaded information. Healthcare information searching can be very difficult for consumers, not to mention most of them are not skilled information searcher. In this work, we investigate the approaches for measuring user similarity in online health social websites. By recommending similar users to consumers, we can help them to seek informational and emotional support in a more efficient way. We propose to represent the healthcare social media data as a heterogeneous healthcare information network and introduce the local and global structural approaches for measuring user similarity in a heterogeneous network. We compare the proposed structural approaches with the content-based approach. Experiments were conducted on a dataset collected from a popular online health social website, and the results showed that content-based approach performed better for inactive users, while structural approaches performed better for active users. Moreover, global structural approach outperformed local structural approach for all user groups. In addition, we conducted experiments on local and global structural approaches using different weight schemas for the edges in the network. Leverage performed the best for both local and global approaches. Finally, we integrated different approaches and demonstrated that hybrid method yielded better performance than the individual approach. The results indicate that content-based methods can effectively capture the similarity of inactive users who usually have focused interests, while structural methods can achieve better performance when rich structural information is available. Local structural approach only considers direct connections

  19. The environment of professional practice and Burnout in nurses in primary healthcare

    Directory of Open Access Journals (Sweden)

    Vera Regina Lorenz

    2014-12-01

    Full Text Available OBJECTIVES: to assess how nurses perceive autonomy, control over the environment, the professional relationship between nurses and physicians and the organizational support and correlate them with burnout, satisfaction at work, quality of work and the intention to quit work in primary healthcare.METHOD: cross-sectional and correlation study, using a sample of 198 nurses. The tools used were the Nursing Work Index Revised, Maslach Burnout Inventory and a form to characterize the nurses. To analyze the data, descriptive statistics were applied and Spearman's correlation coefficient was used.RESULTS: the nurses assessed that the environment is partially favorable for: autonomy, professional relationship and organizational support and that the control over this environment is limited. Significant correlations were evidenced between the Nursing Work Index Revised, Maslach Burnout Inventory and the variables: satisfaction at work, quality of care and the intent to quit the job.CONCLUSION: the nurses' perceptions regarding the environment of practice are correlated with burnout, satisfaction at work, quality of care and the intent to quit the job. This study provides support for the restructuring of work processes in the primary health care environment and for communication among the health service management, human resources and occupational health areas.

  20. Mathematical models of infection transmission in healthcare settings: recent advances from the use of network structured data.

    Science.gov (United States)

    Assab, Rania; Nekkab, Narimane; Crépey, Pascal; Astagneau, Pascal; Guillemot, Didier; Opatowski, Lulla; Temime, Laura

    2017-08-01

    Mathematical modeling approaches have brought important contributions to the study of pathogen spread in healthcare settings over the last 20 years. Here, we conduct a comprehensive systematic review of mathematical models of disease transmission in healthcare settings and assess the application of contact and patient transfer network data over time and their impact on our understanding of transmission dynamics of infections. Recently, with the increasing availability of data on the structure of interindividual and interinstitution networks, models incorporating this type of information have been proposed, with the aim of providing more realistic predictions of disease transmission in healthcare settings. Models incorporating realistic data on individual or facility networks often remain limited to a few settings and a few pathogens (mostly methicillin-resistant Staphylococcus aureus). To respond to the objectives of creating improved infection prevention and control measures and better understanding of healthcare-associated infections transmission dynamics, further innovations in data collection and parameter estimation in modeling is required.

  1. Integration and the performance of healthcare networks: do integration strategies enhance efficiency, profitability, and image?

    Directory of Open Access Journals (Sweden)

    Thomas T.H. Wan

    2001-06-01

    Full Text Available Purpose: This study examines the integration effects on efficiency and financial viability of the top 100 integrated healthcare networks (IHNs in the United States. Theory: A contingency- strategic theory is used to identify the relationship of IHNs' performance to their structural and operational characteristics and integration strategies. Methods: The lists of the top 100 IHNs ranked in two years, 1998 and 1999, by the SMG Marketing Group were merged to create a database for the study. Multiple indicators were used to examine the relationship between IHNs' characteristics and their performance in efficiency and financial viability. A path analytical model was developed and validated by the Mplus statistical program. Factors influencing the top 100 IHNs' images, represented by attaining ranking among the top 100 in two consecutive years, were analysed. Results and conclusion: No positive associations were found between integration and network performance in efficiency or profits. Longitudinal data are needed to investigate the effect of integration on healthcare networks' financial performance.

  2. Smart Sensor Network System For Environment Monitoring

    Directory of Open Access Journals (Sweden)

    Javed Ali Baloch

    2012-07-01

    Full Text Available SSN (Smart Sensor Network systems could be used to monitor buildings with modern infrastructure, plant sites with chemical pollution, horticulture, natural habitat, wastewater management and modern transport system. To sense attributes of phenomena and make decisions on the basis of the sensed value is the primary goal of such systems. In this paper a Smart Spatially aware sensor system is presented. A smart system, which could continuously monitor the network to observe the functionality and trigger, alerts to the base station if a change in the system occurs and provide feedback periodically, on demand or even continuously depending on the nature of the application. The results of the simulation trials presented in this paper exhibit the performance of a Smart Spatially Aware Sensor Networks.

  3. Home-Network Security Model in Ubiquitous Environment

    OpenAIRE

    Dong-Young Yoo; Jong-Whoi Shin; Jin-Young Choi

    2007-01-01

    Social interest and demand on Home-Network has been increasing greatly. Although various services are being introduced to respond to such demands, they can cause serious security problems when linked to the open network such as Internet. This paper reviews the security requirements to protect the service users with assumption that the Home-Network environment is connected to Internet and then proposes the security model based on the requirement. The proposed security mode...

  4. Using heterogeneous wireless sensor networks in a telemonitoring system for healthcare.

    Science.gov (United States)

    Corchado, Juan M; Bajo, Javier; Tapia, Dante I; Abraham, Ajith

    2010-03-01

    Ambient intelligence has acquired great importance in recent years and requires the development of new innovative solutions. This paper presents a distributed telemonitoring system, aimed at improving healthcare and assistance to dependent people at their homes. The system implements a service-oriented architecture based platform, which allows heterogeneous wireless sensor networks to communicate in a distributed way independent of time and location restrictions. This approach provides the system with a higher ability to recover from errors and a better flexibility to change their behavior at execution time. Preliminary results are presented in this paper.

  5. Managing the Environment : Effects of network ambition on agency performance

    NARCIS (Netherlands)

    Akkerman, A.; Torenvlied, R.

    2011-01-01

    The literature on network management in the public sector reports positive effects of network activity on agency performance. Current studies show however no differences between specific types of contacts in an agency's environment. The present article adopts an explorative design to study the

  6. Mobile Sensor Networks for Inspection Tasks in Harsh Industrial Environments

    NARCIS (Netherlands)

    Mulder, Jacob; Wang, Xinyu; Ferwerda, Franke; Cao, Ming

    Recent advances in sensor technology have enabled the fast development of mobile sensor networks operating in various unknown and sometimes hazardous environments. In this paper, we introduce one integrative approach to design, analyze and test distributed control algorithms to coordinate a network

  7. Crowdsourcing the nodulation gene network discovery environment.

    Science.gov (United States)

    Li, Yupeng; Jackson, Scott A

    2016-05-26

    The Legumes (Fabaceae) are an economically and ecologically important group of plant species with the conspicuous capacity for symbiotic nitrogen fixation in root nodules, specialized plant organs containing symbiotic microbes. With the aim of understanding the underlying molecular mechanisms leading to nodulation, many efforts are underway to identify nodulation-related genes and determine how these genes interact with each other. In order to accurately and efficiently reconstruct nodulation gene network, a crowdsourcing platform, CrowdNodNet, was created. The platform implements the jQuery and vis.js JavaScript libraries, so that users are able to interactively visualize and edit the gene network, and easily access the information about the network, e.g. gene lists, gene interactions and gene functional annotations. In addition, all the gene information is written on MediaWiki pages, enabling users to edit and contribute to the network curation. Utilizing the continuously updated, collaboratively written, and community-reviewed Wikipedia model, the platform could, in a short time, become a comprehensive knowledge base of nodulation-related pathways. The platform could also be used for other biological processes, and thus has great potential for integrating and advancing our understanding of the functional genomics and systems biology of any process for any species. The platform is available at http://crowd.bioops.info/ , and the source code can be openly accessed at https://github.com/bioops/crowdnodnet under MIT License.

  8. Exploring the Impact of Toxic Attitudes and a Toxic Environment on the Veterinary Healthcare Team.

    Science.gov (United States)

    Moore, Irene C; Coe, Jason B; Adams, Cindy L; Conlon, Peter D; Sargeant, Jan M

    2015-01-01

    The objective of this qualitative study was to compare veterinarians' and Registered Veterinary Technicians' (RVT's) perceptions of the veterinary healthcare team with respect to the impact of toxic attitudes and a toxic environment. Focus group interviews using a semi-structured interview guide and follow up probes were held with four veterinarian groups (23 companion animal veterinarians) and four Registered Veterinary Technician groups (26 RVTs). Thematic analysis of the discussions indicated both veterinarian and RVT participants felt team members with manifestations of toxic attitudes negatively impacted veterinary team function. These manifestations included people being disrespectful, being resistant to change, always wanting to be the "go to person," avoiding conflict, and lacking motivation. When conflict was ignored, or when people with toxic attitudes were not addressed, a toxic environment often resulted. A toxic environment sometimes manifested when "broken communication and tension between staff members" occurred as a result of employees lacking confidence, skills, or knowledge not being managed properly. It also occurred when employees did not feel appreciated, when there was difficulty coping with turnover, and when there were conflicting demands. The presence of people manifesting a toxic attitude was a source of frustration for both veterinarian and RVT participants. Prompt and consistent attention to negative behaviors is recommended to reduce the development of a toxic environment.

  9. [Social network analysis: a method to improve safety in healthcare organizations].

    Science.gov (United States)

    Marqués Sánchez, Pilar; González Pérez, Marta Eva; Agra Varela, Yolanda; Vega Núñez, Jorge; Pinto Carral, Arrate; Quiroga Sánchez, Enedina

    2013-01-01

    Patient safety depends on the culture of the healthcare organization involving relationships between professionals. This article proposes that the study of these relations should be conducted from a network perspective and using a methodology called Social Network Analysis (SNA). This methodology includes a set of mathematical constructs grounded in Graph Theory. With the SNA we can know aspects of the individual's position in the network (centrality) or cohesion among team members. Thus, the SNA allows to know aspects related to security such as the kind of links that can increase commitment among professionals, how to build those links, which nodes have more prestige in the team in generating confidence or collaborative network, which professionals serve as intermediaries between the subgroups of a team to transmit information or smooth conflicts, etc. Useful aspects in stablishing a safety culture. The SNA would analyze the relations among professionals, their level of communication to communicate errors and spontaneously seek help and coordination between departments to participate in projects that enhance safety. Thus, they related through a network, using the same language, a fact that helps to build a culture. In summary, we propose an approach to safety culture from a SNA perspective that would complement other commonly used methods.

  10. How people who self-harm negotiate the inpatient environment: the mental healthcare workers perspective.

    Science.gov (United States)

    Thomas, J B; Haslam, C O

    2017-09-01

    WHAT IS KNOWN ABOUT THE SUBJECT?: Self-harm plays a function, commonly in the form of distress management. There has been little focussed exploration of how individuals who use self-harm to manage distress cope when prevented from self-harm in an inpatient environment and how staff respond to this issue. This paper uses the experiences of mental health staff to add to the existing knowledge that self-harm has a functional role and supports the notion that interventions for self-harm should focus on the origins of distress. It describes the potential consequences that focussing on prevention of self-harm as opposed to actually managing distress may have on service-users, how staff attempt to manage these consequences and factors that may impact on staff interventions to prevent further distress/harm. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: The findings suggest that mental healthcare staff should aim to understand the function of self-harm, use this understanding to develop an individualized care plan with the aim of managing distress and identify barriers to the effectiveness of the interventions so they can be worked around. Introduction Literature describes self-harm as functional and meaningful. This creates difficulties for service-users detained in an inpatient environment where self-harm is prevented. Aim Mental healthcare staff were interviewed to build on existing evidence of issues with the prevention approach and explore, from a staff perspective, how self-harm prevention impacts on service-users, how they manage distress and how this impacts on staff and their approach to care. Methods Qualitative methods were used to allow unexpected themes to arise. Ten semi-structured interviews were carried out with mental healthcare staff and thematically analysed. Findings and discussion The findings provide new evidence on the benefits and limitations of the inpatient environment for individuals who self-harm. Findings indicate that being unable to self-harm can

  11. A Cloud-Assisted Random Linear Network Coding Medium Access Control Protocol for Healthcare Applications

    Directory of Open Access Journals (Sweden)

    Elli Kartsakli

    2014-03-01

    Full Text Available Relay sensor networks are often employed in end-to-end healthcare applications to facilitate the information flow between patient worn sensors and the medical data center. Medium access control (MAC protocols, based on random linear network coding (RLNC, are a novel and suitable approach to efficiently handle data dissemination. However, several challenges arise, such as additional delays introduced by the intermediate relay nodes and decoding failures, due to channel errors. In this paper, we tackle these issues by adopting a cloud architecture where the set of relays is connected to a coordinating entity, called cloud manager. We propose a cloud-assisted RLNC-based MAC protocol (CLNC-MAC and develop a mathematical model for the calculation of the key performance metrics, namely the system throughput, the mean completion time for data delivery and the energy efficiency. We show the importance of central coordination in fully exploiting the gain of RLNC under error-prone channels.

  12. SOCIAL NETWORKS AS THE ENVIRONMENT EDUCATION

    Directory of Open Access Journals (Sweden)

    Wojsław Czupryński

    2016-12-01

    Full Text Available The emergence of the global Internet has changed the way the entire human population communicates. The internet has become a platform, where human societies build their lives, and traditional communication over the last few years has been replaced by social networks. Today, social networks are the subject of many debates concerning their advantages, disadvantages and the ideas of what they bring to the future. Portals are not only the way of communication, fun, an idea to spend free time, but also source of social and humanistic knowledge too. Against that, social media could be a huge risk for those who use them. The assigned job above discusses about the topic the detrimental effect what the social networks bring. A series of deviant behaviors caused by use of the portal is also presented in this report. Often they become a dysfunctional generator of actions that manifest themselves among the youth. Consequently, there was a need to take action to stop the growth of this phenomenon among young people. First of all the primary activities at this level are prevention and education in the family.

  13. Conditions for Productive Learning in Network Learning Environments

    DEFF Research Database (Denmark)

    Ponti, M.; Dirckinck-Holmfeld, Lone; Lindström, B.

    2004-01-01

    The Kaleidoscope1 Jointly Executed Integrating Research Project (JEIRP) on Conditions for Productive Networked Learning Environments is developing and elaborating conceptual understandings of Computer Supported Collaborative Learning (CSCL) emphasizing the use of cross-cultural comparative......: Pedagogical design and the dialectics of the digital artefacts, the concept of collaboration, ethics/trust, identity and the role of scaffolding of networked learning environments.   The JEIRP is motivated by the fact that many networked learning environments in various European educational settings...... are designed without a deep understanding of the pedagogical, communicative and collaborative conditions embedded in networked learning. Despite the existence of good theoretical views pointing to a social understanding of learning, rather than a traditional individualistic and information processing approach...

  14. Construction and application of an intelligent air quality monitoring system for healthcare environment.

    Science.gov (United States)

    Yang, Chao-Tung; Liao, Chi-Jui; Liu, Jung-Chun; Den, Walter; Chou, Ying-Chyi; Tsai, Jaw-Ji

    2014-02-01

    Indoor air quality monitoring in healthcare environment has become a critical part of hospital management and policy. Manual air sampling and analysis are cost-inhibitive and do not provide real-time air quality data and response measures. In this month-long study over 14 sampling locations in a public hospital in Taiwan, we observed a positive correlation between CO(2) concentration and population, total bacteria, and particulate matter concentrations, thus monitoring CO(2) concentration as a general indicator for air quality could be a viable option. Consequently, an intelligent environmental monitoring system consisting of a CO(2)/temperature/humidity sensor, a digital plug, and a ZigBee Router and Coordinator was developed and tested. The system also included a backend server that received and analyzed data, as well as activating ventilation and air purifiers when CO(2) concentration exceeded a pre-set value. Alert messages can also be delivered to offsite users through mobile devices.

  15. Uncoupled Analysis of Stochastic Reaction Networks in Fluctuating Environments

    Science.gov (United States)

    Zechner, Christoph; Koeppl, Heinz

    2014-01-01

    The dynamics of stochastic reaction networks within cells are inevitably modulated by factors considered extrinsic to the network such as, for instance, the fluctuations in ribosome copy numbers for a gene regulatory network. While several recent studies demonstrate the importance of accounting for such extrinsic components, the resulting models are typically hard to analyze. In this work we develop a general mathematical framework that allows to uncouple the network from its dynamic environment by incorporating only the environment's effect onto the network into a new model. More technically, we show how such fluctuating extrinsic components (e.g., chemical species) can be marginalized in order to obtain this decoupled model. We derive its corresponding process- and master equations and show how stochastic simulations can be performed. Using several case studies, we demonstrate the significance of the approach. PMID:25473849

  16. A systematic review of the psychometric properties of instruments for assessing the quality of the physical environment in healthcare.

    Science.gov (United States)

    Elf, Marie; Nordin, Susanna; Wijk, Helle; Mckee, Kevin J

    2017-12-01

    To identify instruments measuring the quality of the physical healthcare environment, describe their psychometric properties. The physical healthcare environment is regarded as a quality factor for health care. To facilitate evidence-based design there is a need for valid and usable instruments that can evaluate the design of the healthcare environment. Systematic psychometric review. A systematic literature search in Medline, CINAHL, Psychinfo, Avery index and reference lists of eligible papers (1990-2016). Consensus based standards for selection of health measurement instruments guidelines were used to evaluate psychometric data reported. Twenty-three instruments were included. Most of the instruments are intended for healthcare environments related to the care of older people. Many of the instruments were old, lacked strong, contemporary theoretical foundations, varied in the extent to which they had been used in empirical studies and in the degree to which their validity and reliability had been evaluated. Although we found many instruments for measuring the quality of the physical healthcare environment, none met all of our criteria for robustness. Of the instruments, The Multiphasic environmental assessment procedure, The Professional environment assessment protocol and The therapeutic environment screening have been used and tested most frequently. The Perceived hospital quality indicators are user centred and combine aspects of the physical and social environment. The Sheffield care environment assessment matrix has potential as it is comprehensive developed using a theoretical framework that has the needs of older people at the centre. However, further psychometric and user-evaluation of the instrument is required. © 2017 The Authors. Journal of Advanced Nursing Published by John Wiley & Sons Ltd.

  17. Networked Mobilities and Performative Urban Environments

    DEFF Research Database (Denmark)

    Jensen, Ole B.

    Physical mobility has an important cultural dimension to contemporary life. The movement of objects, signs, and people constitutes material sites of networked relationships. However, as an increasing number of mobility practices are making up our everyday life experiences the movement is much mor...... a field of explorations into broader issues of democracy, multiple publics, and new mobile (electronic and material) agoras pointing towards a critical re-interpretation of contemporary politics of space and mobility.......Physical mobility has an important cultural dimension to contemporary life. The movement of objects, signs, and people constitutes material sites of networked relationships. However, as an increasing number of mobility practices are making up our everyday life experiences the movement is much more...... than a travel from point A to point B. The mobile experiences of the contemporary society are practices that are meaningful and normatively embedded. That is to say, mobility is seen as a cultural phenomenon shaping notions of self and other as well as the relationship to sites and places. Furthermore...

  18. NNETS - NEURAL NETWORK ENVIRONMENT ON A TRANSPUTER SYSTEM

    Science.gov (United States)

    Villarreal, J.

    1994-01-01

    The primary purpose of NNETS (Neural Network Environment on a Transputer System) is to provide users a high degree of flexibility in creating and manipulating a wide variety of neural network topologies at processing speeds not found in conventional computing environments. To accomplish this purpose, NNETS supports back propagation and back propagation related algorithms. The back propagation algorithm used is an implementation of Rumelhart's Generalized Delta Rule. NNETS was developed on the INMOS Transputer. NNETS predefines a Back Propagation Network, a Jordan Network, and a Reinforcement Network to assist users in learning and defining their own networks. The program also allows users to configure other neural network paradigms from the NNETS basic architecture. The Jordan network is basically a feed forward network that has the outputs connected to a pseudo input layer. The state of the network is dependent on the inputs from the environment plus the state of the network. The Reinforcement network learns via a scalar feedback signal called reinforcement. The network propagates forward randomly. The environment looks at the outputs of the network to produce a reinforcement signal that is fed back to the network. NNETS was written for the INMOS C compiler D711B version 1.3 or later (MS-DOS version). A small portion of the software was written in the OCCAM language to perform the communications routing between processors. NNETS is configured to operate on a 4 X 10 array of Transputers in sequence with a Transputer based graphics processor controlled by a master IBM PC 286 (or better) Transputer. A RGB monitor is required which must be capable of 512 X 512 resolution. It must be able to receive red, green, and blue signals via BNC connectors. NNETS is meant for experienced Transputer users only. The program is distributed on 5.25 inch 1.2Mb MS-DOS format diskettes. NNETS was developed in 1991. Transputer and OCCAM are registered trademarks of Inmos Corporation. MS

  19. Exploring perceptions of healthcare professionals in the implementation of a new professional role of clinical telehealth coordinator within a university integrated healthcare network.

    Science.gov (United States)

    Payette, Carine; Desrochers, Johanne; Lavoie-Tremblay, Mélanie; Richer, Marie-Claire

    2010-06-01

    As telehealth networks develop across Canada, new professional roles start to emerge. A university healthcare center part of an integrated health network has identified the need to introduce a clinical coordinator for specialized telehealth programs. However, very little is found in the current literature about the description or core competencies that such a professional should possess as well as the ways to implement this role. The objective of this study was to explore how healthcare professionals (HCPs) involved in a specialized teleoncology program perceive a new clinical telehealth coordinator (CTC) role within a university integrated healthcare network (UIHN) in a metropolitan area in Québec, Canada. A descriptive qualitative design was used and a purposive sample of nine HCPs, including physicians, nurses, and pharmacists who were members of a UIHN teleoncology committee, was recruited. The HCPs identified that the CTC was a multifaceted role. The core competencies identified by the HCPs included knowledge, expertise, and experience. Participants identified three key factors in the implementation of this role, namely, the structural support, having a common language, and making the implementation of this role relevant. The results suggest that this CTC role may be more complex than originally expected and that the diverse competencies suggest an expanded nature to this role. This has important implications for administrative strategies when addressing the key factors in the implementation of this role.

  20. Proactive Approach for Safe Use of Antimicrobial Coatings in Healthcare Settings: Opinion of the COST Action Network AMiCI

    Directory of Open Access Journals (Sweden)

    Merja Ahonen

    2017-03-01

    Full Text Available Infections and infectious diseases are considered a major challenge to human health in healthcare units worldwide. This opinion paper was initiated by EU COST Action network AMiCI (AntiMicrobial Coating Innovations and focuses on scientific information essential for weighing the risks and benefits of antimicrobial surfaces in healthcare settings. Particular attention is drawn on nanomaterial-based antimicrobial surfaces in frequently-touched areas in healthcare settings and the potential of these nano-enabled coatings to induce (ecotoxicological hazard and antimicrobial resistance. Possibilities to minimize those risks e.g., at the level of safe-by-design are demonstrated.

  1. Culturally and linguistically diverse healthcare students' experiences of learning in a clinical environment: A systematic review of qualitative studies.

    Science.gov (United States)

    Mikkonen, Kristina; Elo, Satu; Kuivila, Heli-Maria; Tuomikoski, Anna-Maria; Kääriäinen, Maria

    2016-02-01

    Learning in the clinical environment of healthcare students plays a significant part in higher education. The greatest challenges for culturally and linguistically diverse healthcare students were found in clinical placements, where differences in language and culture have been shown to cause learning obstacles for students. There has been no systematic review conducted to examine culturally and linguistically diverse healthcare students' experiences of their learning in the clinical environment. This systematic review aims to identify culturally and linguistically diverse healthcare students' experiences of learning in a clinical environment. The search strategy followed the guidelines of the Centre of Reviews and Dissemination. The original studies were identified from seven databases (CINAHL, Medline Ovid, Scopus, Web of Science, Academic Search Premiere, Eric and Cochrane Library) for the period 2000-2014. Two researchers selected studies based on titles, abstracts and full texts using inclusion criteria and assessed the quality of studies independently. Twelve original studies were chosen for the review. The culturally and linguistically diverse healthcare students' learning experiences were divided into three influential aspects of learning in a clinical environment: experiences with implementation processes and provision; experiences with peers and mentors; and experiences with university support and instructions. The main findings indicate that culturally and linguistically diverse healthcare students embarking on clinical placements initially find integration stressful. Implementing the process of learning in a clinical environment requires additional time, well prepared pedagogical orientation, prior cultural and language education, and support for students and clinical staff. Barriers to learning by culturally and linguistically diverse healthcare students were not being recognized and individuals were not considered motivated; learners experienced the

  2. A network-oriented business modeling environment

    Science.gov (United States)

    Bisconti, Cristian; Storelli, Davide; Totaro, Salvatore; Arigliano, Francesco; Savarino, Vincenzo; Vicari, Claudia

    The development of formal models related to the organizational aspects of an enterprise is fundamental when these aspects must be re-engineered and digitalized, especially when the enterprise is involved in the dynamics and value flows of a business network. Business modeling provides an opportunity to synthesize and make business processes, business rules and the structural aspects of an organization explicit, allowing business managers to control their complexity and guide an enterprise through effective decisional and strategic activities. This chapter discusses the main results of the TEKNE project in terms of software components that enable enterprises to configure, store, search and share models of any aspects of their business while leveraging standard and business-oriented technologies and languages to bridge the gap between the world of business people and IT experts and to foster effective business-to-business collaborations.

  3. Artificial neural networks modeling gene-environment interaction

    Directory of Open Access Journals (Sweden)

    Günther Frauke

    2012-05-01

    Full Text Available Abstract Background Gene-environment interactions play an important role in the etiological pathway of complex diseases. An appropriate statistical method for handling a wide variety of complex situations involving interactions between variables is still lacking, especially when continuous variables are involved. The aim of this paper is to explore the ability of neural networks to model different structures of gene-environment interactions. A simulation study is set up to compare neural networks with standard logistic regression models. Eight different structures of gene-environment interactions are investigated. These structures are characterized by penetrance functions that are based on sigmoid functions or on combinations of linear and non-linear effects of a continuous environmental factor and a genetic factor with main effect or with a masking effect only. Results In our simulation study, neural networks are more successful in modeling gene-environment interactions than logistic regression models. This outperfomance is especially pronounced when modeling sigmoid penetrance functions, when distinguishing between linear and nonlinear components, and when modeling masking effects of the genetic factor. Conclusion Our study shows that neural networks are a promising approach for analyzing gene-environment interactions. Especially, if no prior knowledge of the correct nature of the relationship between co-variables and response variable is present, neural networks provide a valuable alternative to regression methods that are limited to the analysis of linearly separable data.

  4. The impact of directed choice on the design of preventive healthcare facility network under congestion.

    Science.gov (United States)

    Vidyarthi, Navneet; Kuzgunkaya, Onur

    2015-12-01

    Preventive healthcare (PH) programs and services aim at reducing the likelihood and severity of potentially life-threatening illness by early detection and prevention. The effectiveness of these programs depends on the participation level and the accessibility of the users to the facilities providing the services. Factors that impact the accessibility include the number, type, and location of the facilities as well as the assignment of the clients to these facilities. In this paper, we study the impact of system-optimal (i.e., directed) choice on the design of the preventive healthcare facility network under congestion. We present a model that simultaneously determines the location and the size of the facilities as well as the allocation of clients to these facilities so as to minimize the weighted sum of the total travel time and the congestion associated with waiting and service delay at the facilities. The problem is set up as a network of spatially distributed M/G/1 queues and formulated as a nonlinear mixed integer program. Using simple transformation of the nonlinear objective function and piecewise linear approximation, we reformulate the problem as a linear model. We present a cutting plane algorithm based exact (-optimal) solution approach. We analyze the tradeoff between travel time and queuing time and its impact on the location and capacity of the facilities as well as the allocation of clients to these facilities under a directed choice policy. We present a case study that deals with locating mammography clinics in Montreal, Canada. The results show that incorporating congestion in the PH facility network design substantially reduces the total time spent by clients. The proposed model allows policy makers to direct clients to facilities in an equitable manner resulting in better accessibility.

  5. A scoping review on bio-aerosols in healthcare and the dental environment.

    Science.gov (United States)

    Zemouri, Charifa; de Soet, Hans; Crielaard, Wim; Laheij, Alexa

    2017-01-01

    Bio-aerosols originate from different sources and their potentially pathogenic nature may form a hazard to healthcare workers and patients. So far no extensive review on existing evidence regarding bio-aerosols is available. This study aimed to review evidence on bio-aerosols in healthcare and the dental setting. The objectives were 1) What are the sources that generate bio-aerosols?; 2) What is the microbial load and composition of bio-aerosols and how were they measured?; and 3) What is the hazard posed by pathogenic micro-organisms transported via the aerosol route of transmission? Systematic scoping review design. Searched in PubMed and EMBASE from inception to 09-03-2016. References were screened and selected based on abstract and full text according to eligibility criteria. Full text articles were assessed for inclusion and summarized. The results are presented in three separate objectives and summarized for an overview of evidence. The search yielded 5,823 studies, of which 62 were included. Dental hand pieces were found to generate aerosols in the dental settings. Another 30 sources from human activities, interventions and daily cleaning performances in the hospital also generate aerosols. Fifty-five bacterial species, 45 fungi genera and ten viruses were identified in a hospital setting and 16 bacterial and 23 fungal species in the dental environment. Patients with certain risk factors had a higher chance to acquire Legionella in hospitals. Such infections can lead to irreversible septic shock and death. Only a few studies found that bio-aerosol generating procedures resulted in transmission of infectious diseases or allergic reactions. Bio-aerosols are generated via multiple sources such as different interventions, instruments and human activity. Bio-aerosols compositions reported are heterogeneous in their microbiological composition dependent on the setting and methodology. Legionella species were found to be a bio-aerosol dependent hazard to elderly

  6. A scoping review on bio-aerosols in healthcare and the dental environment.

    Directory of Open Access Journals (Sweden)

    Charifa Zemouri

    Full Text Available Bio-aerosols originate from different sources and their potentially pathogenic nature may form a hazard to healthcare workers and patients. So far no extensive review on existing evidence regarding bio-aerosols is available.This study aimed to review evidence on bio-aerosols in healthcare and the dental setting. The objectives were 1 What are the sources that generate bio-aerosols?; 2 What is the microbial load and composition of bio-aerosols and how were they measured?; and 3 What is the hazard posed by pathogenic micro-organisms transported via the aerosol route of transmission?Systematic scoping review design. Searched in PubMed and EMBASE from inception to 09-03-2016. References were screened and selected based on abstract and full text according to eligibility criteria. Full text articles were assessed for inclusion and summarized. The results are presented in three separate objectives and summarized for an overview of evidence.The search yielded 5,823 studies, of which 62 were included. Dental hand pieces were found to generate aerosols in the dental settings. Another 30 sources from human activities, interventions and daily cleaning performances in the hospital also generate aerosols. Fifty-five bacterial species, 45 fungi genera and ten viruses were identified in a hospital setting and 16 bacterial and 23 fungal species in the dental environment. Patients with certain risk factors had a higher chance to acquire Legionella in hospitals. Such infections can lead to irreversible septic shock and death. Only a few studies found that bio-aerosol generating procedures resulted in transmission of infectious diseases or allergic reactions.Bio-aerosols are generated via multiple sources such as different interventions, instruments and human activity. Bio-aerosols compositions reported are heterogeneous in their microbiological composition dependent on the setting and methodology. Legionella species were found to be a bio-aerosol dependent hazard

  7. Development of an ease-of-use remote healthcare system architecture using RFID and networking technologies.

    Science.gov (United States)

    Lin, Shih-Sung; Hung, Min-Hsiung; Tsai, Chang-Lung; Chou, Li-Ping

    2012-12-01

    The study aims to provide an ease-of-use approach for senior patients to utilize remote healthcare systems. An ease-of-use remote healthcare system (RHS) architecture using RFID (Radio Frequency Identification) and networking technologies is developed. Specifically, the codes in RFID tags are used for authenticating the patients' ID to secure and ease the login process. The patient needs only to take one action, i.e. placing a RFID tag onto the reader, to automatically login and start the RHS and then acquire automatic medical services. An ease-of-use emergency monitoring and reporting mechanism is developed as well to monitor and protect the safety of the senior patients who have to be left alone at home. By just pressing a single button, the RHS can automatically report the patient's emergency information to the clinic side so that the responsible medical personnel can take proper urgent actions for the patient. Besides, Web services technology is used to build the Internet communication scheme of the RHS so that the interoperability and data transmission security between the home server and the clinical server can be enhanced. A prototype RHS is constructed to validate the effectiveness of our designs. Testing results show that the proposed RHS architecture possesses the characteristics of ease to use, simplicity to operate, promptness in login, and no need to preserve identity information. The proposed RHS architecture can effectively increase the willingness of senior patients who act slowly or are unfamiliar with computer operations to use the RHS. The research results can be used as an add-on for developing future remote healthcare systems.

  8. Liner shipping hub network design in a competitive environment

    DEFF Research Database (Denmark)

    Gelareh, Shahin; Nickel, Stefan; Pisinger, David

    2010-01-01

    A mixed integer programming formulation is proposed for hub-and-spoke network design in a competitive environment. It addresses the competition between a newcomer liner service provider and an existing dominating operator, both operating on hub-and-spoke networks. The newcomer company maximizes its...... market share—which depends on the service time and transportation cost—by locating a predefined number of hubs at candidate ports and designing its network. While general-purpose solvers do not solve instances of even small size, an accelerated Lagrangian method combined with a primal heuristic obtains...

  9. Liner Shipping Hub Network Design in a Competitive Environment

    DEFF Research Database (Denmark)

    Gelareh, Shahin; Nickel, Stefan; Pisinger, David

    A new mixed integer programming formulation is proposed for hub-and-spoke network design in a competitive environment. It addresses competition between a newcomer liner service provider and an alliance, both operating on hub-and-spoke networks. The newcomer company maximizes its market share...... — proportional to service time and transportation cost —by locating a predefined number of hubs at candidate ports and designing its network. While general-purpose solvers do not solve instances of even small size, an accelerated lagrangian method coupled with a primal heuristic obtains very good bounds. Our...

  10. Conducting network penetration and espionage in a global environment

    CERN Document Server

    Middleton, Bruce

    2014-01-01

    When it's all said and done, penetration testing remains the most effective way to identify security vulnerabilities in computer networks. Conducting Network Penetration and Espionage in a Global Environment provides detailed guidance on how to perform effective penetration testing of computer networks-using free, open source, and commercially available tools, including Backtrack, Metasploit, Wireshark, Nmap, Netcat, and Nessus. It also considers exploits and other programs using Python, PERL, BASH, PHP, Ruby, and Windows PowerShell.The book taps into Bruce Middleton's decades of experience wi

  11. Enabling Remote Health-Caring Utilizing IoT Concept over LTE-Femtocell Networks.

    Directory of Open Access Journals (Sweden)

    M N Hindia

    Full Text Available As the enterprise of the "Internet of Things" is rapidly gaining widespread acceptance, sensors are being deployed in an unrestrained manner around the world to make efficient use of this new technological evolution. A recent survey has shown that sensor deployments over the past decade have increased significantly and has predicted an upsurge in the future growth rate. In health-care services, for instance, sensors are used as a key technology to enable Internet of Things oriented health-care monitoring systems. In this paper, we have proposed a two-stage fundamental approach to facilitate the implementation of such a system. In the first stage, sensors promptly gather together the particle measurements of an android application. Then, in the second stage, the collected data are sent over a Femto-LTE network following a new scheduling technique. The proposed scheduling strategy is used to send the data according to the application's priority. The efficiency of the proposed technique is demonstrated by comparing it with that of well-known algorithms, namely, proportional fairness and exponential proportional fairness.

  12. Enabling Remote Health-Caring Utilizing IoT Concept over LTE-Femtocell Networks.

    Science.gov (United States)

    Hindia, M N; Rahman, T A; Ojukwu, H; Hanafi, E B; Fattouh, A

    2016-01-01

    As the enterprise of the "Internet of Things" is rapidly gaining widespread acceptance, sensors are being deployed in an unrestrained manner around the world to make efficient use of this new technological evolution. A recent survey has shown that sensor deployments over the past decade have increased significantly and has predicted an upsurge in the future growth rate. In health-care services, for instance, sensors are used as a key technology to enable Internet of Things oriented health-care monitoring systems. In this paper, we have proposed a two-stage fundamental approach to facilitate the implementation of such a system. In the first stage, sensors promptly gather together the particle measurements of an android application. Then, in the second stage, the collected data are sent over a Femto-LTE network following a new scheduling technique. The proposed scheduling strategy is used to send the data according to the application's priority. The efficiency of the proposed technique is demonstrated by comparing it with that of well-known algorithms, namely, proportional fairness and exponential proportional fairness.

  13. Distributed storage healthcare - the basis of a planet-wide public health care network.

    Science.gov (United States)

    Kakouros, Nikolaos

    2013-01-01

    As health providers move towards higher levels of information technology (IT) integration, they become increasingly dependent on the availability of the electronic health record (EHR). Current solutions of individually managed storage by each healthcare provider focus on efforts to ensure data security, availability and redundancy. Such models, however, scale poorly to a future of a planet-wide public health-care network (PWPHN). Our aim was to review the research literature on distributed storage systems and propose methods that may aid the implementation of a PWPHN. A systematic review was carried out of the research dealing with distributed storage systems and EHR. A literature search was conducted on five electronic databases: Pubmed/Medline, Cinalh, EMBASE, Web of Science (ISI) and Google Scholar and then expanded to include non-authoritative sources. The English National Health Service Spine represents the most established country-wide PHN but is limited in deployment and remains underused. Other, literature identified and established distributed EHR attempts are more limited in scope. We discuss the currently available distributed file storage solutions and propose a schema of how one of these technologies can be used to deploy a distributed storage of EHR with benefits in terms of enhanced fault tolerance and global availability within the PWPHN. We conclude that a PWPHN distributed health care record storage system is technically feasible over current Internet infrastructure. Nonetheless, the socioeconomic viability of PWPHN implementations remains to be determined.

  14. E-SAP: Efficient-Strong Authentication Protocol for Healthcare Applications Using Wireless Medical Sensor Networks

    Directory of Open Access Journals (Sweden)

    Hoon-Jae Lee

    2012-02-01

    Full Text Available A wireless medical sensor network (WMSN can sense humans’ physiological signs without sacrificing patient comfort and transmit patient vital signs to health professionals’ hand-held devices. The patient physiological data are highly sensitive and WMSNs are extremely vulnerable to many attacks. Therefore, it must be ensured that patients’ medical signs are not exposed to unauthorized users. Consequently, strong user authentication is the main concern for the success and large scale deployment of WMSNs. In this regard, this paper presents an efficient, strong authentication protocol, named E-SAP, for healthcare application using WMSNs. The proposed E-SAP includes: (1 a two-factor (i.e., password and smartcard professional authentication; (2 mutual authentication between the professional and the medical sensor; (3 symmetric encryption/decryption for providing message confidentiality; (4 establishment of a secure session key at the end of authentication; and (5 professionals can change their password. Further, the proposed protocol requires three message exchanges between the professional, medical sensor node and gateway node, and achieves efficiency (i.e., low computation and communication cost. Through the formal analysis, security analysis and performance analysis, we demonstrate that E-SAP is more secure against many practical attacks, and allows a tradeoff between the security and the performance cost for healthcare application using WMSNs.

  15. EPPS: Efficient and Privacy-Preserving Personal Health Information Sharing in Mobile Healthcare Social Networks

    Directory of Open Access Journals (Sweden)

    Shunrong Jiang

    2015-09-01

    Full Text Available Mobile healthcare social networks (MHSNs have emerged as a promising next-generation healthcare system, which will significantly improve the quality of life. However, there are many security and privacy concerns before personal health information (PHI is shared with other parities. To ensure patients’ full control over their PHI, we propose a fine-grained and scalable data access control scheme based on attribute-based encryption (ABE. Besides, policies themselves for PHI sharing may be sensitive and may reveal information about underlying PHI or about data owners or recipients. In our scheme, we let each attribute contain an attribute name and its value and adopt the Bloom filter to efficiently check attributes before decryption. Thus, the data privacy and policy privacy can be preserved in our proposed scheme. Moreover, considering the fact that the computational cost grows with the complexity of the access policy and the limitation of the resource and energy in a smart phone, we outsource ABE decryption to the cloud while preventing the cloud from learning anything about the content and access policy. The security and performance analysis is carried out to demonstrate that our proposed scheme can achieve fine-grained access policies for PHI sharing in MHSNs.

  16. Preventive Healthcare: A Neural Network Analysis of Behavioral Habits and Chronic Diseases.

    Science.gov (United States)

    Raghupathi, Viju; Raghupathi, Wullianallur

    2017-02-06

    The research aims to explore the association between behavioral habits and chronic diseases, and to identify a portfolio of risk factors for preventive healthcare. The data is taken from the Behavioral Risk Factor Surveillance System (BRFSS) database of the Centers for Disease Control and Prevention, for the year 2012. Using SPSS Modeler, we deploy neural networks to identify strong positive and negative associations between certain chronic diseases and behavioral habits. The data for 475,687 records from BRFS database included behavioral habit variables of consumption of soda and fruits/vegetables, alcohol, smoking, weekly working hours, and exercise; chronic disease variables of heart attack, stroke, asthma, and diabetes; and demographic variables of marital status, income, and age. Our findings indicate that with chronic conditions, behavioral habits of physical activity and fruit and vegetable consumption are negatively associated; soda, alcohol, and smoking are positively associated; and income and age are positively associated. We contribute to individual and national preventive healthcare by offering a portfolio of significant behavioral risk factors that enable individuals to make lifestyle changes and governments to frame campaigns and policies countering chronic conditions and promoting public health.

  17. EPPS: Efficient and Privacy-Preserving Personal Health Information Sharing in Mobile Healthcare Social Networks.

    Science.gov (United States)

    Jiang, Shunrong; Zhu, Xiaoyan; Wang, Liangmin

    2015-09-03

    Mobile healthcare social networks (MHSNs) have emerged as a promising next-generation healthcare system, which will significantly improve the quality of life. However, there are many security and privacy concerns before personal health information (PHI) is shared with other parities. To ensure patients' full control over their PHI, we propose a fine-grained and scalable data access control scheme based on attribute-based encryption (ABE). Besides, policies themselves for PHI sharing may be sensitive and may reveal information about underlying PHI or about data owners or recipients. In our scheme, we let each attribute contain an attribute name and its value and adopt the Bloom filter to efficiently check attributes before decryption. Thus, the data privacy and policy privacy can be preserved in our proposed scheme. Moreover, considering the fact that the computational cost grows with the complexity of the access policy and the limitation of the resource and energy in a smart phone, we outsource ABE decryption to the cloud while preventing the cloud from learning anything about the content and access policy. The security and performance analysis is carried out to demonstrate that our proposed scheme can achieve fine-grained access policies for PHI sharing in MHSNs.

  18. The Health Literacy Environment of Hospitals and Health Centers. Partners for Action: Making Your Healthcare Facility Literacy-Friendly

    Science.gov (United States)

    Rudd, Rima E.; Anderson, Jennie E.

    2006-01-01

    The "health literacy environment" of a healthcare facility represents the expectations, preferences, and skills of those providing health information and services. Some of these demands are in the form of physical aspects of the hospital or health center, such as signs and postings. At the same time, access to and navigation of health services…

  19. Stress-reducing effects of indoor plants in the built healthcare environment : The mediating role of perceived attractiveness

    NARCIS (Netherlands)

    Dijkstra, K.; Pieterse, Marcel E.; Pruyn, A.Th.

    Objective: Natural elements in the built healthcare environment have shown to hold potential stress-reducing properties. In order to shed light on the underlying mechanism of stress-reducing effects of nature, the present study investigates whether the stress-reducing effects of indoor plants occur

  20. Stress-reducing effects of indoor plants in the built healthcare environment: The mediating role of perceived attractiveness

    NARCIS (Netherlands)

    Dijkstra, K.; Pieterse, Marcel E.; Pruyn, Adriaan T.H.

    2008-01-01

    Objective: Natural elements in the built healthcare environment have shown to hold potential stress-reducing properties. In order to shed light on the underlying mechanism of stress-reducing effects of nature, the present study investigates whether the stress-reducing effects of indoor plants occur

  1. Exploring the impact of different multi-level measures of physician communities in patient-centric care networks on healthcare outcomes: A multi-level regression approach

    National Research Council Canada - National Science Library

    Uddin, Shahadat

    2016-01-01

    .... In order to assess the impact different multi-level attributes of patient-centric care networks on healthcare outcomes, this study first captured patient-centric care networks for 85 hospitals using...

  2. Cognitive LF-Ant: A Novel Protocol for Healthcare Wireless Sensor Networks

    Directory of Open Access Journals (Sweden)

    Marcelo Alencar

    2012-08-01

    Full Text Available In this paper, the authors present the Cognitive LF-Ant protocol for emergency reporting in healthcare wireless sensor networks. The protocol is inspired by the natural behaviour of ants and a cognitive component provides the capabilities to dynamically allocate resources, in accordance with the emergency degree of each patient. The intra-cluster emergency reporting is inspired by the different capabilities of leg-manipulated ants. The inter-cluster reporting is aided by the cooperative modulation diversity with spectrum sensing, which can detect new emergency reporting requests and forward them. Simulations results show the decrease of average delay time as the probability of opportunistic access increases, which privileges the emergency reporting related to the patients with higher priority of resources’ usage. Furthermore, the packet loss rate is decreased by the use of cooperative modulation diversity with spectrum sensing.

  3. Colonization of patients, healthcare workers, and the environment with healthcare-associated Staphylococcus epidermidis genotypes in an intensive care unit: a prospective observational cohort study.

    Science.gov (United States)

    Widerström, Micael; Wiström, Johan; Edebro, Helén; Marklund, Elisabeth; Backman, Mattias; Lindqvist, Per; Monsen, Tor

    2016-12-09

    During the last decades, healthcare-associated genotypes of methicillin-resistant Staphylococcus epidermidis (HA-MRSE) have been established as important opportunistic pathogens. However, data on potential reservoirs on HA-MRSE is limited. The aim of the present study was to investigate the dynamics and to which extent HA-MRSE genotypes colonize patients, healthcare workers (HCWs) and the environment in an intensive care unit (ICU). Over 12 months in 2006-2007, swab samples were obtained from patients admitted directly from the community to the ICU and patients transferred from a referral hospital, as well as from HCWs, and the ICU environment. Patients were sampled every third day during hospitalization. Antibiotic susceptibility testing was performed according to EUCAST guidelines. Pulsed-field gel electrophoresis and multilocus sequence typing were used to determine the genetic relatedness of a subset of MRSE isolates. We identified 620 MRSE isolates from 570 cultures obtained from 37 HCWs, 14 patients, and 14 environmental surfaces in the ICU. HA-MRSE genotypes were identified at admission in only one of the nine patients admitted directly from the community, of which the majority subsequently were colonized by HA-MRSE genotypes within 3 days during hospitalization. Almost all (89%) of HCWs were nasal carriers of HA-MRSE genotypes. Similarly, a significant proportion of patients transferred from the referral hospital and fomites in the ICU were widely colonized with HA-MRSE genotypes. Patients transferred from a referral hospital, HCWs, and the hospital environment serve as important reservoirs for HA-MRSE. These observations highlight the need for implementation of effective infection prevention and control measures aiming at reducing HA-MRSE transmission in the healthcare setting.

  4. INTELLIGENT MULTI-AGENT PLATFORM WITHIN COLLABORATIVE NETWORKED ENVIRONMENT

    Directory of Open Access Journals (Sweden)

    Adina-Georgeta CREŢAN

    2016-06-01

    Full Text Available This paper proposes an agent-based intelligent platform to model and support parallel and concurrent negotiations among organizations acting in the same industrial market. The underlying complexity is to model the dynamic environment where multi-attribute and multi-participant negotiations are racing over a set of heterogeneous resources. The metaphor Interaction Abstract Machines (IAMs is used to model the parallelism and the non-deterministic aspects of the negotiation processes that occur in Collaborative Networked Environment.

  5. AGENT-BASED NEGOTIATION PLATFORM IN COLLABORATIVE NETWORKED ENVIRONMENT

    Directory of Open Access Journals (Sweden)

    Adina-Georgeta CREȚAN

    2014-05-01

    Full Text Available This paper proposes an agent-based platform to model and support parallel and concurrent negotiations among organizations acting in the same industrial market. The underlying complexity is to model the dynamic environment where multi-attribute and multi-participant negotiations are racing over a set of heterogeneous resources. The metaphor Interaction Abstract Machines (IAMs is used to model the parallelism and the non-deterministic aspects of the negotiation processes that occur in Collaborative Networked Environment.

  6. Field test of wireless sensor network in the nuclear environment

    Energy Technology Data Exchange (ETDEWEB)

    Li, L., E-mail: lil@aecl.ca [Atomic Energy of Canada Limited, Chalk River, Ontario (Canada); Wang, Q.; Bari, A. [Univ. of Western Ontario, London, Ontario (Canada); Deng, C.; Chen, D. [Univ. of Electronic Science and Technology of China, Chengdu, Sichuan (China); Jiang, J. [Univ. of Western Ontario, London, Ontario (Canada); Alexander, Q.; Sur, B. [Atomic Energy of Canada Limited, Chalk River, Ontario (Canada)

    2014-06-15

    Wireless sensor networks (WSNs) are appealing options for the health monitoring of nuclear power plants due to their low cost and flexibility. Before they can be used in highly regulated nuclear environments, their reliability in the nuclear environment and compatibility with existing devices have to be assessed. In situ electromagnetic interference tests, wireless signal propagation tests, and nuclear radiation hardness tests conducted on candidate WSN systems at AECL Chalk River Labs are presented. The results are favourable to WSN in nuclear applications. (author)

  7. Telepsychiatry: Benefits and costs in a changing health-care environment.

    Science.gov (United States)

    Waugh, Maryann; Voyles, Debbie; Thomas, Marshall R

    2015-01-01

    In the USA, the high cost and inefficiencies of the health care system have prompted widespread demand for a better value on investment. Reform efforts, focused on increasing effective, cost-efficient, and patient-centred practices, are inciting lasting changes to health care delivery. Integrated care, providing team-based care that addresses both physical and behavioural health needs is growing as an evidence-based way to provide improved care with lower overall costs. This in turn, is leading to an increasing demand for psychiatrists to work with primary care physicians in delivering integrated care. Telepsychiatry is an innovative platform that has a variety of benefits to patients, providers, and systems. Associated costs are changing as technology advances and policies shift. The purpose of this article is to describe the changing role of psychiatry within the environment of U.S. healthcare reform, and the benefits (demonstrated and potential) and costs (fixed, variable, and reimbursable) of telepsychiatry to providers, patients and systems.

  8. Managing Complex Battlespace Environments Using Attack the Network Methodologies

    DEFF Research Database (Denmark)

    Mitchell, Dr. William L.

    This paper examines the last 8 years of development and application of Attack the Network (AtN) intelligence methodologies for creating shared situational understanding of complex battlespace environment and the development of deliberate targeting frameworks. It will present a short history....... Including their possible application on a national security level for managing longer strategic endeavors....

  9. HeNCE: A Heterogeneous Network Computing Environment

    Directory of Open Access Journals (Sweden)

    Adam Beguelin

    1994-01-01

    Full Text Available Network computing seeks to utilize the aggregate resources of many networked computers to solve a single problem. In so doing it is often possible to obtain supercomputer performance from an inexpensive local area network. The drawback is that network computing is complicated and error prone when done by hand, especially if the computers have different operating systems and data formats and are thus heterogeneous. The heterogeneous network computing environment (HeNCE is an integrated graphical environment for creating and running parallel programs over a heterogeneous collection of computers. It is built on a lower level package called parallel virtual machine (PVM. The HeNCE philosophy of parallel programming is to have the programmer graphically specify the parallelism of a computation and to automate, as much as possible, the tasks of writing, compiling, executing, debugging, and tracing the network computation. Key to HeNCE is a graphical language based on directed graphs that describe the parallelism and data dependencies of an application. Nodes in the graphs represent conventional Fortran or C subroutines and the arcs represent data and control flow. This article describes the present state of HeNCE, its capabilities, limitations, and areas of future research.

  10. The Impact of Environmental Design on Doffing Personal Protective Equipment in a Healthcare Environment: A Formative Human Factors Trial.

    Science.gov (United States)

    Herlihey, Tracey A; Gelmi, Stefano; Cafazzo, Joseph A; Hall, Trevor N T

    2017-06-01

    OBJECTIVE To explore the impact of environmental design on doffing personal protective equipment in a simulated healthcare environment. METHODS A mixed-methods approach was used that included human-factors usability testing and qualitative questionnaire responses. A patient room and connecting anteroom were constructed for testing purposes. This experimental doffing area was designed to overcome the environmental failures identified in a previous study and was not constructed based on any generalizable hospital standard. RESULTS In total, 72 healthcare workers from Ontario, Canada, took part in the study and tested the simulated doffing area. The following environmental design changes were tested and were deemed effective: increasing prominence of color-coded zones; securing disinfectant wipes and hand sanitizer; outlining disposal bins locations; providing mirrors to detect possible contamination; providing hand rails to assist with doffing; and restricting the space to doff. Further experimentation and iterative design are required with regard to several important features: positioning the disposal bins for safety, decreasing the risk of contamination and user accessibility; optimal positioning of mirrors for safety; communication within the team; and positioning the secondary team member for optimal awareness. Additional design suggestions also emerged during this study, and they require future investigation. CONCLUSIONS This study highlights the importance of the environment on doffing personal protective equipment in a healthcare setting. Iterative testing and modification of the design of the environment (doffing area) are important to enhancing healthcare worker safety. Infect Control Hosp Epidemiol 2017;38:712-717.

  11. Security and privacy issues in wireless sensor networks for healthcare applications.

    Science.gov (United States)

    Al Ameen, Moshaddique; Liu, Jingwei; Kwak, Kyungsup

    2012-02-01

    The use of wireless sensor networks (WSN) in healthcare applications is growing in a fast pace. Numerous applications such as heart rate monitor, blood pressure monitor and endoscopic capsule are already in use. To address the growing use of sensor technology in this area, a new field known as wireless body area networks (WBAN or simply BAN) has emerged. As most devices and their applications are wireless in nature, security and privacy concerns are among major areas of concern. Due to direct involvement of humans also increases the sensitivity. Whether the data gathered from patients or individuals are obtained with the consent of the person or without it due to the need by the system, misuse or privacy concerns may restrict people from taking advantage of the full benefits from the system. People may not see these devices safe for daily use. There may also possibility of serious social unrest due to the fear that such devices may be used for monitoring and tracking individuals by government agencies or other private organizations. In this paper we discuss these issues and analyze in detail the problems and their possible measures.

  12. Using the dual-level modeling approach to developing applications in the pervasive healthcare environment

    NARCIS (Netherlands)

    Cardoso de Moraes, J.L.; Lopes de Souza, Wanderley; Ferreira Pires, Luis; Cavalini, Luciana Tricai; do Prado, Antonio Francisco

    2013-01-01

    Health information technology is the area of IT involving the design, development, creation, use and maintenance of information systems for the healthcare industry. Automated and interoperable healthcare information systems are expected to lower costs, improve efficiency and reduce error, while also

  13. The paradox of lean in healthcare: Stable processes in a reactive environment

    DEFF Research Database (Denmark)

    Nielsen, Anders Paarup; Edwards, Kasper

    2010-01-01

    different groups of healthcare professionals and 3) different rationalities in lean and professionals in healthcare. Through analysis of three cases it is concluded that the nature of work is significantly different from manufacturing primarily because of the reactive nature of work. Finally, different......The principles of lean are widely being adopted in the healthcare sector. Interestingly the realized benefits appear not to warrant the interest from managers and policy makers. This paper presents an analysis of 3 Danish healthcare organizations which all introduced lean initiatives. However, only...... a limited set of tools has been used and the productivity gains are limited focusing on peripheral activities and not the core medical activities. This apparent problem with lean in health care is hypothesized to be caused by 1) the nature of healthcare work, 2) the rationality and notion of validity among...

  14. Application areas of multi-user virtual environments in the healthcare context.

    Science.gov (United States)

    Ghanbarzadeh, Reza; Ghapanchi, Amir Hossein; Blumenstein, Michael

    2014-01-01

    This study conducts a systematic literature review on the application of the three-dimensional virtual worlds (3DVW) in healthcare context. During the past decade, 3DVWs have emerged as a cutting edge technology that has much to offer to the healthcare sector. Our systematic review began with an initial set of 1088 studies published from 1990 to 2013 which have used 3DVWs for the healthcare specific purposes. We found a variety of areas of application for the 3DVWs in healthcare, and categorised them into the following categories: education, treatment, evaluation, lifestyle and simulation. The presented big picture of application areas of 3DVWs in this study can be very valuable and insightful for the researchers and healthcare community.

  15. Dynamic social network analysis using conversational dynamics in social networking and microblogging environments

    Science.gov (United States)

    Stocco, Gabriel; Savell, Robert; Cybenko, George

    2010-04-01

    In many security environments, the textual content of communications may be unavailable. In these instances, it is often desirable to infer the status of the network and its component entities from patterns of communication flow. Conversational dynamics among entities in the network may provide insight into important aspects of the underlying social network such as the formational dynamics of group structures, the active state of these groups, individuals' roles within groups, and the likelihood of individual participation in conversations. To gain insight into the use of conversational dynamics to facilitate Dynamic Social Network Analysis, we explore the use of interevent timings to associate entities in the Twitter social networking and micro-blogging environment. Specifically, we use message timings to establish inter-nodal relationships among participants. In addition, we demonstrate a new visualization technique for tracking levels of coordination or synchronization within the community via measures of socio-temporal coherence of the participants.

  16. Secure and Privacy-Preserving Data Sharing and Collaboration in Mobile Healthcare Social Networks of Smart Cities

    Directory of Open Access Journals (Sweden)

    Qinlong Huang

    2017-01-01

    Full Text Available Mobile healthcare social networks (MHSN integrated with connected medical sensors and cloud-based health data storage provide preventive and curative health services in smart cities. The fusion of social data together with real-time health data facilitates a novel paradigm of healthcare big data analysis. However, the collaboration of healthcare and social network service providers may pose a series of security and privacy issues. In this paper, we propose a secure health and social data sharing and collaboration scheme in MHSN. To preserve the data privacy, we realize secure and fine-grained health data and social data sharing with attribute-based encryption and identity-based broadcast encryption techniques, respectively, which allows patients to share their private personal data securely. In order to achieve enhanced data collaboration, we allow the healthcare analyzers to access both the reencrypted health data and the social data with authorization from the data owner based on proxy reencryption. Specifically, most of the health data encryption and decryption computations are outsourced from resource-constrained mobile devices to a health cloud, and the decryption of the healthcare analyzer incurs a low cost. The security and performance analysis results show the security and efficiency of our scheme.

  17. Healthcare financing, decentralization and regional health planning: federal transfers and the healthcare networks in Minas Gerais, Brazil.

    Science.gov (United States)

    Moreira, Laura Monteiro de Castro; Ferré, Felipe; Andrade, Eli Iola Gurgel

    2017-04-01

    The Decrees 4279/10 and 7508/11 established norms to guide health politics, with impacts on funding of the Middle and High Complexity Hospital and Outpatient. To verify the effects on the consolidation of care networks in Minas Gerais, we performed an analytical-descriptive study of the National Health Fund from 2006 to 2014. We observed decentralization of responsibilities, accompanied of resources and innovative financing mechanisms, resulting expansion of the network care model. The federal government definitions suggest reduction of the autonomy and limitation of regional solutions.

  18. An IoT-Based Computational Framework for Healthcare Monitoring in Mobile Environments.

    Science.gov (United States)

    Mora, Higinio; Gil, David; Terol, Rafael Muñoz; Azorín, Jorge; Szymanski, Julian

    2017-10-10

    The new Internet of Things paradigm allows for small devices with sensing, processing and communication capabilities to be designed, which enable the development of sensors, embedded devices and other 'things' ready to understand the environment. In this paper, a distributed framework based on the internet of things paradigm is proposed for monitoring human biomedical signals in activities involving physical exertion. The main advantages and novelties of the proposed system is the flexibility in computing the health application by using resources from available devices inside the body area network of the user. This proposed framework can be applied to other mobile environments, especially those where intensive data acquisition and high processing needs take place. Finally, we present a case study in order to validate our proposal that consists in monitoring footballers' heart rates during a football match. The real-time data acquired by these devices presents a clear social objective of being able to predict not only situations of sudden death but also possible injuries.

  19. An IoT-Based Computational Framework for Healthcare Monitoring in Mobile Environments

    Science.gov (United States)

    Szymanski, Julian

    2017-01-01

    The new Internet of Things paradigm allows for small devices with sensing, processing and communication capabilities to be designed, which enable the development of sensors, embedded devices and other ‘things’ ready to understand the environment. In this paper, a distributed framework based on the internet of things paradigm is proposed for monitoring human biomedical signals in activities involving physical exertion. The main advantages and novelties of the proposed system is the flexibility in computing the health application by using resources from available devices inside the body area network of the user. This proposed framework can be applied to other mobile environments, especially those where intensive data acquisition and high processing needs take place. Finally, we present a case study in order to validate our proposal that consists in monitoring footballers’ heart rates during a football match. The real-time data acquired by these devices presents a clear social objective of being able to predict not only situations of sudden death but also possible injuries. PMID:28994743

  20. An IoT-Based Computational Framework for Healthcare Monitoring in Mobile Environments

    Directory of Open Access Journals (Sweden)

    Higinio Mora

    2017-10-01

    Full Text Available The new Internet of Things paradigm allows for small devices with sensing, processing and communication capabilities to be designed, which enable the development of sensors, embedded devices and other ‘things’ ready to understand the environment. In this paper, a distributed framework based on the internet of things paradigm is proposed for monitoring human biomedical signals in activities involving physical exertion. The main advantages and novelties of the proposed system is the flexibility in computing the health application by using resources from available devices inside the body area network of the user. This proposed framework can be applied to other mobile environments, especially those where intensive data acquisition and high processing needs take place. Finally, we present a case study in order to validate our proposal that consists in monitoring footballers’ heart rates during a football match. The real-time data acquired by these devices presents a clear social objective of being able to predict not only situations of sudden death but also possible injuries.

  1. Department of the Navy Naval Networking Environment (NNE)-2016. Strategic Definition, Scope and Strategy Paper, Version 1.1

    Science.gov (United States)

    2008-05-13

    optimized network environment with many nodes not capable of operating in a globally networked environment . In today’s changing environment of network... environment to enhance the Department’s organizational flexibility and global awareness. This environment must facilitate the rapid information sharing...Department of the Naval Networking Environment (NNE)~2016 Strategic Definition, Scope and Strategy Department of the Navy Naval Networking

  2. A Distributed Multiagent System Architecture for Body Area Networks Applied to Healthcare Monitoring

    Directory of Open Access Journals (Sweden)

    Filipe Felisberto

    2015-01-01

    Full Text Available In the last years the area of health monitoring has grown significantly, attracting the attention of both academia and commercial sectors. At the same time, the availability of new biomedical sensors and suitable network protocols has led to the appearance of a new generation of wireless sensor networks, the so-called wireless body area networks. Nowadays, these networks are routinely used for continuous monitoring of vital parameters, movement, and the surrounding environment of people, but the large volume of data generated in different locations represents a major obstacle for the appropriate design, development, and deployment of more elaborated intelligent systems. In this context, we present an open and distributed architecture based on a multiagent system for recognizing human movements, identifying human postures, and detecting harmful activities. The proposed system evolved from a single node for fall detection to a multisensor hardware solution capable of identifying unhampered falls and analyzing the users’ movement. The experiments carried out contemplate two different scenarios and demonstrate the accuracy of our proposal as a real distributed movement monitoring and accident detection system. Moreover, we also characterize its performance, enabling future analyses and comparisons with similar approaches.

  3. A distributed multiagent system architecture for body area networks applied to healthcare monitoring.

    Science.gov (United States)

    Felisberto, Filipe; Laza, Rosalía; Fdez-Riverola, Florentino; Pereira, António

    2015-01-01

    In the last years the area of health monitoring has grown significantly, attracting the attention of both academia and commercial sectors. At the same time, the availability of new biomedical sensors and suitable network protocols has led to the appearance of a new generation of wireless sensor networks, the so-called wireless body area networks. Nowadays, these networks are routinely used for continuous monitoring of vital parameters, movement, and the surrounding environment of people, but the large volume of data generated in different locations represents a major obstacle for the appropriate design, development, and deployment of more elaborated intelligent systems. In this context, we present an open and distributed architecture based on a multiagent system for recognizing human movements, identifying human postures, and detecting harmful activities. The proposed system evolved from a single node for fall detection to a multisensor hardware solution capable of identifying unhampered falls and analyzing the users' movement. The experiments carried out contemplate two different scenarios and demonstrate the accuracy of our proposal as a real distributed movement monitoring and accident detection system. Moreover, we also characterize its performance, enabling future analyses and comparisons with similar approaches.

  4. EU-ADR healthcare database network vs. spontaneous reporting system database: preliminary comparison of signal detection.

    Science.gov (United States)

    Trifirò, Gianluca; Patadia, Vaishali; Schuemie, Martijn J; Coloma, Preciosa M; Gini, Rosa; Herings, Ron; Hippisley-Cox, Julia; Mazzaglia, Giampiero; Giaquinto, Carlo; Scotti, Lorenza; Pedersen, Lars; Avillach, Paul; Sturkenboom, Miriam C J M; van der Lei, Johan; Eu-Adr Group

    2011-01-01

    The EU-ADR project aims to exploit different European electronic healthcare records (EHR) databases for drug safety signal detection. In this paper we report the preliminary results concerning the comparison of signal detection between EU-ADR network and two spontaneous reporting databases, the Food and Drug Administration and World Health Organization databases. EU-ADR data sources consist of eight databases in four countries (Denmark, Italy, Netherlands, and United Kingdom) that are virtually linked through distributed data network. A custom-built software (Jerboa©) elaborates harmonized input data that are produced locally and generates aggregated data which are then stored in a central repository. Those data are subsequently analyzed through different statistics (i.e. Longitudinal Gamma Poisson Shrinker). As potential signals, all the drugs that are associated to six events of interest (bullous eruptions - BE, acute renal failure - ARF, acute myocardial infarction - AMI, anaphylactic shock - AS, rhabdomyolysis - RHABD, and upper gastrointestinal bleeding - UGIB) have been detected via different data mining techniques in the two systems. Subsequently a comparison concerning the number of drugs that could be investigated and the potential signals detected for each event in the spontaneous reporting systems (SRSs) and EU-ADR network was made. SRSs could explore, as potential signals, a larger number of drugs for the six events, in comparison to EU-ADR (range: 630-3,393 vs. 87-856), particularly for those events commonly thought to be potentially drug-induced (i.e. BE: 3,393 vs. 228). The highest proportion of signals detected in SRSs was found for BE, ARF and AS, while for ARF, and UGIB in EU-ADR. In conclusion, it seems that EU-ADR longitudinal database network may complement traditional spontaneous reporting system for signal detection, especially for those adverse events that are frequent in general population and are not commonly thought to be drug

  5. A Cognitive Approach to Network Monitoring in Heterogeneous Environments

    DEFF Research Database (Denmark)

    Mihovska, Albena D.

    2007-01-01

    of information (QoI). QoI means QoS while all the requirements for dependability, security, privacy and trust are satisfied at the highest possible level. This work proposes and describes an approach to network monitoring in a heterogeneous communication environment based on use of cognitive techniques...... for efficient resource allocation, provisioning of network resources or for detection of security violations into the traditional network monitoring approach. The paper describes the cognitive monitoring architecture, the required physical and logical entities, and their functionalities. Further, the paper......Abstract— Introducing intelligence by means of cognition for managing, protecting, processing, and delivering of information in mobile communication systems is the way towards ubiquitous, converged and secure communications. In this context, this paper introduces the concept of quality...

  6. Links among high-performance work environment, service quality, and customer satisfaction: an extension to the healthcare sector.

    Science.gov (United States)

    Scotti, Dennis J; Harmon, Joel; Behson, Scott J

    2007-01-01

    Healthcare managers must deliver high-quality patient services that generate highly satisfied and loyal customers. In this article, we examine how a high-involvement approach to the work environment of healthcare employees may lead to exceptional service quality, satisfied patients, and ultimately to loyal customers. Specifically, we investigate the chain of events through which high-performance work systems (HPWS) and customer orientation influence employee and customer perceptions of service quality and patient satisfaction in a national sample of 113 Veterans Health Administration ambulatory care centers. We present a conceptual model for linking work environment to customer satisfaction and test this model using structural equations modeling. The results suggest that (1) HPWS is linked to employee perceptions of their ability to deliver high-quality customer service, both directly and through their perceptions of customer orientation; (2) employee perceptions of customer service are linked to customer perceptions of high-quality service; and (3) perceived service quality is linked with customer satisfaction. Theoretical and practical implications of our findings, including suggestions of how healthcare managers can implement changes to their work environments, are discussed.

  7. Growth surveillance in the context of the Primary Public Healthcare Service Network in Brazil: literature review

    Directory of Open Access Journals (Sweden)

    Dixis Figueroa Pedraza

    2016-03-01

    Full Text Available Abstract Objectives: to identify and analyze the scientific literature on child growth monitoring in the context of the primary public healthcare service network in Brazil, focusing on the main problems detected in studies. Methods: the review was based on searches ofSciELO, Lilacs and PubMed databases to identify articles published between 2006 and 2014. The articles were categorized according to the analytical categories of structure (items needed to carry out primary activities or work processes (set of activities and procedures used in the management of resources. Results: of the 16 articles included in this review, only six dealt with structure and, in these, thetraining of professionals and availability of protocols were the most frequently identified problems. Processes, addressed in 15 articles, highlighted the underutilization of Child Health Handbook to record growth measurements and the adoption of guidelines on the basis of notes taken. Conclusions: the difficulties found demonstrate the everyday circumstances of the public health service which have a detrimental effect on growth surveillance.

  8. Online anomaly detection in wireless body area networks for reliable healthcare monitoring.

    Science.gov (United States)

    Salem, Osman; Liu, Yaning; Mehaoua, Ahmed; Boutaba, Raouf

    2014-09-01

    In this paper, we propose a lightweight approach for online detection of faulty measurements by analyzing the data collected from medical wireless body area networks. The proposed framework performs sequential data analysis using a smart phone as a base station, and takes into account the constrained resources of the smart phone, such as processing power and storage capacity. The main objective is to raise alarms only when patients enter in an emergency situation, and to discard false alarms triggered by faulty measurements or ill-behaved sensors. The proposed approach is based on the Haar wavelet decomposition, nonseasonal Holt-Winters forecasting, and the Hampel filter for spatial analysis, and on for temporal analysis. Our objective is to reduce false alarms resulting from unreliable measurements and to reduce unnecessary healthcare intervention. We apply our proposed approach on real physiological dataset. Our experimental results prove the effectiveness of our approach in achieving good detection accuracy with a low false alarm rate. The simplicity and the processing speed of our proposed framework make it useful and efficient for real time diagnosis.

  9. Social sustainability in healthcare facilities: a rating tool for analysing and improving social aspects in environments of care.

    Science.gov (United States)

    Capolongo, Stefano; Gola, Marco; di Noia, Michela; Nickolova, Maria; Nachiero, Dario; Rebecchi, Andrea; Settimo, Gaetano; Vittori, Gail; Buffoli, Maddalena

    2016-01-01

    Nowadays several rating systems exist for the evaluation of the sustainability of buildings, but often their focus is limited to environmental and efficiency aspects. Hospitals are complex constructions in which many variables affect hospital processes. Therefore, a research group has developed a tool for the evaluation of sustainability in healthcare facilities. The paper analyses social sustainability issues through a tool which evaluates users' perception from a the quality and well-being perspective. It presents a hierarchical structure composed of a criteria and indicators system which is organised through a weighing system calculated by using the Analytic Network Process. The output is the definition of a tool which evaluates how Humanisation, Comfort and Distribution criteria can affect the social sustainability of a building. Starting from its application, it is evident that the instrument enables the improvement of healthcare facilities through several design and organisational suggestions for achieving healing and sustainable architectures.

  10. Stochastic Simulation of Biomolecular Networks in Dynamic Environments.

    Science.gov (United States)

    Voliotis, Margaritis; Thomas, Philipp; Grima, Ramon; Bowsher, Clive G

    2016-06-01

    Simulation of biomolecular networks is now indispensable for studying biological systems, from small reaction networks to large ensembles of cells. Here we present a novel approach for stochastic simulation of networks embedded in the dynamic environment of the cell and its surroundings. We thus sample trajectories of the stochastic process described by the chemical master equation with time-varying propensities. A comparative analysis shows that existing approaches can either fail dramatically, or else can impose impractical computational burdens due to numerical integration of reaction propensities, especially when cell ensembles are studied. Here we introduce the Extrande method which, given a simulated time course of dynamic network inputs, provides a conditionally exact and several orders-of-magnitude faster simulation solution. The new approach makes it feasible to demonstrate-using decision-making by a large population of quorum sensing bacteria-that robustness to fluctuations from upstream signaling places strong constraints on the design of networks determining cell fate. Our approach has the potential to significantly advance both understanding of molecular systems biology and design of synthetic circuits.

  11. Stochastic Simulation of Biomolecular Networks in Dynamic Environments.

    Directory of Open Access Journals (Sweden)

    Margaritis Voliotis

    2016-06-01

    Full Text Available Simulation of biomolecular networks is now indispensable for studying biological systems, from small reaction networks to large ensembles of cells. Here we present a novel approach for stochastic simulation of networks embedded in the dynamic environment of the cell and its surroundings. We thus sample trajectories of the stochastic process described by the chemical master equation with time-varying propensities. A comparative analysis shows that existing approaches can either fail dramatically, or else can impose impractical computational burdens due to numerical integration of reaction propensities, especially when cell ensembles are studied. Here we introduce the Extrande method which, given a simulated time course of dynamic network inputs, provides a conditionally exact and several orders-of-magnitude faster simulation solution. The new approach makes it feasible to demonstrate-using decision-making by a large population of quorum sensing bacteria-that robustness to fluctuations from upstream signaling places strong constraints on the design of networks determining cell fate. Our approach has the potential to significantly advance both understanding of molecular systems biology and design of synthetic circuits.

  12. Pilot Integration of HIV Screening and Healthcare Settings with Multi- Component Social Network and Partner Testing for HIV Detection.

    Science.gov (United States)

    Rentz, Michael F; Ruffner, Andrew H; Ancona, Rachel M; Hart, Kimberly W; Kues, John R; Barczak, Christopher M; Lindsell, Christopher J; Fichtenbaum, Carl J; Lyons, Michael S

    2017-11-23

    Healthcare settings screen broadly for HIV. Public health settings use social network and partner testing ("Transmission Network Targeting (TNT)") to select high-risk individuals based on their contacts. HIV screening and TNT systems are not integrated, and healthcare settings have not implemented TNT. The study aimed to evaluate pilot implementation of multi-component, multi-venue TNT in conjunction with HIV screening by a healthcare setting. Our urban, academic health center implemented a TNT program in collaboration with the local health department for five months during 2011. High-risk or HIV positive patients of the infectious diseases clinic and emergency department HIV screening program were recruited to access social and partner networks via compensated peer-referral, testing of companions present with them, and partner notification services. Contacts became the next-generation index cases in a snowball recruitment strategy. The pilot TNT program yielded 485 HIV tests for 482 individuals through eight generations of recruitment with five (1.0%; 95% CI = 0.4%, 2.3%) new diagnoses. Of these, 246 (51.0%; 95% CI = 46.6%, 55.5%) reported that they had not been tested for HIV within the last 12 months and 383 (79.5%; 95% CI = 75.7%, 82.9%) had not been tested by the existing ED screening program within the last five years. TNT complements population screening by more directly targeting high-risk individuals and by expanding the population receiving testing. Information from existing healthcare services could be used to seed TNT programs, or TNT could be implemented within healthcare settings. Research evaluating multi-component, multi-venue HIV detection is necessary to maximize complementary approaches while minimizing redundancy. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  13. An environment-dependent transcriptional network specifies human microglia identity.

    Science.gov (United States)

    Gosselin, David; Skola, Dylan; Coufal, Nicole G; Holtman, Inge R; Schlachetzki, Johannes C M; Sajti, Eniko; Jaeger, Baptiste N; O'Connor, Carolyn; Fitzpatrick, Conor; Pasillas, Martina P; Pena, Monique; Adair, Amy; Gonda, David D; Levy, Michael L; Ransohoff, Richard M; Gage, Fred H; Glass, Christopher K

    2017-06-23

    Microglia play essential roles in central nervous system (CNS) homeostasis and influence diverse aspects of neuronal function. However, the transcriptional mechanisms that specify human microglia phenotypes are largely unknown. We examined the transcriptomes and epigenetic landscapes of human microglia isolated from surgically resected brain tissue ex vivo and after transition to an in vitro environment. Transfer to a tissue culture environment resulted in rapid and extensive down-regulation of microglia-specific genes that were induced in primitive mouse macrophages after migration into the fetal brain. Substantial subsets of these genes exhibited altered expression in neurodegenerative and behavioral diseases and were associated with noncoding risk variants. These findings reveal an environment-dependent transcriptional network specifying microglia-specific programs of gene expression and facilitate efforts to understand the roles of microglia in human brain diseases. Copyright © 2017 The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

  14. An Efficient Network Coding-Based Fault-Tolerant Mechanism in WBAN for Smart Healthcare Monitoring Systems

    Directory of Open Access Journals (Sweden)

    Yuhuai Peng

    2017-08-01

    Full Text Available As a key technology in smart healthcare monitoring systems, wireless body area networks (WBANs can pre-embed sensors and sinks on body surface or inside bodies for collecting different vital signs parameters, such as human Electrocardiograph (ECG, Electroencephalograph (EEG, Electromyogram (EMG, body temperature, blood pressure, blood sugar, blood oxygen, etc. Using real-time online healthcare, patients can be tracked and monitored in normal or emergency conditions at their homes, hospital rooms, and in Intensive Care Units (ICUs. In particular, the reliability and effectiveness of the packets transmission will be directly related to the timely rescue of critically ill patients with life-threatening injuries. However, traditional fault-tolerant schemes either have the deficiency of underutilised resources or react too slowly to failures. In future healthcare systems, the medical Internet of Things (IoT for real-time monitoring can integrate sensor networks, cloud computing, and big data techniques to address these problems. It can collect and send patient’s vital parameter signal and safety monitoring information to intelligent terminals and enhance transmission reliability and efficiency. Therefore, this paper presents a design in healthcare monitoring systems for a proactive reliable data transmission mechanism with resilience requirements in a many-to-one stream model. This Network Coding-based Fault-tolerant Mechanism (NCFM first proposes a greedy grouping algorithm to divide the topology into small logical units; it then constructs a spanning tree based on random linear network coding to generate linearly independent coding combinations. Numerical results indicate that this transmission scheme works better than traditional methods in reducing the probability of packet loss, the resource redundant rate, and average delay, and can increase the effective throughput rate.

  15. MUPBED - interworking challenges in a multi-domain and multi-technology network environment

    DEFF Research Database (Denmark)

    Foisel, Hans-Martin; Spaeth, Jan; Cavazzoni, Carlo

    2007-01-01

    Todays data transport networks are evolving continuously towards customer oriented and application aware networks. This evolution happens in Europe in a highly diverse network environment, covering multiple network domains, layers, technologies, control and management approaches. In this paper......, the issues, challenges and the solutions developed in the IST project MUPBED (,,Multi-Partner European Test Beds for Research Networking; www.ist-mupbed.eu) for seamless interworking in a typical European heterogeneous network environment are described, addressing horizontal, interdomain, and vertical, inter...

  16. Developing Simulations in Multi-User Virtual Environments to Enhance Healthcare Education

    Science.gov (United States)

    Rogers, Luke

    2011-01-01

    Computer-based clinical simulations are a powerful teaching and learning tool because of their ability to expand healthcare students' clinical experience by providing practice-based learning. Despite the benefits of traditional computer-based clinical simulations, there are significant issues that arise when incorporating them into a flexible,…

  17. Healthcare-associated infections studies project: An American Journal of Infection Control and National Healthcare Safety Network data quality collaboration: Location mapping.

    Science.gov (United States)

    Wright, Marc-Oliver; Decker, Scott G; Allen-Bridson, Katherine; Hebden, Joan N; Leaptrot, Denise

    2018-02-12

    This case study is part of a series centered on the Centers for Disease Control and Prevention/National Healthcare Safety Network (NHSN) health care-associated infection (HAI) surveillance definitions. This specific case study focuses on appropriately mapping locations within an NHSN-enrolled facility. The intent of the case study series is to foster standardized application of the NHSN HAI surveillance definitions among IPs and encourage accurate determination of HAI events. An online survey link is provided where participants may confidentially answer questions related to the case study and receive immediate feedback in the form of correct answers and explanations and rationales. Details of the case study, answers, and explanations have been reviewed and approved by NHSN staff. We hope that participants take advantage of this educational offering and thereby gain a greater understanding of NHSN HAI surveillance definitions. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. All rights reserved.

  18. Can Health 2.0 Address Critical Healthcare Challenges? Insights from the Case of How Online Social Networks Can Assist in Combatting the Obesity Epidemic

    Directory of Open Access Journals (Sweden)

    Janine Hacker

    2017-03-01

    Full Text Available One of the serious concerns in healthcare in this 21st century is obesity. While the causes of obesity are multifaceted, social networks have been identified as one of the most important dimensions of people's social environment that may influence the adoption of many behaviours, including health-promoting behaviours. In this article, we examine the possibility of harnessing the appeal of online social networks to address the obesity epidemic currently plaguing society. Specifically, a design science research methodology is adopted to design, implement and test the Health 2.0 application called “Calorie Cruncher”. The application is designed specifically to explore the influence of online social networks on individual’s health-related behaviour. In this regard, pilot data collected based on qualitative interviews indicate that online social networks may influence health-related behaviours in several ways. Firstly, they can influence people’s norms and value system that have an impact on their health-related behaviours. Secondly, social control and pressure of social connections may also shape health-related behaviours, and operate implicitly when people make food selection decisions. Thirdly, social relationships may provide emotional support. Our study has implications for research and practice. From a theoretical perspective, the article inductively identifies three factors that influence specific types of health outcomes in the context of obesity. From a practical perspective, the study underscores the benefits of adopting a design science methodology to design and implement a technology solution for a healthcare issue as well as the key role for online social media to assist with health and wellness management and maintenance.

  19. Stress-reducing effects of indoor plants in the built healthcare environment: the mediating role of perceived attractiveness.

    Science.gov (United States)

    Dijkstra, K; Pieterse, M E; Pruyn, A

    2008-09-01

    Natural elements in the built healthcare environment have shown to hold potential stress-reducing properties. In order to shed light on the underlying mechanism of stress-reducing effects of nature, the present study investigates whether the stress-reducing effects of indoor plants occur because such an environment is perceived as being more attractive. A single-factor between-subjects experimental design (nature: indoor plants vs. no plants) was used in which participants (n=77) were presented with a scenario describing hospitalization with a possible legionella diagnosis. The study was conducted from March to May 2007 in the Netherlands. Subsequently, they were exposed to a photo of a hospital room. In this room were either indoor plants, or there was a painting of an urban environment on the wall. Afterwards, perceived stress and the perceived attractiveness of the hospital room were measured. Participants exposed to the hospital room with indoor plants reported less stress than those in the control condition. Mediation analysis confirmed that indoor plants in a hospital room reduce feelings of stress through the perceived attractiveness of the room. This study confirms the stress-reducing properties of natural elements in the built healthcare environment. It also sheds light on the underlying mechanism causing this stress-reduction.

  20. Partially blind instantly decodable network codes for lossy feedback environment

    KAUST Repository

    Sorour, Sameh

    2014-09-01

    In this paper, we study the multicast completion and decoding delay minimization problems for instantly decodable network coding (IDNC) in the case of lossy feedback. When feedback loss events occur, the sender falls into uncertainties about packet reception at the different receivers, which forces it to perform partially blind selections of packet combinations in subsequent transmissions. To determine efficient selection policies that reduce the completion and decoding delays of IDNC in such an environment, we first extend the perfect feedback formulation in our previous works to the lossy feedback environment, by incorporating the uncertainties resulting from unheard feedback events in these formulations. For the completion delay problem, we use this formulation to identify the maximum likelihood state of the network in events of unheard feedback and employ it to design a partially blind graph update extension to the multicast IDNC algorithm in our earlier work. For the decoding delay problem, we derive an expression for the expected decoding delay increment for any arbitrary transmission. This expression is then used to find the optimal policy that reduces the decoding delay in such lossy feedback environment. Results show that our proposed solutions both outperform previously proposed approaches and achieve tolerable degradation even at relatively high feedback loss rates.

  1. 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.

  2. What's in a name generator? Choosing the right name generators for social network surveys in healthcare quality and safety research.

    Science.gov (United States)

    Burt, Ronald S; Meltzer, David O; Seid, Michael; Borgert, Amy; Chung, Jeanette W; Colletti, Richard B; Dellal, George; Kahn, Stacy A; Kaplan, Heather C; Peterson, Laura E; Margolis, Peter

    2012-12-01

    Interest in the use of social network analysis (SNA) in healthcare research has increased, but there has been little methodological research on how to choose the name generators that are often used to collect primary data on the social connection between individuals for SNA. We sought to determine a minimum set of name generators sufficient to distinguish the social networks of a target population of physicians active in quality improvement (QI). We conducted a pilot survey including 8 name generators in a convenience sample of 25 physicians active in QI to characterize their social networks. We used multidimensional scaling to determine what subset of these name generators was needed to distinguish these social networks. We found that some physicians maintain a social network organized around a specific colleague who performed multiple roles while others maintained highly differentiated networks. We found that a set of 5 of the 8 name generators we used was needed to distinguish the networks of these physicians. Beyond methodology for selecting name generators, our findings suggest that QI networks may require 5 or more generators to elicit valid sets of relevant actors and relations in this target population.

  3. Knowledge sharing in infection prevention in routine and outbreak situations: a survey of the Society for Healthcare Epidemiology of America Research Network.

    Science.gov (United States)

    Sommerstein, Rami; Geser, Sonja; Atkinson, Andrew; Tschan, Franziska; Morgan, Daniel J; Marschall, Jonas

    2017-01-01

    In this cross-sectional Society for Healthcare Epidemiology of America Research Network survey on knowledge sharing in infection prevention we identified a rudimentary understanding of how to communicate and share knowledge within healthcare institutions. Our data support the need of further research in this important field.

  4. Mobile healthcare.

    Science.gov (United States)

    Morgan, Stephen A; Agee, Nancy Howell

    2012-01-01

    Mobile technology's presence in healthcare has exploded over the past five years. The increased use of mobile devices by all segments of the US population has driven healthcare systems, providers, and payers to accept this new form of communication and to develop strategies to implement and leverage the use of mobile healthcare (mHealth) within their organizations and practices. As healthcare systems move toward a more value-driven model of care, patient centeredness and engagement are the keys to success. Mobile healthcare will provide the medium to allow patients to participate more in their care. Financially, mHealth brings to providers the ability to improve efficiency and deliver savings to both them and the healthcare consumer. However, mHealth is not without challenges. Healthcare IT departments have been reluctant to embrace this shift in technology without fully addressing security and privacy concerns. Providers have been hesitant to adopt mHealth as a form of communication with patients because it breaks with traditional models. Our healthcare system has just started the journey toward the development of mHealth. We offer an overview of the mobile healthcare environment and our approach to solving the challenges it brings to healthcare organizations.

  5. HealthFace: A web-based remote monitoring interface for medical healthcare systems based on a wireless body area sensor network

    OpenAIRE

    KIRBAŞ, İsmail; BAYILMIŞ, Cüneyt

    2012-01-01

    The wireless body area sensor network (WBASN) is a type of wireless sensor network. The wireless sensor nodes in a WBASN are placed on, near, or within a human body. In a medical healthcare system, WBASNs continuously provide healthcare monitoring, especially of elderly or ill people, wherever the patient goes. Wireless nodes sense and process human vital signs such as heart rate, blood pressure, body temperature, and respiration. They then send collected data to a medical center v...

  6. Scholarly information discovery in the networked academic learning environment

    CERN Document Server

    Li, LiLi

    2014-01-01

    In the dynamic and interactive academic learning environment, students are required to have qualified information literacy competencies while critically reviewing print and electronic information. However, many undergraduates encounter difficulties in searching peer-reviewed information resources. Scholarly Information Discovery in the Networked Academic Learning Environment is a practical guide for students determined to improve their academic performance and career development in the digital age. Also written with academic instructors and librarians in mind who need to show their students how to access and search academic information resources and services, the book serves as a reference to promote information literacy instructions. This title consists of four parts, with chapters on the search for online and printed information via current academic information resources and services: part one examines understanding information and information literacy; part two looks at academic information delivery in the...

  7. A QoS Optimization Approach in Cognitive Body Area Networks for Healthcare Applications.

    Science.gov (United States)

    Ahmed, Tauseef; Le Moullec, Yannick

    2017-04-06

    Wireless body area networks are increasingly featuring cognitive capabilities. This work deals with the emerging concept of cognitive body area networks. In particular, the paper addresses two important issues, namely spectrum sharing and interferences. We propose methods for channel and power allocation. The former builds upon a reinforcement learning mechanism, whereas the latter is based on convex optimization. Furthermore, we also propose a mathematical channel model for off-body communication links in line with the IEEE 802.15.6 standard. Simulation results for a nursing home scenario show that the proposed approach yields the best performance in terms of throughput and QoS for dynamic environments. For example, in a highly demanding scenario our approach can provide throughput up to 7 Mbps, while giving an average of 97.2% of time QoS satisfaction in terms of throughput. Simulation results also show that the power optimization algorithm enables reducing transmission power by approximately 4.5 dBm, thereby sensibly and significantly reducing interference.

  8. A QoS Optimization Approach in Cognitive Body Area Networks for Healthcare Applications

    Directory of Open Access Journals (Sweden)

    Tauseef Ahmed

    2017-04-01

    Full Text Available Wireless body area networks are increasingly featuring cognitive capabilities. This work deals with the emerging concept of cognitive body area networks. In particular, the paper addresses two important issues, namely spectrum sharing and interferences. We propose methods for channel and power allocation. The former builds upon a reinforcement learning mechanism, whereas the latter is based on convex optimization. Furthermore, we also propose a mathematical channel model for off-body communication links in line with the IEEE 802.15.6 standard. Simulation results for a nursing home scenario show that the proposed approach yields the best performance in terms of throughput and QoS for dynamic environments. For example, in a highly demanding scenario our approach can provide throughput up to 7 Mbps, while giving an average of 97.2% of time QoS satisfaction in terms of throughput. Simulation results also show that the power optimization algorithm enables reducing transmission power by approximately 4.5 dBm, thereby sensibly and significantly reducing interference.

  9. Burnout syndrome in professionals of the primary healthcare network in Aracaju, Brazil.

    Science.gov (United States)

    Silva, Salvyana Carla Palmeira Sarmento; Nunes, Marco Antonio Prado; Santana, Vanessa Rocha; Reis, Francisco Prado; Machado Neto, José; Lima, Sonia Oliveira

    2015-10-01

    The Burnout Syndrome (SB) stems from the chronic emotional stress experienced by the worker, characterized by emotional exhaustion, depersonalization and low personal accomplishment. May involve professionals whose work relates directly to the public. Aims to assess the prevalence of SB and associated factors in higher education professionals, linked to the Primary Care Network Health in the city of Aracaju / SE, who answered the sociodemographic questionnaire and the Maslach Inventory for Burnout. The average age was 44.9 years, most nurses, women, married with children and graduate. The prevalence of SB was 6.7% to 10.8%, associated factors were younger age, excessive hours of work and job dissatisfaction. There was no difference between the categories evaluated and the majority does not have the SB. However, 54.1% had a high and moderate risk of developing this syndrome, reflecting a process of illness that threatens the welfare of top-level professionals from the Primary Care Network Health Aracaju - SE. These findings point to the importance of adopting preventive and interventional measures as collateral for a better working environment.

  10. Use of geographic indicators of healthcare, environment and socioeconomic factors to characterize environmental health disparities.

    Science.gov (United States)

    Padilla, Cindy M; Kihal-Talantikit, Wahida; Perez, Sandra; Deguen, Severine

    2016-07-22

    An environmental health inequality is a major public health concern in Europe. However just few studies take into account a large set of characteristics to analyze this problematic. The aim of this study was to identify and describe how socioeconomic, health accessibility and exposure factors accumulate and interact in small areas in a French urban context, to assess environmental health inequalities related to infant and neonatal mortality. Environmental indicators on deprivation index, proximity to high-traffic roads, green space, and healthcare accessibility were created using the Geographical Information System. Cases were collected from death certificates in the city hall of each municipality in the Nice metropolitan area. Using the parental addresses, cases were geocoded to their census block of residence. A classification using a Multiple Component Analysis following by a Hierarchical Clustering allow us to characterize the census blocks in terms of level of socioeconomic, environmental and accessibility to healthcare, which are very diverse definition by nature. Relation between infant and neonatal mortality rate and the three environmental patterns which categorize the census blocks after the classification was performed using a standard Poisson regression model for count data after checking the assumption of dispersion. Based on geographic indicators, three environmental patterns were identified. We found environmental inequalities and social health inequalities in Nice metropolitan area. Moreover these inequalities are counterbalance by the close proximity of deprived census blocks to healthcare facilities related to mother and newborn. So therefore we demonstrate no environmental health inequalities related to infant and neonatal mortality. Examination of patterns of social, environmental and in relation with healthcare access is useful to identify census blocks with needs and their effects on health. Similar analyzes could be implemented and considered

  11. Self-fill oxygen technology: benefits for patients, healthcare providers and the environment.

    Science.gov (United States)

    Murphie, Phyllis; Hex, Nick; Setters, Jo; Little, Stuart

    2016-06-01

    "Non-delivery" home oxygen technologies that allow self-filling of ambulatory oxygen cylinders are emerging. They can offer a relatively unlimited supply of ambulatory oxygen in suitably assessed people who require long-term oxygen therapy (LTOT), providing they can use these systems safely and effectively. This allows users to be self-sufficient and facilitates longer periods of time away from home. The evolution and evidence base of this technology is reported with the experience of a national service review in Scotland (UK). Given that domiciliary oxygen services represent a significant cost to healthcare providers globally, these systems offer potential cost savings, are appealing to remote and rural regions due to the avoidance of cylinder delivery and have additional lower environmental impact due to reduced fossil fuel consumption and subsequently reduced carbon emissions. Evidence is emerging that self-fill/non-delivery oxygen systems can meet the ambulatory oxygen needs of many patients using LTOT and can have a positive impact on quality of life, increase time spent away from home and offer significant financial savings to healthcare providers. Provide update for oxygen prescribers on options for home oxygen provision.Provide update on the evidence base for available self-fill oxygen technologies.Provide and update for healthcare commissioners on the potential cost-effective and environmental benefits of increased utilisation of self-fill oxygen systems.

  12. An empirical study to determine factors that motivate and limit the implementation of ICT in healthcare environments.

    Science.gov (United States)

    Gururajan, Raj; Hafeez-Baig, Abdul

    2014-12-23

    The maturity and usage of wireless technology has influenced health services, and this has raised expectations from users that healthcare services will become more affordable due to technology growth. There is increasing evidence to justify this expectation, as telehealth is becoming more and more prevalent in many countries. Thus, health services are now offered beyond the boundaries of traditional hospitals, giving rise to many external factors dictating their quality. This has led us to investigate the factors that motivate and limit the implementation of ICT applications in the healthcare domain. We used a mixed method approach with the qualitative aspects leading the quantitative aspects. The main reason for this approach was to understand and explore the domain through the qualitative aspects as we could be part of the discussion. Then we conducted a quantitative survey to extract more responses in order to justify the claims explored in the qualitative process. We found that there are a number of internal and external factors influencing ICT adoption in the healthcare environment so that services can be provided via ICT tools. These factors were grouped under factors contributing to improved outcomes, efficiency and the management of technology. We conceptualised that these three groups of factors drive ICT implementation to assure health services. The main lesson learned from this research was that Information Systems discipline needs to urgently consider health informatics as a serious growth area. We also found that as IS researchers, we need to 'mix' with the health environment in order to understand the environment and then develop suitable methods to answer posited research questions.

  13. Social Networks as Learning Environments for Higher Education

    Directory of Open Access Journals (Sweden)

    J.A.Cortés

    2014-09-01

    Full Text Available Learning is considered as a social activity, a student does not learn only of the teacher and the textbook or only in the classroom, learn also from many other agents related to the media, peers and society in general. And since the explosion of the Internet, the information is within the reach of everyone, is there where the main area of opportunity in new technologies applied to education, as well as taking advantage of recent socialization trends that can be leveraged to improve not only informing of their daily practices, but rather as a tool that explore different branches of education research. One can foresee the future of higher education as a social learning environment, open and collaborative, where people construct knowledge in interaction with others, in a comprehensive manner. The mobility and ubiquity that provide mobile devices enable the connection from anywhere and at any time. In modern educational environments can be expected to facilitate mobile devices in the classroom expansion in digital environments, so that students and teachers can build the teaching-learning process collectively, this partial derivative results in the development of draft research approved by the CONADI in “Universidad Cooperativa de Colombia”, "Social Networks: A teaching strategy in learning environments in higher education."

  14. Network security vulnerabilities and personal privacy issues in Healthcare Information Systems: a case study in a private hospital in Turkey.

    Science.gov (United States)

    Namoğlu, Nihan; Ulgen, Yekta

    2013-01-01

    Healthcare industry has become widely dependent on information technology and internet as it moves from paper to electronic records. Healthcare Information System has to provide a high quality service to patients and a productive knowledge share between healthcare staff by means of patient data. With the internet being commonly used across hospitals, healthcare industry got its own share from cyber threats like other industries in the world. The challenge is allowing knowledge transfer to hospital staff while still ensuring compliance with security mandates. Working in collaboration with a private hospital in Turkey; this study aims to reveal the essential elements of a 21st century business continuity plan for hospitals while presenting the security vulnerabilities in the current hospital information systems and personal privacy auditing standards proposed by regulations and laws. We will survey the accreditation criteria in Turkey and counterparts in US and EU. We will also interview with medical staff in the hospital to understand the needs for personal privacy and the technical staff to perceive the technical requirements in terms of network security configuration and deployment. As hospitals are adopting electronic transactions, it should be considered a must to protect these electronic health records in terms of personal privacy aspects.

  15. SNP by SNP by environment interaction network of alcoholism.

    Science.gov (United States)

    Zollanvari, Amin; Alterovitz, Gil

    2017-03-14

    Alcoholism has a strong genetic component. Twin studies have demonstrated the heritability of a large proportion of phenotypic variance of alcoholism ranging from 50-80%. The search for genetic variants associated with this complex behavior has epitomized sequence-based studies for nearly a decade. The limited success of genome-wide association studies (GWAS), possibly precipitated by the polygenic nature of complex traits and behaviors, however, has demonstrated the need for novel, multivariate models capable of quantitatively capturing interactions between a host of genetic variants and their association with non-genetic factors. In this regard, capturing the network of SNP by SNP or SNP by environment interactions has recently gained much interest. Here, we assessed 3,776 individuals to construct a network capable of detecting and quantifying the interactions within and between plausible genetic and environmental factors of alcoholism. In this regard, we propose the use of first-order dependence tree of maximum weight as a potential statistical learning technique to delineate the pattern of dependencies underpinning such a complex trait. Using a predictive based analysis, we further rank the genes, demographic factors, biological pathways, and the interactions represented by our SNP [Formula: see text]SNP[Formula: see text]E network. The proposed framework is quite general and can be potentially applied to the study of other complex traits.

  16. Wireless local area network in a prehospital environment

    Directory of Open Access Journals (Sweden)

    Grimes Gary J

    2004-08-01

    Full Text Available Abstract Background Wireless local area networks (WLANs are considered the next generation of clinical data network. They open the possibility for capturing clinical data in a prehospital setting (e.g., a patient's home using various devices, such as personal digital assistants, laptops, digital electrocardiogram (EKG machines, and even cellular phones, and transmitting the captured data to a physician or hospital. The transmission rate is crucial to the applicability of the technology in the prehospital setting. Methods We created two separate WLANs to simulate a virtual local are network environment such as in a patient's home or an emergency room (ER. The effects of different methods of data transmission, number of clients, and roaming among different access points on the file transfer rate were determined. Results The present results suggest that it is feasible to transfer small files such as patient demographics and EKG data from the patient's home to the ER at a reasonable speed. Encryption, user control, and access control were implemented and results discussed. Conclusions Implementing a WLAN in a centrally managed and multiple-layer-controlled access control server is the key to ensuring its security and accessibility. Future studies should focus on product capacity, speed, compatibility, interoperability, and security management.

  17. Emergence of microbial networks as response to hostile environments.

    Science.gov (United States)

    Madeo, Dario; Comolli, Luis R; Mocenni, Chiara

    2014-01-01

    The majority of microorganisms live in complex communities under varying conditions. One pivotal question in evolutionary biology is the emergence of cooperative traits and their sustainment in altered environments or in the presence of free-riders. Co-occurrence patterns in the spatial distribution of biofilms can help define species' identities, and systems biology tools are revealing networks of interacting microorganisms. However, networks of inter-dependencies involving micro-organisms in the planktonic phase may be just as important, with the added complexity that they are not bounded in space. An integrated approach linking imaging, "Omics" and modeling has the potential to enable new hypothesis and working models. In order to understand how cooperation can emerge and be maintained without abilities like memory or recognition we use evolutionary game theory as the natural framework to model cell-cell interactions arising from evolutive decisions. We consider a finite population distributed in a spatial domain (biofilm), and divided into two interacting classes with different traits. This interaction can be weighted by distance, and produces physical connections between two elements allowing them to exchange finite amounts of energy and matter. Available strategies to each individual of one class in the population are the propensities or "willingness" to connect any individual of the other class. Following evolutionary game theory, we propose a mathematical model which explains the patterns of connections which emerge when individuals are able to find connection strategies that asymptotically optimize their fitness. The process explains the formation of a network for efficiently exchanging energy and matter among individuals and thus ensuring their survival in hostile environments.

  18. Emergence of microbial networks as response to hostile environments

    Directory of Open Access Journals (Sweden)

    Dario eMadeo

    2014-08-01

    Full Text Available The majority of microorganisms live in complex communities under varying conditions. One pivotal question in evolutionary biology is the emergence of cooperative traits and their sustainment in altered environments or in the presence of free-riders. Co-occurrence patterns in the spatial distribution of biofilms can help define species' identities, and systems biology tools are revealing networks of interacting microorganisms. However, networks of inter-dependencies involving micro-organisms in the planktonic phase may be just as important, with the added complexity that they are not bounded in space. An integrated approach linking imaging, ``Omics'' and modeling has the potential to enable new hypothesis and working models. In order to understand how cooperation can emerge and be maintained without abilities like memory or recognition we use evolutionary game theory as the natural framework to model cell-cell interactions arising from evolutive decisions. We consider a finite population distributed in a spatial domain (biofilm, and divided into two interacting classes with different traits. This interaction can be weighted by distance, and produces physical connections between two elements allowing them to exchange finite amounts of energy and matter. Available strategies to each individual of one class in the population are the propensities or ``willingness'' to connect any individual of the other class. Following evolutionary game theory, we propose a mathematical model which explains the patterns of connections which emerge when individuals are able to find connection strategies that asymptotically optimize their fitness. The process explains the formation of a network for efficiently exchanging energy and matter among individuals and thus ensuring their survival in hostile environments.

  19. Actor-Network Theory and its role in understanding the implementation of information technology developments in healthcare.

    Science.gov (United States)

    Cresswell, Kathrin M; Worth, Allison; Sheikh, Aziz

    2010-11-01

    Actor-Network Theory (ANT) is an increasingly influential, but still deeply contested, approach to understand humans and their interactions with inanimate objects. We argue that health services research, and in particular evaluations of complex IT systems in health service organisations, may benefit from being informed by Actor-Network Theory perspectives. Despite some limitations, an Actor-Network Theory-based approach is conceptually useful in helping to appreciate the complexity of reality (including the complexity of organisations) and the active role of technology in this context. This can prove helpful in understanding how social effects are generated as a result of associations between different actors in a network. Of central importance in this respect is that Actor-Network Theory provides a lens through which to view the role of technology in shaping social processes. Attention to this shaping role can contribute to a more holistic appreciation of the complexity of technology introduction in healthcare settings. It can also prove practically useful in providing a theoretically informed approach to sampling (by drawing on informants that are related to the technology in question) and analysis (by providing a conceptual tool and vocabulary that can form the basis for interpretations). We draw on existing empirical work in this area and our ongoing work investigating the integration of electronic health record systems introduced as part of England's National Programme for Information Technology to illustrate salient points. Actor-Network Theory needs to be used pragmatically with an appreciation of its shortcomings. Our experiences suggest it can be helpful in investigating technology implementations in healthcare settings.

  20. Actor-Network Theory and its role in understanding the implementation of information technology developments in healthcare

    Directory of Open Access Journals (Sweden)

    Sheikh Aziz

    2010-11-01

    Full Text Available Abstract Background Actor-Network Theory (ANT is an increasingly influential, but still deeply contested, approach to understand humans and their interactions with inanimate objects. We argue that health services research, and in particular evaluations of complex IT systems in health service organisations, may benefit from being informed by Actor-Network Theory perspectives. Discussion Despite some limitations, an Actor-Network Theory-based approach is conceptually useful in helping to appreciate the complexity of reality (including the complexity of organisations and the active role of technology in this context. This can prove helpful in understanding how social effects are generated as a result of associations between different actors in a network. Of central importance in this respect is that Actor-Network Theory provides a lens through which to view the role of technology in shaping social processes. Attention to this shaping role can contribute to a more holistic appreciation of the complexity of technology introduction in healthcare settings. It can also prove practically useful in providing a theoretically informed approach to sampling (by drawing on informants that are related to the technology in question and analysis (by providing a conceptual tool and vocabulary that can form the basis for interpretations. We draw on existing empirical work in this area and our ongoing work investigating the integration of electronic health record systems introduced as part of England's National Programme for Information Technology to illustrate salient points. Summary Actor-Network Theory needs to be used pragmatically with an appreciation of its shortcomings. Our experiences suggest it can be helpful in investigating technology implementations in healthcare settings.

  1. The Pharmacogenomics Research Network Translational Pharmacogenetics Program: Outcomes and Metrics of Pharmacogenetic Implementations Across Diverse Healthcare Systems.

    Science.gov (United States)

    Luzum, J A; Pakyz, R E; Elsey, A R; Haidar, C E; Peterson, J F; Whirl-Carrillo, M; Handelman, S K; Palmer, K; Pulley, J M; Beller, M; Schildcrout, J S; Field, J R; Weitzel, K W; Cooper-DeHoff, R M; Cavallari, L H; O'Donnell, P H; Altman, R B; Pereira, N; Ratain, M J; Roden, D M; Embi, P J; Sadee, W; Klein, T E; Johnson, J A; Relling, M V; Wang, L; Weinshilboum, R M; Shuldiner, A R; Freimuth, R R

    2017-09-01

    Numerous pharmacogenetic clinical guidelines and recommendations have been published, but barriers have hindered the clinical implementation of pharmacogenetics. The Translational Pharmacogenetics Program (TPP) of the National Institutes of Health (NIH) Pharmacogenomics Research Network was established in 2011 to catalog and contribute to the development of pharmacogenetic implementations at eight US healthcare systems, with the goal to disseminate real-world solutions for the barriers to clinical pharmacogenetic implementation. The TPP collected and normalized pharmacogenetic implementation metrics through June 2015, including gene-drug pairs implemented, interpretations of alleles and diplotypes, numbers of tests performed and actionable results, and workflow diagrams. TPP participant institutions developed diverse solutions to overcome many barriers, but the use of Clinical Pharmacogenetics Implementation Consortium (CPIC) guidelines provided some consistency among the institutions. The TPP also collected some pharmacogenetic implementation outcomes (scientific, educational, financial, and informatics), which may inform healthcare systems seeking to implement their own pharmacogenetic testing programs. © 2017, The American Society for Clinical Pharmacology and Therapeutics.

  2. Cloud-Centric and Logically Isolated Virtual Network Environment Based on Software-Defined Wide Area Network

    Directory of Open Access Journals (Sweden)

    Dongkyun Kim

    2017-12-01

    Full Text Available Recent development of distributed cloud environments requires advanced network infrastructure in order to facilitate network automation, virtualization, high performance data transfer, and secured access of end-to-end resources across regional boundaries. In order to meet these innovative cloud networking requirements, software-defined wide area network (SD-WAN is primarily demanded to converge distributed cloud resources (e.g., virtual machines (VMs in a programmable and intelligent manner over distant networks. Therefore, this paper proposes a logically isolated networking scheme designed to integrate distributed cloud resources to dynamic and on-demand virtual networking over SD-WAN. The performance evaluation and experimental results of the proposed scheme indicate that virtual network convergence time is minimized in two different network models such as: (1 an operating OpenFlow-oriented SD-WAN infrastructure (KREONET-S which is deployed on the advanced national research network in Korea, and (2 Mininet-based experimental and emulated networks.

  3. The Worldviews Network: Transformative Global Change Education in Immersive Environments

    Science.gov (United States)

    Hamilton, H.; Yu, K. C.; Gardiner, N.; McConville, D.; Connolly, R.; "Irving, Lindsay", L. S.

    2011-12-01

    Our modern age is defined by an astounding capacity to generate scientific information. From DNA to dark matter, human ingenuity and technologies create an endless stream of data about ourselves and the world of which we are a part. Yet we largely founder in transforming information into understanding, and understanding into rational action for our society as a whole. Earth and biodiversity scientists are especially frustrated by this impasse because the data they gather often point to a clash between Earth's capacity to sustain life and the decisions that humans make to garner the planet's resources. Immersive virtual environments offer an underexplored link in the translation of scientific data into public understanding, dialogue, and action. The Worldviews Network is a collaboration of scientists, artists, and educators focused on developing best practices for the use of immersive environments for science-based ecological literacy education. A central tenet of the Worldviews Network is that there are multiple ways to know and experience the world, so we are developing scientifically accurate, geographically relevant, and culturally appropriate programming to promote ecological literacy within informal science education programs across the United States. The goal of Worldviews Network is to offer transformative learning experiences, in which participants are guided on a process integrating immersive visual explorations, critical reflection and dialogue, and design-oriented approaches to action - or more simply, seeing, knowing, and doing. Our methods center on live presentations, interactive scientific visualizations, and sustainability dialogues hosted at informal science institutions. Our approach uses datasets from the life, Earth, and space sciences to illuminate the complex conditions that support life on earth and the ways in which ecological systems interact. We are leveraging scientific data from federal agencies, non-governmental organizations, and our

  4. Students perceive healthcare as a valuable learning environment when accepted as a part of the workplace community.

    Science.gov (United States)

    Hägg-Martinell, Ann; Hult, Håkan; Henriksson, Peter; Kiessling, Anna

    2014-01-01

    The healthcare system is complex and the education of medical and nursing students is not always a priority within it. However, education offered at the point of care provides students with opportunities to apply knowledge, and to develop the necessary skills and attitudes needed to practice their future profession. The major objective of this study was to identify students' views of generic aspects of the healthcare environment that influences their progress towards professional competence. We collected free text answers of 75 medical students and 23 nursing students who had completed an extensive questionnaire concerning their learning in clinical wards. In order to obtain richer data and a deeper understanding, we also interviewed a purposive sample of students. Qualitative content analysis was conducted. We identified three themes: (1) How management, planning and organising for learning enabled content and learning activities to relate to the syllabus and workplace, and how this management influenced space and resources for supervision and learning; (2) Workplace culture elucidated how hierarchies and communication affected student learning and influenced their professional development and (3) Learning a profession illustrated the importance of supervisors' approaches to students, their enthusiasm and ability to build relationships, and their feedback to students on performance. From a student perspective, a valuable learning environment is characterised as one where management, planning and organising are aligned and support learning. Students experience a professional growth when the community of practice accepts them, and competent and enthusiastic supervisors give them opportunities to interact with patients and to develop their own responsibilities.

  5. Healthy Lifestyle Medicine in the Traditional Healthcare Environment-Primary Care and Cardiac Rehabilitation.

    Science.gov (United States)

    Williams, Mark A; Kaminsky, Leonard A

    There is unquestioned value of the need to incorporate Healthy Lifestyle Medicine (HLM) within the traditional models of healthcare. Primary care providers are well positioned to implement HLM as a routine aspect of their healthcare practice. Unfortunately, barriers for this to occur, including poor professional training in the components of HLM and limitations in the time they have available to spend with patients, result in inadequate delivery of HLM from primary care providers. Thus, new approaches for the delivery of HLM need to be developed that would allow primary care providers better, and more, opportunities to make patient referrals. Ideally, this would start with creating a culture change within communities that embraces the importance on living a healthy lifestyle. One opportunity which should be considered is expanding access to currently available options, such as cardiac rehabilitation programs and worksite wellness programs. Both types of programs already provide key elements of HLM within their existing structure. However, new models also need to be developed. Community-based HL centers comprising HL specialists including counselors, exercise physiologists, dietitians, and physical therapists, could be developed and become core locations for the promotion of HLM. Copyright © 2017. Published by Elsevier Inc.

  6. Representing the environment 3.0. Maps, models, networks.

    Directory of Open Access Journals (Sweden)

    Letizia Bollini

    2014-05-01

    Full Text Available Web 3.0 is changing the world we live and perceive the environment anthropomorphized, making a stratifation of levels of experience and mediated by the devices. If the urban landscape is designed, shaped and planned space, there is a social landscape that overwrite the territory of values, representations shared images, narratives of personal and collective history. Mobile technology introduces an additional parameter, a kind of non-place, which allows the coexistence of the here and elsewhere in an sort of digital landscape. The maps, mental models, the system of social networks become, then, the way to present, represented and represent themselves in a kind of ideal coring of the co-presence of levels of physical, cognitive and collective space.

  7. Let’s be effective, let the patients talk! Does ‘patient intelligence’ have an effect on improvements in quality within the healthcare environment?

    Directory of Open Access Journals (Sweden)

    Nadine van Dongen

    2009-10-01

    Full Text Available Nadine van DongenVan Dongen Research Ltd, London, UKAbstract: This paper examines the interaction of patients within the context of efficiency in the pharmaceutical environment. Measurements of quality standards in healthcare are reviewed with an emphasis on the question of whether ‘patient intelligence’ can improve quality standards in healthcare. Something given particular consideration is the ethical point of view versus the business point of view, in relation to the integration of patients into the decision-making process of a healthcare organization. The paper focuses on the formal and informal reasons for involvement of patients in corporate and/or market access strategies for healthcare organizations.Keywords: healthcare, decision-making process, efficiency, patient intelligence, patients

  8. Performance Analysis of CDMA Wireless Sensor Networks in Shadowed Environment

    Directory of Open Access Journals (Sweden)

    U. DATTA

    2010-07-01

    Full Text Available This paper evaluates the performance of a CDMA based wireless sensor networks (WSN with layered architecture in terms of QoS like outage probability, bit error rate (BER, throughput, and delay, considering correlation amongst interferers in shadowed environment. Energy consumption for successful delivery of information is also evaluated at different channel conditions. Two kinds of interference namely multiple access interference (MAI and node interference (NI are considered and an infinite ARQ is assumed at link layer between a sending node and sink till successful transmission of packetized data. An appropriate analytical model of interference considering correlation amongst interferers, power control error and shadowing is developed for evaluating bit error rate (BER, packet error rate (PER, average number of retransmission for successful delivery of information, throughput, and delay in a single hop communication. A simple energy model is used for evaluating the consumption of energy for successful delivery of information between source and sink. We also evaluate the sink capacity of wireless CDMA sensor networks considering a threshold BER. Sink capacity is defined as the maximum number of sensor nodes transmitting concurrently to the sink and located within one hop layer. The impact of NI on the sink capacity is also indicated. The effects of node density, correlation amongst interferers and power control error (pce on performance of WSN are investigated. Analytical results are supported by simulation results.

  9. Developing a virtualised testbed environment in preparation for testing of network based attacks

    CSIR Research Space (South Africa)

    Van Heerden, RP

    2013-11-01

    Full Text Available the authors to reset the simulation environment before each test and mitigated against the damage that an attack potentially inflicts on the test network. Without simulated network traffic, the virtualised network was too sterile. This resulted in any network...

  10. Educating Medical Laboratory Technologists: Revisiting Our Assumptions in the Current Economic and Health-Care Environment

    Directory of Open Access Journals (Sweden)

    Regina Linder

    2012-08-01

    Full Text Available Health care occupies a distinct niche in an economy struggling to recover from recession. Professions related to the care of patients are thought to be relatively resistant to downturns, and thus become attractive to students typically drawn to more lucrative pursuits. Currently, a higher profile for clinical laboratory technology among college students and those considering career change results in larger and better prepared applicant pools. However, after decades of contraction marked by closing of programs, prospective students encounter an educational system without the capacity or vigor to meet their needs. Here discussed are some principles and proposals to allow universities, partnering with health-care providers, government agencies, and other stakeholders to develop new programs, or reenergize existing ones to serve our students and patients. Principles include academic rigor in biomedical and clinical science, multiple points of entry for students, flexibility in format, cost effectiveness, career ladders and robust partnerships.

  11. An integrated gateway for various PHDs in U-healthcare environments.

    Science.gov (United States)

    Park, KeeHyun; Pak, JuGeon

    2012-01-01

    We propose an integrated gateway for various personal health devices (PHDs). This gateway receives measurements from various PHDs and conveys them to a remote monitoring server (MS). It provides two kinds of transmission modes: immediate transmission and integrated transmission. The former mode operates if a measurement exceeds a predetermined threshold or in the case of an emergency. In the latter mode, the gateway retains the measurements instead of forwarding them. When the reporting time comes, the gateway extracts all the stored measurements, integrates them into one message, and transmits the integrated message to the MS. Through this mechanism, the transmission overhead can be reduced. On the basis of the proposed gateway, we construct a u-healthcare system comprising an activity monitor, a medication dispenser, and a pulse oximeter. The evaluation results show that the size of separate messages from various PHDs is reduced through the integration process, and the process does not require much time; the integration time is negligible.

  12. Delay Analysis of GTS Bridging between IEEE 802.15.4 and IEEE 802.11 Networks for Healthcare Applications.

    Science.gov (United States)

    Misić, Jelena; Sherman Shen, Xuemin

    2009-01-01

    We consider interconnection of IEEE 802.15.4 beacon-enabled network cluster with IEEE 802.11b network. This scenario is important in healthcare applications where IEEE 802.15.4 nodes comprise patient's body area network (BAN) and are involved in sensing some health-related data. BAN nodes have very short communication range in order to avoid harming patient's health and save energy. Sensed data needs to be transmitted to an access point in the ward room using wireless technology with higher transmission range and rate such as IEEE 802.11b. We model the interconnected network where IEEE 802.15.4-based BAN operates in guaranteed time slot (GTS) mode, and IEEE 802.11b part of the bridge conveys GTS superframe to the 802.11b access point. We then analyze the network delays. Performance analysis is performed using EKG traffic from continuous telemetry, and we discuss the delays of communication due the increasing number of patients.

  13. An IoT-Based Computational Framework for Healthcare Monitoring in Mobile Environments

    National Research Council Canada - National Science Library

    Higinio Mora; David Gil; Rafael Muñoz Terol; Jorge Azorín; Julian Szymanski

    2017-01-01

    ...’ ready to understand the environment. In this paper, a distributed framework based on the internet of things paradigm is proposed for monitoring human biomedical signals in activities involving physical exertion...

  14. Public health safety and environment in inadequate hospital and healthcare settings: a review.

    Science.gov (United States)

    Baguma, D

    2017-03-01

    Public health safety and environmental management are concerns that pose challenges worldwide. This paper briefly assesses a selected impact of the environment on public health. The study used an assessment of environmental mechanism to analyse the underlying different pathways in which the health sector is affected in inadequate hospital and health care settings. We reviewed the limited available evidence of the association between the health sector and the environment, and the likely pathways through which the environment influences health. The paper also models the use of private health care as a function of costs and benefits relative to public care and no care. The need to enhancing policies to improve the administration of health services, strengthening interventions on environment using international agreements, like Rio Conventions, including measures to control hospital-related infection, planning for human resources and infrastructure construction development have linkage to improve environment care and public health. The present study findings partly also demonstrate the influence of demand for health on the environment. The list of possible interventions includes enhancing policies to improve the administration of health services, strengthening Rio Conventions implementation on environmental concerns, control of environmental hazards and public health. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

  15. Barriers and challenges in adopting Saudi telemedicine network: The perceptions of decision makers of healthcare facilities in Saudi Arabia.

    Science.gov (United States)

    Alaboudi, Abdulellah; Atkins, Anthony; Sharp, Bernadette; Balkhair, Ahmed; Alzahrani, Mohammed; Sunbul, Tamara

    Despite emerging evidence about the benefits of telemedicine, there are still many barriers and challenges to its adoption. Its adoption is often cited as a failed project because 75% of them are abandoned or 'failed outright' and this percentage increases to 90% in developing countries. The literature has clarified that there is neither one-size-fit-all framework nor best-practice solution for all ICT innovations or for all countries. Barriers and challenges in adopting and implementing one ICT innovation in a given country/organisation may not be similar - not for the same ICT innovation in another country/organisation nor for another ICT innovation in the same country/organisation. To the best of our knowledge, no comprehensive scientific study has investigated these challenges and barriers in all Healthcare Facilities (HCFs) across the Kingdom of Saudi Arabia (KSA). This research, which is undertaken based on the Saudi Telemedicine Network roadmap and in collaboration with the Saudi Ministry of Health (MOH), is aimed at identifying the principle predictive challenges and barriers in the context of the KSA, and understanding the perspective of the decision makers of each HCF type, sector, and location. Three theories are used to underpin this research: the Unified Theory of Acceptance and Use of Technology (UTAUT), the Technology-Organisation-Environment (TOE) theoretical framework, and the Evaluating Telemedicine Systems Success Model (ETSSM). This study applies a three-sequential-phase approach by using three mixed methods (i.e., literature review, interviews, and questionnaires) in order to utilise the source triangulation and the data comparison analysis technique. The findings of this study show that the top three influential barriers to adopt and implement telemedicine by the HCF decision makers are: (i) the availability of adequate sustainable financial support to implement, operate, and maintain the telemedicine system, (ii) ensuring conformity of

  16. A Trust Model for Ubiquitous Healthcare Environment on the Basis of Adaptable Fuzzy-Probabilistic Inference System.

    Science.gov (United States)

    Athanasiou, Georgia; Anastasopoulos, George C; Tiritidou, Eleni; Lymberopoulos, Dimitrios

    2017-07-28

    Trust is considered to be a determinant on psychologist selection which can ensure patient satisfaction. Hence, trust concept is essential to be introduced into Ubiquitous Healthcare (UH) environment oriented on patients with anxiety disorders. This is accomplished by Trust Model estimating psychologists' trustworthiness, a priory to service delivery, with the use of patient's and his/her acquaintances testimonies, i.e. Personal Interaction Experience (PIE) and Reputation (R). In this paper, Trust Model is proposed to be materialized via an Adaptable Cloud Inference System (ACIS) that performs Trust Value (TV) estimation. Taking advantage of cloud theory, the introduced ACIS estimates TVs via fuzzy-probabilistic reasoning incorporating a cloud relation operator (soft AND) which is proposed to be tuned by trust information sources consistency and coherency. Theoretical analysis along with comparative study conducted within MATLAB environment and experimental investigation verify the effectiveness of the proposed ACIS materialization under different conditions. Especially, the innovative features of ACIS enable TV to be estimated with 45.5% and 62% on average higher accuracy to that providing state-of-the-art Trust Models, within clean environment and under the influence of large scale collusive malicious attacks, respectively. The enhanced robustness permits the untrustworthy UH Providers to be discriminated with True Positive Rate at the range of 0.9 although 40% of R testimonies are erroneous. Finally, experimental investigation validates that the adoption of the proposed Trust Model for psychologists trustworthiness estimation facilitates patient satisfaction to be achieved into UH environment.

  17. Neural network architecture for cognitive navigation in dynamic environments.

    Science.gov (United States)

    Villacorta-Atienza, José Antonio; Makarov, Valeri A

    2013-12-01

    Navigation in time-evolving environments with moving targets and obstacles requires cognitive abilities widely demonstrated by even simplest animals. However, it is a long-standing challenging problem for artificial agents. Cognitive autonomous robots coping with this problem must solve two essential tasks: 1) understand the environment in terms of what may happen and how I can deal with this and 2) learn successful experiences for their further use in an automatic subconscious way. The recently introduced concept of compact internal representation (CIR) provides the ground for both the tasks. CIR is a specific cognitive map that compacts time-evolving situations into static structures containing information necessary for navigation. It belongs to the class of global approaches, i.e., it finds trajectories to a target when they exist but also detects situations when no solution can be found. Here we extend the concept of situations with mobile targets. Then using CIR as a core, we propose a closed-loop neural network architecture consisting of conscious and subconscious pathways for efficient decision-making. The conscious pathway provides solutions to novel situations if the default subconscious pathway fails to guide the agent to a target. Employing experiments with roving robots and numerical simulations, we show that the proposed architecture provides the robot with cognitive abilities and enables reliable and flexible navigation in realistic time-evolving environments. We prove that the subconscious pathway is robust against uncertainty in the sensory information. Thus if a novel situation is similar but not identical to the previous experience (because of, e.g., noisy perception) then the subconscious pathway is able to provide an effective solution.

  18. Trends, risk factors and outcomes of healthcare-associated infections within the Italian network SPIN-UTI.

    Science.gov (United States)

    Agodi, A; Auxilia, F; Barchitta, M; Brusaferro, S; D'Alessandro, D; Grillo, O C; Montagna, M T; Pasquarella, C; Righi, E; Tardivo, S; Torregrossa, V; Mura, I

    2013-05-01

    Implementing infection control measures in light of healthcare-associated infection (HAI) surveillance data can prevent HAIs. Surveillance has been associated with a reduction of HAI in intensive care unit (ICU) patients, though the reasons for this improvement remain unclear. To evaluate changes in healthcare-associated infection (HAI) rates during three surveys of the Italian Nosocomial Infections Surveillance in Intensive Care Units (ICUs) network (SPIN-UTI) six-year project and to explore sources of variation of indicators of HAI in the 65 participating ICUs. The SPIN-UTI network adopted the European protocols for patient-based HAI surveillance. Cumulative incidence, incidence density, infection rates adjusted for device-days, and device utilization ratios were calculated for each survey and compared. To identify risk factors multiple logistic regression analyses were performed. Crude excess mortality was computed as the difference between the crude overall case-fatality rate of patients with and without HAI. The risk of ICU-acquired infections increased in the third survey compared with previous (relative risk: 1.215; 95% confidence interval: 1.059-1.394). Among risk factors, the number of hospitalized patients requiring ICU admission and the Simplified Acute Physiology Score II increased from 73.7% to 78.1% and from 37.9% to 40.8% respectively. Although mortality rates remained unchanged, HAIs trebled the risk of death. Acinetobacter baumannii was the most frequently reported micro-organism in the third survey (16.9%), whereas in the previous surveys it ranked third (7.6%) and second (14.3%). The study highlighted the increased risk of HAI, at least partially explained by the greater severity and number of hospitalized patients requiring ICU admission. Furthermore, the management of intubation procedures and of ventilated patients was identified as a potential target for infection control interventions to decrease the growing risk of HAI in ICUs. Copyright

  19. Healthcare Providers' Formative Experiences with Race and Black Male Patients in Urban Hospital Environments.

    Science.gov (United States)

    Plaisime, Marie V; Malebranche, David J; Davis, Andrea L; Taylor, Jennifer A

    2017-12-01

    We explored health providers' formative personal and professional experiences with race and Black men as a way to assess their potential influence on interactions with Black male patients. Utilizing convenience sampling with snowballing techniques, we identified healthcare providers in two urban university hospitals. We compared Black and White providers' experiences based on race and level of training. We used the Gardener's Tale to conceptualize how racism may lead to racial health disparities. A semi-structured interview guide was used to conduct in-person interviews (n = 16). Using the grounded theory approach, we conducted three types of coding to examine data patterns. We found two themes reflective of personally mediated racism: (1) perception of Black males accompanied by two subthemes (a) biased care and (b) fear and discomfort and (2) cognitive dissonance. While this latter theme is more reflective of Jones's internalized racism level, we present its results because its novelty is compelling. Perception of Black males and cognitive dissonance appear to influence providers' approaches with Black male patients. This study suggests the need to develop initiatives and curricula in health professional schools that address provider racial bias. Understanding the dynamics operating in the patient-provider encounter enhances the ability to address and reduce health disparities.

  20. Synthetic hardware performance analysis in virtualized cloud environment for healthcare organization.

    Science.gov (United States)

    Tan, Chee-Heng; Teh, Ying-Wah

    2013-08-01

    The main obstacles in mass adoption of cloud computing for database operations in healthcare organization are the data security and privacy issues. In this paper, it is shown that IT services particularly in hardware performance evaluation in virtual machine can be accomplished effectively without IT personnel gaining access to actual data for diagnostic and remediation purposes. The proposed mechanisms utilized the hypothetical data from TPC-H benchmark, to achieve 2 objectives. First, the underlying hardware performance and consistency is monitored via a control system, which is constructed using TPC-H queries. Second, the mechanism to construct stress-testing scenario is envisaged in the host, using a single or combination of TPC-H queries, so that the resource threshold point can be verified, if the virtual machine is still capable of serving critical transactions at this constraining juncture. This threshold point uses server run queue size as input parameter, and it serves 2 purposes: It provides the boundary threshold to the control system, so that periodic learning of the synthetic data sets for performance evaluation does not reach the host's constraint level. Secondly, when the host undergoes hardware change, stress-testing scenarios are simulated in the host by loading up to this resource threshold level, for subsequent response time verification from real and critical transactions.

  1. Comprehensive systematic review of evidence on developing and sustaining nursing leadership that fosters a healthy work environment in healthcare.

    Science.gov (United States)

    Pearson, Alan; Laschinger, Heather; Porritt, Kylie; Jordan, Zoe; Tucker, Donna; Long, Leslye

    2007-06-01

    Objectives  The objective of this review was to appraise and synthesise the best available evidence on the feasibility, meaningfulness and effectiveness of nursing leadership attributes that contribute to the development and sustainability of nursing leadership to foster a healthy work environment. Inclusion criteria  This review considered quantitative and qualitative research papers that addressed the feasibility, meaningfulness and effectiveness of developing and sustaining nursing leadership to foster a healthy work environment in healthcare. Papers of the highest level of evidence ratings were given priority. Participants of interest were leaders and those who were affected by leadership, specifically staff and patients. Interventions of interest including positive leadership attributes, as well as system and policy constructs, that impact on the development and sustainability of nursing leadership within the healthcare environment were considered in the review. Search strategy  The search strategy sought to find both published and unpublished studies and papers, limited to the English language. An initial limited search of MEDLINE and CINAHL was undertaken followed by an analysis of the text words contained in the title and abstract, and of the index terms used to describe the paper. A second extensive search was then undertaken using all identified key words and index terms. Methodological quality  Each paper was assessed by two independent reviewers for methodological quality prior to inclusion in the review using an appropriate critical appraisal instrument from the System for the Unified Management, Assessment and Review of Information (SUMARI) package. Results  A total of 48 papers, experimental, qualitative and textual in nature, were included in the review. The majority of papers were descriptive and examined the relationships between leadership styles and characteristics and particular outcomes, such as satisfaction. Because of the diverse

  2. Pharma in the Environment - Presentation at EU meeting in Brussels, organized by "Healthcare without Harm"

    OpenAIRE

    Backhaus, Thomas

    2016-01-01

    This is the slidedeck that I used to talk about the question whether pharmaceutical residues in the environment pose a risk for public health and/or for exposed environmental organisms. Please get in touch if something is unclear or if you'd like to discuss things.T

  3. Exploring the impact of toxic attitudes and a toxic environment on the veterinary healthcare team

    Directory of Open Access Journals (Sweden)

    Irene eMoore

    2015-12-01

    Full Text Available AbstractThe objective of this qualitative study was to compare veterinarians’ and Registered Veterinary Technicians’ (RVT’s perceptions of the veterinary health care team with respect to the impact of toxic attitudes and a toxic environment. Focus group interviews using a semi-structured interview guide and follow up probes were held with 4 veterinarian groups (23 companion animal veterinarians and 4 Registered Veterinary Technician groups (26 RVTs. Thematic analysis of the discussions indicated both veterinarian and RVT participants felt team members with toxic attitudes negatively impacted veterinary team function. These attitudes included people being disrespectful, being resistant to change, always wanting to be the go to person, avoiding conflict, and lacking motivation. When conflict was ignored, or when people with toxic attitudes were not addressed, a toxic environment often resulted. A toxic environment sometimes manifested when broken communication and tension between staff members occurred as a result of employees lacking confidence, skills, or knowledge not being managed properly. It also occurred when employees did not feel appreciated, when there was difficulty coping with turnover, and when there were conflicting demands.The presence of people with a toxic attitude was a source of frustration for both veterinarian and RVT participants. Prompt and consistent attention to negative behaviors is recommended to reduce the development of a toxic environment.

  4. An assessment of PKI and networked electronic patient record system: lessons learned from real patient data exchange at the platform of OCHIS (Osaka Community Healthcare Information System).

    Science.gov (United States)

    Takeda, Hiroshi; Matsumura, Yasushi; Kuwata, Shigeki; Nakano, Hirohiko; Shanmai, Ji; Qiyan, Zhang; Yufen, Chen; Kusuoka, Hideo; Matsuoka, Masaki

    2004-03-31

    To enhance medical cooperation between the hospitals and clinics around Osaka local area, the healthcare network system, named Osaka Community Healthcare Information System (OCHIS), was established with support of a supplementary budget from the Japanese government in fiscal year 2002. Although the system has been based on healthcare public key infrastructure (PKI), there remain security issues to be solved technically and operationally. An experimental study was conducted to elucidate the central and the local function in terms of a registration authority and a time stamp authority in contract with the Japanese Medical Information Systems Organization (MEDIS) in 2003. This paper describes the experimental design and the results of the study concerning message security.

  5. NOSTOS: a paper-based ubiquitous computing healthcare environment to support data capture and collaboration.

    Science.gov (United States)

    Bång, Magnus; Larsson, Anders; Eriksson, Henrik

    2003-01-01

    In this paper, we present a new approach to clinical workplace computerization that departs from the window-based user interface paradigm. NOSTOS is an experimental computer-augmented work environment designed to support data capture and teamwork in an emergency room. NOSTOS combines multiple technologies, such as digital pens, walk-up displays, headsets, a smart desk, and sensors to enhance an existing paper-based practice with computer power. The physical interfaces allow clinicians to retain mobile paper-based collaborative routines and still benefit from computer technology. The requirements for the system were elicited from situated workplace studies. We discuss the advantages and disadvantages of augmenting a paper-based clinical work environment.

  6. Extending the role of a healthcare digital library environment to support orthopaedic research.

    Science.gov (United States)

    Miles-Board, Timothy; Carr, Leslie; Wills, Gary; Power, Guillermo; Bailey, Christopher; Hall, Wendy; Stenning, Matthew; Grange, Simon

    2006-06-01

    A digital archive, together with its users and its contents, does not exist in isolation; there is a cycle of activities which provides the context for the archive's existence. In arguing for the broadening of the traditional view of digital libraries as merely collections towards the processes of collecting and deploying, we have developed an extend ed digital library environment for orthopaedic surgeons which bridges the gap between the undertaking of experimental work and the dissemination of its results through electronic publication.

  7. STUDY OF A SECURE AND PRIVACY-PRESERVING OPPORTUNISTIC COMPUTING FRAMEWORK FOR MOBILE-HEALTHCARE EMERGENCY

    OpenAIRE

    Pramod B. Deshmukh; Nilesh N. Wani; Laxmikant S. Malphedwar; Deepali A. Ghanwat

    2016-01-01

    With the pervasiveness of smart phones and the advance of wireless body sensor networks (BSNs), mobile Healthcare (m-Healthcare), which extends the operation of Healthcare provider into a pervasive environment for better health monitoring, has attracted considerable interest recently. However, the flourish of m-Healthcare still faces many challenges including information security and privacy preservation. In this paper, we propose a secure and privacy-preserving opportunistic computing framew...

  8. Assessing The Impact Of Motivation Job Satisfaction And Work Environment On Theemployee Performance In Healthcare Services

    Directory of Open Access Journals (Sweden)

    Wilda al Aluf

    2017-10-01

    Full Text Available This research aims to analyze the effect of motivation job satisfaction and work environment on the employee performance at hospitalization department of Asembagusregional public hospital Situbondo district Indonesia. This research could be classified as explanatory research. Using cencus sampling method the sample of this research was all the employee of Asembagusregional public particularly in hospitalization department as many as 49 persons. The data was analyzed using multiple linear regression. The result showed that motivation has positive and significant effect on the performance of employee. It indicates that better motivation will increase the performance of employee.Job satisfaction has positive and significant effect on the employee performance. It means that higher job satisfaction of employee to their office will increase the performance of employee in Asembagus hospital. Work environment also has positive and significant effect on the employee performance.This research contributes to knowledge regarding how to motivate employees to work hard how to make employee feels satisfied with their job and how to provide adequate work environment on the workplace.As a final point it will be useful for further studies to compare the results of this study in different sectors and regions to analyze the similarities and dissimilarities.

  9. IMPLEMENTATION OF WIRED AND WIRELESS NETWORK IN ACADEMIC ENVIRONMENT

    OpenAIRE

    Raman Bhanot*

    2017-01-01

    Formerly, wired network has verified its capabilities but in this day and age wireless communication has emerged as a robust and most intellectual communication technique. Both the types have its own merits and demerits based on its network characteristics. Wired and wireless networking has different hardware necessities, ranges, mobility, reliability and benefits.The aim of the paper is to provide a simulated outlook of Wireless and Wired Network covering whole campus. This simulation has be...

  10. Is the public healthcare sector a more strenuous working environment than the private sector for a physician?

    Science.gov (United States)

    Heponiemi, Tarja; Kouvonen, Anne; Sinervo, Timo; Elovainio, Marko

    2013-02-01

    The present study examined the differences between physicians working in public and private health care in strenuous working environments (presence of occupational hazards, physical violence, and presenteeism) and health behaviours (alcohol consumption, body mass index, and physical activity). In addition, we examined whether gender or age moderated these potential differences. Cross-sectional survey data were compiled on 1422 female and 948 male randomly selected physicians aged 25-65 years from The Finnish Health Care Professionals Study. Logistic regression and linear regression analyses were used with adjustment for gender, age, specialisation status, working time, managerial position, and on-call duty. Occupational hazards, physical violence, and presenteeism were more commonly reported by physicians working in the public sector than by their counterparts in the private sector. Among physicians aged 50 years or younger, those who worked in the public sector consumed more alcohol than those who worked in the private sector, whereas in those aged 50 or more the reverse was true. In addition, working in the private sector was most strongly associated with lower levels of physical violence in those who were older than 50 years, and with lower levels of presenteeism among those aged 40-50 years. The present study found evidence for the public sector being a more strenuous work environment for physicians than the private sector. Our results suggest that public healthcare organisations should pay more attention to the working conditions of their employees.

  11. mHealth adoption in low-resource environments: a review of the use of mobile healthcare in developing countries.

    Science.gov (United States)

    Chib, Arul; van Velthoven, Michelle Helena; Car, Josip

    2015-01-01

    The acknowledged potential of using mobile phones for improving healthcare in low-resource environments of developing countries has yet to translate into significant mHealth policy investment. The low uptake of mHealth in policy agendas may stem from a lack of evidence of the scalable, sustainable impact on health indicators. The mHealth literature in low- and middle-income countries reveals a burgeoning body of knowledge; yet, existing reviews suggest that the projects yield mixed results. This article adopts a stage-based approach to understand the varied contributions to mHealth research. The heuristic of inputs-mechanism-outputs is proposed as a tool to categorize mHealth studies. This review (63 articles comprising 53 studies) reveals that mHealth studies in developing countries tend to concentrate on specific stages, principally on pilot projects that adopt a deterministic approach to technological inputs (n = 32), namely introduction and implementation. Somewhat less studied were research designs that demonstrate evidence of outputs (n = 15), such as improvements in healthcare processes and public health indicators. The review finds a lack of emphasis on studies that provide theoretical understanding (n = 6) of adoption and appropriation of technological introduction that produces measurable health outcomes. As a result, there is a lack of dominant theory, or measures of outputs relevant to making policy decisions. Future work needs to aim for establishing theoretical and measurement standards, particularly from social scientific perspectives, in collaboration with researchers from the domains of information technology and public health. Priorities should be set for investments and guidance in evaluation disseminated by the scientific community to practitioners and policymakers.

  12. Generalized Load Sharing for Homogeneous Networks of Distributed Environment

    Directory of Open Access Journals (Sweden)

    A. Satheesh

    2008-01-01

    Full Text Available We propose a method for job migration policies by considering effective usage of global memory in addition to CPU load sharing in distributed systems. When a node is identified for lacking sufficient memory space to serve jobs, one or more jobs of the node will be migrated to remote nodes with low memory allocations. If the memory space is sufficiently large, the jobs will be scheduled by a CPU-based load sharing policy. Following the principle of sharing both CPU and memory resources, we present several load sharing alternatives. Our objective is to reduce the number of page faults caused by unbalanced memory allocations for jobs among distributed nodes, so that overall performance of a distributed system can be significantly improved. We have conducted trace-driven simulations to compare CPU-based load sharing policies with our policies. We show that our load sharing policies not only improve performance of memory bound jobs, but also maintain the same load sharing quality as the CPU-based policies for CPU-bound jobs. Regarding remote execution and preemptive migration strategies, our experiments indicate that a strategy selection in load sharing is dependent on the amount of memory demand of jobs, remote execution is more effective for memory-bound jobs, and preemptive migration is more effective for CPU-bound jobs. Our CPU-memory-based policy using either high performance or high throughput approach and using the remote execution strategy performs the best for both CPU-bound and memory-bound job in homogeneous networks of distributed environment.

  13. Antimicrobial resistance in healthcare, agriculture and the environment: the biochemistry behind the headlines.

    Science.gov (United States)

    Venter, Henrietta; Henningsen, Michael L; Begg, Stephanie L

    2017-02-28

    The crisis of antimicrobial resistance (AMR) is one of the most serious issues facing us today. The scale of the problem is illustrated by the recent commitment of Heads of State at the UN to coordinate efforts to curb the spread of AMR infections. In this review, we explore the biochemistry behind the headlines of a few stories that were recently published in the public media. We focus on examples from three different issues related to AMR: (i) hospital-acquired infections, (ii) the spread of resistance through animals and/or the environment and (iii) the role of antimicrobial soaps and other products containing disinfectants in the dissemination of AMR. Although these stories stem from three very different settings, the underlying message in all of them is the same: there is a direct relationship between the use of antimicrobials and the development of resistance. In addition, one type of antimicrobial could select for cross-resistance to another type and/or for multidrug resistance. Therefore, we argue the case for increased stewardship to not only cover clinical use of antibiotics, but also the use of antimicrobials in agriculture and stewardship of our crucially important biocides such as chlorhexidine. © 2017 The Author(s). Published by Portland Press Limited on behalf of the Biochemical Society.

  14. Prevalence of anal incontinence in a working population within a healthcare environment.

    Science.gov (United States)

    Cerdán Santacruz, Carlos; Santos Rancaño, Rocío; Vigara García, Marta; Fernández Pérez, Cristina; Ortega López, Mario; Cerdán Miguel, Javier

    2017-12-01

    Anal incontinence is a devastating affliction with several considerations that make it difficult to define in terms of epidemiology with good precision. The aim of the present work is to study the prevalence of an important disorder such as anal incontinence in a healthy working population within a sanitary environment. A cluster of easy understanding and filling inquiry forms are distributed to 910 apparently healthy individuals at our hospital. This questionnaires include filiation data, passed medical history, presence or not of Incontinence and other symptoms such as urgency. The Cleveland Clinic Incontinence Score is also registered. Anal incontinence is present in a 21.2% of subjects when considered in any of it forms (flatus, liquid or solid faeces). A Clevleand Clinic Incontinence Score higher than 6 was obtained in a 7.3% of the sample and higher than 10 in 1.2%. No gender predominance has been identified. A slightly higher severity is recognised with increasing age. Obstetric and anal surgical background are the only related factors identified in the studied sample. Faecal incontinence is a high prevalent affliction, even among apparently healthy population. Considering the aetiologic factors that have been established, prevention during obstetric and anal surgical procedures is absolutely mandatory.

  15. Comparing Notes: Collaborative Networks, Breeding Environments, and Organized Crime

    Science.gov (United States)

    Hernández, Alejandro

    Collaborative network theory can be useful in refining current understanding of criminal networks and aid in understanding their evolution. Drug trafficking organizations that operate in the region directly north of Colombia’s Valle del Cauca department and the “collection agencies” that operate in the Colombian city of Cali have abandoned hierarchical organizational structures and have become networked-based entities. Through the exposition of Camarinha-Matos and Afsarmanesh’s business networking ideas, this chapter examines the similarities and differences between the application of collaborative networks in licit enterprises, such as small and medium enterprises in Europe, and how the networks might be used by illicit criminal enterprises in Colombia.

  16. Performance Analysis of Routing Protocols in Ad-hoc and Sensor Networking Environments

    Directory of Open Access Journals (Sweden)

    L. Gavrilovska

    2009-06-01

    Full Text Available Ad-hoc and sensor networks are becoming an increasingly popular wireless networking concepts lately. This paper analyzes and compares prominent routing schemes in these networking environments. The knowledge obtained can serve users to better understand short range wireless network solutions thus leading to options for implementation in various scenarios. In addition, it should aid researchers develop protocol improvements reliable for the technologies of interest.

  17. Developing an Integrated Design Model Incorporating Technology Philosophy for the Design of Healthcare Environments: A Case Analysis of Facilities for Psychogeriatric and Psychiatric Care in The Netherlands

    NARCIS (Netherlands)

    J. van Hoof; M.J. Verkerk

    2013-01-01

    van Hoof, J., Verkerk, M.J. (2013) Developing an Integrated Design Model Incorporating Technology Philosophy for the Design of Healthcare Environments: A Case Analysis of Facilities for Psychogeriatric and Psychiatric Care in The Netherlands. Technology in Society 35(1):1-13

  18. Constructing Neuronal Network Models in Massively Parallel Environments

    Directory of Open Access Journals (Sweden)

    Tammo Ippen

    2017-05-01

    Full Text Available Recent advances in the development of data structures to represent spiking neuron network models enable us to exploit the complete memory of petascale computers for a single brain-scale network simulation. In this work, we investigate how well we can exploit the computing power of such supercomputers for the creation of neuronal networks. Using an established benchmark, we divide the runtime of simulation code into the phase of network construction and the phase during which the dynamical state is advanced in time. We find that on multi-core compute nodes network creation scales well with process-parallel code but exhibits a prohibitively large memory consumption. Thread-parallel network creation, in contrast, exhibits speedup only up to a small number of threads but has little overhead in terms of memory. We further observe that the algorithms creating instances of model neurons and their connections scale well for networks of ten thousand neurons, but do not show the same speedup for networks of millions of neurons. Our work uncovers that the lack of scaling of thread-parallel network creation is due to inadequate memory allocation strategies and demonstrates that thread-optimized memory allocators recover excellent scaling. An analysis of the loop order used for network construction reveals that more complex tests on the locality of operations significantly improve scaling and reduce runtime by allowing construction algorithms to step through large networks more efficiently than in existing code. The combination of these techniques increases performance by an order of magnitude and harnesses the increasingly parallel compute power of the compute nodes in high-performance clusters and supercomputers.

  19. Constructing Neuronal Network Models in Massively Parallel Environments.

    Science.gov (United States)

    Ippen, Tammo; Eppler, Jochen M; Plesser, Hans E; Diesmann, Markus

    2017-01-01

    Recent advances in the development of data structures to represent spiking neuron network models enable us to exploit the complete memory of petascale computers for a single brain-scale network simulation. In this work, we investigate how well we can exploit the computing power of such supercomputers for the creation of neuronal networks. Using an established benchmark, we divide the runtime of simulation code into the phase of network construction and the phase during which the dynamical state is advanced in time. We find that on multi-core compute nodes network creation scales well with process-parallel code but exhibits a prohibitively large memory consumption. Thread-parallel network creation, in contrast, exhibits speedup only up to a small number of threads but has little overhead in terms of memory. We further observe that the algorithms creating instances of model neurons and their connections scale well for networks of ten thousand neurons, but do not show the same speedup for networks of millions of neurons. Our work uncovers that the lack of scaling of thread-parallel network creation is due to inadequate memory allocation strategies and demonstrates that thread-optimized memory allocators recover excellent scaling. An analysis of the loop order used for network construction reveals that more complex tests on the locality of operations significantly improve scaling and reduce runtime by allowing construction algorithms to step through large networks more efficiently than in existing code. The combination of these techniques increases performance by an order of magnitude and harnesses the increasingly parallel compute power of the compute nodes in high-performance clusters and supercomputers.

  20. Position statement on the role of healthcare professionals, patient organizations and industry in European Reference Networks

    NARCIS (Netherlands)

    Hollak, C.E.M.; Biegstraaten, M.; Baumgartner, M.R.; Belmatoug, N.; Bembi, B.; Bosch, A.; Brouwers, M.; Dekker, H.; Dobbelaere, D.; Engelen, M.; Groenendijk, M.C.; Lachmann, R.; Langendonk, J.G.; Langeveld, M.; Linthorst, G.; Morava, E.; Tien Poll-The, B.; Rahman, S.; Rubio-Gozalbo, M.E.; Spiekerkoetter, U.; Treacy, E.; Wanders, R.; Zschocke, J.; Hagendijk, R.

    2016-01-01

    A call from the EU for the set-up of European Reference Networks (ERNs) is expected to be launched in the first quarter of 2016. ERNs are intended to improve the care for patients with low prevalent or rare diseases throughout the EU by, among other things, facilitating the pooling and exchange of

  1. Position statement on the role of healthcare professionals, patient organizations and industry in European Reference Networks

    NARCIS (Netherlands)

    C.E.M. Hollak (Carla); M. Biegstraaten (Marieke); M.R. Baumgartner (Matthias R.); N. Belmatoug (Nadia); B. Bembi (Bruno); A.M. Bosch (Annet); M.C.G.J. Brouwers (M. C G J); H. Dekker (Hanka); D. Dobbelaere (Dries); M. Engelen (Marc); M.C. Groenendijk (Marike C.); R.H. Lachmann (Robin); J.G. Langendonk (Janneke); M. Langeveld (Mirjam); G. Linthorst (Gabor); E. Morava (Eva); B.T. Poll-The; S. Rahman (Shamima); M.E. Rubio-Gozalbo (Estela); U. Spiekerkoeter (Ute); E. Treacy (Eileen); R.J.A. Wanders (Ronald); J. Zschocke (Johannes); R. Hagendijk (Rob)

    2016-01-01

    textabstractA call from the EU for the set-up of European Reference Networks (ERNs) is expected to be launched in the first quarter of 2016. ERNs are intended to improve the care for patients with low prevalent or rare diseases throughout the EU by, among other things, facilitating the pooling and

  2. Teaching Network Security in a Virtual Learning Environment

    Science.gov (United States)

    Bergstrom, Laura; Grahn, Kaj J.; Karlstrom, Krister; Pulkkis, Goran; Astrom, Peik

    2004-01-01

    This article presents a virtual course with the topic network security. The course has been produced by Arcada Polytechnic as a part of the production team Computer Networks, Telecommunication and Telecommunication Systems in the Finnish Virtual Polytechnic. The article begins with an introduction to the evolution of the information security…

  3. Bluetooth Roaming for Sensor Network System in Clinical Environment.

    Science.gov (United States)

    Kuroda, Tomohiro; Noma, Haruo; Takase, Kazuhiko; Sasaki, Shigeto; Takemura, Tadamasa

    2015-01-01

    A sensor network is key infrastructure for advancing a hospital information system (HIS). The authors proposed a method to provide roaming functionality for Bluetooth to realize a Bluetooth-based sensor network, which is suitable to connect clinical devices. The proposed method makes the average response time of a Bluetooth connection less than one second by making the master device repeat the inquiry process endlessly and modifies parameters of the inquiry process. The authors applied the developed sensor network for daily clinical activities in an university hospital, and confirmed the stabilitya and effectiveness of the sensor network. As Bluetooth becomes a quite common wireless interface for medical devices, the proposed protocol that realizes Bluetooth-based sensor network enables HIS to equip various clinical devices and, consequently, lets information and communication technologies advance clinical services.

  4. The impact of the social and physical environments on parent-healthcare provider relationships when a child dies in PICU: Findings from a grounded theory study.

    Science.gov (United States)

    Butler, Ashleigh E; Copnell, Beverley; Hall, Helen

    2017-12-30

    This study explores the influences of the paediatric intensive care environment on relationships between parents and healthcare providers when children are dying. It forms part of a larger study, investigating parental experiences of the death of their child in intensive care. Constructivist grounded theory. Four Australian paediatric intensive care units. Audio-recorded, semi-structured interviews were conducted with twenty-six bereaved parents. Data were analysed using the constant comparison and memoing techniques common to grounded theory. The physical and social environment of the intensive care unit influenced the quality of the parent-healthcare provider relationship. When a welcoming, open environment existed, parents tended to feel respected as equal and included members of their child's care team. In contrast, environments that restricted parental presence or lacked resources for parental self-care could leave parents feeling like 'watchers', excluded from their child's care. The paediatric intensive care unit environment either welcomes and includes parents of dying children into the care team, or demotes them to the status of 'watcher'. Such environments significantly influence the relationships parents form with healthcare staff, their ability to engage in elements of their parental role, and their experiences as a whole. Copyright © 2017 Elsevier Ltd. All rights reserved.

  5. Disrupting the Implementation Gap with Digital Technology in Healthcare Distance Education: Critical Insights from an e-Mentoring Intensional Network Practitioner Research Project

    Science.gov (United States)

    Singh, Gurmit

    2013-01-01

    Effective professional distance education is urgently needed to develop a well-trained workforce and improve impact on healthcare. However, distance education initiatives have had mixed results in improving practice. Often, successful implementation fails to leverage insights on the social and emergent nature of learning in networks. This paper…

  6. Relative Panoramic Camera Position Estimation for Image-Based Virtual Reality Networks in Indoor Environments

    Science.gov (United States)

    Nakagawa, M.; Akano, K.; Kobayashi, T.; Sekiguchi, Y.

    2017-09-01

    Image-based virtual reality (VR) is a virtual space generated with panoramic images projected onto a primitive model. In imagebased VR, realistic VR scenes can be generated with lower rendering cost, and network data can be described as relationships among VR scenes. The camera network data are generated manually or by an automated procedure using camera position and rotation data. When panoramic images are acquired in indoor environments, network data should be generated without Global Navigation Satellite Systems (GNSS) positioning data. Thus, we focused on image-based VR generation using a panoramic camera in indoor environments. We propose a methodology to automate network data generation using panoramic images for an image-based VR space. We verified and evaluated our methodology through five experiments in indoor environments, including a corridor, elevator hall, room, and stairs. We confirmed that our methodology can automatically reconstruct network data using panoramic images for image-based VR in indoor environments without GNSS position data.

  7. An operating environment for control systems on transputer networks

    NARCIS (Netherlands)

    Tillema, H.G.; Schoute, Albert L.; Wijbrans, K.C.J.; Wijbrans, K.C.J.

    1991-01-01

    The article describes an operating environment for control systems. The environment contains the basic layers of a distributed operating system. The design of this operating environment is based on the requirements demanded by controllers which can be found in complex control systems. Due to the

  8. Study on an Agricultural Environment Monitoring Server System using Wireless Sensor Networks

    OpenAIRE

    Hwang, Jeonghwan; Shin, Changsun; Yoe, Hyun

    2010-01-01

    This paper proposes an agricultural environment monitoring server system for monitoring information concerning an outdoors agricultural production environment utilizing Wireless Sensor Network (WSN) technology. The proposed agricultural environment monitoring server system collects environmental and soil information on the outdoors through WSN-based environmental and soil sensors, collects image information through CCTVs, and collects location information using GPS modules. This collected inf...

  9. Next Generation Enterprise Network Business Continuity: Maintaining Operations In A Compromised Environment

    Science.gov (United States)

    2016-03-01

    ENTERPRISE NETWORK BUSINESS CONTINUITY: MAINTAINING OPERATIONS IN A COMPROMISED ENVIRONMENT by Erik C. Hansen March 2016 Thesis Advisor...in mission resilience and mission assurance engineering [2], [24]. This work explores business continuity in a compromised environment ...are commercially available and are developed by mature companies. Cisco offers collaboration tailored to virtual environments as part of Business

  10. Change in Obesity Prevalence across the United States Is Influenced by Recreational and Healthcare Contexts, Food Environments, and Hispanic Populations.

    Science.gov (United States)

    Myers, Candice A; Slack, Tim; Martin, Corby K; Broyles, Stephanie T; Heymsfield, Steven B

    2016-01-01

    To examine change in county-level adult obesity prevalence between 2004 and 2009 and identify associated community characteristics. Change in county-level adult (≥20 years) obesity prevalence was calculated for a 5-year period (2004-2009). Community measures of economic, healthcare, recreational, food environment, population structure, and education contexts were also calculated. Regression analysis was used to assess community characteristics associated (pobesity prevalence. Mean±SD change in obesity prevalence was 5.1±2.4%. Obesity prevalence decreased in 1.4% (n = 44) and increased in 98% (n = 3,060) of counties from 2004-2009. Results showed that both baseline levels and increases in physically inactive adults were associated with greater increases in obesity prevalence, while baseline levels of and increases in physician density and grocery store/supercenter density were related to smaller increases in obesity rates. Baseline levels of the Hispanic population share were negatively linked to changing obesity levels, while places with greater Hispanic population growth saw greater increases in obesity. Most counties in the U.S. experienced increases in adult obesity prevalence from 2004 to 2009. Findings suggest that community-based interventions targeting adult obesity need to incorporate a range of community factors, such as levels of physical inactivity, access to physicians, availability of food outlets, and ethnic/racial population composition.

  11. Towards Assisted Moderation in Online Healthcare Social Networks: Improving Trust in YouTube Searches.

    Science.gov (United States)

    Cañon, Daniel E; Lopez, Diego M; Blobel, Bernd

    2014-01-01

    Moderation of content in online Health Social Networks (HSN) is critical because information is not only published and produced by experts or health professionals, but also by users of that information. The objective of this paper is to propose a semi-automatic moderation Web Service for assessing the quality (trustworthiness) of health-related videos published on the YouTube social network. The service is relevant for moderators or community managers, who get enabled to control the quality of videos published on their online HSN sites. The HealthTrust metric was selected as the metric to be implemented in the service in order to support the assessment of trustworthiness of videos in Online HSN. The service is a RESTful service which can be integrated into open source Virtual Social Network Platforms, therefore improving trust in the process of searching and publishing content extracted from YouTube. A preliminary pilot evaluation in a simple use case demonstrated that the relevance of videos retrieved using the moderation service was higher compared to the relevance of the videos retrieved using the YouTube search engine.

  12. On network representations of antennas inside resonating environments

    Directory of Open Access Journals (Sweden)

    F. Gronwald

    2007-06-01

    Full Text Available We discuss network representations of dipole antennas within electromagnetic cavities. It is pointed out that for a given configuration these representations are not unique. For an efficient evaluation a network representation should be chosen such that it involves as few network elements as possible. The field theoretical analogue of this circumstance is the possibility to express electromagnetic cavities' Green's functions by representations which exhibit different convergence properties. An explicit example of a dipole antenna within a rectangular cavity clarifies the corresponding interrelation between network theory and electromagnetic field theory. As an application, current spectra are calculated for the case that the antenna is nonlinearly loaded and subject to a two-tone excitation.

  13. Directional Networking in GPS Denied Environments - Time Synchronization

    Science.gov (United States)

    2016-03-14

    Directional Networking in GPS Denied Environments—Time Synchronization Derya Cansever and Gilbert Green Army CERDEC Aberdeen Proving Ground MA...when GPS is not available. We show that the Fast RTSR algorithm allows the entire network to achieve time synchronization with convergence time of...RF-based measurements to synchronize time and measure node range.  Satellite Doppler: Using Doppler measurements from multiple satellites along

  14. User Identification Framework in Social Network Services Environment

    Directory of Open Access Journals (Sweden)

    Brijesh BAKARIYA

    2014-01-01

    Full Text Available Social Network Service is a one of the service where people may communicate with one an-other; and may also exchange messages even of any type of audio or video communication. Social Network Service as name suggests a type of network. Such type of web application plays a dominant role in internet technology. In such type of online community, people may share their common interest. Facebook LinkedIn, orkut and many more are the Social Network Service and it is good medium of making link with people having unique or common interest and goals. But the problem of privacy protection is a big issue in today’s world. As social networking sites allows anonymous users to share information of other stuffs. Due to which cybercrime is also increasing to a rapid extent. In this article we preprocessed the web log data of Social Network Services and assemble that data on the basis of image file format like jpg, jpeg, gif, png, bmp etc. and also propose a framework for victim’s identification.

  15. E-procurement in the Brazilian healthcare system: the impact of joint drug purchases by a hospital network.

    Science.gov (United States)

    Sigulem, Fernando; Zucchi, Paola

    2009-11-01

    To evaluate the use of e-procurement to obtain supplies for a network of seven university hospitals with a joint purchase system. The study was carried out between October 2003 and October 2005. We analyzed nine joint purchases of 37 pharmaceutical items. All the items were purchased in at least two-thirds of the nine occasions and/or were among the 10 items with the highest expenditure. The following aspects were recorded: price, number of suppliers providing quotes, type of supplier (distributor or manufacturer), reference value (lowest price paid per item by each hospital prior to the establishment of the joint purchase system), unit price for first purchase, and unit price for last purchase. The percent variation in price was compared in relation to the reference value, first and last purchases, and average unit price for the nine purchases. A decrease in price > 10% was observed in 47% of the medications analyzed. A decrease > 20% was recorded in 32% of the 37 items. Five items (midazolam 5 mg 3 mL, tramadol 100 mg 2 mL, vancocin 500 mg vial, ceftazidime 1 g vial and cefepime 1 g vial) had a decrease >or= 50% in unit cost in the first purchase compared to the last purchase value. The unit price for 26 items (70%) had an average reduction of 23%. E-procurement was successful in achieving real savings. The results show that the incorporation of new management technologies such as e-procurement in the healthcare setting may help overcome the management gap in the healthcare sector.

  16. The Quality of Nurses' Work Environment and Workforce Outcomes From the Perspective of Swiss Allied Healthcare Assistants and Registered Nurses: A Cross-Sectional Survey.

    Science.gov (United States)

    Lacher, Stefanie; De Geest, Sabina; Denhaerynck, Kris; Trede, Ines; Ausserhofer, Dietmar

    2015-09-01

    Anticipating nursing shortages, the Swiss healthcare system recently introduced the position of allied healthcare assistant (AHA). However, indicators of AHAs' integration and stability, particularly their perceptions of their work environment quality and related outcomes (i.e., burnout, job satisfaction, and intention to leave), remain unclear. (a) To describe AHAs' ratings of the quality of the nurse work environment, job satisfaction, burnout, and intention to leave their workplaces; (b) to compare AHAs' and registered nurses' (RNs') work environment quality ratings and related outcomes; and (c) to assess links between AHAs' work environment quality ratings and related workforce outcomes. A secondary analysis of RN4CAST data (October 2009 to June 2010) on 61 AHAs and 466 RNs in 13 Swiss acute care hospitals. We used descriptive statistics to summarize data of AHAs and RNs on their units and hospitals. Via binary logistic regression models, we compared AHAs and RNs and identified associations between work environment ratings and workforce outcomes. AHAs' work environment quality ratings were significantly higher than those of RNs, and were associated with lower odds of burnout and intention to leave their current job and higher odds of reported job satisfaction. This study provides primary evidence linking AHAs' work environment quality ratings to burnout, job satisfaction, and intention to leave in acute care hospitals. Given the increasing importance of AHAs for nursing care provision, hospitals should assess the quality of nurse work environment and nurse outcomes from the perspective of all nurses. © 2015 Sigma Theta Tau International.

  17. Cooperation in networks where the learning environment differs from the interaction environment.

    Directory of Open Access Journals (Sweden)

    Jianlei Zhang

    Full Text Available We study the evolution of cooperation in a structured population, combining insights from evolutionary game theory and the study of interaction networks. In earlier studies it has been shown that cooperation is difficult to achieve in homogeneous networks, but that cooperation can get established relatively easily when individuals differ largely concerning the number of their interaction partners, such as in scale-free networks. Most of these studies do, however, assume that individuals change their behaviour in response to information they receive on the payoffs of their interaction partners. In real-world situations, subjects do not only learn from their interaction partners, but also from other individuals (e.g. teachers, parents, or friends. Here we investigate the implications of such incongruences between the 'interaction network' and the 'learning network' for the evolution of cooperation in two paradigm examples, the Prisoner's Dilemma game (PDG and the Snowdrift game (SDG. Individual-based simulations and an analysis based on pair approximation both reveal that cooperation will be severely inhibited if the learning network is very different from the interaction network. If the two networks overlap, however, cooperation can get established even in case of considerable incongruence between the networks. The simulations confirm that cooperation gets established much more easily if the interaction network is scale-free rather than random-regular. The structure of the learning network has a similar but much weaker effect. Overall we conclude that the distinction between interaction and learning networks deserves more attention since incongruences between these networks can strongly affect both the course and outcome of the evolution of cooperation.

  18. Integrated Analysis of Environment-driven Operational Effects in Sensor Networks

    Energy Technology Data Exchange (ETDEWEB)

    Park, Alfred J [ORNL; Perumalla, Kalyan S [ORNL

    2007-07-01

    There is a rapidly growing need to evaluate sensor network functionality and performance in the context of the larger environment of infrastructure and applications in which the sensor network is organically embedded. This need, which is motivated by complex applications related to national security operations, leads to a paradigm fundamentally different from that of traditional data networks. In the sensor networks of interest to us, the network dynamics depend strongly on sensor activity, which in turn is triggered by events in the environment. Because the behavior of sensor networks is sensitive to these driving phenomena, the integrity of the sensed observations, measurements and resource usage by the network can widely vary. It is therefore imperative to accurately capture the environmental phenomena, and drive the simulation of the sensor network operation by accounting fully for the environment effects. In this paper, we illustrate the strong, intimate coupling between the sensor network operation and the driving phenomena in their applications with an example sensor network designed to detect and track gaseous plumes.

  19. Low Power Multi-Hop Networking Analysis in Intelligent Environments

    Directory of Open Access Journals (Sweden)

    Josu Etxaniz

    2017-05-01

    Full Text Available Intelligent systems are driven by the latest technological advances in many different areas such as sensing, embedded systems, wireless communications or context recognition. This paper focuses on some of those areas. Concretely, the paper deals with wireless communications issues in embedded systems. More precisely, the paper combines the multi-hop networking with Bluetooth technology and a quality of service (QoS metric, the latency. Bluetooth is a radio license-free worldwide communication standard that makes low power multi-hop wireless networking available. It establishes piconets (point-to-point and point-to-multipoint links and scatternets (multi-hop networks. As a result, many Bluetooth nodes can be interconnected to set up ambient intelligent networks. Then, this paper presents the results of the investigation on multi-hop latency with park and sniff Bluetooth low power modes conducted over the hardware test bench previously implemented. In addition, the empirical models to estimate the latency of multi-hop communications over Bluetooth Asynchronous Connectionless Links (ACL in park and sniff mode are given. The designers of devices and networks for intelligent systems will benefit from the estimation of the latency in Bluetooth multi-hop communications that the models provide.

  20. Low Power Multi-Hop Networking Analysis in Intelligent Environments.

    Science.gov (United States)

    Etxaniz, Josu; Aranguren, Gerardo

    2017-05-19

    Intelligent systems are driven by the latest technological advances in many different areas such as sensing, embedded systems, wireless communications or context recognition. This paper focuses on some of those areas. Concretely, the paper deals with wireless communications issues in embedded systems. More precisely, the paper combines the multi-hop networking with Bluetooth technology and a quality of service (QoS) metric, the latency. Bluetooth is a radio license-free worldwide communication standard that makes low power multi-hop wireless networking available. It establishes piconets (point-to-point and point-to-multipoint links) and scatternets (multi-hop networks). As a result, many Bluetooth nodes can be interconnected to set up ambient intelligent networks. Then, this paper presents the results of the investigation on multi-hop latency with park and sniff Bluetooth low power modes conducted over the hardware test bench previously implemented. In addition, the empirical models to estimate the latency of multi-hop communications over Bluetooth Asynchronous Connectionless Links (ACL) in park and sniff mode are given. The designers of devices and networks for intelligent systems will benefit from the estimation of the latency in Bluetooth multi-hop communications that the models provide.

  1. Network Management Services Based On The Openflow Environment

    Directory of Open Access Journals (Sweden)

    Paweł Wilk

    2014-01-01

    Full Text Available The subject of this article is network management through web service calls, which allows software applications to exert an influence on network traffic. In this manner, software can make independent decisions concerning the direction of requests so that they can be served as soon as possible. This is important because only proper cooperation including all architecture layers can ensure the best performance, especially when software that largely depends on computer networks and utilizes them heavily is involved. To demonstrate that the approach described above is feasible and can be useful at the same time, this article presents a switch-level load balancer developed using OpenFlow. Client software communicates with the balancer through REST web service calls, which are used to provide information on current machine load and its ability to serve incoming requests. The result is a cheap, highly customizable and extremely fast load balancer with considerable potential for further development.

  2. Design and Test of the Cross-Format Schema Protocol (XFSP) for Networked Virtual Environments

    National Research Council Canada - National Science Library

    Serin, Ekrem

    2003-01-01

    A Networked Virtual Environment (Net-VE) is a distributed software system in which multiple users interact with each other in real time even though these users may be located around the world Zyda 99...

  3. Theoretical framework on selected core issues on conditions for productive learning in networked learning environments

    DEFF Research Database (Denmark)

    Dirckinck-Holmfeld, Lone; Svendsen, Brian Møller; Ponti, Marisa

    The report documents and summarises the elements and dimensions that have been identified to describe and analyse the case studies collected in the Kaleidoscope Jointly Executed Integrating Research Project (JEIRP) on Conditions for productive learning in network learning environments....

  4. The challenge of social networking in the field of environment and health

    Science.gov (United States)

    2012-01-01

    Background The fields of environment and health are both interdisciplinary and trans-disciplinary, and until recently had little engagement in social networking designed to cross disciplinary boundaries. The EU FP6 project HENVINET aimed to establish integrated social network and networking facilities for multiple stakeholders in environment and health. The underlying assumption is that increased social networking across disciplines and sectors will enhance the quality of both problem knowledge and problem solving, by facilitating interactions. Inter- and trans-disciplinary networks are considered useful for this purpose. This does not mean that such networks are easily organized, as openness to such cooperation and exchange is often difficult to ascertain. Methods Different methods may enhance network building. Using a mixed method approach, a diversity of actions were used in order to investigate the main research question: which kind of social networking activities and structures can best support the objective of enhanced inter- and trans-disciplinary cooperation and exchange in the fields of environment and health. HENVINET applied interviews, a role playing session, a personal response system, a stakeholder workshop and a social networking portal as part of the process of building an interdisciplinary and trans-disciplinary network. Results The interviews provided support for the specification of requirements for an interdisciplinary and trans-disciplinary network. The role playing session, the personal response system and the stakeholder workshop were assessed as useful tools in forming such network, by increasing the awareness by different disciplines of other’s positions. The social networking portal was particularly useful in delivering knowledge, but the role of the scientist in social networking is not yet clear. Conclusions The main challenge in the field of environment and health is not so much a lack of scientific problem knowledge, but rather the

  5. The challenge of social networking in the field of environment and health.

    Science.gov (United States)

    van den Hazel, Peter; Keune, Hans; Randall, Scott; Yang, Aileen; Ludlow, David; Bartonova, Alena

    2012-06-28

    The fields of environment and health are both interdisciplinary and trans-disciplinary, and until recently had little engagement in social networking designed to cross disciplinary boundaries. The EU FP6 project HENVINET aimed to establish integrated social network and networking facilities for multiple stakeholders in environment and health. The underlying assumption is that increased social networking across disciplines and sectors will enhance the quality of both problem knowledge and problem solving, by facilitating interactions. Inter- and trans-disciplinary networks are considered useful for this purpose. This does not mean that such networks are easily organized, as openness to such cooperation and exchange is often difficult to ascertain. Different methods may enhance network building. Using a mixed method approach, a diversity of actions were used in order to investigate the main research question: which kind of social networking activities and structures can best support the objective of enhanced inter- and trans-disciplinary cooperation and exchange in the fields of environment and health. HENVINET applied interviews, a role playing session, a personal response system, a stakeholder workshop and a social networking portal as part of the process of building an interdisciplinary and trans-disciplinary network. The interviews provided support for the specification of requirements for an interdisciplinary and trans-disciplinary network. The role playing session, the personal response system and the stakeholder workshop were assessed as useful tools in forming such network, by increasing the awareness by different disciplines of other's positions. The social networking portal was particularly useful in delivering knowledge, but the role of the scientist in social networking is not yet clear. The main challenge in the field of environment and health is not so much a lack of scientific problem knowledge, but rather the ability to effectively communicate, share

  6. Lidar network for atmosphere environment monitoring of the city

    Science.gov (United States)

    Dai, Yongjiang; Zhao, Hongwei; Sun, Fuxing; Zhao, Yu; Chen, Xiangjun

    2000-10-01

    The big city is a center of the economic and political for every country and territory. The population is coarctation$DALindustry is focus and traffic is developed in the city. Especially, there are a lot of factories and cars. Burning coal for heating and life garbage are more too. It is a mostly cause beget atmosphere polluted. The Network can be availability inspects the buildup of the atmosphere, it's 3-D static state distributing and dynamic distributing. Also can be coarsely inspect at the car and helicopter. The network is low cost, high capability and facility using. It is commendably expand for every city.

  7. Putting E-government to work in healthcare environment: a multiregional project funded by the Italian Innovation & Technology Ministry.

    Science.gov (United States)

    Ballardini, Luigi; Germagnoli, Fabio; Pagani, Marco; Picchi, Marco; Stoppini, Andrea; Cristiani, Paolo

    2004-01-01

    In 2002, the Italian Ministry of Innovation promoted a national bid for e-government projects. Specifically it allocated a budget of 120 M euro. One of the four project approved in healthcare sector was the "Information, Care ("Assistenza" in Italian) and healthcare Education by the Web" (IAEW), with a global budget of 2580 k euro, partially financed by Ministry with a quota of 830 k euro. The project involves 12 medical structures (both national excellences centers and local regional hospitals) located in two different Region of North Italy, dealing with two different healthcare regional systems (Lombardia and Emilia-Romagna), with potentially 3 millions of users.

  8. Local area network terminal management in support of stock point logistics integrated communications environment (SPLICE)

    OpenAIRE

    Barnes, Jerry D.

    1982-01-01

    Approved for public release; distribution is unlimited This thesis examines the questions of user requirements, design considerations, and network environment for a local area network Terminal Management function in support of the Naval Supply Systems Command's Stock Point Logistics Integrated Communications Environment (SPLICE). Criteria are developed from this examination. They include process-process communication, virtual terminal, and user defined screen capabilities as well as a ne...

  9. Mobility management for highly mobile users and vehicular networks in heterogeneous environments

    OpenAIRE

    Andersson, Karl; Åhlund, Christer; Gukhool, Balkrishna Sharma; Cherkaoui, Soumaya

    2008-01-01

      With the recent developments in wireless networks, different radio access technologies are used in different places depending on capacity in terms of throughput, cell size, scalability etc. In this context, mobile users, and in particular highly mobile users and vehicular networks, will see an increasing number and variety of wireless access points enabling Internet connectivity. Such a heterogeneous networking environment needs, however, an efficient mobility management scheme offering ...

  10. Scholarly Communication in the Network Environment: Issues of Principle, Policy and Practice.

    Science.gov (United States)

    Kahin, Brian

    1992-01-01

    Discussion of legal and ethical issues raised by the growth of research networking focuses on two general areas: (1) communication, prepublication, and publication; and (2) the network as a distribution environment. Issues considered include joint authorship, rights in computer conferencing, derivative works, control of dissemination, site…

  11. Using a Classification of Psychological Experience in Social-Networking Sites as a Virtual Learning Environment

    Science.gov (United States)

    Onibokun, Joseph; van Schaik, Paul

    2012-01-01

    With over 800 million users worldwide, the global importance of Facebook as a social-networking platform is beyond doubt. This popularity, particularly among university-students, has encouraged research to explore ways in which social networking can be adapted into virtual learning environments. In particular, this study uses the think-aloud…

  12. The Effect of Social Interaction on Learning Engagement in a Social Networking Environment

    Science.gov (United States)

    Lu, Jie; Churchill, Daniel

    2014-01-01

    This study investigated the impact of social interactions among a class of undergraduate students on their learning engagement in a social networking environment. Thirteen undergraduate students enrolled in a course in a university in Hong Kong used an Elgg-based social networking platform throughout a semester to develop their digital portfolios…

  13. Modelling Mobility in Mobile AD-HOC Network Environments ...

    African Journals Online (AJOL)

    We show how to implement the random waypoint mobility model for ad-hoc networks without pausing, through a more efficient and reliable computer simulation, using MATrix LABoratory 7.5.0 (R2007b). Simulation results obtained verify the correctness of the model. Keywords : Stationary, random waypoint, simulation, ...

  14. Information Superiority/Battle Command (Network Centric Warfare Environment)

    Science.gov (United States)

    2004-06-01

    on the Move (BCOTM). To this end a multiplicity of subtasks have been articulated to include: 1) Evaluate future data radio, wireless , personal...Multinational Communcations Systems. Requirement for Dedicated All Weather Communications Relay platforms. Requirement for Higher level of Networking

  15. Cooperation in networks where the learning environment differs from the interaction environment

    NARCIS (Netherlands)

    Zhang, Jianlei; Zhang, Chunyan; Chu, Tianguang; Weissing, Franz J.

    2014-01-01

    We study the evolution of cooperation in a structured population, combining insights from evolutionary game theory and the study of interaction networks. In earlier studies it has been shown that cooperation is difficult to achieve in homogeneous networks, but that cooperation can get established

  16. Impact of Physician Community Structure on Healthcare Outcomes.

    Science.gov (United States)

    Uddin, Shahadat; Kelaher, Margaret; Piraveenan, Mahendra

    2015-01-01

    There is a substantial variation in healthcare spending and readmission rate for individuals having admissions to different hospitals. This study assessed how the community structure of physician collaboration networks that evolve during the period of providing healthcare services to hospitalised patients contribute to this variation. A physician collaboration network is said to have a community structure if the nodes (i.e. physicians) of that network can be easily grouped into sets of nodes such that each set of nodes is densely connected internally but sparsely connected between groups. This study constructed physician collaboration networks based on patient-sharing ties among physicians who provided healthcare services to hospitalised patients. An administrative health insurance claim dataset was utilised to extract patient-sharing ties among physicians. Simple linear regression models were estimated to assess the impact of the community structure of physician collaboration networks on the healthcare outcome measures (i.e. readmission rate and hospitalisation cost). From these models, this study found that the structure of a physician community has significant impact on readmission rate and hospitalisation cost. Healthcare administrators or managers could consider this finding in developing effective and efficient healthcare environments in their respective healthcare organisations.

  17. Closed-loop healthcare monitoring in a collaborative heart failure network.

    Science.gov (United States)

    Modre-Osprian, Robert; Pölzl, Gerhard; Von Der Heidt, Andreas; Kastner, Peter

    2014-01-01

    Heart failure (HF) is a growing public health problem. The management of HF is usually multi-disciplinary and should comprise the cooperation of all groups of individuals involved in the care like clinicians, cardiologists, general practitioners, internists, nurses, relatives and patients. There is an ongoing debate with regard to monitoring and the optimal level and intensity of care for which kind of patients. Based on our experience with the recently established HF network HerzMobil Tirol, we developed a concept how to combine mHealth-based telemonitoring and disease management programs. The collaborative HF management concept timely and efficiently closes the feedback loop between patients and care providers and allows for continuity of care. The aim is to gradually adjust intensity of care according to the patients' level of disease severity and risk of readmission after hospital discharge along the overall trajectory of illness. Next steps will be to investigate how to define shared decision making, rights, duties, responsibilities and liabilities of the individual stakeholders as well as to analyze business models for reimbursement.

  18. Hemovigilance in Massachusetts and the adoption of statewide hospital blood bank reporting using the National Healthcare Safety Network.

    Science.gov (United States)

    Cumming, Melissa; Osinski, Anthony; O'Hearn, Lynne; Waksmonski, Pamela; Herman, Michele; Gordon, Deborah; Griffiths, Elzbieta; Knox, Kim; McHale, Eileen; Quillen, Karen; Rios, Jorge; Pisciotto, Patricia; Uhl, Lynne; DeMaria, Alfred; Andrzejewski, Chester

    2017-02-01

    A collaboration that grew over time between local hemovigilance stakeholders and the Massachusetts Department of Public Health (MDPH) resulted in the change from a paper-based method of reporting adverse reactions and monthly transfusion activity for regulatory compliance purposes to statewide adoption of electronic reporting via the National Healthcare Safety Network (NHSN). The NHSN is a web-based surveillance system that offers the capacity to capture transfusion-related adverse events, incidents, and monthly transfusion statistics from participating facilities. Massachusetts' hospital blood banks share the data they enter into NHSN with the MDPH to satisfy reporting requirements. Users of the NHSN Hemovigilance Module adhere to specified data entry guidelines, resulting in data that are comparable and standardized. Keys to successful statewide adoption of this reporting method include the fostering of strong partnerships with local hemovigilance champions and experts, engagement of regulatory and epidemiology divisions at the state health department, the leveraging of existing relationships with hospital NHSN administrators, and the existence of a regulatory deadline for implementation. Although limitations exist, successful implementation of statewide use of the NHSN Hemovigilance Module for hospital blood bank reporting is possible. The result is standardized, actionable data at both the hospital and state level that can facilitate interfacility comparisons, benchmarking, and opportunities for practice improvement. © 2016 AABB.

  19. Flexible and Lightweight Access Control for Online Healthcare Social Networks in the Context of the Internet of Things

    Directory of Open Access Journals (Sweden)

    Zhen Qin

    2017-01-01

    Full Text Available Online healthcare social networks (OHSNs play an essential role in sharing information among medical experts and patients who are equipped with similar experiences. To access other patients’ data or experts’ diagnosis anywhere and anytime, it is necessary to integrate the OHSN into the Internet as part of the Internet of Things (IoT. Therefore, it is crucial to design an efficient and versatile access control scheme that can grant and revoke a user to access the OHSN. In this paper, we propose novel attribute-based encryption (ABE features with user revocation and verifiable decryption outsourcing to control the access privilege of the users. The security of the proposed ABE scheme is given in the well-studied random oracle model. With the proposed ABE scheme, the malicious users can be excluded from the system and the user can offload most of the overhead in the decryption to an untrusted cloud server in a verifiable manner. An access control scheme for the OHSN has been given in the context of the IoT based on the proposed ABE scheme. The simulation demonstrates that our access control mechanism is practical.

  20. Improving the network management of integrated primary mental healthcare for older people in a rural Australian region: protocol for a mixed methods case study

    Science.gov (United States)

    Fuller, Jeffrey; Oster, Candice; Dawson, Suzanne; O'Kane, Deb; Lawn, Sharon; Henderson, Julie; Gerace, Adam; Reed, Richard; Nosworthy, Ann; Galley, Philip; McPhail, Ruth; Cochrane, Eimear Muir

    2014-01-01

    Introduction An integrated approach to the mental healthcare of older people is advocated across health, aged care and social care sectors. It is not clear, however, how the management of integrated servicing should occur, although interorganisational relations theory suggests a reflective network approach using evaluation feedback. This research will test a network management approach to help regional primary healthcare organisations improve mental health service integration. Methods and analysis This mixed methods case study in rural South Australia will test facilitated reflection within a network of health and social care services to determine if this leads to improved integration. Engagement of services will occur through a governance group and a series of three 1-day service stakeholder workshops. Facilitated reflection and evaluation feedback will use information from a review of health sector and local operational policies, a network survey about current service links, gaps and enablers and interviews with older people and their carers about their help seeking journeys. Quantitative and qualitative analysis will describe the policy enablers and explore the current and ideal links between services. The facilitated reflection will be developed to maximise engagement of senior management in the governance group and the service staff at the operational level in the workshops. Benefit will be assessed through indicators of improved service coordination, collective ownership of service problems, strengthened partnerships, agreed local protocols and the use of feedback for accountability. Ethics, benefits and dissemination Ethics approval will deal with the sensitivities of organisational network research where data anonymity is not preserved. The benefit will be the tested utility of a facilitated reflective process for a network of health and social care services to manage linked primary mental healthcare for older people in a rural region. Dissemination will

  1. Modeling cellular networks in fading environments with dominant specular components

    KAUST Repository

    AlAmmouri, Ahmad

    2016-07-26

    Stochastic geometry (SG) has been widely accepted as a fundamental tool for modeling and analyzing cellular networks. However, the fading models used with SG analysis are mainly confined to the simplistic Rayleigh fading, which is extended to the Nakagami-m fading in some special cases. However, neither the Rayleigh nor the Nakagami-m accounts for dominant specular components (DSCs) which may appear in realistic fading channels. In this paper, we present a tractable model for cellular networks with generalized two-ray (GTR) fading channel. The GTR fading explicitly accounts for two DSCs in addition to the diffuse components and offers high flexibility to capture diverse fading channels that appear in realistic outdoor/indoor wireless communication scenarios. It also encompasses the famous Rayleigh and Rician fading as special cases. To this end, the prominent effect of DSCs is highlighted in terms of average spectral efficiency. © 2016 IEEE.

  2. Urban transport, the environment and the network society

    DEFF Research Database (Denmark)

    Hansen, Carsten Jahn

    2005-01-01

    succeeded over conventional and more hierarchical ways of public policymaking. As such, these cases offer illuminating examples of collaborative dialogue, expressed through networks in which argumentative approaches and increased reflexivity about the ´rules of the game´ have been central elements. Finally......, the paper discusses the extent to which this should amount to a call for deliberative approaches and new policy procedures. how...

  3. Personal Computer Local Area Network Security in an Academic Environment

    Science.gov (United States)

    1989-12-01

    AND JUSTIFICATION The San Francisco Examiner ran an article by John Dvorak on Sunday August 6th titled "Viruses Make Me Sick". The author speaks of the...humidity or foreign object destruction (e.g. a drink spilled into the keyboard ). Unfortunately, these areas can be tough to guard against. User training is...inserted into a floppy drive or a favorite soft drink is placed two inches from a keyboard . Instead, upon introduc- tion to the network labs

  4. Report on Asian Environment Information Network; 'Asia kankyo joho network' ni kansuru hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-03-01

    The goal is the construction of Asian Environment Information Network (AEInet) in accordance with a contract signed between Indonesia's LIPI (Indonesian Institute of Science) and NEDO under NEDO's Research Cooperation Project Concerning the Development of Environment Measuring Laser Radar (LR). The network is so designed and constituted as to operate on a private line between Indonesia and Japan via IP (Internet protocol) and to enable the exchange on the Internet network of the data collected/analyzed by the Indonesian LR system and of articles of e-mail between scientists of the two countries. The AEInet will be utilized for the collection/analysis of LR-collected data; exchange of observed data and the result of processing; provision of support to environment information scientists in exchanging e-mail and information; and the search of databases for the implementation of the project. In this paper, the outline and functions of the system, network system design, WWW server construction, network operating status, joint researches with Indonesia, etc., are described. (NEDO)

  5. Interaction Network Estimation: Predicting Problem-Solving Diversity in Interactive Environments

    Science.gov (United States)

    Eagle, Michael; Hicks, Drew; Barnes, Tiffany

    2015-01-01

    Intelligent tutoring systems and computer aided learning environments aimed at developing problem solving produce large amounts of transactional data which make it a challenge for both researchers and educators to understand how students work within the environment. Researchers have modeled student-tutor interactions using complex networks in…

  6. Research on backbone node deployment for Wireless Mesh Networks in dynamic environments

    Science.gov (United States)

    Li, Meiyi; Cao, Shengling

    2017-08-01

    Wireless Mesh Network is a type of wireless networks in which demands of bandwidth for users has mobility. The backbone node placement of wireless mesh networks in a dynamic scenario is investigated, and the TSDPSO algorithm is used to adapt the dynamic environment, which updates node deployment location to adapt to changes in demand if it detects environmental changes at the beginning of the cycle time. In order to meet the demands of bandwidth for users and network connectivity, particle swarm optimization algorithm is employed to select the gateway location, then nodes to the backbone network is added constantly until all requirement is covered. The experimental results show that algorithm could get effective solution in dynamic environment.

  7. Impact of the environment and the topology on the performance of hierarchical body area networks

    Directory of Open Access Journals (Sweden)

    Ferrari Gianluigi

    2011-01-01

    Full Text Available Abstract Personal area networks and, more specifically, body area networks (BANs are key building blocks of future generation networks and of the Internet of Things as well. In this article, we present a novel analytical framework for network performance analysis of body sensor networks with hierarchical (tree topologies. This framework takes into account the specificities of the on-body channel modeling and the impact of the surrounding environment. The obtained results clearly highlight the differences between indoor and outdoor scenarios, and provide several insights on BAN design and analysis. In particular, it will be shown that the BAN topology should be selected according to the foreseen medical application and the deployment environment.

  8. Proposed Network Intrusion Detection System ‎In Cloud Environment Based on Back ‎Propagation Neural Network

    Directory of Open Access Journals (Sweden)

    Shawq Malik Mehibs

    2017-12-01

    Full Text Available Cloud computing is distributed architecture, providing computing facilities and storage resource as a service over the internet. This low-cost service fulfills the basic requirements of users. Because of the open nature and services introduced by cloud computing intruders impersonate legitimate users and misuse cloud resource and services. To detect intruders and suspicious activities in and around the cloud computing environment, intrusion detection system used to discover the illegitimate users and suspicious action by monitors different user activities on the network .this work proposed based back propagation artificial neural network to construct t network intrusion detection in the cloud environment. The proposed module evaluated with kdd99 dataset the experimental results shows promising approach to detect attack with high detection rate and low false alarm rate

  9. IoT Contextual Factors on Healthcare.

    Science.gov (United States)

    Michalakis, Konstantinos; Caridakis, George

    2017-01-01

    With the emergence of the Internet of Things, new services in healthcare will be available and existing systems will be integrated in the IoT framework, providing automated medical supervision and efficient medical treatment. Context awareness plays a critical role in realizing the vision of the IoT, providing rich contextual information that can help the system act more efficiently. Since context in healthcare has its unique characteristics, it is necessary to define an appropriate context aware framework for healthcare IoT applications. We identify this context as perceived in healthcare applications and describe the context aware procedures. We also present an architecture that connects the sensors that measure biometric data with the sensory networks of the environment and the various IoT middleware that reside in the geographical area. Finally, we discuss the challenges for the realization of this vision.

  10. Designing for Learning: Online Social Networks as a Classroom Environment

    Science.gov (United States)

    Casey, Gail; Evans, Terry

    2011-01-01

    This paper deploys notions of emergence, connections, and designs for learning to conceptualize high school students' interactions when using online social media as a learning environment. It makes links to chaos and complexity theories and to fractal patterns as it reports on a part of the first author's action research study, conducted while she…

  11. Policy interpretation network on children's health and environment.

    NARCIS (Netherlands)

    Hazel, P.J. van den; Zuurbier, M.; Bistrup, M.L.

    2006-01-01

    Aim: The main objective of PINCHE is to provide policy recommendations aiming at protecting children's health and environment based on completed scientific research. The project focused on four themes: indoor and outdoor air pollutants, carcinogens, neurotoxicants, and noise. The data were evaluated

  12. A Generic Context Management Framework for Personal Networking Environments

    DEFF Research Database (Denmark)

    Sanchez, Luis; Olsen, Rasmus Løvenstein; Bauer, Martin

    2006-01-01

    In this paper we introduce a high level architecture for a context management system for Personal Networks (PN). The main objective of the Context Management Framework (CMF) described in this paper is to support the interactions between context information sources and context aware components...... on their computational capabilities and their role within the system. We differentiate between Basic Context Nodes (BCN), Enhanced Context Nodes (ECN) and Context Management Nodes (CMN) within the CMF. CMNs operate on two levels, i.e., local/cluster level and PN level. In the paper we also describe how these entities...

  13. Regional Understanding and Unity of Effort: Applying the Global SOF Network in Future Operating Environments Communications

    Science.gov (United States)

    2016-12-07

    and Afghanistan in newly relevant operating environments is to invite failure. In today’s globalized world , clear dividing lines between...PRISM 6, no. 3 FEATURES | 49 Regional Understanding and Unity of Effort Applying the Global SOF Network in Future Operating Environments ...the challenges and social diversity characteristic of today’s global operating environment . In con- trast, FAOs often lack tactical experience rela

  14. A system for the management, display and integration of pre-hospital healthcare activity in the deployed environment.

    Science.gov (United States)

    Grant, Simon; Wheatley, R J

    2014-12-01

    To create and implement a system through which pre-hospital healthcare activity across an entire operational theatre could be made available in real-time to support healthcare delivery, governance and assurance activity. An IT-based system was created that could display, manage and integrate the pre-hospital healthcare activity on Op HERRICK 18. The system was based on the Defence Medical Services Common Assurance Framework and run through Microsoft Office SharePoint. Pre-hospital healthcare activity was made available and visible across an operational theatre. This supported delivery, assurance and governance at any time. Activity from each medical facility could be integrated and display automatically improving theatre wide situational awareness. The availability of information resulted in a shift towards a more continuous process of assurance and governance rather than reliance on inherently threatening and increasingly intermittent inspection regimes. The ability to review healthcare activity remotely at anytime significantly improves the validity of assurance possible for a deployed force. Governance activity can be more responsive and less reliant on the fixed timescale and datasets of reports from outlying medical facilities. However, assurance and governance authorities must not allow such a wealth of information to impact local leadership and innovation through a perception of, or actual, micro-management. 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.

  15. Realtime Automation Networks in moVing industrial Environments

    Directory of Open Access Journals (Sweden)

    Rafael Leidinger

    2012-04-01

    Full Text Available The radio-based wireless data communication has made the realization of new technical solutions possible in many fields of the automation technology (AT. For about ten years, a constant disproportionate growth of wireless technologies can be observed in the automation technology. However, it shows that especially for the AT, conven-tional technologies of office automation are unsuitable and/or not manageable. The employment of mobile ser-vices in the industrial automation technology has the potential of significant cost and time savings. This leads to an increased productivity in various fields of the AT, for example in the factory and process automation or in production logistics. In this paper technologies and solu-tions for an automation-suited supply of mobile wireless services will be introduced under the criteria of real time suitability, IT-security and service orientation. Emphasis will be put on the investigation and develop-ment of wireless convergence layers for different radio technologies, on the central provision of support services for an easy-to-use, central, backup enabled management of combined wired / wireless networks and on the study on integrability in a Profinet real-time Ethernet network [1].

  16. Providing healthcare services on-the-fly using multi-player cooperation game theory in Internet of Vehicles (IoV environment

    Directory of Open Access Journals (Sweden)

    Neeraj Kumar

    2015-08-01

    Full Text Available Internet of Vehicles (IoV is a leading technology of the present era. It has gained huge attention with respect to its implementation in wide variety of domains ranging from traffic safety to infotainment applications. However, IoV can also be extended to healthcare domain, where the patients can be provided healthcare services on-the-fly. We extend this novel concept in this paper and refer it as “Healthcare services on-the-fly”. The concept of game theory has been used among the vehicles to access the healthcare services while traveling. The vehicles act as players in the game and tend to form and split coalitions to access these services. Learning automata (LA act as the players for interaction with the environment and take appropriate actions based on reward and penalty. Apart from this, Virtual Machine (VM scheduling algorithm for efficient utilization of resources at cloud level has also been formulated. A stochastic reward net (SRN-based model is used to represent the coalition formation and splitting with respect to availability of resources at cloud level. The performance of the proposed scheme is evaluated using various performance evaluation metrics. The results obtained prove the effectiveness of the proposed scheme in comparison to the best, first, and random fit schemes.

  17. Messenger in The Barn: networking in a learning environment

    Directory of Open Access Journals (Sweden)

    Malcolm Rutter

    2009-12-01

    Full Text Available This case study describes the use of a synchronous communication application (MSN Messenger in a large academic computing environment. It draws on data from interviews, questionnaires and student marks to examine the link between use of the application and success measured through module marks. The relationship is not simple. Total abstainers and heavy users come out best, while medium level users do less well, indicating the influence of two factors. The discussion section suggests possible factors. The study also highlights the benefits of support and efficiency of communication that the application brings. Although there have been many studies of synchronous communication tool use in the office and in social life, this is one of the first to examine its informal use in an academic environment.

  18. Environment Based Secure Transfer of Data in Wireless Sensor Networks

    OpenAIRE

    Vidhya, B.; Joseph, Mary; Girinath, D. Rajini; Malathi, A.

    2015-01-01

    Most critical sensor readings (Top-k Monitoring) in environment monitoring system are important to many wireless sensor applications. In such applications, sensor nodes transmit the data continuously for a specific time period to the storage nodes. It is responsible for transferring the received results to the Authority on Top-k Query request from them. Dummy data's were added into the original text data to secure the data against adversary in case of hacking the sensor and storage nodes. If ...

  19. Community and Social Network Sites as Technology Enhanced Learning Environments

    DEFF Research Database (Denmark)

    Ryberg, Thomas; Christiansen, Ellen

    2008-01-01

    This paper examines the affordance of the Danish social networking site Mingler.dk for peer-to-peer learning and development. With inspiration from different theoretical frameworks, the authors argue how learning and development in such social online systems can be conceptualised and analysed....... Theoretically the paper defines development in accordance with Vygotsky's concept of the zone of proximal development, and learning in accordance with Wenger's concept of communities of practice. The authors suggest analysing the learning and development taking place on Mingler.dk by using these concepts...... supplemented by the notion of horizontal learning adopted from Engestrm and Wenger. Their analysis shows how horizontal learning happens by crossing boundaries between several sites of engagement, and how the actors' multiple membership enables the community members to draw on a vast amount of resources from...

  20. Network-based collaborative research environment LDRD final report

    Energy Technology Data Exchange (ETDEWEB)

    Davies, B.R.; McDonald, M.J.

    1997-09-01

    The Virtual Collaborative Environment (VCE) and Distributed Collaborative Workbench (DCW) are new technologies that make it possible for diverse users to synthesize and share mechatronic, sensor, and information resources. Using these technologies, university researchers, manufacturers, design firms, and others can directly access and reconfigure systems located throughout the world. The architecture for implementing VCE and DCW has been developed based on the proposed National Information Infrastructure or Information Highway and a tool kit of Sandia-developed software. Further enhancements to the VCE and DCW technologies will facilitate access to other mechatronic resources. This report describes characteristics of VCE and DCW and also includes background information about the evolution of these technologies.

  1. Macrocognition in the Healthcare Built Environment (mHCBE): A Focused Ethnographic Study of "Neighborhoods" in a Pediatric Intensive Care Unit.

    Science.gov (United States)

    O'Hara, Susan; Klar, Robin Toft; Patterson, Emily S; Morris, Nancy; Ascenzi, Judy; Fackler, James C; Perry, Donna J

    2017-01-01

    The objectives of this research were to describe the interactions (formal and informal), in which macrocognitive functions occur and their location on a pediatric intensive care unit, to describe challenges and facilitators of macrocognition using space syntax constructs (openness, connectivity, and visibility), and to analyze the healthcare built environment (HCBE) using those constructs to explicate influences on macrocognition. In high reliability, complex industries, macrocognition is an approach to develop new knowledge among interprofessional team members. Although macrocognitive functions have been analyzed in multiple healthcare settings, the effect of the HCBE on those functions has not been directly studied. The theoretical framework, "macrocognition in the healthcare built environment" (mHCBE) addresses this relationship. A focused ethnographic study was conducted including observation and focus groups. Architectural drawing files used to create distance matrices and isovist field view analyses were compared to panoramic photographs and ethnographic data. Neighborhoods comprised of corner configurations with maximized visibility enhanced team interactions as well as observation of patients, offering the greatest opportunity for informal situated macrocognitive interactions (SMIs). Results from this study support the intricate link between macrocognitive interactions and space syntax constructs within the HCBE. These findings help increase understanding of how macrocognition in the HCBE can improve physical space by designing new spaces, refining existing spaces, or adapting interprofessional team practices to maximize formal and informal SMI opportunities to improve safety and quality for interprofessional teams, patient, and family care.

  2. Clinician practice and the National Healthcare Safety Network definition for the diagnosis of catheter-associated urinary tract infection.

    Science.gov (United States)

    Al-Qas Hanna, Fadi; Sambirska, Oksana; Iyer, Sugantha; Szpunar, Susanna; Fakih, Mohamad G

    2013-12-01

    The National Healthcare Safety Network (NHSN) definition for catheter-associated urinary tract infection (CAUTI) is used to evaluate improvements in CAUTI prevention efforts. We assessed whether clinician practice was reflective of the NHSN definition. We evaluated all adult inpatients hospitalized between July 2010 and June 2011, with a first positive urine culture > 48 hours of admission obtained while catheterized or within 48 hours of catheter discontinuation. Data comprised patients' signs, symptoms, and diagnostic tests; clinician's diagnosis; and the impression of the infectious diseases (ID) consultant. The clinician's practice was compared with the NHSN definition and the ID consultant's impression. Antibiotics were initiated by clinicians to treat CAUTI in 216 of 387 (55.8%) cases, with 119 of 387 (30.7%) fitting the NHSN CAUTI definition, and 63 of 211 (29.9%) considered by ID to have a CAUTI. The sensitivity, specificity, and positive and negative predictive values of a clinician diagnosis of CAUTI were 62.2%, 47%, 34.3%, and 73.7% when compared with NHSN CAUTI definition (n = 387) and 100%, 57.4%, 50%, and 100% when compared with the ID consultant evaluation (n = 211), respectively. The positive predictive value of the NHSN CAUTI definition was 35.1% when compared with the ID consultant's impression (n = 211). NHSN CAUTI definition did not reflect clinician or ID consultant practices. Our findings reflect the differences between surveillance definitions and clinical practice. Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  3. People-centric sensing in assistive healthcare

    DEFF Research Database (Denmark)

    Giannetsos, Thanassis; Dimitriou, Tassos; Prasad, Neeli R.

    2011-01-01

    As the domains of pervasive computing and sensor networking are expanding, there is an ongoing trend towards assistive living and healthcare support environments that can effectively assimilate these technologies according to human needs. Most of the existing research in assistive healthcare...... follows a more passive approach and has focused on collecting and processing data using a static-topology and an application-aware infrastructure. However, with the technological advances in sensing, computation, storage, and communications, a new era is about to emerge changing the traditional view...... sensing devices enabling thousands new personal, social, and public sensing applications. In this paper, we discuss our vision for people-centric sensing in assistive healthcare environments and study the security challenges it brings. This highly dynamic and mobile setting presents new challenges...

  4. A Neural Network Approach to Fluid Quantity Measurement in Dynamic Environments

    CERN Document Server

    Terzic, Edin; Nagarajah, Romesh; Alamgir, Muhammad

    2012-01-01

    Sloshing causes liquid to fluctuate, making accurate level readings difficult to obtain in dynamic environments. The measurement system described uses a single-tube capacitive sensor to obtain an instantaneous level reading of the fluid surface, thereby accurately determining the fluid quantity in the presence of slosh. A neural network based classification technique has been applied to predict the actual quantity of the fluid contained in a tank under sloshing conditions.   In A neural network approach to fluid quantity measurement in dynamic environments, effects of temperature variations and contamination on the capacitive sensor are discussed, and the authors propose that these effects can also be eliminated with the proposed neural network based classification system. To examine the performance of the classification system, many field trials were carried out on a running vehicle at various tank volume levels that range from 5 L to 50 L. The effectiveness of signal enhancement on the neural network base...

  5. Organizational structure and communication networks in a university environment.

    Science.gov (United States)

    Mathiesen, Joachim; Jamtveit, Bjørn; Sneppen, Kim

    2010-07-01

    The "six degrees of separation" between any two individuals on Earth has become emblematic of the "small world" theme, even though the information conveyed via a chain of human encounters decays very rapidly with increasing chain length, and diffusion of information via this process may be very inefficient in large human organizations. The information flow on a communication network in a large organization, the University of Oslo, has been studied by analyzing email records. The records allow for quantification of communication intensity across organizational levels and between organizational units (referred to as "modules"). We find that the number of email messages within modules scales with module size to the power of 1.29±.06 , and the frequency of communication between individuals decays exponentially with the number of links required upward in the organizational hierarchy before they are connected. Our data also indicates that the number of messages sent by administrative units is proportional to the number of individuals at lower levels in the administrative hierarchy, and the "divergence of information" within modules is associated with this linear relationship. The observed scaling is consistent with a hierarchical system in which individuals far apart in the organization interact little with each other and receive a disproportionate number of messages from higher levels in the administrative hierarchy.

  6. Towards adaptive security for convergent wireless sensor networks in beyond 3G environments

    DEFF Research Database (Denmark)

    Mitseva, Anelia; Aivaloglou, Efthimia; Marchitti, Maria-Antonietta

    2010-01-01

    The integration of wireless sensor networks with different network systems gives rise to many research challenges to ensure security, privacy and trust in the overall architecture. The main contribution of this paper is a generic security, privacy and trust framework providing context...... environments. Performance evaluation results demonstrate the feasibility and estimate the benefits of the security framework for a variety of scenarios. Copyright (C) 2008 John Wiley & Sons, Ltd....

  7. Government information collections in the networked environment new issues and models

    CERN Document Server

    Cheverie, Joan F

    2013-01-01

    This insightful book explores the challenging issues related to effective access to government information.Amidst all the chaos of today's dynamic information transition period, the only constants related to government information are change and inconsistency, yet with Government Information Collections in the Networked Environment: New Issues and Models, you will defeat the challenging issues and take advantage of the opportunities that networked government information collections have to offer. This valuable book gives you a fresh opportunity to rethink collecting activities and to

  8. An Environment IoT Sensor Network for Monitoring the Environment

    Science.gov (United States)

    Martinez, K.; Hart, J. K.; Bragg, O.; Black, A.; Bader, S.; Basford, P. J.; Bragg, G. M.; Fabre, A.

    2016-12-01

    The Internet of Things is a term which has emerged to describe the increase of Internet connectivity of everyday objects. While wireless sensor networks have developed highly energy efficient designs they need a step-change in their interoperability and usability to become more commonly used in Earth Science. IoT techniques can bring many of these advances while reusing some of the technologies developed for low power sensing. Here we concentrate on developing effective use of internet protocols throughout a low power sensor network. This includes 6LowPAN to provide a mesh IPv6 network, 40mW 868 MHz CC1120 radio transceivers to save power but provide kilometre range, a CC2538 ARM® Cortex®-M3 as main processor and CoAP to provide a binary HTTP-like interface to the nodes. We discuss in detail a system we deployed to monitor periglacial, peat and fluvial processes in the Scottish Highlands. The system linked initial nodes 3km away further up the mountain 2km away and used a CoAP GET sequence from a base station in the valley to gather the data. The IPv6 addressing and tunnelling allowed direct connectivity to desktops in Southampton. This provides insights into how the combination of low power techniques and emerging internet standards will bring advantages in interoperability, heterogeneity, usability and maintainability.

  9. Lessons learned on solar powered wireless sensor network deployments in urban, desert environments

    KAUST Repository

    Dehwah, Ahmad H.

    2015-05-01

    The successful deployment of a large scale solar powered wireless sensor network in an urban, desert environment is a very complex task. Specific cities of such environments cause a variety of operational problems, ranging from hardware faults to operational challenges, for instance due to the high variability of solar energy availability. Even a seemingly functional sensor network created in the lab does not guarantee reliable long term operation, which is absolutely necessary given the cost and difficulty of accessing sensor nodes in urban environments. As part of a larger traffic flow wireless sensor network project, we conducted several deployments in the last two years to evaluate the long-term performance of solar-powered urban wireless sensor networks in a desert area. In this article, we share our experiences in all domains of sensor network operations, from the conception of hardware to post-deployment analysis, including operational constraints that directly impact the software that can be run. We illustrate these experiences using numerous experimental results, and present multiple unexpected operational problems as well as some possible solutions to address them. We also show that current technology is far from meeting all operational constraints for these demanding applications, in which sensor networks are to operate for years to become economically appealing.

  10. Collaborative Service Selection via Ensemble Learning in Mixed Mobile Network Environments

    Directory of Open Access Journals (Sweden)

    Yuyu Yin

    2017-07-01

    Full Text Available Mobile Service selection is an important but challenging problem in service and mobile computing. Quality of service (QoS predication is a critical step in service selection in 5G network environments. The traditional methods, such as collaborative filtering (CF, suffer from a series of defects, such as failing to handle data sparsity. In mobile network environments, the abnormal QoS data are likely to result in inferior prediction accuracy. Unfortunately, these problems have not attracted enough attention, especially in a mixed mobile network environment with different network configurations, generations, or types. An ensemble learning method for predicting missing QoS in 5G network environments is proposed in this paper. There are two key principles: one is the newly proposed similarity computation method for identifying similar neighbors; the other is the extended ensemble learning model for discovering and filtering fake neighbors from the preliminary neighbors set. Moreover, three prediction models are also proposed, two individual models and one combination model. They are used for utilizing the user similar neighbors and servicing similar neighbors, respectively. Experimental results conducted in two real-world datasets show our approaches can produce superior prediction accuracy.

  11. RELATIVE PANORAMIC CAMERA POSITION ESTIMATION FOR IMAGE-BASED VIRTUAL REALITY NETWORKS IN INDOOR ENVIRONMENTS

    Directory of Open Access Journals (Sweden)

    M. Nakagawa

    2017-09-01

    Full Text Available Image-based virtual reality (VR is a virtual space generated with panoramic images projected onto a primitive model. In imagebased VR, realistic VR scenes can be generated with lower rendering cost, and network data can be described as relationships among VR scenes. The camera network data are generated manually or by an automated procedure using camera position and rotation data. When panoramic images are acquired in indoor environments, network data should be generated without Global Navigation Satellite Systems (GNSS positioning data. Thus, we focused on image-based VR generation using a panoramic camera in indoor environments. We propose a methodology to automate network data generation using panoramic images for an image-based VR space. We verified and evaluated our methodology through five experiments in indoor environments, including a corridor, elevator hall, room, and stairs. We confirmed that our methodology can automatically reconstruct network data using panoramic images for image-based VR in indoor environments without GNSS position data.

  12. Applications of wireless sensor networks in marine environment monitoring: a survey.

    Science.gov (United States)

    Xu, Guobao; Shen, Weiming; Wang, Xianbin

    2014-09-11

    With the rapid development of society and the economy, an increasing number of human activities have gradually destroyed the marine environment. Marine environment monitoring is a vital problem and has increasingly attracted a great deal of research and development attention. During the past decade, various marine environment monitoring systems have been developed. The traditional marine environment monitoring system using an oceanographic research vessel is expensive and time-consuming and has a low resolution both in time and space. Wireless Sensor Networks (WSNs) have recently been considered as potentially promising alternatives for monitoring marine environments since they have a number of advantages such as unmanned operation, easy deployment, real-time monitoring, and relatively low cost. This paper provides a comprehensive review of the state-of-the-art technologies in the field of marine environment monitoring using wireless sensor networks. It first describes application areas, a common architecture of WSN-based oceanographic monitoring systems, a general architecture of an oceanographic sensor node, sensing parameters and sensors, and wireless communication technologies. Then, it presents a detailed review of some related projects, systems, techniques, approaches and algorithms. It also discusses challenges and opportunities in the research, development, and deployment of wireless sensor networks for marine environment monitoring.

  13. Impact of indoor environment on path loss in body area networks.

    Science.gov (United States)

    Hausman, Sławomir; Januszkiewicz, Łukasz

    2014-10-20

    In this paper the influence of an example indoor environment on narrowband radio channel path loss for body area networks operating around 2.4 GHz is investigated using computer simulations and on-site measurements. In contrast to other similar studies, the simulation model included both a numerical human body phantom and its environment-room walls, floor and ceiling. As an example, radio signal attenuation between two different configurations of transceivers with dipole antennas placed in a direct vicinity of a human body (on-body scenario) is analyzed by computer simulations for several types of reflecting environments. In the analyzed case the propagation environments comprised a human body and office room walls. As a reference environment for comparison, free space with only a conducting ground plane, modelling a steel mesh reinforced concrete floor, was chosen. The transmitting and receiving antennas were placed in two on-body configurations chest-back and chest-arm. Path loss vs. frequency simulation results obtained using Finite Difference Time Domain (FDTD) method and a multi-tissue anthropomorphic phantom were compared to results of measurements taken with a vector network analyzer with a human subject located in an average-size empty cuboidal office room. A comparison of path loss values in different environments variants gives some qualitative and quantitative insight into the adequacy of simplified indoor environment model for the indoor body area network channel representation.

  14. Applications of Wireless Sensor Networks in Marine Environment Monitoring: A Survey

    Directory of Open Access Journals (Sweden)

    Guobao Xu

    2014-09-01

    Full Text Available With the rapid development of society and the economy, an increasing number of human activities have gradually destroyed the marine environment. Marine environment monitoring is a vital problem and has increasingly attracted a great deal of research and development attention. During the past decade, various marine environment monitoring systems have been developed. The traditional marine environment monitoring system using an oceanographic research vessel is expensive and time-consuming and has a low resolution both in time and space. Wireless Sensor Networks (WSNs have recently been considered as potentially promising alternatives for monitoring marine environments since they have a number of advantages such as unmanned operation, easy deployment, real-time monitoring, and relatively low cost. This paper provides a comprehensive review of the state-of-the-art technologies in the field of marine environment monitoring using wireless sensor networks. It first describes application areas, a common architecture of WSN-based oceanographic monitoring systems, a general architecture of an oceanographic sensor node, sensing parameters and sensors, and wireless communication technologies. Then, it presents a detailed review of some related projects, systems, techniques, approaches and algorithms. It also discusses challenges and opportunities in the research, development, and deployment of wireless sensor networks for marine environment monitoring.

  15. Applications of Wireless Sensor Networks in Marine Environment Monitoring: A Survey

    Science.gov (United States)

    Xu, Guobao; Shen, Weiming; Wang, Xianbin

    2014-01-01

    With the rapid development of society and the economy, an increasing number of human activities have gradually destroyed the marine environment. Marine environment monitoring is a vital problem and has increasingly attracted a great deal of research and development attention. During the past decade, various marine environment monitoring systems have been developed. The traditional marine environment monitoring system using an oceanographic research vessel is expensive and time-consuming and has a low resolution both in time and space. Wireless Sensor Networks (WSNs) have recently been considered as potentially promising alternatives for monitoring marine environments since they have a number of advantages such as unmanned operation, easy deployment, real-time monitoring, and relatively low cost. This paper provides a comprehensive review of the state-of-the-art technologies in the field of marine environment monitoring using wireless sensor networks. It first describes application areas, a common architecture of WSN-based oceanographic monitoring systems, a general architecture of an oceanographic sensor node, sensing parameters and sensors, and wireless communication technologies. Then, it presents a detailed review of some related projects, systems, techniques, approaches and algorithms. It also discusses challenges and opportunities in the research, development, and deployment of wireless sensor networks for marine environment monitoring. PMID:25215942

  16. Evolvable Block-Based Neural Network Design for Applications in Dynamic Environments

    Directory of Open Access Journals (Sweden)

    Saumil G. Merchant

    2010-01-01

    Full Text Available Dedicated hardware implementations of artificial neural networks promise to provide faster, lower-power operation when compared to software implementations executing on microprocessors, but rarely do these implementations have the flexibility to adapt and train online under dynamic conditions. A typical design process for artificial neural networks involves offline training using software simulations and synthesis and hardware implementation of the obtained network offline. This paper presents a design of block-based neural networks (BbNNs on FPGAs capable of dynamic adaptation and online training. Specifically the network structure and the internal parameters, the two pieces of the multiparametric evolution of the BbNNs, can be adapted intrinsically, in-field under the control of the training algorithm. This ability enables deployment of the platform in dynamic environments, thereby significantly expanding the range of target applications, deployment lifetimes, and system reliability. The potential and functionality of the platform are demonstrated using several case studies.

  17. Designing a parallel evolutionary algorithm for inferring gene networks on the cloud computing environment

    Science.gov (United States)

    2014-01-01

    Background To improve the tedious task of reconstructing gene networks through testing experimentally the possible interactions between genes, it becomes a trend to adopt the automated reverse engineering procedure instead. Some evolutionary algorithms have been suggested for deriving network parameters. However, to infer large networks by the evolutionary algorithm, it is necessary to address two important issues: premature convergence and high computational cost. To tackle the former problem and to enhance the performance of traditional evolutionary algorithms, it is advisable to use parallel model evolutionary algorithms. To overcome the latter and to speed up the computation, it is advocated to adopt the mechanism of cloud computing as a promising solution: most popular is the method of MapReduce programming model, a fault-tolerant framework to implement parallel algorithms for inferring large gene networks. Results This work presents a practical framework to infer large gene networks, by developing and parallelizing a hybrid GA-PSO optimization method. Our parallel method is extended to work with the Hadoop MapReduce programming model and is executed in different cloud computing environments. To evaluate the proposed approach, we use a well-known open-source software GeneNetWeaver to create several yeast S. cerevisiae sub-networks and use them to produce gene profiles. Experiments have been conducted and the results have been analyzed. They show that our parallel approach can be successfully used to infer networks with desired behaviors and the computation time can be largely reduced. Conclusions Parallel population-based algorithms can effectively determine network parameters and they perform better than the widely-used sequential algorithms in gene network inference. These parallel algorithms can be distributed to the cloud computing environment to speed up the computation. By coupling the parallel model population-based optimization method and the parallel

  18. APINetworks: A general API for the treatment of complex networks in arbitrary computational environments

    Science.gov (United States)

    Niño, Alfonso; Muñoz-Caro, Camelia; Reyes, Sebastián

    2015-11-01

    The last decade witnessed a great development of the structural and dynamic study of complex systems described as a network of elements. Therefore, systems can be described as a set of, possibly, heterogeneous entities or agents (the network nodes) interacting in, possibly, different ways (defining the network edges). In this context, it is of practical interest to model and handle not only static and homogeneous networks but also dynamic, heterogeneous ones. Depending on the size and type of the problem, these networks may require different computational approaches involving sequential, parallel or distributed systems with or without the use of disk-based data structures. In this work, we develop an Application Programming Interface (APINetworks) for the modeling and treatment of general networks in arbitrary computational environments. To minimize dependency between components, we decouple the network structure from its function using different packages for grouping sets of related tasks. The structural package, the one in charge of building and handling the network structure, is the core element of the system. In this work, we focus in this API structural component. We apply an object-oriented approach that makes use of inheritance and polymorphism. In this way, we can model static and dynamic networks with heterogeneous elements in the nodes and heterogeneous interactions in the edges. In addition, this approach permits a unified treatment of different computational environments. Tests performed on a C++11 version of the structural package show that, on current standard computers, the system can handle, in main memory, directed and undirected linear networks formed by tens of millions of nodes and edges. Our results compare favorably to those of existing tools.

  19. Healthcare financing in Malaysia.

    Science.gov (United States)

    Kananatu, K

    2002-01-01

    This paper presents an overview of the Malaysian healthcare system and its method of financing. The development of the healthcare delivery system in Malaysia is commendable. However, the strength and weaknesses of the public healthcare system and the financing problems encountered are also discussed. Cost of healthcare and funding of both the public and private sectors were also revealed. One must optimise the advantages of operating a health financing scheme which is affordable and controllable which contribute towards cost-containment and quality assurance. Thus, there is a need for the establishment of a National Healthcare Financing, a mechanism to sustain the healthcare delivery network and operate it as a viable option. A model of the National Health Financing Scheme (NHFS) was proposed.

  20. Environment Parameters Control Based on Wireless Sensor Network in Livestock Buildings

    OpenAIRE

    Zhang, Yu; Chen, Qiyu; Liu, Guanting; Shen, Weizheng; Wang, Guanlin

    2016-01-01

    The products quality and welfare of animals are closely related to the environment parameters in livestock buildings. A monitoring and control method of environment parameters in livestock buildings based on wireless sensor network is proposed in this paper. Temperature, humidity, light, carbon dioxide concentration, ammonia concentration, and hydrogen sulfide concentration can be monitored in real time by this method. The above six parameters will be adjusted and controlled through WLS algor...

  1. Client-Server and Peer-to-Peer Ad-hoc Network for a Flexible Learning Environment

    Directory of Open Access Journals (Sweden)

    Ferial Khaddage

    2011-01-01

    Full Text Available Peer-to-Peer (P2P networking in a mobile learning environment has become a popular topic of research. One of the new emerging research ideas is on the ability to combine P2P network with server-based network to form a strong efficient portable and compatible network infrastructure. This paper describes a unique mobile network architecture, which reflects the on-campus students’ need for a mobile learning environment. This can be achieved by combining two different networks, client-server and peer-to-peer ad-hoc to form a sold and secure network. This is accomplished by employing one peer within the ad-hoc network to act as an agent-peer to facilitate communication and information sharing between the two networks. It can be implemented without any major changes to the current network technologies, and can combine any wireless protocols such as GPRS, Wi-Fi, Bluetooth, and 3G.

  2. 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,…

  3. Impact of Indoor Environment on Path Loss in Body Area Networks

    Science.gov (United States)

    Hausman, Sławomir; Januszkiewicz, Łukasz

    2014-01-01

    In this paper the influence of an example indoor environment on narrowband radio channel path loss for body area networks operating around 2.4 GHz is investigated using computer simulations and on-site measurements. In contrast to other similar studies, the simulation model included both a numerical human body phantom and its environment—room walls, floor and ceiling. As an example, radio signal attenuation between two different configurations of transceivers with dipole antennas placed in a direct vicinity of a human body (on-body scenario) is analyzed by computer simulations for several types of reflecting environments. In the analyzed case the propagation environments comprised a human body and office room walls. As a reference environment for comparison, free space with only a conducting ground plane, modelling a steel mesh reinforced concrete floor, was chosen. The transmitting and receiving antennas were placed in two on-body configurations chest–back and chest–arm. Path loss vs. frequency simulation results obtained using Finite Difference Time Domain (FDTD) method and a multi-tissue anthropomorphic phantom were compared to results of measurements taken with a vector network analyzer with a human subject located in an average-size empty cuboidal office room. A comparison of path loss values in different environments variants gives some qualitative and quantitative insight into the adequacy of simplified indoor environment model for the indoor body area network channel representation. PMID:25333289

  4. Impact of Indoor Environment on Path Loss in Body Area Networks

    Directory of Open Access Journals (Sweden)

    Sławomir Hausman

    2014-10-01

    Full Text Available In this paper the influence of an example indoor environment on narrowband radio channel path loss for body area networks operating around 2.4 GHz is investigated using computer simulations and on-site measurements. In contrast to other similar studies, the simulation model included both a numerical human body phantom and its environment—room walls, floor and ceiling. As an example, radio signal attenuation between two different configurations of transceivers with dipole antennas placed in a direct vicinity of a human body (on-body scenario is analyzed by computer simulations for several types of reflecting environments. In the analyzed case the propagation environments comprised a human body and office room walls. As a reference environment for comparison, free space with only a conducting ground plane, modelling a steel mesh reinforced concrete floor, was chosen. The transmitting and receiving antennas were placed in two on-body configurations chest–back and chest–arm. Path loss vs. frequency simulation results obtained using Finite Difference Time Domain (FDTD method and a multi-tissue anthropomorphic phantom were compared to results of measurements taken with a vector network analyzer with a human subject located in an average-size empty cuboidal office room. A comparison of path loss values in different environments variants gives some qualitative and quantitative insight into the adequacy of simplified indoor environment model for the indoor body area network channel representation.

  5. A network model of communication in an interprofessional team of healthcare professionals: A cross-sectional study of a burn unit.

    Science.gov (United States)

    Shoham, David A; Harris, Jenine K; Mundt, Marlon; McGaghie, William

    2016-09-01

    Healthcare teams consist of individuals communicating with one another during patient care delivery. Coordination of multiple specialties is critical for patients with complex health conditions, and requires interprofessional and intraprofessional communication. We examined a communication network of 71 health professionals in four professional roles: physician, nurse, health management, and support personnel (dietitian, pharmacist, or social worker), or other health professionals (including physical, respiratory, and occupational therapists, and medical students) working in a burn unit. Data for this cross-sectional study were collected by surveying members of a healthcare team. Ties were defined by asking team members whom they discussed patient care matters with on the shift. We built an exponential random graph model to determine: (1) does professional role influence the likelihood of a tie; (2) are ties more likely between team members from different professions compared to between team members from the same profession; and (3) which professions are more likely to form interprofessional ties. Health management and support personnel ties were 94% interprofessional while ties among nurses were 60% interprofessional. Nurses and other health professionals were significantly less likely than physicians to form ties. Nurses were 1.64 times more likely to communicate with nurses than non-nurses (OR = 1.64, 95% CI: 1.01-2.66); there was no significant role homophily for physicians, other health professionals, or health management and support personnel. Understanding communication networks in healthcare teams is an early step in understanding how teams work together to provide care; future work should evaluate the types and quality of interactions between members of interprofessional healthcare teams.

  6. 3D medical collaboration technology to enhance emergency healthcare

    DEFF Research Database (Denmark)

    Welch, Gregory F; Sonnenwald, Diane H.; Fuchs, Henry

    2009-01-01

    these problems, we are exploring the use of a small array of cameras to reconstruct dynamic three-dimensional (3D) views of a remote environment and of events taking place within. The 3D views could be sent across wired or wireless networks to remote healthcare professionals equipped with fixed displays...

  7. Lessons Learnt from and Sustainability of Adopting a Personal Learning Environment & Network (Ple&N)

    Science.gov (United States)

    Tsui, Eric; Sabetzadeh, Farzad

    2014-01-01

    This paper describes the feedback from the configuration and deployment of a Personal Learning Environment & Network (PLE&N) tool to support peer-based social learning for university students and graduates. An extension of an earlier project in which a generic and PLE&N was deployed for all learners, the current PLE&N is a…

  8. Adaptive management in agricultural innovation systems: The interactions between innovation networks and their environment

    NARCIS (Netherlands)

    Klerkx, L.W.A.; Aarts, M.N.C.; Leeuwis, C.

    2010-01-01

    The purpose of this article is to investigate effective reformism: strategies that innovation networks deploy to create changes in their environment in order to establish a more conducive context for the realization and durable embedding of their innovation projects. Using a case study approach,

  9. Adaptive management in agricultural innovation systems: the interactions between innovation networks and their environment

    NARCIS (Netherlands)

    Klerkx, L.; Aarts, N.; Leeuwis, C.

    2010-01-01

    The purpose of this article is to investigate effective reformism: strategies that innovation networks deploy to create changes in their environment in order to establish a more conducive context for the realization and durable embedding of their innovation projects. Using a case study approach,

  10. Simulation of emotions of agents in virtual environments using neural networks

    NARCIS (Netherlands)

    van Kesteren, A.-J.; van Kesteren, A.J.; op den Akker, Hendrikus J.A.; Poel, Mannes; Jokinen, K.; Heylen, Dirk K.J.; Nijholt, Antinus

    2000-01-01

    A distributed architecture for a system simulating the emotional state of an agent acting in a virtual environment is presented. The system is an implementation of an event appraisal model of emotional behaviour and uses neural networks to learn how the emotional state should be influenced by the

  11. Concept for trusted personal devices in a mobile and networked environment

    NARCIS (Netherlands)

    Bormann, Frank C.; Manteau, Laurent; Linke, Andreas; Pailles, Jean C.; van Dijk, Johannes A.G.M.

    2006-01-01

    In this article we present a concept for Trusted Personal Devices, which are intended to be the common platform for the next generation of Smart Cards and other secure devices in mobile and networked environments. The concept is based on a classification of technical profiles for different potential

  12. Between-Classroom Differences in Peer Network Features and Students' Perceptions of the Classroom Environment

    Science.gov (United States)

    Zadzora, Kathleen; Gest, Scott D.; Rodkin, Philip C.

    2011-01-01

    The objective of this poster is to examine whether differences in the structural features of classroom peer networks (tight-knittedness, hierarchy, salience norms) are associated with differences in how individual students perceive the classroom environment (relational support from teachers and peers) and express achievement-related beliefs…

  13. Gaining insight into business networks : A simulation based support environment to improve process orchestration

    NARCIS (Netherlands)

    Tewoldeberhan, T.W.

    2005-01-01

    In today's world, organizations are becoming increasingly interested in using business networks as a means to adapt to the ever-changing environment to increase their performance level. As a result, the focus of efforts to improve the performance of organizations has shifted from organizational

  14. The dynamic wave expansion neural network model for robot motion planning in time-varying environments.

    Science.gov (United States)

    Lebedev, Dmitry V; Steil, Jochen J; Ritter, Helge J

    2005-04-01

    We introduce a new type of neural network--the dynamic wave expansion neural network (DWENN)--for path generation in a dynamic environment for both mobile robots and robotic manipulators. Our model is parameter-free, computationally efficient, and its complexity does not explicitly depend on the dimensionality of the configuration space. We give a review of existing neural networks for trajectory generation in a time-varying domain, which are compared to the presented model. We demonstrate several representative simulative comparisons as well as the results of long-run comparisons in a number of randomly-generated scenes, which reveal that the proposed model yields dominantly shorter paths, especially in highly-dynamic environments.

  15. Lightweight Context Aware Routing in Wireless Sensor Networks for Real Environments

    Directory of Open Access Journals (Sweden)

    Samia Aijaz

    2015-07-01

    Full Text Available Design and implementation of a WSN (Wireless Sensor Network that can efficiently work for a longer time period must include identification of the deployment environment context and to conform to the behavior of the sensor nodes. The context information when treated with evaluation factor becomes a process of context awareness and the evaluation factor is called the context attribute. In this paper, we consider the context factor of energy. The paper identifies analyses and evaluates efficiency of two when used in a context aware environment. Furthermore, the study also highlights the strengths and weaknesses of sensor SPIN (Sensor Protocol for Information via Negotiation and LEACH (Low Energy Adaptive Clustering Hierarchy protocols with respect to the support for WSN with heavy network traffic conditions. The performance has been evaluated in terms of energy efficiency, data packet transmission, network status, data management, reliability, etc.

  16. Contrasting views of animal healthcare providers on worm control practices for sheep and goats in an arid environment.

    Science.gov (United States)

    Saddiqi, H A; Jabbar, A; Babar, W; Sarwar, M; Iqbal, Z; Cabaret, J

    2012-02-01

    A questionnaire survey was conducted to determine the worm control practices and anthelmintic usage of 150 key respondents involved in sheep and goat production in the arid Thal area of Pakistan. The information was collected by visiting farms, and interviewing the key respondents which included veterinary officers (n = 15), veterinary assistants (n = 51), traditional practitioners (n = 24), and small and large scale sheep/goat farm herders and owners (n = 60). Among all interviewed animal healthcare providers, the veterinary officers had the highest level of awareness of parasitic infection and advocated the use of modern available anthelmintics according to the predefined schedule. The farmers on the other hand, had the lowest level of knowledge about parasitic infections. They used modern anthelmintics at low frequencies (every six months) following an unusual practice of diluting the medicine. Veterinary assistants had a medium level of awareness about the parasitic infections using anthelmintic treatments when they deemed necessary rather than following a predefined treatment schedule. Traditional practitioners were also aware of parasitic infections and used traditional anthelmintics or a combination of the traditional and modern anthelmintics. The animal health providers had a different awareness and knowledge of parasitic infections which resulted in contrasting proposals for its' control. The farmers used worm control measures in accordance with their own views and those of animal healthcare advisors, combining modern and traditional treatments. This study provides the first insight into the differing views of those animal healthcare providers who form the basis for effective parasitic control within the sheep and goat industry of an arid region.

  17. Contrasting views of animal healthcare providers on worm control practices for sheep and goats in an arid environment

    Directory of Open Access Journals (Sweden)

    Saddiqi H.A.

    2012-02-01

    Full Text Available A questionnaire survey was conducted to determine the worm control practices and anthelmintic usage of 150 key respondents involved in sheep and goat production in the arid Thal area of Pakistan. The information was collected by visiting farms, and interviewing the key respondents which included veterinary officers (n = 15, veterinary assistants (n = 51, traditional practitioners (n = 24, and small and large scale sheep/goat farm herders and owners (n = 60. Among all interviewed animal healthcare providers, the veterinary officers had the highest level of awareness of parasitic infection and advocated the use of modern available anthelmintics according to the predefined schedule. The farmers on the other hand, had the lowest level of knowledge about parasitic infections. They used modern anthelmintics at low frequencies (every six months following an unusual practice of diluting the medicine. Veterinary assistants had a medium level of awareness about the parasitic infections using anthelmintic treatments when they deemed necessary rather than following a predefined treatment schedule. Traditional practitioners were also aware of parasitic infections and used traditional anthelmintics or a combination of the traditional and modern anthelmintics. The animal health providers had a different awareness and knowledge of parasitic infections which resulted in contrasting proposals for its control. The farmers used worm control measures in accordance with their own views and those of animal healthcare advisors, combining modern and traditional treatments. This study provides the first insight into the differing views of those animal healthcare providers who form the basis for effective parasitic control within the sheep and goat industry of an arid region.

  18. How Urban Youth Perceive Relationships Among School Environments, Social Networks, Self-Concept, and Substance Use.

    Science.gov (United States)

    Dudovitz, Rebecca N; Perez-Aguilar, Giselle; Kim, Grace; Wong, Mitchell D; Chung, Paul J

    2017-03-01

    Studies suggest adolescent substance use aligns with academic and behavioral self-concept (whether teens think of themselves as good or bad students and as rule followers or rule breakers) as well as peer and adult social networks. Schools are an important context in which self-concept and social networks develop, but it remains unclear how school environments might be leveraged to promote healthy development and prevent substance use. We sought to describe how youth perceive the relationships among school environments, adolescent self-concept, social networks, and substance use. Semistructured interviews with 32 low-income minority youth (aged 17-22 years) who participated in a prior study, explored self-concept development, school environments, social networks, and substance use decisions. Recruitment was stratified by whether, during high school, they had healthy or unhealthy self-concept profiles and had engaged in or abstained from substance use. Youth described feeling labeled by peers and teachers and how these labels became incorporated into their self-concept. Teachers who made students feel noticed (eg, by learning students' names) and had high academic expectations reinforced healthy self-concepts. Academic tracking, extracurricular activities, and school norms determined potential friendship networks, grouping students either with well-behaving or misbehaving peers. Youth described peer groups, combined with their self-concept, shaping their substance use decisions. Affirming healthy aspects of their self-concept at key risk behavior decision points helped youth avoid substance use in the face of peer pressure. Youth narratives suggest school environments shape adolescent self-concept and adult and peer social networks, all of which impact substance use. Copyright © 2016 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  19. A Wearable Wireless Sensor Network for Indoor Smart Environment Monitoring in Safety Applications

    Directory of Open Access Journals (Sweden)

    Diego Antolín

    2017-02-01

    Full Text Available This paper presents the implementation of a wearable wireless sensor network aimed at monitoring harmful gases in industrial environments. The proposed solution is based on a customized wearable sensor node using a low-power low-rate wireless personal area network (LR-WPAN communications protocol, which as a first approach measures CO2 concentration, and employs different low power strategies for appropriate energy handling which is essential to achieving long battery life. These wearables nodes are connected to a deployed static network and a web-based application allows data storage, remote control and monitoring of the complete network. Therefore, a complete and versatile remote web application with a locally implemented decision-making system is accomplished, which allows early detection of hazardous situations for exposed workers.

  20. A Wearable Wireless Sensor Network for Indoor Smart Environment Monitoring in Safety Applications.

    Science.gov (United States)

    Antolín, Diego; Medrano, Nicolás; Calvo, Belén; Pérez, Francisco

    2017-02-14

    This paper presents the implementation of a wearable wireless sensor network aimed at monitoring harmful gases in industrial environments. The proposed solution is based on a customized wearable sensor node using a low-power low-rate wireless personal area network (LR-WPAN) communications protocol, which as a first approach measures CO₂ concentration, and employs different low power strategies for appropriate energy handling which is essential to achieving long battery life. These wearables nodes are connected to a deployed static network and a web-based application allows data storage, remote control and monitoring of the complete network. Therefore, a complete and versatile remote web application with a locally implemented decision-making system is accomplished, which allows early detection of hazardous situations for exposed workers.

  1. Glycosylation Network Analysis Toolbox: a MATLAB-based environment for systems glycobiology

    Science.gov (United States)

    Liu, Gang; Neelamegham, Sriram

    2013-01-01

    Summary: Systems glycobiology studies the interaction of various pathways that regulate glycan biosynthesis and function. Software tools for the construction and analysis of such pathways are not yet available. We present GNAT, a platform-independent, user-extensible MATLAB-based toolbox that provides an integrated computational environment to construct, manipulate and simulate glycans and their networks. It enables integration of XML-based glycan structure data into SBML (Systems Biology Markup Language) files that describe glycosylation reaction networks. Curation and manipulation of networks is facilitated using class definitions and glycomics database query tools. High quality visualization of networks and their steady-state and dynamic simulation are also supported. Availability: The software package including source code, help documentation and demonstrations are available at http://sourceforge.net/projects/gnatmatlab/files/. Contact: neel@buffalo.edu or gangliu@buffalo.edu PMID:23230149

  2. Extending Wireless Broadband Network Architectures with Home Gateways, Localization, and Physical Environment Surveillance

    DEFF Research Database (Denmark)

    Jelling Kristoffersen, Kåre; Kjærgaard, Mikkel Baun; Chen, Jianjun

    2005-01-01

    is initially demonstrated in a 52 DECT base station installation covering four office buildings of total 4500 m2 . Finally the paper proposes the application of a commercial off-the-shelf wireless broadband network as a sensor network, without any additional hardware, for physical intrusion detection of e...... on the network. Then the extension of a DECT network into determining the location of DECT terminals, aiming at the design of a location based system is described. The location method is based on the received signal strength measurements in the DECT clients communication with the base stations. The localization.......g. an indoor site. It is demonstrated how it can be used for detecting door opening and person passing, in an environment of 243 m2 with three rooms and a corridor, using three low cost access points....

  3. Monitoring the Environment in a Lava Tube with a Wireless Sensor Network

    Science.gov (United States)

    Li, Y.; Jorgensen, A. M.; Wilson, J. L.; Rendon, N. M.

    2010-12-01

    Monitoring cave environments is important for several reasons. For instance, through the studies of cave environments, we can better protect cave ecology. Past experiments have monitored cave environments, although most of those were based on individual sensor nodes such as data loggers. In this paper we introduce and discuss a ZigBee wireless sensor network-based platform used for cave environment monitoring. The platform is based on a Freescale ZigBee evaluation kit. We carried out a proof-of-concept experiment in Junction Cave, a lava tube, at El Malpais National Monument in New Mexico. That experiment monitored temperature, humidity, and air turbulence inside the cave. The instrumentation consisted of a turbulence tower with five thermocouple-based sensors, reaching from the floor to the ceiling of the cave, temperature/humidity sensors distributed throughout the cave, and a low-power embedded Linux computer for data collection and storage. The experiment measured interesting air turbulence variations at different heights, which we related to to weather changes outside the cave and human activities inside the cave. The experiment also observed variations of air temperature at different locations inside the cave. In this presentation we will discuss the instrumentation as well as interpretations of the observations. The experiment demonstrated that a ZigBee wireless sensor network-based monitoring system is a potentially feasible platform for a cave environment monitoring system. We also found that network reliability, node cost, and power consumption need to be improved for future systems.

  4. Understanding the perceptions, roles and interactions of stakeholder networks managing health-care waste: A case study of the Gaza Strip.

    Science.gov (United States)

    Caniato, M; Tudor, T; Vaccari, M

    2015-01-01

    The sustainable management of waste requires a holistic approach involving a range of stakeholders. What can often be difficult is to understand the manner in which different types of stakeholder networks are composed and work, and how best to enhance their effectiveness. Using social network analysis and stakeholder analysis of healthcare waste management stakeholders in the case study region of the Gaza Strip, this study aimed to understand and examine the manner in which the networks functioned. The Ministry of Health was found to be the most important stakeholder, followed by municipalities and solid waste management councils. Some international agencies were also mentioned, with specific roles, while other local institutions had a limited influence. Finally while health-care facilities had a strong interest in waste management, they were generally poorly informed and had limited links to each other. The manner in which the networks operated was complicated and influenced by differences in perception, sharing of information, access to finance and levels of awareness. The lack of a clear legal framework generated various mistakes about roles and responsibilities in the system, and evidently regulation was not an effective driver for improvement. Finally stakeholders had different priorities according to the waste management issues they were involved with, however segregation at the source was identified as a key requirement by most. Areas for improving the effectiveness of the networks are suggested. The analysis utilized an innovative methodology, which involved a large number of stakeholders. Such an approach served to raise interest and awareness at different levels (public authorities, health providers, supporting actors, others), stimulate the discussion about the adoption of specific policies, and identify the effective way forward. Copyright © 2014 Elsevier Ltd. All rights reserved.

  5. Agent based simulations in healthcare.

    Science.gov (United States)

    Bilge, Ugur; Saka, Osman

    2006-01-01

    Agent Based Simulations (ABS) is a relatively recent computer paradigm. As opposed to "top down" conventional computer simulations, the ABS approach is a "bottom-up" modelling technique where a medium to high number of independent agents is modelled. These agents' interactions sometimes cause unexpected "emergent" system behaviour. ABS is particularly suitable in the social context such as healthcare where a large number of human agents interact and co-operate for common goals. Today ABS in the social context is often used together with the recently introduced network analysis techniques and network visualization tools for modelling and simulating social agents within organisations. At Akdeniz University we are starting a number of projects for applying ABS technology in healthcare. In this paper we present two of the ongoing projects in this field. Firstly we have developed a prototype simulator for the long term monitoring of Chronic Obstructive Pulmonary Disease (COPD) as a major public health problem. We present the COPD simulator, its agents, parameters and working principles. Secondly we want to apply ABS and the network analysis techniques to visualise and explore informal social networks amongst staff at the Akdeniz University Hospital to assess and evaluate properties of the organisation in terms of its ability to innovate and share knowledge. In our applications, we primarily aim to use ABS in a web-based platform to create a virtual environment for discussion, visualising and running what-if scenarios to test out various options for managing healthcare, as well as sharing information and creating a virtual community.

  6. Network Environments and Well-Being: An Examination of Personal Network Structure, Social Capital, and Perceived Social Support.

    Science.gov (United States)

    Lee, Seungyoon; Chung, Jae Eun; Park, Namkee

    2018-01-01

    Previous studies have demonstrated the role of social networks, social capital, and social support in individuals' well-being. However, the ways in which these related constructs simultaneously influence one's well-being outcomes and relate to one another have not been closely examined. This study pays particular attention to the structural characteristics of personal networks, distinction between offline and online social capital, and different indicators of well-being outcomes. Based on survey data collected from 574 college students, the study found that two dimensions of personal networks-density and gender homophily-and social capital in the form of offline bonding capital explained perceived social support. Further, perceived social support consistently predicted well-being outcomes and played a mediating role between personal network density and well-being, as well as between offline bonding capital and well-being. The results offer implications for a more nuanced understanding of the role of individuals' interpersonal and social environments in well-being outcomes.

  7. Information Sharing Mechanism among Mobile Agents In Ad-hoc Network Environment and Its Applications

    Directory of Open Access Journals (Sweden)

    Kunio Umetsuji

    2004-12-01

    Full Text Available Mobile agents are programs that can move from one site to another in a network with their data and states. Mobile agents are expected to be an essential tool in pervasive computing. In multi platform environment, it is important to communicate with mobile agents only using their universal or logical name not using their physical locations. More, in an ad-hoc network environment, an agent can migrate autonomously and communicate with other agents on demand. It is difficult that mobile agent grasps the position information on other agents correctly each other, because mobile agent processes a task while moving a network successively. In order to realize on-demand mutual communication among mobile agents without any centralized servers, we propose a new information sharing mechanism within mobile agents. In this paper, we present a new information sharing mechanism within mobile agents. The method is a complete peer based and requires no agent servers to manage mobile agent locations. Therefore, a mobile agent can get another mobile agent, communicate with it and shares information stored in the agent without any knowledge of the location of the target mobile agent. The basic idea of the mechanism is an introduction of Agent Ring, Agent Chain and Shadow Agent. With this mechanism, each agent can communicate with other agents in a server-less environment, which is suitable for ad-hoc agent network and an agent system can manage agents search and communications efficiently.

  8. Adolescents' social environment and depression: social networks, extracurricular activity, and family relationship influences.

    Science.gov (United States)

    Mason, Michael J; Schmidt, Christopher; Abraham, Anisha; Walker, Leslie; Tercyak, Kenneth

    2009-12-01

    The present study examined components of adolescents' social environment (social network, extracurricular activities, and family relationships) in association with depression. A total of 332 adolescents presenting for a routine medical check-up were self-assessed for social network risk (i.e., smoking habits of best male and female friends), extracurricular activity level (i.e., participation in organized sports teams, clubs, etc.), family relationship quality (i.e., cohesion and conflict), and symptoms of depression (i.e., minimal, mild, moderate/severe). Results of a forward linear regression modeling indicate that social environment components were associated with a significant proportion of the variance in adolescent depression (Adjusted R (2) = .177, p social network (beta = .107, p social environment plays in adolescent depression, as well as yields new insights into socially-based intervention targets that may ameliorate adolescent depression. These intervention targets may be gender-specific, include positive social network skills training, increase adolescents' engagement in organized activities, and attend to the quality of their family relationships.

  9. An Analysis of Density and Degree-Centrality According to the Social Networking Structure Formed in an Online Learning Environment

    Science.gov (United States)

    Ergün, Esin; Usluel, Yasemin Koçak

    2016-01-01

    In this study, we assessed the communication structure in an educational online learning environment using social network analysis (SNA). The communication structure was examined with respect to time, and instructor's participation. The course was implemented using ELGG, a network learning environment, blended with face-to-face sessions over a…

  10. Students' Personal Networks in Virtual and Personal Learning Environments: A Case Study in Higher Education Using Learning Analytics Approach

    Science.gov (United States)

    Casquero, Oskar; Ovelar, Ramón; Romo, Jesús; Benito, Manuel; Alberdi, Mikel

    2016-01-01

    The main objective of this paper is to analyse the effect of the affordances of a virtual learning environment and a personal learning environment (PLE) in the configuration of the students' personal networks in a higher education context. The results are discussed in light of the adaptation of the students to the learning network made up by two…

  11. Integrated palliative care is about professional networking rather than standardisation of care: A qualitative study with healthcare professionals in 19 integrated palliative care initiatives in five European countries.

    Science.gov (United States)

    den Herder-van der Eerden, Marlieke; van Wijngaarden, Jeroen; Payne, Sheila; Preston, Nancy; Linge-Dahl, Lisa; Radbruch, Lukas; Van Beek, Karen; Menten, Johan; Busa, Csilla; Csikos, Agnes; Vissers, Kris; van Gurp, Jelle; Hasselaar, Jeroen

    2018-02-01

    Integrated palliative care aims at improving coordination of palliative care services around patients' anticipated needs. However, international comparisons of how integrated palliative care is implemented across four key domains of integrated care (content of care, patient flow, information logistics and availability of (human) resources and material) are lacking. To examine how integrated palliative care takes shape in practice across abovementioned key domains within several integrated palliative care initiatives in Europe. Qualitative group interview design. A total of 19 group interviews were conducted (2 in Belgium, 4 in the Netherlands, 4 in the United Kingdom, 4 in Germany and 5 in Hungary) with 142 healthcare professionals from several integrated palliative care initiatives in five European countries. The majority were nurses ( n = 66; 46%) and physicians ( n = 50; 35%). The dominant strategy for fostering integrated palliative care is building core teams of palliative care specialists and extended professional networks based on personal relationships, shared norms, values and mutual trust, rather than developing standardised information exchange and referral pathways. Providing integrated palliative care with healthcare professionals in the wider professional community appears difficult, as a shared proactive multidisciplinary palliative care approach is lacking, and healthcare professionals often do not know palliative care professionals or services. Achieving better palliative care integration into regular healthcare and convincing the wider professional community is a difficult task that will take time and effort. Enhancing standardisation of palliative care into education, referral pathways and guidelines and standardised information exchange may be necessary. External authority (policy makers, insurance companies and professional bodies) may be needed to support integrated palliative care practices across settings.

  12. Sensor and Communication Network Technology for Harsh Environments in the Nuclear Power Plant

    Energy Technology Data Exchange (ETDEWEB)

    Cho, Jai Wan; Choi, Young Soo; Lee, Jae Chul; Choi, Yu Rak; Jung, Gwang Il; Jung, Jong Eun; Park, Hee Yoon; Hong, Seok Bong; Koo, In Soo

    2008-02-15

    One of the challenges in harsh environments qualification and verification for emerging new I and C system of the nuclear power plant is to define the operational environment of these new emerging I and C sensor and communication network such that they are tested to the limits of a mission without requiring expensive over design. To aid this, this report defines, discusses and recommends environmental guideline and verification requirements for using state-of-the-art RPS sensors, fiber optic communication system, wireless communication and wireless smart sensors in nuclear harsh environments. This report focuses on advances in sensors (e.g., temperature, pressure, neutron and thermal power sensors) and their potential impact. Discussed are: radiation, thermal, electromagnetic, and electrical environment specifications. Presented are the typical performance data (survivability guidelines and experimental data), evaluation procedure and standard test method of communication devices, state-of-the-art RPS sensors, and communication systems.

  13. Uncovering the Pathogenic Landscape of Helminth (Opisthorchis viverrini Infections: A Cross-Sectional Study on Contributions of Physical and Social Environment and Healthcare Interventions.

    Directory of Open Access Journals (Sweden)

    Xueyuan Ong

    2016-12-01

    Full Text Available Helminth infections have proven recalcitrant to control by chemotherapy in many parts of Southeast Asia and indeed farther afield. This study isolates and examines the influence of different aspects of the physical and social environment, and uneven intervention effort contributing to the pathogenic landscape of human Opisthorchis viverrini infections.A cross-sectional survey, involving 632 participants, was conducted in four villages in northeast Thailand to examine the impact on prevalence and parasite burden of the reservoir dam environment, socio-economic, demographic, and behavioral factors, and health center intervention efforts. Formalin-ether concentration technique was used for diagnoses, and multivariate models were used for analyses.The importance attributed to O. viverrini infections varied among health centers in the four study villages. Villages where O. viverrini infections were not prioritized by the health centers as the healthcare focus were at a higher risk of infection (prevalence with odds ratio (risk factor of 5.73 (3.32-10.27 and p-value < 0.01. Priority of healthcare focus, however, did not appear to influence behavior, as the consumption of raw fish, the main source of O. viverrini infections in the study area, was 11.4% higher in villages that prioritized O. viverrini infections than those that did not (p-value = 0.01. Landscape variation, notably proximity to reservoir, affects vulnerability of local population to infection. Infection intensity was higher in population located closer to the reservoir with risk ratio of 2.09 (1.12-4.02 and p-value < 0.01. Patterns of infection intensities among humans were found to match fish infection intensity, where higher infection intensities were associated with fish obtained from the reservoir waterbody type (p-value = 0.023.This study demonstrated the importance of environmental influence and healthcare focus as risk factors of infections in addition to the socio

  14. A long-term environmental sensor network in a glacial environment: challenges and results

    Science.gov (United States)

    Martinez, K.; Hart, J. K.; Basford, P. J.; Gong, X.; Edwards, L.; Pethica, C.; Glacsweb Team

    2011-12-01

    We report the findings from wireless environmental sensor network installed at Skalafellsjökull, Iceland, which has now been deployed for three years. The scientific aim of the project was to use a sensor network to better understand subglacial processes in order to investigate the response of glaciers to climate change. The engineering aim was to produce a working environmental sensor network which could operate in a very challenging environment. The sensor network comprised: 1. Wireless subglacial probes which monitored the subglacial environment for 2 years. They were able to show the nature of the subglacial environment, in particular the occurrence of stick-slip motion. 2. Base Station on the glacier surface, collecting probe data, as well as GPS and weather data for 3 years. 3. Reference Station close to the glacier, collecting GPS and weather data for 2 years 4. Automatic web-data harvesting of weather, GPS recordings and web cams. A combination of this data allowed us to interpret glacier dynamics over the period, while evaluating the performance of the sensor network under extreme conditions. This paper will report on the most recent deployments which include; long range WiFi alongside GPRS backup for communications off-site, Python scripting of base station power-sensitive behaviour, adaptive sampling based on energy availability and trials of the Contiki operating system in the new custom wireless sensor nodes. Additional data streams have also been established by equipping the base station with geophones and putting a full weather station at the reference station. Further enhancements that have been made include moving further into the glacier in order to experience faster flows.

  15. The Comparative Study of Grey Literature Orgnization at Home and Abroad in Network Environment

    OpenAIRE

    Xu, Liu Jing

    2005-01-01

    Grey literature is an important information resource , and Internet makes it easier to organize them. This paper introduces how the System for Information on Grey Literature in Europe(SIGLE) and GreyNet organize the grey literature. And then it presents how to organize grey literature in China in network environment. Finally, by contrast a conclusion is drawn that there are several disadvantages in the grey literature organization in China.

  16. Design and simulation of sensor networks for tracking Wifi users in outdoor urban environments

    Science.gov (United States)

    Thron, Christopher; Tran, Khoi; Smith, Douglas; Benincasa, Daniel

    2017-05-01

    We present a proof-of-concept investigation into the use of sensor networks for tracking of WiFi users in outdoor urban environments. Sensors are fixed, and are capable of measuring signal power from users' WiFi devices. We derive a maximum likelihood estimate for user location based on instantaneous sensor power measurements. The algorithm takes into account the effects of power control, and is self-calibrating in that the signal power model used by the location algorithm is adjusted and improved as part of the operation of the network. Simulation results to verify the system's performance are presented. The simulation scenario is based on a 1.5 km2 area of lower Manhattan, The self-calibration mechanism was verified for initial rms (root mean square) errors of up to 12 dB in the channel power estimates: rms errors were reduced by over 60% in 300 track-hours, in systems with limited power control. Under typical operating conditions with (without) power control, location rms errors are about 8.5 (5) meters with 90% accuracy within 9 (13) meters, for both pedestrian and vehicular users. The distance error distributions for smaller distances (issue of optimal sensor placement in the sensor network is also addressed. We specify a linear programming algorithm for determining sensor placement for networks with reduced number of sensors. In our test case, the algorithm produces a network with 18.5% fewer sensors with comparable accuracy estimation performance. Finally, we discuss future research directions for improving the accuracy and capabilities of sensor network systems in urban environments.

  17. Virtual Environments for Visualizing Structural Health Monitoring Sensor Networks, Data, and Metadata.

    Science.gov (United States)

    Napolitano, Rebecca; Blyth, Anna; Glisic, Branko

    2018-01-16

    Visualization of sensor networks, data, and metadata is becoming one of the most pivotal aspects of the structural health monitoring (SHM) process. Without the ability to communicate efficiently and effectively between disparate groups working on a project, an SHM system can be underused, misunderstood, or even abandoned. For this reason, this work seeks to evaluate visualization techniques in the field, identify flaws in current practices, and devise a new method for visualizing and accessing SHM data and metadata in 3D. More precisely, the work presented here reflects a method and digital workflow for integrating SHM sensor networks, data, and metadata into a virtual reality environment by combining spherical imaging and informational modeling. Both intuitive and interactive, this method fosters communication on a project enabling diverse practitioners of SHM to efficiently consult and use the sensor networks, data, and metadata. The method is presented through its implementation on a case study, Streicker Bridge at Princeton University campus. To illustrate the efficiency of the new method, the time and data file size were compared to other potential methods used for visualizing and accessing SHM sensor networks, data, and metadata in 3D. Additionally, feedback from civil engineering students familiar with SHM is used for validation. Recommendations on how different groups working together on an SHM project can create SHM virtual environment and convey data to proper audiences, are also included.

  18. A Dynamic Intrusion Detection System Based on Multivariate Hotelling's T2 Statistics Approach for Network Environments.

    Science.gov (United States)

    Sivasamy, Aneetha Avalappampatty; Sundan, Bose

    2015-01-01

    The ever expanding communication requirements in today's world demand extensive and efficient network systems with equally efficient and reliable security features integrated for safe, confident, and secured communication and data transfer. Providing effective security protocols for any network environment, therefore, assumes paramount importance. Attempts are made continuously for designing more efficient and dynamic network intrusion detection models. In this work, an approach based on Hotelling's T(2) method, a multivariate statistical analysis technique, has been employed for intrusion detection, especially in network environments. Components such as preprocessing, multivariate statistical analysis, and attack detection have been incorporated in developing the multivariate Hotelling's T(2) statistical model and necessary profiles have been generated based on the T-square distance metrics. With a threshold range obtained using the central limit theorem, observed traffic profiles have been classified either as normal or attack types. Performance of the model, as evaluated through validation and testing using KDD Cup'99 dataset, has shown very high detection rates for all classes with low false alarm rates. Accuracy of the model presented in this work, in comparison with the existing models, has been found to be much better.

  19. Motion planning for autonomous vehicle based on radial basis function neural network in unstructured environment.

    Science.gov (United States)

    Chen, Jiajia; Zhao, Pan; Liang, Huawei; Mei, Tao

    2014-09-18

    The autonomous vehicle is an automated system equipped with features like environment perception, decision-making, motion planning, and control and execution technology. Navigating in an unstructured and complex environment is a huge challenge for autonomous vehicles, due to the irregular shape of road, the requirement of real-time planning, and the nonholonomic constraints of vehicle. This paper presents a motion planning method, based on the Radial Basis Function (RBF) neural network, to guide the autonomous vehicle in unstructured environments. The proposed algorithm extracts the drivable region from the perception grid map based on the global path, which is available in the road network. The sample points are randomly selected in the drivable region, and a gradient descent method is used to train the RBF network. The parameters of the motion-planning algorithm are verified through the simulation and experiment. It is observed that the proposed approach produces a flexible, smooth, and safe path that can fit any road shape. The method is implemented on autonomous vehicle and verified against many outdoor scenes; furthermore, a comparison of proposed method with the existing well-known Rapidly-exploring Random Tree (RRT) method is presented. The experimental results show that the proposed method is highly effective in planning the vehicle path and offers better motion quality.

  20. Study on an agricultural environment monitoring server system using Wireless Sensor Networks.

    Science.gov (United States)

    Hwang, Jeonghwan; Shin, Changsun; Yoe, Hyun

    2010-01-01

    This paper proposes an agricultural environment monitoring server system for monitoring information concerning an outdoors agricultural production environment utilizing Wireless Sensor Network (WSN) technology. The proposed agricultural environment monitoring server system collects environmental and soil information on the outdoors through WSN-based environmental and soil sensors, collects image information through CCTVs, and collects location information using GPS modules. This collected information is converted into a database through the agricultural environment monitoring server consisting of a sensor manager, which manages information collected from the WSN sensors, an image information manager, which manages image information collected from CCTVs, and a GPS manager, which processes location information of the agricultural environment monitoring server system, and provides it to producers. In addition, a solar cell-based power supply is implemented for the server system so that it could be used in agricultural environments with insufficient power infrastructure. This agricultural environment monitoring server system could even monitor the environmental information on the outdoors remotely, and it could be expected that the use of such a system could contribute to increasing crop yields and improving quality in the agricultural field by supporting the decision making of crop producers through analysis of the collected information.

  1. Gene by environment research to prevent externalizing problem behavior: Ethical questions raised from a public healthcare perspective

    NARCIS (Netherlands)

    Chhangur, R.R.; Weeland, J.; Matthys, W.; Overbeek, G.

    2015-01-01

    The main public health advantages of examining gene by environment interactions (i.e., G × E) in externalizing behavior lie in the realm of personalized interventions. Nevertheless, the incorporation of genetic data in randomized controlled trials is fraught with difficulties and raises ethical

  2. Factors Influencing Healthcare Service Quality

    Directory of Open Access Journals (Sweden)

    Ali Mohammad Mosadeghrad

    2014-07-01

    Full Text Available Background The main purpose of this study was to identify factors that influence healthcare quality in the Iranian context. Methods Exploratory in-depth individual and focus group interviews were conducted with 222 healthcare stakeholders including healthcare providers, managers, policy-makers, and payers to identify factors affecting the quality of healthcare services provided in Iranian healthcare organisations. Results Quality in healthcare is a production of cooperation between the patient and the healthcare provider in a supportive environment. Personal factors of the provider and the patient, and factors pertaining to the healthcare organisation, healthcare system, and the broader environment affect healthcare service quality. Healthcare quality can be improved by supportive visionary leadership, proper planning, education and training, availability of resources, effective management of resources, employees and processes, and collaboration and cooperation among providers. Conclusion This article contributes to healthcare theory and practice by developing a conceptual framework that provides policy-makers and managers a practical understanding of factors that affect healthcare service quality.

  3. Sign: large-scale gene network estimation environment for high performance computing.

    Science.gov (United States)

    Tamada, Yoshinori; Shimamura, Teppei; Yamaguchi, Rui; Imoto, Seiya; Nagasaki, Masao; Miyano, Satoru

    2011-01-01

    Our research group is currently developing software for estimating large-scale gene networks from gene expression data. The software, called SiGN, is specifically designed for the Japanese flagship supercomputer "K computer" which is planned to achieve 10 petaflops in 2012, and other high performance computing environments including Human Genome Center (HGC) supercomputer system. SiGN is a collection of gene network estimation software with three different sub-programs: SiGN-BN, SiGN-SSM and SiGN-L1. In these three programs, five different models are available: static and dynamic nonparametric Bayesian networks, state space models, graphical Gaussian models, and vector autoregressive models. All these models require a huge amount of computational resources for estimating large-scale gene networks and therefore are designed to be able to exploit the speed of 10 petaflops. The software will be available freely for "K computer" and HGC supercomputer system users. The estimated networks can be viewed and analyzed by Cell Illustrator Online and SBiP (Systems Biology integrative Pipeline). The software project web site is available at http://sign.hgc.jp/ .

  4. Computational design of genomic transcriptional networks with adaptation to varying environments

    Science.gov (United States)

    Carrera, Javier; Elena, Santiago F.; Jaramillo, Alfonso

    2012-01-01

    Transcriptional profiling has been widely used as a tool for unveiling the coregulations of genes in response to genetic and environmental perturbations. These coregulations have been used, in a few instances, to infer global transcriptional regulatory models. Here, using the large amount of transcriptomic information available for the bacterium Escherichia coli, we seek to understand the design principles determining the regulation of its transcriptome. Combining transcriptomic and signaling data, we develop an evolutionary computational procedure that allows obtaining alternative genomic transcriptional regulatory network (GTRN) that still maintains its adaptability to dynamic environments. We apply our methodology to an E. coli GTRN and show that it could be rewired to simpler transcriptional regulatory structures. These rewired GTRNs still maintain the global physiological response to fluctuating environments. Rewired GTRNs contain 73% fewer regulated operons. Genes with similar functions and coordinated patterns of expression across environments are clustered into longer regulated operons. These synthetic GTRNs are more sensitive and show a more robust response to challenging environments. This result illustrates that the natural configuration of E. coli GTRN does not necessarily result from selection for robustness to environmental perturbations, but that evolutionary contingencies may have been important as well. We also discuss the limitations of our methodology in the context of the demand theory. Our procedure will be useful as a novel way to analyze global transcription regulation networks and in synthetic biology for the de novo design of genomes. PMID:22927389

  5. Toxic Workplace Environment: In Search for the Toxic Behaviours in Organizations with a Research in Healthcare Sector

    OpenAIRE

    Secil Bal TASTAN

    2017-01-01

    This study provides information on how to identify a toxic workplace; identifies the types of toxic worker behavior, including abusive supervision and workplace mobbing; discusses how toxic workplaces affect employees at all levels; and describes how toxic workplaces can become hostile work environments. For achieving knowledge about how such kind of behaviors and attitudes are perceived by the employees in the selected organizations, a qualitative study was designed. Following the qualitativ...

  6. Air-Sense: indoor environment monitoring evaluation system based on ZigBee network

    Science.gov (United States)

    Huang, Yang; Hu, Liang; Yang, Disheng; Liu, Hengchang

    2017-08-01

    In the modern life, people spend most of their time indoors. However, indoor environmental quality problems have always been affecting people’s social activities. In general, indoor environmental quality is also related to our indoor activities. Since most of the organic irritants and volatile gases are colorless, odorless and too tiny to be seen, because we have been unconsciously overlooked indoor environment quality. Consequently, our body suffer a great health problem. In this work, we propose Air-Sense system which utilizes the platform of ZigBee Network to collect and detect the real-time indoor environment quality. What’s more, Air-Sense system can also provide data analysis, and visualizing the results of the indoor environment to the user.

  7. Wireless sensor network-based greenhouse environment monitoring and automatic control system for dew condensation prevention.

    Science.gov (United States)

    Park, Dae-Heon; Park, Jang-Woo

    2011-01-01

    Dew condensation on the leaf surface of greenhouse crops can promote diseases caused by fungus and bacteria, affecting the growth of the crops. In this paper, we present a WSN (Wireless Sensor Network)-based automatic monitoring system to prevent dew condensation in a greenhouse environment. The system is composed of sensor nodes for collecting data, base nodes for processing collected data, relay nodes for driving devices for adjusting the environment inside greenhouse and an environment server for data storage and processing. Using the Barenbrug formula for calculating the dew point on the leaves, this system is realized to prevent dew condensation phenomena on the crop's surface acting as an important element for prevention of diseases infections. We also constructed a physical model resembling the typical greenhouse in order to verify the performance of our system with regard to dew condensation control.

  8. Digital Topographic Mapping in Urban Obstructed Environment Based on Multi-GNSS Network RTK Technology

    Science.gov (United States)

    Guo, Qiuying; Zhao, Tonglong; Zhang, Chao; Wu, Xuxiang

    2017-10-01

    Digital topographic mapping experiments were carried out based on network RTK technology using GPS/BEIDOU/GLONASS multi-constellation compatible GNSS receivers in urban obstructed environment. Operation scheme and technique flow were discussed. Experimental results show that the horizontal position and elevation of the points measured by RTK can reach 2cm and 3cm precision level respectively in open environment. RTK initialization time needs about 3-5s. While in obstructed environment, such as high building and tree shanding, the RTK initialization time needs about dozens of seconds or tens of seconds, and sometimes floating solutions or even differential solutions were obtained. The impact of dense and tall building on RTK measurement is more seriously. It is more likely to get RTK fixed solution in the south side of high building than the north side of the building.

  9. Population potential within the urban environment and intra-urban railway network opportunities in Bratislava (Slovakia

    Directory of Open Access Journals (Sweden)

    Ďurček Pavol

    2016-12-01

    Full Text Available Urban environments in post-socialist cities have generated new challenges for urban planners and decision makers. As one example, the transport infrastructure of Bratislava has not been adjusted with respect to increasing mobility and the transit problems of its intra-urban environment. An upgrading of the conventional railway networks within the city is one of the major opportunities which might considerably improve public transit capacities available for both intra-urban and regional (suburban transport flows of passengers. Relevant studies on the population potential of residents supporting such upgrades are still lacking. In addition, a detailed database on population distributions within the intra-urban environments of Slovak cities is not yet available. Therefore, this paper attempts to introduce one of the possible methodological approaches leading to an estimation of population potential as an elementary precondition of intra-urban railway traffic effectiveness, in a society where a detailed database on population distribution is not available.

  10. RF Path and Absorption Loss Estimation for Underwater Wireless Sensor Networks in Different Water Environments.

    Science.gov (United States)

    Qureshi, Umair Mujtaba; Shaikh, Faisal Karim; Aziz, Zuneera; Shah, Syed M Zafi S; Sheikh, Adil A; Felemban, Emad; Qaisar, Saad Bin

    2016-06-16

    Underwater Wireless Sensor Network (UWSN) communication at high frequencies is extremely challenging. The intricacies presented by the underwater environment are far more compared to the terrestrial environment. The prime reason for such intricacies are the physical characteristics of the underwater environment that have a big impact on electromagnetic (EM) signals. Acoustics signals are by far the most preferred choice for underwater wireless communication. Because high frequency signals have the luxury of large bandwidth (BW) at shorter distances, high frequency EM signals cannot penetrate and propagate deep in underwater environments. The EM properties of water tend to resist their propagation and cause severe attenuation. Accordingly, there are two questions that need to be addressed for underwater environment, first what happens when high frequency EM signals operating at 2.4 GHz are used for communication, and second which factors affect the most to high frequency EM signals. To answer these questions, we present real-time experiments conducted at 2.4 GHz in terrestrial and underwater (fresh water) environments. The obtained results helped in studying the physical characteristics (i.e., EM properties, propagation and absorption loss) of underwater environments. It is observed that high frequency EM signals can propagate in fresh water at a shallow depth only and can be considered for a specific class of applications such as water sports. Furthermore, path loss, velocity of propagation, absorption loss and the rate of signal loss in different underwater environments are also calculated and presented in order to understand why EM signals cannot propagate in sea water and oceanic water environments. An optimal solk6ution for underwater communication in terms of coverage distance, bandwidth and nature of communication is presented, along with possible underwater applications of UWSNs at 2.4 GHz.

  11. RF Path and Absorption Loss Estimation for Underwater Wireless Sensor Networks in Different Water Environments

    Directory of Open Access Journals (Sweden)

    Umair Mujtaba Qureshi

    2016-06-01

    Full Text Available Underwater Wireless Sensor Network (UWSN communication at high frequencies is extremely challenging. The intricacies presented by the underwater environment are far more compared to the terrestrial environment. The prime reason for such intricacies are the physical characteristics of the underwater environment that have a big impact on electromagnetic (EM signals. Acoustics signals are by far the most preferred choice for underwater wireless communication. Because high frequency signals have the luxury of large bandwidth (BW at shorter distances, high frequency EM signals cannot penetrate and propagate deep in underwater environments. The EM properties of water tend to resist their propagation and cause severe attenuation. Accordingly, there are two questions that need to be addressed for underwater environment, first what happens when high frequency EM signals operating at 2.4 GHz are used for communication, and second which factors affect the most to high frequency EM signals. To answer these questions, we present real-time experiments conducted at 2.4 GHz in terrestrial and underwater (fresh water environments. The obtained results helped in studying the physical characteristics (i.e., EM properties, propagation and absorption loss of underwater environments. It is observed that high frequency EM signals can propagate in fresh water at a shallow depth only and can be considered for a specific class of applications such as water sports. Furthermore, path loss, velocity of propagation, absorption loss and the rate of signal loss in different underwater environments are also calculated and presented in order to understand why EM signals cannot propagate in sea water and oceanic water environments. An optimal solk6ution for underwater communication in terms of coverage distance, bandwidth and nature of communication is presented, along with possible underwater applications of UWSNs at 2.4 GHz.

  12. Prediction of Thermal Environment in a Large Space Using Artificial Neural Network

    Directory of Open Access Journals (Sweden)

    Hyun-Jung Yoon

    2018-02-01

    Full Text Available Since the thermal environment of large space buildings such as stadiums can vary depending on the location of the stands, it is important to divide them into different zones and evaluate their thermal environment separately. The thermal environment can be evaluated using physical values measured with the sensors, but the occupant density of the stadium stands is high, which limits the locations available to install the sensors. As a method to resolve the limitations of installing the sensors, we propose a method to predict the thermal environment of each zone in a large space. We set six key thermal factors affecting the thermal environment in a large space to be predicted factors (indoor air temperature, mean radiant temperature, and clothing and the fixed factors (air velocity, metabolic rate, and relative humidity. Using artificial neural network (ANN models and the outdoor air temperature and the surface temperature of the interior walls around the stands as input data, we developed a method to predict the three thermal factors. Learning and verification datasets were established using STAR CCM+ (2016.10, Siemens PLM software, Plano, TX, USA. An analysis of each model’s prediction results showed that the prediction accuracy increased with the number of learning data points. The thermal environment evaluation process developed in this study can be used to control heating, ventilation, and air conditioning (HVAC facilities in each zone in a large space building with sufficient learning by ANN models at the building testing or the evaluation stage.

  13. Payer Negotiations in the New Healthcare Environment: How to Prepare for and Succeed in a Value-Based World.

    Science.gov (United States)

    Howrigon, Ron

    2016-01-01

    Because of their involvement with the Affordable Care exchanges, the national insurance companies have reported significant financial losses. As a result, there will soon be significant payer pressure to reduce medical expenses. To succeed in future negotiations with the payers, medical practices must understand the needs of the payers and then play to those needs. The author is a former managed care executive with more than 25 years of experience managing provider networks and implementing payer strategies for some of the largest payers in the United States. In this article, he outlines important things medical practices should be doing to prepare for the new world of value-based contracting. Medical practices that embrace this change and work hard to evolve with the future are the ones that are going to survive and succeed.

  14. Internet of Things (IoT) Based Design of a Secure and Lightweight Body Area Network (BAN) Healthcare System

    National Research Council Canada - National Science Library

    Yong-Yuan Deng; Chin-Ling Chen; Woei-Jiunn Tsaur; Yung-Wen Tang; Jung-Hsuan Chen

    2017-01-01

    As sensor networks and cloud computation technologies have rapidly developed over recent years, many services and applications integrating these technologies into daily life have come together as an Internet of Things (IoT...

  15. Actor-Network Theory and its role in understanding the implementation of information technology developments in healthcare

    National Research Council Canada - National Science Library

    Cresswell, Kathrin M; Worth, Allison; Sheikh, Aziz

    2010-01-01

    .... We argue that health services research, and in particular evaluations of complex IT systems in health service organisations, may benefit from being informed by Actor-Network Theory perspectives...

  16. Healthcare public key infrastructure (HPKI) and non-profit organization (NPO): essentials for healthcare data exchange.

    Science.gov (United States)

    Takeda, Hiroshi; Matsumura, Yasushi; Nakagawa, Katsuhiko; Teratani, Tadamasa; Qiyan, Zhang; Kusuoka, Hideo; Matsuoka, Masami

    2004-01-01

    To share healthcare information and to promote cooperation among healthcare providers and customers (patients) under computerized network environment, a non-profit organization (NPO), named as OCHIS, was established at Osaka, Japan in 2003. Since security and confidentiality issues on the Internet have been major concerns in the OCHIS, the system has been based on healthcare public key infrastructure (HPKI), and found that there remained problems to be solved technically and operationally. An experimental study was conducted to elucidate the central and the local function in terms of a registration authority and a time stamp authority by contracting with the Ministry of Economics and Trading Industries in 2003. This paper describes the experimental design with NPO and the results of the study concerning message security and HPKI. The developed system has been operated practically in Osaka urban area.

  17. Anatomy and histology as socially networked learning environments: some preliminary findings.

    Science.gov (United States)

    Hafferty, Frederic W; Castellani, Brian; Hafferty, Philip K; Pawlina, Wojciech

    2013-09-01

    An exploratory study to better understand the "networked" life of the medical school as a learning environment. In a recent academic year, the authors gathered data during two six-week blocks of a sequential histology and anatomy course at a U.S. medical college. An eight-item questionnaire captured different dimensions of student interactions. The student cohort/network was 48 first-year medical students. Using social network analysis (SNA), the authors focused on (1) the initial structure and the evolution of informal class networks over time, (2) how informal class networks compare to formal in-class small-group assignments in influencing student information gathering, and (3) how peer assignment of professionalism role model status is shaped more by informal than formal ties. In examining these latter two issues, the authors explored not only how formal group assignment persisted over time but also how it functioned to prevent the tendency for groupings based on gender or ethnicity. The study revealed an evolving dynamic between the formal small-group learning structure of the course blocks and the emergence of informal student networks. For example, whereas formal group membership did influence in-class questions and did prevent formation of groups of like gender and ethnicity, outside-class questions and professionalism were influenced more by informal group ties where gender and, to a much lesser extent, ethnicity influence student information gathering. The richness of these preliminary findings suggests that SNA may be a useful tool in examining an array of medical student learning encounters.

  18. THE APPLICATION OF DIGITAL LINE GRAPHS AND MAP IN THE NETWORK ENVIRONMENT

    Directory of Open Access Journals (Sweden)

    X. Guo

    2012-07-01

    Full Text Available WebGIS is an important research field in GIS. W3C organization established SVG standard, which laid a foundation for WebGIS based on vector data. In China, Digital Line Graphs(DLG is a significant GIS product and it has been used in many medium and large WebGIS system. Geographic information-portrayal is the common method of DLG visualization. However, the inherent characteristics of Geographic information-portrayal may lead to a relatively higher data production input, still, the visualization effect is not ideal. We put forward a new product named Digital Line Graphs and Map(DLGM, which consists of DLG and DLG's cartographic presentation data. It provides visualization data based on the cartographic standards. Due to the manufacture and management of DLGM data that are independent from software and platform, its data can be used in many fields. Network application is one of them. This paper is to use DLGM in the network applications. First it reveals the connotation and characteristics of DLGM then analyses the model that DLGM organizes, manages DLG and map symbol data. After that, combined with SVG standards, we put forward DLGM’s SVG encoding method without any information loss. Finally we provide a web map system based on local area network by using 1:10000 DLGM data of a certain area. Based on this study, we conclude that DLGM can be used in the network environment providing high quality DLG and cartographic data for WebGIS.

  19. The Application of Digital Line Graphs and Map in the Network Environment

    Science.gov (United States)

    Guo, X.; Zhang, B.; Yu, J.; Ran, H.; Wang, L.

    2012-07-01

    WebGIS is an important research field in GIS. W3C organization established SVG standard, which laid a foundation for WebGIS based on vector data. In China, Digital Line Graphs(DLG) is a significant GIS product and it has been used in many medium and large WebGIS system. Geographic information-portrayal is the common method of DLG visualization. However, the inherent characteristics of Geographic information-portrayal may lead to a relatively higher data production input, still, the visualization effect is not ideal. We put forward a new product named Digital Line Graphs and Map(DLGM), which consists of DLG and DLG's cartographic presentation data. It provides visualization data based on the cartographic standards. Due to the manufacture and management of DLGM data that are independent from software and platform, its data can be used in many fields. Network application is one of them. This paper is to use DLGM in the network applications. First it reveals the connotation and characteristics of DLGM then analyses the model that DLGM organizes, manages DLG and map symbol data. After that, combined with SVG standards, we put forward DLGM's SVG encoding method without any information loss. Finally we provide a web map system based on local area network by using 1:10000 DLGM data of a certain area. Based on this study, we conclude that DLGM can be used in the network environment providing high quality DLG and cartographic data for WebGIS.

  20. Two-round contributory group key exchange protocol for wireless network environments

    Directory of Open Access Journals (Sweden)

    Wu Tsu-Yang

    2011-01-01

    Full Text Available Abstract With the popularity of group-oriented applications, secure group communication has recently received much attention from cryptographic researchers. A group key exchange (GKE protocol allows that participants cooperatively establish a group key that is used to encrypt and decrypt transmitted messages. Hence, GKE protocols can be used to provide secure group communication over a public network channel. However, most of the previously proposed GKE protocols deployed in wired networks are not fully suitable for wireless network environments with low-power computing devices. Subsequently, several GKE protocols suitable for mobile or wireless networks have been proposed. In this article, we will propose a more efficient group key exchange protocol with dynamic joining and leaving. Under the decision Diffie-Hellman (DDH, the computation Diffie-Hellman (CDH, and the hash function assumptions, we demonstrate that the proposed protocol is secure against passive attack and provides forward/backward secrecy for dynamic member joining/leaving. As compared with the recently proposed GKE protocols, our protocol provides better performance in terms of computational cost, round number, and communication cost.

  1. Next-Generation Environment-Aware Cellular Networks: Modern Green Techniques and Implementation Challenges

    KAUST Repository

    Ghazzai, Hakim

    2016-09-16

    Over the last decade, mobile communications have been witnessing a noteworthy increase of data traffic demand that is causing an enormous energy consumption in cellular networks. The reduction of their fossil fuel consumption in addition to the huge energy bills paid by mobile operators is considered as the most important challenges for the next-generation cellular networks. Although most of the proposed studies were focusing on individual physical layer power optimizations, there is a growing necessity to meet the green objective of fifth-generation cellular networks while respecting the user\\'s quality of service. This paper investigates four important techniques that could be exploited separately or together in order to enable wireless operators achieve significant economic benefits and environmental savings: 1) the base station sleeping strategy; 2) the optimized energy procurement from the smart grid; 3) the base station energy sharing; and 4) the green networking collaboration between competitive mobile operators. The presented simulation results measure the gain that could be obtained using these techniques compared with that of traditional scenarios. Finally, this paper discusses the issues and challenges related to the implementations of these techniques in real environments. © 2016 IEEE.

  2. Path planning in GPS-denied environments via collective intelligence of distributed sensor networks

    Science.gov (United States)

    Jha, Devesh K.; Chattopadhyay, Pritthi; Sarkar, Soumik; Ray, Asok

    2016-05-01

    This paper proposes a framework for reactive goal-directed navigation without global positioning facilities in unknown dynamic environments. A mobile sensor network is used for localising regions of interest for path planning of an autonomous mobile robot. The underlying theory is an extension of a generalised gossip algorithm that has been recently developed in a language-measure-theoretic setting. The algorithm has been used to propagate local decisions of target detection over a mobile sensor network and thus, it generates a belief map for the detected target over the network. In this setting, an autonomous mobile robot may communicate only with a few mobile sensing nodes in its own neighbourhood and localise itself relative to the communicating nodes with bounded uncertainties. The robot makes use of the knowledge based on the belief of the mobile sensors to generate a sequence of way-points, leading to a possible goal. The estimated way-points are used by a sampling-based motion planning algorithm to generate feasible trajectories for the robot. The proposed concept has been validated by numerical simulation on a mobile sensor network test-bed and a Dubin's car-like robot.

  3. A Representation Method for Complex Road Networks in Virtual Geographic Environments

    Directory of Open Access Journals (Sweden)

    Peibei Zheng

    2017-11-01

    Full Text Available Road networks are important for modelling the urban geographic environment. It is necessary to determine the spatial relationships of road intersections when using maps to help researchers conduct virtual urban geographic experiments (because a road intersection might occur as a connected cross or as an unconnected bridge overpass. Based on the concept of using different map layers to organize the render order of each road segment, three methods (manual, semi-automatic and mask-based automatic are available to help map designers arrange the rendering order. However, significant efforts are still needed, and rendering efficiency remains problematic with these methods. This paper considers the Discrete, Crossing, Overpass, Underpass, Conjunction, Up-overlap and Down-overlap spatial relationships of road intersections. An automatic method is proposed to represent these spatial relationships when drawing road networks on a map. The data-layer organization method (reflecting road grade and elevation-level information and the symbol-layer decomposition method (reflecting road covering order in the vertical direction are designed to determine the rendering order of each road element when rendering a map. In addition, an “auxiliary-drawing-action” (for drawing road segments belonging to different grades and elevations is proposed to adjust the rendering sequences automatically. Two experiments are conducted to demonstrate the feasibility and efficiency of the method, and the results demonstrate that it can effectively handle spatial relationships of road networks in map representations. Using the proposed method, the difficulty of rendering complex road networks can be reduced.

  4. Differential recruitment of brain networks following route and cartographic map learning of spatial environments.

    Science.gov (United States)

    Zhang, Hui; Copara, Milagros; Ekstrom, Arne D

    2012-01-01

    An extensive neuroimaging literature has helped characterize the brain regions involved in navigating a spatial environment. Far less is known, however, about the brain networks involved when learning a spatial layout from a cartographic map. To compare the two means of acquiring a spatial representation, participants learned spatial environments either by directly navigating them or learning them from an aerial-view map. While undergoing functional magnetic resonance imaging (fMRI), participants then performed two different tasks to assess knowledge of the spatial environment: a scene and orientation dependent perceptual (SOP) pointing task and a judgment of relative direction (JRD) of landmarks pointing task. We found three brain regions showing significant effects of route vs. map learning during the two tasks. Parahippocampal and retrosplenial cortex showed greater activation following route compared to map learning during the JRD but not SOP task while inferior frontal gyrus showed greater activation following map compared to route learning during the SOP but not JRD task. We interpret our results to suggest that parahippocampal and retrosplenial cortex were involved in translating scene and orientation dependent coordinate information acquired during route learning to a landmark-referenced representation while inferior frontal gyrus played a role in converting primarily landmark-referenced coordinates acquired during map learning to a scene and orientation dependent coordinate system. Together, our results provide novel insight into the different brain networks underlying spatial representations formed during navigation vs. cartographic map learning and provide additional constraints on theoretical models of the neural basis of human spatial representation.

  5. Network-based Parallel Retrieval Onboard Computing Environment for Sensor Systems Deployed on NASA Unmanned Aircraft Systems Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Remote Sensing Solutions proposes to develop the Network-based Parallel Retrieval Onboard Computing Environment for Sensor Systems (nPROCESS) for deployment on...

  6. From Smart Guesser to Smart Navigator: Changes in Collection Development for Research Libraries in a Network Environment.

    Science.gov (United States)

    Zhou, Yuan

    1994-01-01

    Discusses the impact that network technology, electronic publishing, and Internet communication are having on collection development policies in research libraries. Highlights include changes in the research library environment, including financial difficulties; scholarly communication; workstations for material selection; and materials in…

  7. Analysis of Energy Consumption Performance towards Optimal Radioplanning of Wireless Sensor Networks in Heterogeneous Indoor Environments

    Directory of Open Access Journals (Sweden)

    P. Lopez Iturri

    2014-09-01

    Full Text Available In this paper the impact of complex indoor environment in the deployment and energy consumption of a wireless sensor network infrastructure is analyzed. The variable nature of the radio channel is analyzed by means of deterministic in-house 3D ray launching simulation of an indoor scenario, in which wireless sensors, based on an in-house CyFi implementation, typically used for environmental monitoring, are located. Received signal power and current consumption measurement results of the in-house designed wireless motes have been obtained, stating that adequate consideration of the network topology and morphology lead to optimal performance and power consumption reduction. The use of radioplanning techniques therefore aid in the deployment of more energy efficient elements, optimizing the overall performance of the variety of deployed wireless systems within the indoor scenario.

  8. A new XML-aware compression technique for improving performance of healthcare information systems over hospital networks.

    Science.gov (United States)

    Al-Shammary, Dhiah; Khalil, Ibrahim

    2010-01-01

    Most organizations exchange, collect, store and process data over the Internet. Many hospital networks deploy Web services to send and receive patient information. SOAP (Simple Object Access Protocol) is the most usable communication protocol for Web services. XML is the standard encoding language of SOAP messages. However, the major drawback of XML messages is the high network traffic caused by large overheads. In this paper, two XML-aware compressors are suggested to compress patient messages stemming from any data transactions between Web clients and servers. The proposed compression techniques are based on the XML structure concepts and use both fixed-length and Huffman encoding methods for translating the XML message tree. Experiments show that they outperform all the conventional compression methods and can save tremendous amount of network bandwidth.

  9. Virtual Community, social network and media environment of Canary Isands regional digital newspapers

    Directory of Open Access Journals (Sweden)

    Dr. Francisco Manuel Mateos Rodríguez

    2008-01-01

    Full Text Available The impact of the new communication and information technologies has favoured the creation of multiple local newspaper websites in the Canary Islands, thus making the regional press emerge as an alternative on the rise. This tendency affects significantly both traditional and new editions of the different regional and local newspapers from the Canaries and motivates a different distribution, positioning and development within the local media environment in which these media share a novel dimension of communication with a specific virtual community and social network within the World Wide Web.

  10. Mind in the Gap Between Neural and Social Networks - Cyberspace and Virtual Reality in Psychiatry and Healthcare.

    Science.gov (United States)

    Šendula-Jengić, Vesna; Šendula-Pavelić, Martina; Hodak, Jelena

    2016-06-01

    In terms of health and healthcare cyberspace and virtual reality can be used differently and for different purposes and consequently create different outcomes. The three main areas which we shall discuss here are: 1) cyberspace as provider of health information and self-help resources, since the anonymity cyberspace provides is particularly important in the highly stigmatized field of psychiatry where a large number of people never seek professional help, which in turn negatively affects not only the person in question, but the family and ultimately the society (work efficiency, disability-adjusted life year - DALY, etc.), 2) cyberspace and virtual reality (VR) as cause of psychopathology, starting from violent behaviour, to addictive behaviour and other, 3) and finally cyberspace and VR as providers of efficient professional therapy in the field of psychiatry.

  11. [Prevalence of oral anticoagulation and quality of its management in primary healthcare: A study by the Health Sentinel Network of the Region of Valencia (Spain)].

    Science.gov (United States)

    Boned-Ombuena, Ana; Pérez-Panadés, Jordi; López-Maside, Aurora; Miralles-Espí, Maite; Guardiola Vilarroig, Sandra; Adam Ruiz, Desamparados; Zurriaga, Oscar

    2017-11-01

    To estimate the prevalence of patients with oral anticoagulant therapy (OAT) in the Region of Valencia and to evaluate the quality of management of OAT with vitaminK antagonists (VKA) carried out in primary healthcare. Observational cross-sectional study conducted through the Health Sentinel Network of the Region of Valencia, which includes a survey and the retrospective analysis of OAT monitoring. Primary healthcare, Region of Valencia, Spain. All patients aged 18years or older on OAT who consulted during the year 2014. The population covered by the 59 doctors of the Health Sentinel Network constitutes 2.2% of the adult population of the Region of Valencia, and it is representative of it. Demographic, socioeconomic and health data as well as information concerning OAT. Quality of OAT management with VKA was assessed by means of the percentage of time in therapeutic range (TTR), computed using the Rosendaal method. A total of 1,144 patients were recorded (mean age 74.5±11 years; 49.7% women). Prevalence of OAT in the Region of Valencia is 1.3 cases per 100 population. The characteristic profile of these patients is an old person, with several comorbidities and a low level of education, who lives accompanied. Atrial fibrillation is the most common indication. 82.8% of patients on OAT with VKA were monitored in primary healthcare. The average TTR was 65.0%, and 53.9% of patients had a TTR ≥65%. Among inadequately controlled patients, 74.4% were perceived as well-controlled by their primary care doctor. Prevalence of OAT is high, and it is expected to increase. The degree of control achieved meets the generally accepted quality standard (mean TTR ≥65%), and it is comparable to that observed in other national and international studies. However, there is wide scope for improvement. It is crucial to optimize the management of this therapy in the most effective and cost-effective way. Among other measures, access of physicians to their patients' clinical information

  12. Spontaneous fine-tuning to environment in many-species chemical reaction networks

    Science.gov (United States)

    Horowitz, Jordan M.; England, Jeremy L.

    2017-07-01

    A chemical mixture that continually absorbs work from its environment may exhibit steady-state chemical concentrations that deviate from their equilibrium values. Such behavior is particularly interesting in a scenario where the environmental work sources are relatively difficult to access, so that only the proper orchestration of many distinct catalytic actors can power the dissipative flux required to maintain a stable, far-from-equilibrium steady state. In this article, we study the dynamics of an in silico chemical network with random connectivity in an environment that makes strong thermodynamic forcing available only to rare combinations of chemical concentrations. We find that the long-time dynamics of such systems are biased toward states that exhibit a fine-tuned extremization of environmental forcing.

  13. Spontaneous fine-tuning to environment in many-species chemical reaction networks.

    Science.gov (United States)

    Horowitz, Jordan M; England, Jeremy L

    2017-07-18

    A chemical mixture that continually absorbs work from its environment may exhibit steady-state chemical concentrations that deviate from their equilibrium values. Such behavior is particularly interesting in a scenario where the environmental work sources are relatively difficult to access, so that only the proper orchestration of many distinct catalytic actors can power the dissipative flux required to maintain a stable, far-from-equilibrium steady state. In this article, we study the dynamics of an in silico chemical network with random connectivity in an environment that makes strong thermodynamic forcing available only to rare combinations of chemical concentrations. We find that the long-time dynamics of such systems are biased toward states that exhibit a fine-tuned extremization of environmental forcing.

  14. A Novel Energy-Aware Distributed Clustering Algorithm for Heterogeneous Wireless Sensor Networks in the Mobile Environment.

    Science.gov (United States)

    Gao, Ying; Wkram, Chris Hadri; Duan, Jiajie; Chou, Jarong

    2015-12-10

    In order to prolong the network lifetime, energy-efficient protocols adapted to the features of wireless sensor networks should be used. This paper explores in depth the nature of heterogeneous wireless sensor networks, and finally proposes an algorithm to address the problem of finding an effective pathway for heterogeneous clustering energy. The proposed algorithm implements cluster head selection according to the degree of energy attenuation during the network's running and the degree of candidate nodes' effective coverage on the whole network, so as to obtain an even energy consumption over the whole network for the situation with high degree of coverage. Simulation results show that the proposed clustering protocol has better adaptability to heterogeneous environments than existing clustering algorithms in prolonging the network lifetime.

  15. Detecting Rumors Through Modeling Information Propagation Networks in a Social Media Environment.

    Science.gov (United States)

    Liu, Yang; Xu, Songhua; Tourassi, Georgia

    2015-01-01

    In the midst of today's pervasive influence of social media content and activities, information credibility has increasingly become a major issue. Accordingly, identifying false information, e.g. rumors circulated in social media environments, attracts expanding research attention and growing interests. Many previous studies have exploited user-independent features for rumor detection. These prior investigations uniformly treat all users relevant to the propagation of a social media message as instances of a generic entity. Such a modeling approach usually adopts a homogeneous network to represent all users, the practice of which ignores the variety across an entire user population in a social media environment. Recognizing this limitation of modeling methodologies, this study explores user-specific features in a social media environment for rumor detection. The new approach hypothesizes that whether a user tends to spread a rumor is dependent upon specific attributes of the user in addition to content characteristics of the message itself. Under this hypothesis, information propagation patterns of rumors versus those of credible messages in a social media environment are systematically differentiable. To explore and exploit this hypothesis, we develop a new information propagation model based on a heterogeneous user representation for rumor recognition. The new approach is capable of differentiating rumors from credible messages through observing distinctions in their respective propagation patterns in social media. Experimental results show that the new information propagation model based on heterogeneous user representation can effectively distinguish rumors from credible social media content.

  16. Design of a water environment monitoring system based on wireless sensor networks.

    Science.gov (United States)

    Jiang, Peng; Xia, Hongbo; He, Zhiye; Wang, Zheming

    2009-01-01

    A water environmental monitoring system based on a wireless sensor network is proposed. It consists of three parts: data monitoring nodes, data base station and remote monitoring center. This system is suitable for the complex and large-scale water environment monitoring, such as for reservoirs, lakes, rivers, swamps, and shallow or deep groundwaters. This paper is devoted to the explanation and illustration for our new water environment monitoring system design. The system had successfully accomplished the online auto-monitoring of the water temperature and pH value environment of an artificial lake. The system's measurement capacity ranges from 0 to 80 °C for water temperature, with an accuracy of ±0.5 °C; from 0 to 14 on pH value, with an accuracy of ±0.05 pH units. Sensors applicable to different water quality scenarios should be installed at the nodes to meet the monitoring demands for a variety of water environments and to obtain different parameters. The monitoring system thus promises broad applicability prospects.

  17. Sensing Coverage Prediction for Wireless Sensor Networks in Shadowed and Multipath Environment

    Directory of Open Access Journals (Sweden)

    Sushil Kumar

    2013-01-01

    Full Text Available Sensing coverage problem in wireless sensor networks is a measure of quality of service (QoS. Coverage refers to how well a sensing field is monitored or tracked by the sensors. Aim of the paper is to have a priori estimate for number of sensors to be deployed in a harsh environment to achieve desired coverage. We have proposed a new sensing channel model that considers combined impact of shadowing fading and multipath effects. A mathematical model for calculating coverage probability in the presence of multipath fading combined with shadowing is derived based on received signal strength (RSS. Further, the coverage probability derivations obtained using Rayleigh fading and lognormal shadowing fading are validated by node deployment using Poisson distribution. A comparative study between our proposed sensing channel model and different existing sensing models for the network coverage has also been presented. Our proposed sensing model is more suitable for realistic environment since it determines the optimum number of sensors required for desirable coverage in fading conditions.

  18. Unmanned Aerial Vehicle Based Wireless Sensor Network for Marine-Coastal Environment Monitoring.

    Science.gov (United States)

    Trasviña-Moreno, Carlos A; Blasco, Rubén; Marco, Álvaro; Casas, Roberto; Trasviña-Castro, Armando

    2017-02-24

    Marine environments are delicate ecosystems which directly influence local climates, flora, fauna, and human activities. Their monitorization plays a key role in their preservation, which is most commonly done through the use of environmental sensing buoy networks. These devices transmit data by means of satellite communications or close-range base stations, which present several limitations and elevated infrastructure costs. Unmanned Aerial Vehicles (UAV) are another alternative for remote environmental monitoring which provide new types of data and ease of use. These aircraft are mainly used in video capture related applications, in its various light spectrums, and do not provide the same data as sensing buoys, nor can they be used for such extended periods of time. The aim of this research is to provide a flexible, easy to deploy and cost-effective Wireless Sensor Network (WSN) for monitoring marine environments. This proposal uses a UAV as a mobile data collector, low-power long-range communications and sensing buoys as part of a single WSN. A complete description of the design, development, and implementation of the various parts of this system is presented, as well as its validation in a real-world scenario.

  19. Unmanned Aerial Vehicle Based Wireless Sensor Network for Marine-Coastal Environment Monitoring

    Directory of Open Access Journals (Sweden)

    Carlos A. Trasviña-Moreno

    2017-02-01

    Full Text Available Marine environments are delicate ecosystems which directly influence local climates, flora, fauna, and human activities. Their monitorization plays a key role in their preservation, which is most commonly done through the use of environmental sensing buoy networks. These devices transmit data by means of satellite communications or close-range base stations, which present several limitations and elevated infrastructure costs. Unmanned Aerial Vehicles (UAV are another alternative for remote environmental monitoring which provide new types of data and ease of use. These aircraft are mainly used in video capture related applications, in its various light spectrums, and do not provide the same data as sensing buoys, nor can they be used for such extended periods of time. The aim of this research is to provide a flexible, easy to deploy and cost-effective Wireless Sensor Network (WSN for monitoring marine environments. This proposal uses a UAV as a mobile data collector, low-power long-range communications and sensing buoys as part of a single WSN. A complete description of the design, development, and implementation of the various parts of this system is presented, as well as its validation in a real-world scenario.

  20. Using Web 2.0 Techniques in NASA's Ares Engineering Operations Network (AEON) Environment - First Impressions

    Science.gov (United States)

    Scott, David W.

    2010-01-01

    The Mission Operations Laboratory (MOL) at Marshall Space Flight Center (MSFC) is responsible for Engineering Support capability for NASA s Ares rocket development and operations. In pursuit of this, MOL is building the Ares Engineering and Operations Network (AEON), a web-based portal to support and simplify two critical activities: Access and analyze Ares manufacturing, test, and flight performance data, with access to Shuttle data for comparison Establish and maintain collaborative communities within the Ares teams/subteams and with other projects, e.g., Space Shuttle, International Space Station (ISS). AEON seeks to provide a seamless interface to a) locally developed engineering applications and b) a Commercial-Off-The-Shelf (COTS) collaborative environment that includes Web 2.0 capabilities, e.g., blogging, wikis, and social networking. This paper discusses how Web 2.0 might be applied to the typically conservative engineering support arena, based on feedback from Integration, Verification, and Validation (IV&V) testing and on searching for their use in similar environments.

  1. A convolutional neural network for steady state visual evoked potential classification under ambulatory environment

    Science.gov (United States)

    Kwak, No-Sang; Müller, Klaus-Robert

    2017-01-01

    The robust analysis of neural signals is a challenging problem. Here, we contribute a convolutional neural network (CNN) for the robust classification of a steady-state visual evoked potentials (SSVEPs) paradigm. We measure electroencephalogram (EEG)-based SSVEPs for a brain-controlled exoskeleton under ambulatory conditions in which numerous artifacts may deteriorate decoding. The proposed CNN is shown to achieve reliable performance under these challenging conditions. To validate the proposed method, we have acquired an SSVEP dataset under two conditions: 1) a static environment, in a standing position while fixated into a lower-limb exoskeleton and 2) an ambulatory environment, walking along a test course wearing the exoskeleton (here, artifacts are most challenging). The proposed CNN is compared to a standard neural network and other state-of-the-art methods for SSVEP decoding (i.e., a canonical correlation analysis (CCA)-based classifier, a multivariate synchronization index (MSI), a CCA combined with k-nearest neighbors (CCA-KNN) classifier) in an offline analysis. We found highly encouraging SSVEP decoding results for the CNN architecture, surpassing those of other methods with classification rates of 99.28% and 94.03% in the static and ambulatory conditions, respectively. A subsequent analysis inspects the representation found by the CNN at each layer and can thus contribute to a better understanding of the CNN’s robust, accurate decoding abilities. PMID:28225827

  2. A convolutional neural network for steady state visual evoked potential classification under ambulatory environment.

    Science.gov (United States)

    Kwak, No-Sang; Müller, Klaus-Robert; Lee, Seong-Whan

    2017-01-01

    The robust analysis of neural signals is a challenging problem. Here, we contribute a convolutional neural network (CNN) for the robust classification of a steady-state visual evoked potentials (SSVEPs) paradigm. We measure electroencephalogram (EEG)-based SSVEPs for a brain-controlled exoskeleton under ambulatory conditions in which numerous artifacts may deteriorate decoding. The proposed CNN is shown to achieve reliable performance under these challenging conditions. To validate the proposed method, we have acquired an SSVEP dataset under two conditions: 1) a static environment, in a standing position while fixated into a lower-limb exoskeleton and 2) an ambulatory environment, walking along a test course wearing the exoskeleton (here, artifacts are most challenging). The proposed CNN is compared to a standard neural network and other state-of-the-art methods for SSVEP decoding (i.e., a canonical correlation analysis (CCA)-based classifier, a multivariate synchronization index (MSI), a CCA combined with k-nearest neighbors (CCA-KNN) classifier) in an offline analysis. We found highly encouraging SSVEP decoding results for the CNN architecture, surpassing those of other methods with classification rates of 99.28% and 94.03% in the static and ambulatory conditions, respectively. A subsequent analysis inspects the representation found by the CNN at each layer and can thus contribute to a better understanding of the CNN's robust, accurate decoding abilities.

  3. The effect of railway network evolution on the Kaliningrad region’s landscape environment

    Directory of Open Access Journals (Sweden)

    Romanova Elena

    2015-12-01

    Full Text Available This article addresses methodology of modern landscape studies from the perspective of natural and man-made components of a territory. Railway infrastructure is not only an important system-building element of economic and settlement patterns; it also affects cultural landscapes. The study of cartographic materials and historiography made it possible to identify the main stages of the development of the Kaliningrad railway network in terms of its territorial scope and to describe causes of the observed changes. Historically, changes in the political, economic, and military environment were key factors behind the development of the Kaliningrad railway network. Nature was less important. The existing Kaliningrad railway network is to a great degree the legacy of the earlier, pre-war times. Today, its primary function is to provide international cargo and passenger transportation. Two types of railway infrastructure are identified in the Kaliningrad region – modern (functioning and relic (abandoned ones. In the Kaliningrad region, the process of land reclamation of the railway system starts when the maintenance of railroads is discontinued, which is followed by the formation of primitive soils and emerging biocenoses enhanced by fill soils and artificial relief.

  4. Providing QoS for Networked Peers in Distributed Haptic Virtual Environments

    Directory of Open Access Journals (Sweden)

    Alan Marshall

    2008-01-01

    Full Text Available Haptic information originates from a different human sense (touch, therefore the quality of service (QoS required to support haptic traffic is significantly different from that used to support conventional real-time traffic such as voice or video. Each type of network impairment has different (and severe impacts on the user's haptic experience. There has been no specific provision of QoS parameters for haptic interaction. Previous research into distributed haptic virtual environments (DHVEs have concentrated on synchronization of positions (haptic device or virtual objects, and are based on client-server architectures. We present a new peer-to-peer DHVE architecture that further extends this to enable force interactions between two users whereby force data are sent to the remote peer in addition to positional information. The work presented involves both simulation and practical experimentation where multimodal data is transmitted over a QoS-enabled IP network. Both forms of experiment produce consistent results which show that the use of specific QoS classes for haptic traffic will reduce network delay and jitter, leading to improvements in users' haptic experiences with these types of applications.

  5. DLTAP: A Network-efficient Scheduling Method for Distributed Deep Learning Workload in Containerized Cluster Environment

    Directory of Open Access Journals (Sweden)

    Qiao Wei

    2017-01-01

    Full Text Available Deep neural networks (DNNs have recently yielded strong results on a range of applications. Training these DNNs using a cluster of commodity machines is a promising approach since training is time consuming and compute-intensive. Furthermore, putting DNN tasks into containers of clusters would enable broader and easier deployment of DNN-based algorithms. Toward this end, this paper addresses the problem of scheduling DNN tasks in the containerized cluster environment. Efficiently scheduling data-parallel computation jobs like DNN over containerized clusters is critical for job performance, system throughput, and resource utilization. It becomes even more challenging with the complex workloads. We propose a scheduling method called Deep Learning Task Allocation Priority (DLTAP which performs scheduling decisions in a distributed manner, and each of scheduling decisions takes aggregation degree of parameter sever task and worker task into account, in particularly, to reduce cross-node network transmission traffic and, correspondingly, decrease the DNN training time. We evaluate the DLTAP scheduling method using a state-of-the-art distributed DNN training framework on 3 benchmarks. The results show that the proposed method can averagely reduce 12% cross-node network traffic, and decrease the DNN training time even with the cluster of low-end servers.

  6. Economic viability of Stratified Medicine concepts: An investor perspective on drivers and conditions that favour using Stratified Medicine approaches in a cost-contained healthcare environment.

    Science.gov (United States)

    Fugel, Hans-Joerg; Nuijten, Mark; Postma, Maarten

    2016-12-25

    Stratified Medicine (SM) is becoming a natural result of advances in biomedical science and a promising path for the innovation-based biopharmaceutical industry to create new investment opportunities. While the use of biomarkers to improve R&D efficiency and productivity is very much acknowledged by industry, much work remains to be done to understand the drivers and conditions that favour using a stratified approach to create economically viable products and to justify the investment in SM interventions as a stratification option. In this paper we apply a decision analytical methodology to address the economic attractiveness of different SM development options in a cost-contained healthcare environment. For this purpose, a hypothetical business case in the oncology market has been developed considering four feasible development scenarios. The article outlines the effects of development time and time to peak sales as key economic value drivers influencing profitability of SM interventions under specific conditions. If regulatory and reimbursement challenges can be solved, decreasing development time and enhancing early market penetration would most directly improve the economic attractiveness of SM interventions. Appropriate tailoring of highly differentiated patient subgroups is the prerequisite to leverage potential efficiency gains in the R&D process. Also, offering a better targeted and hence ultimately more cost-effective therapy at reimbursable prices will facilitate time to market access and allow increasing market share gains within the targeted populations. Copyright © 2016 Elsevier B.V. All rights reserved.

  7. A Mobile Sensor Network to Map CO2 in Urban Environments

    Science.gov (United States)

    Lee, J.; Christen, A.; Nesic, Z.; Ketler, R.

    2014-12-01

    Globally, an estimated 80% of all fuel-based CO2 emissions into the atmosphere are attributable to cities, but there is still a lack of tools to map, visualize and monitor emissions to the scales at which emissions reduction strategies can be implemented - the local and urban scale. Mobile CO2 sensors, such as those attached to taxis and other existing mobile platforms, may be a promising way to observe and map CO2 mixing ratios across heterogenous urban environments with a limited number of sensors. Emerging modular open source technologies, and inexpensive compact sensor components not only enable rapid prototyping and replication, but also are allowing for the miniaturization and mobilization of traditionally fixed sensor networks. We aim to optimize the methods and technologies for monitoring CO2 in cities using a network of CO2 sensors deployable on vehicles and bikes. Our sensor technology is contained in a compact weather-proof case (35.8cm x 27.8cm x 11.8cm), powered independently by battery or by car, and includes the Li-Cor Li-820 infrared gas analyzer (Licor Inc, lincoln, NB, USA), Arduino Mega microcontroller (Arduino CC, Italy) and Adafruit GPS (Adafruit Technologies, NY, USA), and digital air temperature thermometer which measure CO2 mixing ratios (ppm), geolocation and speed, pressure and temperature, respectively at 1-second intervals. With the deployment of our sensor technology, we will determine if such a semi-autonomous mobile approach to monitoring CO2 in cities can determine excess urban CO2 mixing ratios (i.e. the 'urban CO2 dome') when compared to values measured at a fixed, remote background site. We present results from a pilot study in Vancouver, BC, where the a network of our new sensors was deployed both in fixed network and in a mobile campaign and examine the spatial biases of the two methods.

  8. Differential Recruitment of Brain Networks following Route and Cartographic Map Learning of Spatial Environments

    Science.gov (United States)

    Zhang, Hui; Copara, Milagros; Ekstrom, Arne D.

    2012-01-01

    An extensive neuroimaging literature has helped characterize the brain regions involved in navigating a spatial environment. Far less is known, however, about the brain networks involved when learning a spatial layout from a cartographic map. To compare the two means of acquiring a spatial representation, participants learned spatial environments either by directly navigating them or learning them from an aerial-view map. While undergoing functional magnetic resonance imaging (fMRI), participants then performed two different tasks to assess knowledge of the spatial environment: a scene and orientation dependent perceptual (SOP) pointing task and a judgment of relative direction (JRD) of landmarks pointing task. We found three brain regions showing significant effects of route vs. map learning during the two tasks. Parahippocampal and retrosplenial cortex showed greater activation following route compared to map learning during the JRD but not SOP task while inferior frontal gyrus showed greater activation following map compared to route learning during the SOP but not JRD task. We interpret our results to suggest that parahippocampal and retrosplenial cortex were involved in translating scene and orientation dependent coordinate information acquired during route learning to a landmark-referenced representation while inferior frontal gyrus played a role in converting primarily landmark-referenced coordinates acquired during map learning to a scene and orientation dependent coordinate system. Together, our results provide novel insight into the different brain networks underlying spatial representations formed during navigation vs. cartographic map learning and provide additional constraints on theoretical models of the neural basis of human spatial representation. PMID:23028661

  9. The modern research environment

    DEFF Research Database (Denmark)

    Topsøe, Flemming

    1993-01-01

    Information Technology, research environment, structured documents, networked information retrieval......Information Technology, research environment, structured documents, networked information retrieval...

  10. Networking of research information on global environment protection technologies; Chikyu kankyo taisaku gijutsu no kenkyu joho network jigyo

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    Networking is being executed with an objective of exchanging information on global environment technologies at an international level. In order to further promote the information exchange, and to make web sites user-friendly, fiscal 1998 has performed structuring a thesis renewal system. As a result of structuring the thesis renewal system, researchers can use the system as using a word processor by inputting data from a terminal in their laboratories. The data can also be made into a data base nearly semi-automatically. In addition to reducing time loss, delay and input errors because of re-entry, the researchers can make the data into a database on nearly a real time basis, and can provide their own theses to any part of the world through Internet. With regard to retaining Internet security, the security software having been introduced last year was renewed. In addition, detailed status such as daily access has become possible of identification as a result of introducing the net intellect. (NEDO)

  11. E pluribus unum: using group model building with many interdependent organizations to create integrated health-care networks.

    Science.gov (United States)

    Pieters, Angèle; Akkermans, Henk; Franx, Arie

    2011-01-01

    This chapter reports on an action research case study of integrated obstetric care in the Netherlands. Efficient and patient-friendly patient flows through integrated care networks are of major societal importance. How to design and develop such interorganizational patient flows is still a nascent research area, especially when dealing with a large number (n>3) of stakeholders. We have shown that a modification of an existing method to support interorganizational collaboration by system dynamics-based group model building (GMB) (the Renga method, Akkermans, 2001) may be effective in achieving such collaboration.

  12. The Osservasalute Health Report 2010: the contribution of a wide and independent Italian research network to decision making in healthcare

    Directory of Open Access Journals (Sweden)

    Antonio Giulio de Belvis

    2011-12-01

    Full Text Available Background: The Italian Observatory Healthcare Report (IOHR - 8th edition [1] aims to help policy makers in the process of decision making through a set of validated indicators resulting from the multidisciplinary activity of several public health experts. Its main task is to gather comparable data on the health status and the quality of health care services throughout the Italian regions. Methods: The report adopts a European approach in order to build a benchmarking activity and the selection criteria of indicators include: meaning, feasibility and quality, comparability and reliability. Each indicator is analyzed by experts in terms of meaning, pattern, validity and limits, graphic representation; recommendations are included for decision makers. A peer reviewing is performed for quality assessment. Results: The IOHR 2010 included 96 indicators, analysed by 203 authors. Through comparable regional data coming from different sources, an overview of the Italian Health System, and a gauging of the impact that different regional organizational and institutional arrangements have on the quality of health services, have been provided. Though data analysis showed a North-South gradient in the quality and the organization of health care services, nevertheless, the overall health status of Italian population is good. Risk factors, lifestyles and prevention together with geographical and social differences in health status and service access are the main priorities. Conclusions: The IOHR helps monitoring the health status in the Italian regions through specific indicators characterized by scientific strictness. It contributes to identifying the situations of excellence and disseminating public health care control tools in order to facilitate the decision making process.

  13. A Novel Energy-Aware Distributed Clustering Algorithm for Heterogeneous Wireless Sensor Networks in the Mobile Environment

    Directory of Open Access Journals (Sweden)

    Ying Gao

    2015-12-01

    Full Text Available In order to prolong the network lifetime, energy-efficient protocols adapted to the features of wireless sensor networks should be used. This paper explores in depth the nature of heterogeneous wireless sensor networks, and finally proposes an algorithm to address the problem of finding an effective pathway for heterogeneous clustering energy. The proposed algorithm implements cluster head selection according to the degree of energy attenuation during the network’s running and the degree of candidate nodes’ effective coverage on the whole network, so as to obtain an even energy consumption over the whole network for the situation with high degree of coverage. Simulation results show that the proposed clustering protocol has better adaptability to heterogeneous environments than existing clustering algorithms in prolonging the network lifetime.

  14. The Impact of Healthcare Workers Job Environment on Their Mental-emotional Health. Coping Strategies: The Case of a Local General Hospital.

    Science.gov (United States)

    Koinis, Aristotelis; Giannou, Vasiliki; Drantaki, Vasiliki; Angelaina, Sophia; Stratou, Elpida; Saridi, Maria

    2015-04-13

    Workplace stress can influence healthcare professionals' physical and emotional well-being by curbing their efficiency and having a negative impact on their overall quality of life. The aim of the present study was to investigate the impact that work environment in a local public general hospital can have on the health workers' mental-emotional health and find strategies in order to cope with negative consequences. The study took place from July 2010 to October 2010. Our sample consisted of 200 healthcare professionals aged 21-58 years working in a 240-bed general hospital and the response rate was 91.36%). Our research protocol was first approved by the hospital's review board. A standardized questionnaire that investigates strategies for coping with stressful conditions was used. A standardized questionnaire was used in the present study Coping Strategies for Stressful Events, evaluating the strategies that persons employ in order to overcome a stressful situation or event. The questionnaire was first tested for validity and reliability which were found satisfactory (Cronbach's α=0.862). Strict anonymity of the participants was guaranteed. The SPSS 16.0 software was used for the statistical analysis. Regression analysis showed that health professionals' emotional health can be influenced by strategies for dealing with stressful events, since positive re-assessment, quitting and seeking social support are predisposing factors regarding the three first quality of life factors of the World Health Organization Quality of Life - BREF. More specifically, for the physical health factor, positive re-assessment (t=3.370, P=0.001) and quitting (t=-2.564, P=0.011) are predisposing factors. For the 'mental health and spirituality' regression model, positive re-assessment (t=5.528, P=0.000) and seeking social support (t=-1.991, P=0.048) are also predisposing factors, while regarding social relationships positive re-assessment (t=4.289, P=0.000) is a predisposing factor

  15. The impact of healthcare workers job environment on their mental-emotional health. Coping strategies: the case of a local general hospital

    Directory of Open Access Journals (Sweden)

    Aristotelis Koinis

    2015-04-01

    Full Text Available Workplace stress can influence healthcare professionals’ physical and emotional well-being by curbing their efficiency and having a negative impact on their overall quality of life. The aim of the present study was to investigate the impact that work environment in a local public general hospital can have on the health workers’ mental-emotional health and find strategies in order to cope with negative consequences. The study took place from July 2010 to October 2010. Our sample consisted of 200 healthcare professionals aged 21-58 years working in a 240-bed general hospital and the response rate was 91.36%. Our research protocol was first approved by the hospital’s review board. A standardized questionnaire that investigates strategies for coping with stressful conditions was used. A standardized questionnaire was used in the present study Coping Strategies for Stressful Events, evaluating the strategies that persons employ in order to overcome a stressful situation or event. The questionnaire was first tested for validity and reliability which were found satisfactory (Cronbach’s α=0.862. Strict anonymity of the participants was guaranteed. The SPSS 16.0 software was used for the statistical analysis. Regression analysis showed that health professionals’ emotional health can be influenced by strategies for dealing with stressful events, since positive re-assessment, quitting and seeking social support are predisposing factors regarding the three first quality of life factors of the World Health Organization Quality of Life -BREF. More specifically, for the physical health factor, positive re-assessment (t=3.370, P=0.001 and quitting (t=−2.564, P=0.011 are predisposing factors. For the ‘mental health and spirituality’ regression model, positive re-assessment (t=5.528, P=0.000 and seeking social support (t=−1.991, P=0.048 are also predisposing factors, while regarding social relationships positive re-assessment (t=4.289, P=0

  16. Environment

    DEFF Research Database (Denmark)

    Valentini, Chiara

    2017-01-01

    The term environment refers to the internal and external context in which organizations operate. For some scholars, environment is defined as an arrangement of political, economic, social and cultural factors existing in a given context that have an impact on organizational processes and structures....... For others, environment is a generic term describing a large variety of stakeholders and how these interact and act upon organizations. Organizations and their environment are mutually interdependent and organizational communications are highly affected by the environment. This entry examines the origin...... and development of organization-environment interdependence, the nature of the concept of environment and its relevance for communication scholarships and activities....

  17. Deep Sea Shell Taphonomy: Interactive benthic experiments in hydrate environments of Barkley Canyon, Ocean Networks Canada.

    Science.gov (United States)

    Best, Mairi; Purser, Autun

    2015-04-01

    In order to quantify and track the rates and processes of modification of biogenic carbonate in gas hydrate environments, and their possible environmental/ecological correlates, ongoing observations of experimentally deployed specimens are being made using a remotely controlled crawler with camera and sensors. The crawler is connected to NEPTUNE Canada, an 800km, 5-node, regional cabled ocean network across the northern Juan de Fuca Plate, northeastern Pacific, part of Ocean Networks Canada. One of 15 study areas is an environment of exposed hydrate mounds along the wall of Barkley Canyon, at ˜865m water depth. This is the home of a benthic crawler developed by Jacobs University of Germany, who is affectionately known as Wally. Wally is equipped with a range of sensors including cameras, methane sensor, current meter, fluorometer, turbidity meter, CTD, and a sediment microprofiler with probes for oxygen, methane, sulphide, pH, temperature, and conductivity. In conjunction with this sensor suite, a series of experiments have been designed to assess the cycling of biogenic carbon and carbonate in this complex environment. The biota range from microbes, to molluscs, to large fish, and therefore the carbon inputs include both a range of organic carbon compounds as well as the complex materials that are "biogenic carbonate". Controlled experimental specimens were deployed of biogenic carbonate (Mytilus edulis fresh shells) and cellulose (pieces of untreated pine lumber) that had been previously well characterized (photographed, weighed, and numbered, matching valves and lumber kept as controls). Deployment at the sediment/water interface was in such a way to maximize natural burial exhumation cycles but to minimize specimen interaction. 10 replicate specimens of each material were deployed in two treatments: 1) adjacent to a natural life and death assemblage of chemosynthetic bivalves and exposed hydrate on a hydrate mound and 2) on the muddy seafloor at a distance

  18. Distributed optimization-based control of multi-agent networks in complex environments

    CERN Document Server

    Zhu, Minghui

    2015-01-01

    This book offers a concise and in-depth exposition of specific algorithmic solutions for distributed optimization based control of multi-agent networks and their performance analysis. It synthesizes and analyzes distributed strategies for three collaborative tasks: distributed cooperative optimization, mobile sensor deployment and multi-vehicle formation control. The book integrates miscellaneous ideas and tools from dynamic systems, control theory, graph theory, optimization, game theory and Markov chains to address the particular challenges introduced by such complexities in the environment as topological dynamics, environmental uncertainties, and potential cyber-attack by human adversaries. The book is written for first- or second-year graduate students in a variety of engineering disciplines, including control, robotics, decision-making, optimization and algorithms and with backgrounds in aerospace engineering, computer science, electrical engineering, mechanical engineering and operations research. Resea...

  19. Predicting trait-environment relationships for venation networks along an Andes-Amazon elevation gradient.

    Science.gov (United States)

    Blonder, Benjamin; Salinas, Norma; Patrick Bentley, Lisa; Shenkin, Alexander; Chambi Porroa, Percy O; Valdez Tejeira, Yolvi; Violle, Cyrille; Fyllas, Nikolaos M; Goldsmith, Gregory R; Martin, Robert E; Asner, Gregory P; Díaz, Sandra; Enquist, Brian J; Malhi, Yadvinder

    2017-05-01

    Understanding functional trait-environment relationships (TERs) may improve predictions of community assembly. However, many empirical TERs have been weak or lacking conceptual foundation. TERs based on leaf venation networks may better link individuals and communities via hydraulic constraints. We report measurements of vein density, vein radius, and leaf thickness for more than 100 dominant species occurring in ten forest communities spanning a 3,300 m Andes-Amazon elevation gradient in Peru. We use these data to measure the strength of TERs at community scale and to determine whether observed TERs are similar to those predicted by physiological theory. We found strong support for TERs between all traits and temperature, as well weaker support for a predicted TER between maximum abundance-weighted leaf transpiration rate and maximum potential evapotranspiration. These results provide one approach for developing a more mechanistic trait-based community assembly theory. © 2017 by the Ecological Society of America.

  20. Neural-Network-Based Smart Sensor Framework Operating in a Harsh Environment

    Directory of Open Access Journals (Sweden)

    Chaudhari Narendra S

    2005-01-01

    Full Text Available We present an artificial neural-network- (NN- based smart interface framework for sensors operating in harsh environments. The NN-based sensor can automatically compensate for the nonlinear response characteristics and its nonlinear dependency on the environmental parameters, with high accuracy. To show the potential of the proposed NN-based framework, we provide results of a smart capacitive pressure sensor (CPS operating in a wide temperature range of 0 to . Through simulated experiments, we have shown that the NN-based CPS model is capable of providing pressure readout with a maximum full-scale (FS error of only over this temperature range. A novel scheme for estimating the ambient temperature from the sensor characteristics itself is proposed. For this purpose, a second NN is utilized to estimate the ambient temperature accurately from the knowledge of the offset capacitance of the CPS. A microcontroller-unit- (MCU- based implementation scheme is also provided.

  1. SOCIAL NETWORK AS AN EFFECTIVE COMMUNICATION ENVIRONMENT BETWEEN TEACHER AND STUDENT IN EDUCATIONAL PROCESS

    Directory of Open Access Journals (Sweden)

    Nataliia M. Shulska

    2017-04-01

    Full Text Available Within the article the authors analyze the feasibility of using social network «Vkontakte» as an effective environment for teacher-student communication on the example of teaching discipline «Editorial craftsmanship» (2015-2016 academic year. It was investigated the communicative role of the teacher and students during teaching / mastering course using a community «Editorial craftsmanship». Based on results of the survey community members – students training direction «Publishing and Editing» Lesya Ukrainka Eastern European National University it was found that this form of organization of educational process in extracurricular time is effective for students. Proved that it extends the communication component, is convenient at performance of independent work on course, provides additional consultations, makes learning accessible, informal, interactive and creative.

  2. The Wireless Environment Monitoring Alarm System Based on Self-organizing Network

    Directory of Open Access Journals (Sweden)

    Zhang Huawei

    2016-01-01

    Full Text Available Under complicated conditions, it is necessary for environmental monitoring to design a wireless monitoring alarm system which can replace the wired system or as a supplement. The system discussed here bases on ARM7 microprocessor named LPC1114 and transceiver module named CC2530. With ZigBee, CSM/GPRS, this system uses multiple sensors to self-organized form a data acquisition and monitoring network system with variety of sensors fusion in the region. The system has some characteristics such as quick, convenient and accurate. Combining with the GSM SMS or GPRS alarm, the system can accurately and reliably monitor temperature, humidity and other environmental factors, and realize remote monitoring in large area and the complicated environment. Thus, this system has high practical value.

  3. Wireless Mid-Infrared Spectroscopy Sensor Network for Automatic Carbon Dioxide Fertilization in a Greenhouse Environment

    Directory of Open Access Journals (Sweden)

    Jianing Wang

    2016-11-01

    Full Text Available In this paper, a wireless mid-infrared spectroscopy sensor network was designed and implemented for carbon dioxide fertilization in a greenhouse environment. A mid-infrared carbon dioxide (CO2 sensor based on non-dispersive infrared (NDIR with the functionalities of wireless communication and anti-condensation prevention was realized as the sensor node. Smart transmission power regulation was applied in the wireless sensor network, according to the Received Signal Strength Indication (RSSI, to realize high communication stability and low-power consumption deployment. Besides real-time monitoring, this system also provides a CO2 control facility for manual and automatic control through a LabVIEW platform. According to simulations and field tests, the implemented sensor node has a satisfying anti-condensation ability and reliable measurement performance on CO2 concentrations ranging from 30 ppm to 5000 ppm. As an application, based on the Fuzzy proportional, integral, and derivative (PID algorithm realized on a LabVIEW platform, the CO2 concentration was regulated to some desired concentrations, such as 800 ppm and 1200 ppm, in 30 min with a controlled fluctuation of <±35 ppm in an acre of greenhouse.

  4. Wireless Mid-Infrared Spectroscopy Sensor Network for Automatic Carbon Dioxide Fertilization in a Greenhouse Environment.

    Science.gov (United States)

    Wang, Jianing; Niu, Xintao; Zheng, Lingjiao; Zheng, Chuantao; Wang, Yiding

    2016-11-18

    In this paper, a wireless mid-infrared spectroscopy sensor network was designed and implemented for carbon dioxide fertilization in a greenhouse environment. A mid-infrared carbon dioxide (CO₂) sensor based on non-dispersive infrared (NDIR) with the functionalities of wireless communication and anti-condensation prevention was realized as the sensor node. Smart transmission power regulation was applied in the wireless sensor network, according to the Received Signal Strength Indication (RSSI), to realize high communication stability and low-power consumption deployment. Besides real-time monitoring, this system also provides a CO₂ control facility for manual and automatic control through a LabVIEW platform. According to simulations and field tests, the implemented sensor node has a satisfying anti-condensation ability and reliable measurement performance on CO₂ concentrations ranging from 30 ppm to 5000 ppm. As an application, based on the Fuzzy proportional, integral, and derivative (PID) algorithm realized on a LabVIEW platform, the CO₂ concentration was regulated to some desired concentrations, such as 800 ppm and 1200 ppm, in 30 min with a controlled fluctuation of <±35 ppm in an acre of greenhouse.

  5. Enhancement of environment and resources engineering studies through an international cooperation network

    Science.gov (United States)

    Caporali, E.; Tuneski, A.

    2012-12-01

    , following the criteria and conditions for setting up a Joint Postgraduate Degree. The new second cycle degree courses are going to be activated in the academic year 2012/2012. Both the first and second cycle curricula, developed through the co-operation, exchange of know-how and expertise between partners, are based on the European Credit Transfer System and are in accordance with the Bologna Process. In DEREL a second objective is to implement a sustainable regional network aimed to offer lifelong learning seminars for environment and resources engineering education and training of interested stakeholders and organize workshops focused on strengthening the links in the knowledge triangle: environment education-innovation-research, with participation of postgraduate students, public services, enterprises and NGO's. Also, the good collaborative environment created, since 2005, with the project partners can be surely mentioned as an additional valuable objective of the two TEMPUS projects, enabling implementation of a sustainable international network for environment and resources engineering studies enhancement and development.

  6. Influence of university network structures on forming the network environment of regional economy (on the example of national research universities of Tatarstan Republic

    Directory of Open Access Journals (Sweden)

    Darya-Anna Alekseevna Kaibiyainen

    2015-03-01

    Full Text Available Objective to elaborate theoretical and applied aspects of the processes of forming the new network institutional environment of the Russian regional economy under the influence of the developing integral educational network structures basing on the study of the experience of national research universities of Tatarstan Republic Methods general scientific logical methods of analysis and synthesis induction and deduction scientific abstraction as well as the method of systemicfunctional analysis. Results the practical examples are revealed and analyzed of introducing the new network integral principles into the functioning of national research universities which have a real economic effect and influencing such indicators of regional economy as the growth of employment reduction of unemployment etc. Scientific novelty problems of network structures development in the Russian education have not been thoroughly studied yet. The article analyzes the experience reveals and describes the methods and techniques of forming the network educational structures in the functioning of national research universities in Tatarstan Republic Practical value the author shows the ability of network university structures not only to play a significant role forming the new institutional environment of the regional economy but also to influence the macro and microeconomic indicators of development of the region and the country. nbsp

  7. Harvard Catalyst | The Clinical Translational Science Center IND/IDE Consult Service: Providing an IND/IDE Consult Service in a Decentralized Network of Academic Healthcare Centers

    Science.gov (United States)

    Winkler, Sabune J.; Bierer, Barbara E.; Wolf, Delia

    2014-01-01

    Abstract The Food and Drug Administration (FDA) regulations require sponsors of clinical investigations involving an investigational drug or device to submit an Investigational New Drug (IND) or Investigational Device Exemption (IDE) application. Strict adherence to applicable regulations is vital to the success of clinical research. Unlike most major pharmaceutical sponsors, investigator sponsors often do not fully appreciate their regulatory obligations nor have resources to ensure compliance. As a result they can place themselves and their institutions at risk. Nevertheless, investigator‐initiated clinical trials are vital to the further development of innovative drugs, biologics, and medical devices. The IND/IDE Subcommittee under the Regulatory Knowledge and Support Program at Harvard Catalyst, The Harvard Clinical and Translational Science Center worked in collaboration with Harvard and Harvard affiliated institutions to create and launch an IND/IDE Consult Service in a decentralized network of collaborating Academic Healthcare Centers (AHC). The IND/IDE Consult Service offers expertise, resources, and shared experiences to assist sponsor‐investigators and IRBs in meeting regulatory requirements for conducting and reviewing investigator‐initiated IND/IDE studies. The scope of the services provided by the Harvard Catalyst IND/IDE Consult Service are described, including the specifics of the service, lessons learned, and challenges faced, in a scalable model that builds inter‐institutional capacity. PMID:24455986

  8. Experimental Performance Evaluation of Multihop IEEE 802.15.4/4g/4e Smart Utility Networks in Outdoor Environment

    Directory of Open Access Journals (Sweden)

    Chin-Sean Sum

    2017-01-01

    Full Text Available This paper presents the experimental performance evaluation results of the IEEE 802.15.4/4g/4e Smart Utility Networks (SUN in applications suited for outdoor environment. SUN is an advanced wireless communications network designed for reliable, low data rate, and low energy consumption networks for command-and-control applications like utility service, sensor network, and so on. IEEE 802.15.4g/4e is the international standard for SUN supported by multiple utility providers and product vendors. In this paper, a comprehensive field test was conducted by employing the implementation we have developed to evaluate the performance of the SUN devices based on IEEE 802.15.4/4g/4e standard. The output power of the implementation is 250 mW for extended range, reducible to 20 mW for short-range scalability and battery preservation. Results showed that in an outdoor line-of-sight environment, the achievable one-hop range of a 50 kbps SUN device was 450 m. Next, in a non-line-of-sight environment involving typical residential concrete building, the communications could be established penetrating obstructions to reach above the 11th storey, reaching the performance degradation limits at the 20th storey. Next, the network of the SUN system was proven to be capable of supporting a typical multihop tree network in a dense populated building, meeting the required performance by the standard.

  9. Proton transfer reactions and hydrogen-bond networks in protein environments.

    Science.gov (United States)

    Ishikita, Hiroshi; Saito, Keisuke

    2014-02-06

    In protein environments, proton transfer reactions occur along polar or charged residues and isolated water molecules. These species consist of H-bond networks that serve as proton transfer pathways; therefore, thorough understanding of H-bond energetics is essential when investigating proton transfer reactions in protein environments. When the pKa values (or proton affinity) of the H-bond donor and acceptor moieties are equal, significantly short, symmetric H-bonds can be formed between the two, and proton transfer reactions can occur in an efficient manner. However, such short, symmetric H-bonds are not necessarily stable when they are situated near the protein bulk surface, because the condition of matching pKa values is opposite to that required for the formation of strong salt bridges, which play a key role in protein-protein interactions. To satisfy the pKa matching condition and allow for proton transfer reactions, proteins often adjust the pKa via electron transfer reactions or H-bond pattern changes. In particular, when a symmetric H-bond is formed near the protein bulk surface as a result of one of these phenomena, its instability often results in breakage, leading to large changes in protein conformation.

  10. Network environ perspective for urban metabolism and carbon emissions: a case study of Vienna, Austria.

    Science.gov (United States)

    Chen, Shaoqing; Chen, Bin

    2012-04-17

    Cities are considered major contributors to global warming, where carbon emissions are highly embedded in the overall urban metabolism. To examine urban metabolic processes and emission trajectories we developed a carbon flux model based on Network Environ Analysis (NEA). The mutual interactions and control situation within the urban ecosystem of Vienna were examined, and the system-level properties of the city's carbon metabolism were assessed. Regulatory strategies to minimize carbon emissions were identified through the tracking of the possible pathways that affect these emission trajectories. Our findings suggest that indirect flows have a strong bearing on the mutual and control relationships between urban sectors. The metabolism of a city is considered self-mutualistic and sustainable only when the local and distal environments are embraced. Energy production and construction were found to be two factors with a major impact on carbon emissions, and whose regulation is only effective via ad-hoc pathways. In comparison with the original life-cycle tracking, the application of NEA was better at revealing details from a mechanistic aspect, which is crucial for informed sustainable urban management.

  11. Fault Diagnosis and Detection in Industrial Motor Network Environment Using Knowledge-Level Modelling Technique

    Directory of Open Access Journals (Sweden)

    Saud Altaf

    2017-01-01

    Full Text Available In this paper, broken rotor bar (BRB fault is investigated by utilizing the Motor Current Signature Analysis (MCSA method. In industrial environment, induction motor is very symmetrical, and it may have obvious electrical signal components at different fault frequencies due to their manufacturing errors, inappropriate motor installation, and other influencing factors. The misalignment experiments revealed that improper motor installation could lead to an unexpected frequency peak, which will affect the motor fault diagnosis process. Furthermore, manufacturing and operating noisy environment could also disturb the motor fault diagnosis process. This paper presents efficient supervised Artificial Neural Network (ANN learning technique that is able to identify fault type when situation of diagnosis is uncertain. Significant features are taken out from the electric current which are based on the different frequency points and associated amplitude values with fault type. The simulation results showed that the proposed technique was able to diagnose the target fault type. The ANN architecture worked well with selecting of significant number of feature data sets. It seemed that, to the results, accuracy in fault detection with features vector has been achieved through classification performance and confusion error percentage is acceptable between healthy and faulty condition of motor.

  12. Construction of high-dimensional neural network potentials using environment-dependent atom pairs.

    Science.gov (United States)

    Jose, K V Jovan; Artrith, Nongnuch; Behler, Jörg

    2012-05-21

    An accurate determination of the potential energy is the crucial step in computer simulations of chemical processes, but using electronic structure methods on-the-fly in molecular dynamics (MD) is computationally too demanding for many systems. Constructing more efficient interatomic potentials becomes intricate with increasing dimensionality of the potential-energy surface (PES), and for numerous systems the accuracy that can be achieved is still not satisfying and far from the reliability of first-principles calculations. Feed-forward neural networks (NNs) have a very flexible functional form, and in recent years they have been shown to be an accurate tool to construct efficient PESs. High-dimensional NN potentials based on environment-dependent atomic energy contributions have been presented for a number of materials. Still, these potentials may be improved by a more detailed structural description, e.g., in form of atom pairs, which directly reflect the atomic interactions and take the chemical environment into account. We present an implementation of an NN method based on atom pairs, and its accuracy and performance are compared to the atom-based NN approach using two very different systems, the methanol molecule and metallic copper. We find that both types of NN potentials provide an excellent description of both PESs, with the pair-based method yielding a slightly higher accuracy making it a competitive alternative for addressing complex systems in MD simulations.

  13. Construction of high-dimensional neural network potentials using environment-dependent atom pairs

    Science.gov (United States)

    Jose, K. V. Jovan; Artrith, Nongnuch; Behler, Jörg

    2012-05-01

    An accurate determination of the potential energy is the crucial step in computer simulations of chemical processes, but using electronic structure methods on-the-fly in molecular dynamics (MD) is computationally too demanding for many systems. Constructing more efficient interatomic potentials becomes intricate with increasing dimensionality of the potential-energy surface (PES), and for numerous systems the accuracy that can be achieved is still not satisfying and far from the reliability of first-principles calculations. Feed-forward neural networks (NNs) have a very flexible functional form, and in recent years they have been shown to be an accurate tool to construct efficient PESs. High-dimensional NN potentials based on environment-dependent atomic energy contributions have been presented for a number of materials. Still, these potentials may be improved by a more detailed structural description, e.g., in form of atom pairs, which directly reflect the atomic interactions and take the chemical environment into account. We present an implementation of an NN method based on atom pairs, and its accuracy and performance are compared to the atom-based NN approach using two very different systems, the methanol molecule and metallic copper. We find that both types of NN potentials provide an excellent description of both PESs, with the pair-based method yielding a slightly higher accuracy making it a competitive alternative for addressing complex systems in MD simulations.

  14. Mobile healthcare informatics.

    Science.gov (United States)

    Siau, Keng; Shen, Zixing

    2006-06-01

    Advances in wireless technology give pace to the rapid development of mobile applications. The coming mobile revolution will bring dramatic and fundamental changes to our daily life. It will influence the way we live, the way we do things, and the way we take care of our health. For the healthcare industry, mobile applications provide a new frontier in offering better care and services to patients, and a more flexible and mobile way of communicating with suppliers and patients. Mobile applications will provide important real time data for patients, physicians, insurers, and suppliers. In addition, it will revolutionalize the way information is managed in the healthcare industry and redefine the doctor - patient communication. This paper discusses different aspects of mobile healthcare. Specifically, it presents mobile applications in healthcare, and discusses possible challenges facing the development of mobile applications. Obstacles in developing mobile healthcare applications include mobile device limitations, wireless networking problems, infrastructure constraints, security concerns, and user distrust. Research issues in resolving or alleviating these problems are also discussed in the paper.

  15. Performance in wireless networks and industrial wireless networks on control processes in real time under industrial environments

    Directory of Open Access Journals (Sweden)

    Juan F. Monsalve-Posada

    2015-01-01

    Full Text Available The growing use of Ethernet networks on the industrial automation pyramid has led many companies to develop new devices to operate in requirements of this level, nowadays it is called Industrial Ethernet network, on the market there are various sensors and actuators to industrial scale equipped with this technology, many of these devices are very expensive. In this paper, the performance of two wireless networks is evaluated, the first network has conventional Ethernet devices, and the second network has Industrial Ethernet devices. For the process we vary four parameters such as distance, number of bytes, the signal to noise ratio, and the packet error rate, and then we measure delays and compare with metric statistics results, Box Plot graphs were used for the analysis. Finally, we conclude that under the parameters and conditions tested, wireless networks can serve as a communication system in control applications with allowable delays of up to 50 ms, in addition, the results show a better performance of Industrial Ethernet networks over conventional networks, with differences in the RTT of milliseconds. Therefore, it is recommended to establish what risk is for the process to control these delays to determine if the equipment conventional applies, since under certain features like humidity and temperature can operate properly for a considerable time and at lower cost than devices to Industrial Ethernet.

  16. Do peer effects improve hand hygiene adherence among healthcare workers?

    Science.gov (United States)

    Monsalve, Mauricio N; Pemmaraju, Sriram V; Thomas, Geb W; Herman, Ted; Segre, Alberto M; Polgreen, Philip M

    2014-10-01

    To determine whether hand hygiene adherence is influenced by peer effects and, specifically, whether the presence and proximity of other healthcare workers has a positive effect on hand hygiene adherence. An observational study using a sensor network. A 20-bed medical intensive care unit at a large university hospital. Hospital staff assigned to the medical intensive care unit. We deployed a custom-built, automated, hand hygiene monitoring system that can (1) detect whether a healthcare worker has practiced hand hygiene on entering and exiting a patient's room and (2) estimate the location of other healthcare workers with respect to each healthcare worker exiting or entering a room. We identified a total of 47,694 in-room and out-of-room hand hygiene opportunities during the 10-day study period. When a worker was alone (no recent healthcare worker contacts), the observed adherence rate was 20.85% (95% confidence interval [CI], 19.78%-21.92%). In contrast, when other healthcare workers were present, observed adherence was 27.90% (95% CI, 27.48%-28.33%). This absolute increase was statistically significant (P hygiene rates. Furthermore, our results also indicate that rates increase as the social environment becomes more crowded, but with diminishing marginal returns.

  17. Analysis of Radio Wave Propagation for ISM 2.4 GHz Wireless Sensor Networks in Inhomogeneous Vegetation Environments

    Science.gov (United States)

    Azpilicueta, Leire; López-Iturri, Peio; Aguirre, Erik; Mateo, Ignacio; Astrain, José Javier; Villadangos, Jesús; Falcone, Francisco

    2014-01-01

    The use of wireless networks has experienced exponential growth due to the improvements in terms of battery life and low consumption of the devices. However, it is compulsory to conduct previous radio propagation analysis when deploying a wireless sensor network. These studies are necessary to perform an estimation of the range coverage, in order to optimize the distance between devices in an actual network deployment. In this work, the radio channel characterization for ISM 2.4 GHz Wireless Sensor Networks (WSNs) in an inhomogeneous vegetation environment has been analyzed. This analysis allows designing environment monitoring tools based on ZigBee and WiFi where WSN and smartphones cooperate, providing rich and customized monitoring information to users in a friendly manner. The impact of topology as well as morphology of the environment is assessed by means of an in-house developed 3D Ray Launching code, to emulate the realistic operation in the framework of the scenario. Experimental results gathered from a measurement campaign conducted by deploying a ZigBee Wireless Sensor Network, are analyzed and compared with simulations in this paper. The scenario where this network is intended to operate is a combination of buildings and diverse vegetation species. To gain insight in the effects of radio propagation, a simplified vegetation model has been developed, considering the material parameters and simplified geometry embedded in the simulation scenario. An initial location-based application has been implemented in a real scenario, to test the functionality within a context aware scenario. The use of deterministic tools can aid to know the impact of the topological influence in the deployment of the optimal Wireless Sensor Network in terms of capacity, coverage and energy consumption, making the use of these systems attractive for multiple applications in inhomogeneous vegetation environments. PMID:25513820

  18. Analysis of radio wave propagation for ISM 2.4 GHz Wireless Sensor Networks in inhomogeneous vegetation environments.

    Science.gov (United States)

    Azpilicueta, Leire; López-Iturri, Peio; Aguirre, Erik; Mateo, Ignacio; Astrain, José Javier; Villadangos, Jesús; Falcone, Francisco

    2014-12-10

    The use of wireless networks has experienced exponential growth due to the improvements in terms of battery life and low consumption of the devices. However, it is compulsory to conduct previous radio propagation analysis when deploying a wireless sensor network. These studies are necessary to perform an estimation of the range coverage, in order to optimize the distance between devices in an actual network deployment. In this work, the radio channel characterization for ISM 2.4 GHz Wireless Sensor Networks (WSNs) in an inhomogeneous vegetation environment has been analyzed. This analysis allows designing environment monitoring tools based on ZigBee and WiFi where WSN and smartphones cooperate, providing rich and customized monitoring information to users in a friendly manner. The impact of topology as well as morphology of the environment is assessed by means of an in-house developed 3D Ray Launching code, to emulate the realistic operation in the framework of the scenario. Experimental results gathered from a measurement campaign conducted by deploying a ZigBee Wireless Sensor Network, are analyzed and compared with simulations in this paper. The scenario where this network is intended to operate is a combination of buildings and diverse vegetation species. To gain insight in the effects of radio propagation, a simplified vegetation model has been developed, considering the material parameters and simplified geometry embedded in the simulation scenario. An initial location-based application has been implemented in a real scenario, to test the functionality within a context aware scenario. The use of deterministic tools can aid to know the impact of the topological influence in the deployment of the optimal Wireless Sensor Network in terms of capacity, coverage and energy consumption, making the use of these systems attractive for multiple applications in inhomogeneous vegetation environments.

  19. Analysis of Radio Wave Propagation for ISM 2.4 GHz Wireless Sensor Networks in Inhomogeneous Vegetation Environments

    Directory of Open Access Journals (Sweden)

    Leire Azpilicueta

    2014-12-01

    Full Text Available The use of wireless networks has experienced exponential growth due to the improvements in terms of battery life and low consumption of the devices. However, it is compulsory to conduct previous radio propagation analysis when deploying a wireless sensor network. These studies are necessary to perform an estimation of the range coverage, in order to optimize the distance between devices in an actual network deployment. In this work, the radio channel characterization for ISM 2.4 GHz Wireless Sensor Networks (WSNs in an inhomogeneous vegetation environment has been analyzed. This analysis allows designing environment monitoring tools based on ZigBee and WiFi where WSN and smartphones cooperate, providing rich and customized monitoring information to users in a friendly manner. The impact of topology as well as morphology of the environment is assessed by means of an in-house developed 3D Ray Launching code, to emulate the realistic operation in the framework of the scenario. Experimental results gathered from a measurement campaign conducted by deploying a ZigBee Wireless Sensor Network, are analyzed and compared with simulations in this paper. The scenario where this network is intended to operate is a combination of buildings and diverse vegetation species. To gain insight in the effects of radio propagation, a simplified vegetation model has been developed, considering the material parameters and simplified geometry embedded in the simulation scenario. An initial location-based application has been implemented in a real scenario, to test the functionality within a context aware scenario. The use of deterministic tools can aid to know the impact of the topological influence in the deployment of the optimal Wireless Sensor Network in terms of capacity, coverage and energy consumption, making the use of these systems attractive for multiple applications in inhomogeneous vegetation environments.

  20. Design of Detection Engine for Wormhole Attack in Adhoc Network Environment

    OpenAIRE

    Husain Shahnawaz; Joshi R.C; Gupta S.C.

    2012-01-01

    Adhoc network is a collection of nodes that are capable to form dynamically atemporary network without the support of any centralized fixed infrastructure. There is no central controller to determine the reliable & secure communication paths in Mobile Adhoc network. Each node in the Adhoc network has to rely on each other in order to forward packets, thus highly cooperative nodes are required to ensure that the initiated data transmission process does not fail. In a mobile Adhoc network (MANE...

  1. Leadership strategies in healthcare.

    Science.gov (United States)

    Menaker, Ronald

    2009-01-01

    Healthcare is one of the largest and most important industries in the United States because it affects every individual in the nation. Numerous parties are stakeholders in healthcare, which contributes to the complexity of change efforts. Physicians and administrators play a significant role by providing direct care and influencing other decisions that impact the delivery of patient care. Success in the healthcare industry is influenced by numerous factors, some of which are controllable and others that are not. Understanding leadership and change management will be increasingly important to overcome resistance to change and to improve relationships, the core of leadership in an environment that will become more challenging. In what follows, different approaches to understanding leadership and change management are presented along with other leadership strategies to enhance the effectiveness of leaders. Raising leader awareness regarding transformational leadership behaviors and developing strategies to increase the use of these behaviors may be helpful to enhance organizational performance.

  2. Health Status and Social Networks as Predictors of Resilience in Older Adults Residing in Rural and Remote Environments

    Directory of Open Access Journals (Sweden)

    Christine McKibbin

    2016-01-01

    Full Text Available Purpose. Health status and social networks are associated with resilience among older adults. Each of these factors may be important to the ability of adults to remain in rural and remote communities as they age. We examined the association of health status and social networks and resilience among older adults dwelling in a rural and remote county in the Western United States. Methods. We selected a random sample of 198 registered voters aged 65 years or older from a frontier Wyoming county. Hierarchical linear regression was used to examine the association of health status as well as social networks and resilience. We also examined health status as a moderator of the relationship between social networks and resilience. Results. Family networks (p=0.024 and mental health status (p<0.001 significantly predicted resilience. Mental health status moderated the relationship of family (p=0.004 and friend (p=0.021 networks with resilience. Smaller family and friend networks were associated with greater resilience when mental health status was low, but not when it was high. Conclusion. Efforts to increase mental health status may improve resilience among older adults in rural environments, particularly for those with smaller family and friends networks.

  3. Organization development in the healthcare setting.

    Science.gov (United States)

    McClure, L

    1985-01-01

    Organization development (OD) is useful in the corporate setting, and it can successfully be applied to the healthcare environment if it undergoes certain changes. OD processes must became more prescriptive, develop management-oriented methods, use structure-oriented interventions, and generally adapt to the healthcare setting. This article illustrates how healthcare organizations can benefit from new versions of OD.

  4. Digital Earth Watch And Picture Post Network: Measuring The Environment Through Digital Images

    Science.gov (United States)

    Schloss, A. L.; Beaudry, J.; Carrera, F.; Pickle, J.

    2010-12-01

    Digital Earth Watch (DEW) involves individuals, schools, organizations and communities in a systematic monitoring project of their local environment, especially vegetation health. The program offers people the means to join the Picture Post network and to study and analyze their own findings using DEW software. A Picture Post is an easy-to-use and inexpensive platform for repeatedly taking digital photographs as a standardized set of images of the entire 360 ° landscape, which then can be shared over the Internet on the Picture Post website. This simple concept has the potential to create a wealth of information and data on changing environmental conditions, which is important for a society grappling with the effects of environmental change. Picture Post participants study change over time in their local area, compare digital images with NASA satellite imagery and contribute towards improving their own communities. A key message in DEW is that although plants are dynamic and respond continuously to their environment, they do so either on a time-scale that most people don't notice or with a subtlety our senses can't detect. DEW has created simple tools for monitoring vegetation as a means towards understanding the connection between global climate change and local effects. Picture Posts may be added by anyone interested in monitoring a particular location. The value of a Picture Post is in the commitment of participants to take repeated photographs - monthly, weekly, or even daily - to build up a long-term record over many years. DEW is being developed by a collaborative effort led by the University of New Hampshire with the Federation of Earth Science Information Partners, the University of Southern Maine, and Worcester Polytechnic Institute. This poster will show examples of picture posts and data that can be collected and will describe our soon-to-be-released “ virtual ” picture post cell phone app. The Picture Post network is new and we invite individuals

  5. Extended QoS modelling based on multi-application environment in network on chip

    Science.gov (United States)

    Saadaoui, Abdelkader; Nasri, Salem

    2015-01-01

    Until now, there is no standard method of the quality of service (QoS) measurement and fewer techniques have been used to provide its definition. Therefore, researchers are looking for a projection of QoS on quantifiable space, since it is qualitative, subjective and not measurable. However, a few tentatives have studied QoS parameter estimation. Many applications in network on chip (NoC) present variable QoS parameters such as packet loss rate (PLR), end-to-end delay (EED) and throughput (Thp). However, there are a few papers that have developed different methods to modelise QoS in NoC. Their QoS presentation does not provide a multi-application parameter arbiter. Independently of the approach used, an important challenge associated with QoS provision is the development of an efficient and flexible way to monitor QoS. The originality of our approach is based on a proposition of a QoS-intellectual property module in NoC architecture to improve network performances. We implement an extended approach of QoS metrics modelling for NoC on multi-parameter and multi-application environment. The QoS metrics model is based on QoS parameters such as PLR, EED and Thp for different applications. To validate this work, a dynamic routing simulation for 4 × 4 mesh NoC behaviour under three different applications, namely transmission control protocol, variable bit rate and constant bit rate, is considered. To achieve an ideal network behaviour, load balancing on NoC with multiple concurrent applications is improved using QoS metrics measurement based on dynamic routing. The results have shown that extended QoS modelling approach is easy and cheap to implement in hardware-software quantifiable representation. Thus, implementing a quantifiable representation of QoS can be used to provide a NoC services arbiter. QoS arbiter interacts with other routers to ensure flit flow and QoS modelling to provide a QoS value.

  6. A Comparative Study on Cooperative Learning in Multimedia and Network Environment Used by English Majors between China Mainland and Taiwan

    Science.gov (United States)

    Xue, Gong; Lingling, Liu

    2018-01-01

    This paper first based on the theory of cooperative learning research. It analyses the characteristics and advantages of cooperative learning under the multimedia network environment. And then take China Three Gorges University and Taiwan I-Shou University English major students for example, using questionnaires and interviews to investigate the…

  7. Using Social Networking Environments to Support Collaborative Learning in a Chinese University Class: Interaction Pattern and Influencing Factors

    Science.gov (United States)

    Lu, Jie; Churchill, Daniel

    2014-01-01

    This paper reports a study that investigated the social interaction pattern of collaborative learning and the factors affecting the effectiveness of collaborative learning in a social networking environment (SNE). A class of 55 undergraduate students enrolled in an elective course at a Chinese university was recruited for the study. The…

  8. Cross-Cultural Collisions in Cyberspace: Case Studies of International Legal Issues for Educators Working in Globally Networked Learning Environments

    Science.gov (United States)

    Rife, Martine Courant

    2010-01-01

    This article explores some of the legal and law-related challenges educators face in designing, implementing, and sustaining globally networked learning environments (GNLEs) in the context of conflicting international laws on intellectual property and censorship/free speech. By discussing cases and areas involving such legal issues, the article…

  9. Principals' Perceptions of Social Networking Access, Its Relationship to Cyberbullying, the Importance of Student Achievement, and the School Environment

    Science.gov (United States)

    Townsel, Andrae

    2015-01-01

    The purpose of this study was to examine the principals' perceptions of social networking access and its relationship to cyberbullying, the importance of student achievement, and the school environment across the United States. This research provides some evidence on how principals perceive and understand the threat of cyberbullying and its…

  10. Exploiting Deep Neural Networks and Head Movements for Robust Binaural Localization of Multiple Sources in Reverberant Environments

    DEFF Research Database (Denmark)

    Ma, Ning; May, Tobias; Brown, Guy J.

    2017-01-01

    This paper presents a novel machine-hearing system that exploits deep neural networks (DNNs) and head movements for robust binaural localization of multiple sources in reverberant environments. DNNs are used to learn the relationship between the source azimuth and binaural cues, consisting...

  11. Healthcare IT and Patient Empowerment

    DEFF Research Database (Denmark)

    Danholt, Peter; Bødker, Keld; Hertzum, Morten

    2004-01-01

    Technology Studies (STS), we address the question of designing IT support for communication and coordination among the heterogeneous network of actors involved in contemporary healthcare work. The paper reports work in progress from a diabetes outpatient clinic at a large Danish hospital. The treatment......This short paper outlines a recently initiated research project that concerns healthcare information systems and patient empowerment. Drawing on various theoretical backgrounds, Participatory Design (PD), Computer Supported Cooperative Work (CSCW), Computer Mediated Communication (CMC), and Science...

  12. Feasibility of a Networked Air Traffic Infrastructure Validation Environment for Advanced NextGen Concepts

    Science.gov (United States)

    McCormack, Michael J.; Gibson, Alec K.; Dennis, Noah E.; Underwood, Matthew C.; Miller,Lana B.; Ballin, Mark G.

    2013-01-01

    Abstract-Next Generation Air Transportation System (NextGen) applications reliant upon aircraft data links such as Automatic Dependent Surveillance-Broadcast (ADS-B) offer a sweeping modernization of the National Airspace System (NAS), but the aviation stakeholder community has not yet established a positive business case for equipage and message content standards remain in flux. It is necessary to transition promising Air Traffic Management (ATM) Concepts of Operations (ConOps) from simulation environments to full-scale flight tests in order to validate user benefits and solidify message standards. However, flight tests are prohibitively expensive and message standards for Commercial-off-the-Shelf (COTS) systems cannot support many advanced ConOps. It is therefore proposed to simulate future aircraft surveillance and communications equipage and employ an existing commercial data link to exchange data during dedicated flight tests. This capability, referred to as the Networked Air Traffic Infrastructure Validation Environment (NATIVE), would emulate aircraft data links such as ADS-B using in-flight Internet and easily-installed test equipment. By utilizing low-cost equipment that is easy to install and certify for testing, advanced ATM ConOps can be validated, message content standards can be solidified, and new standards can be established through full-scale flight trials without necessary or expensive equipage or extensive flight test preparation. This paper presents results of a feasibility study of the NATIVE concept. To determine requirements, six NATIVE design configurations were developed for two NASA ConOps that rely on ADS-B. The performance characteristics of three existing in-flight Internet services were investigated to determine whether performance is adequate to support the concept. Next, a study of requisite hardware and software was conducted to examine whether and how the NATIVE concept might be realized. Finally, to determine a business case

  13. Healthcare teams over the Internet: towards a certificate-based approach.

    Science.gov (United States)

    Georgiadis, Christos K; Mavridis, Ioannis K; Pangalos, George I

    2002-01-01

    Healthcare environments are a representative case of collaborative environments since individuals (e.g. doctors) in many cases collaborate in order to provide care to patients in a more proficient way. At the same time modem healthcare institutions are increasingly interested in sharing access of their information resources in the networked environment. Healthcare applications over the Internet offer an attractive communication infrastructure at worldwide level but with a noticeably great factor of risk. Security has therefore become a major concern for healthcare applications over the Internet. However, although an adequate level of security can be relied upon digital certificates, if an appropriate security policy is used, additional security considerations are needed in order to deal efficiently with the above team-work concerns. The already known Hybrid Access Control security model supports and handles efficiently healthcare teams with active security capabilities and is capable to exploit the benefits of certificate technology. In this paper we present the way for encoding the appropriate authoritative information in various types of certificates, as well as the overall operational architecture of the implemented access control system for healthcare collaborative environments over the Internet. A pilot implementation of the proposed methodology in a major Greek hospital has shown the applicability of the proposals and the flexibility of the access control provided.

  14. Improved glycemic control in veterans with poorly controlled diabetes mellitus using a Specialty Care Access Network-Extension for Community Healthcare Outcomes model at primary care clinics.

    Science.gov (United States)

    Watts, Sharon A; Roush, Laura; Julius, Mary; Sood, Ajay

    2016-06-01

    An increasing number of patients with diabetes mellitus has created a need for innovative delivery of specialized care not only by diabetes specialists but also by primary care providers (PCPs) as well. A potential avenue to address this need is training of PCPs by specialists via telehealth. The Veteran Affairs (VA) Specialty Care Access Network-Extension for Community Healthcare Outcomes (SCAN-ECHO) program includes education and case-based learning for PCPs by a multidisciplinary specialty team utilizing videoconferencing technology. Two PCPs completed a year of SCAN-ECHO diabetes training. These two PCPs set up "diabetes mini-clinics" to treat difficult-to-control high-risk patients with diabetes mellitus from their own panel and from their colleagues in the same community-based outpatient clinic (CBOC). We utilized a retrospective program evaluation by t-test using pre/post glycated hemoglobin (HbA1c) lab values after being seen by the two PCPs. A total of 39 patients, all with HbA1c > 9.0%, were seen in the two PCP mini-clinics over 15 months. The mean HbA1c improved from 10.2 ± 1.4% to 8.4 ± 1.8% (p Care of veteran patients with poorly controlled diabetes by PCPs who participated in SCAN-ECHO program leads to improvement in glycemic control. This model of health care delivery can be effective in remote or rural areas with limited availability of specialists. © The Author(s) 2015.

  15. Evaluating application of the National Healthcare Safety Network central line-associated bloodstream infection surveillance definition: a survey of pediatric intensive care and hematology/oncology units.

    Science.gov (United States)

    Gaur, Aditya H; Miller, Marlene R; Gao, Cuilan; Rosenberg, Carol; Morrell, Gloria C; Coffin, Susan E; Huskins, W Charles

    2013-07-01

    To evaluate the application of the National Healthcare Safety Network (NHSN) central line-associated bloodstream infection (CLABSI) definition in pediatric intensive care units (PICUs) and pediatric hematology/oncology units (PHOUs) participating in a multicenter quality improvement collaborative to reduce CLABSIs; to identify sources of variability in the application of the definition. Online survey using 18 standardized case scenarios. Each described a positive blood culture in a patient and required a yes- or-no answer to the question "Is this a CLABSI?" NHSN staff responses were the reference standard. Sixty-five US PICUs and PHOUs. Staff who routinely adjudicate CLABSIs using NHSN definitions. Sixty responses were received from 58 (89%) of 65 institutions; 78% of respondents were infection preventionists, infection control officers, or infectious disease physicians. Responses matched those of NHSN staff for 78% of questions. The mean (SE) percentage of concurring answers did not differ for scenarios evaluating application of 1 of the 3 criteria ("known pathogen," 78% [1.7%]; "skin contaminant, >1 year of age," 76% [SE, 2.5%]; "skin contaminant, ≤1 year of age," 81% [3.8%]; [Formula: see text]). The mean percentage of concurring answers was lower for scenarios requiring respondents to determine whether a CLABSI was present or incubating on admission (64% [4.6%]; [Formula: see text]) or to distinguish between primary and secondary bacteremia (65% [2.5%]; [Formula: see text]). The accuracy of application of the CLABSI definition was suboptimal. Efforts to reduce variability in identifying CLABSIs that are present or incubating on admission and in distinguishing primary from secondary bloodstream infection are needed.

  16. Mucosal barrier injury laboratory-confirmed bloodstream infection: results from a field test of a new National Healthcare Safety Network definition.

    Science.gov (United States)

    See, Isaac; Iwamoto, Martha; Allen-Bridson, Kathy; Horan, Teresa; Magill, Shelley S; Thompson, Nicola D

    2013-08-01

    To assess challenges to implementation of a new National Healthcare Safety Network (NHSN) surveillance definition, mucosal barrier injury laboratory-confirmed bloodstream infection (MBI-LCBI). Multicenter field test. Selected locations of acute care hospitals participating in NHSN central line-associated bloodstream infection (CLABSI) surveillance. Hospital staff augmented their CLABSI surveillance for 2 months to incorporate MBI-LCBI: a primary bloodstream infection due to a selected group of organisms in patients with either neutropenia or an allogeneic hematopoietic stem cell transplant with gastrointestinal graft-versus-host disease or diarrhea. Centers for Disease Control and Prevention (CDC) staff reviewed submitted data to verify whether CLABSIs met MBI-LCBI criteria and summarized the descriptive epidemiology of cases reported. Eight cancer, 2 pediatric, and 28 general acute care hospitals including 193 inpatient units (49% oncology/bone marrow transplant [BMT], 21% adult ward, 20% adult critical care, 6% pediatric, 4% step-down) conducted field testing. Among 906 positive blood cultures reviewed, 282 CLABSIs were identified. Of the 103 CLABSIs that also met MBI-LCBI criteria, 100 (97%) were reported from oncology/BMT locations. Agreement between hospital staff and CDC classification of reported CLABSIs as meeting the MBI-LCBI definition was high (90%; κ = 0.82). Most MBI-LCBIs (91%) occurred in patients meeting neutropenia criteria. Some hospitals indicated that their laboratories' methods of reporting cell counts prevented application of neutropenia criteria; revised neutropenia criteria were created using data from field testing. Hospital staff applied the MBI-LCBI definition accurately. Field testing informed modifications for the January 2013 implementation of MBI-LCBI in the NHSN.

  17. Digital Earth Watch And Picture Post Network: Measuring The Environment Through Digital Images

    Science.gov (United States)

    Schloss, A. L.; Beaudry, J.; Pickle, J.; Carrera, F.

    2012-12-01

    Digital Earth Watch (DEW) involves individuals, schools, organizations and communities in a systematic monitoring project of their local environment, especially vegetation health. The program offers people the means to join the Picture Post network and to study and analyze their own findings using DEW software. A Picture Post is an easy-to-use and inexpensive platform for repeatedly taking digital photographs as a standardized set of images of the entire 360° landscape, which then can be shared over the Internet on the Picture Post website. This simple concept has the potential to create a wealth of information and data on changing environmental conditions, which is important for a society grappling with the effects of environmental change. Picture Posts may be added by anyone interested in monitoring a particular location. The value of a Picture Post is in the commitment of participants to take repeated photographs - monthly, weekly, or even daily - to build up a long-term record over many years. This poster will show examples of Picture Post pictures being used for monitoring and research applications, and a DEW mobile app for capturing repeat digital photographs at a virtual post. We invite individuals, schools, informal education centers, groups and communities to join.; A new post and its website. ; Creating a virtual post using the mobile app.

  18. A novel neural network-based technique for smart gas sensors operating in a dynamic environment.

    Science.gov (United States)

    Baha, Hakim; Dibi, Zohir

    2009-01-01

    Thanks to their high sensitivity and low-cost, metal oxide gas sensors (MOX) are widely used in gas detection, although they present well-known problems (lack of selectivity and environmental effects…). We present in this paper a novel neural network- based technique to remedy these problems. The idea is to create intelligent models; the first one, called corrector, can automatically linearize a sensor's response characteristics and eliminate its dependency on the environmental parameters. The corrector's responses are processed with the second intelligent model which has the role of discriminating exactly the detected gas (nature and concentration). The gas sensors used are industrial resistive kind (TGS8xx, by Figaro Engineering). The MATLAB environment is used during the design phase and optimization. The sensor models, the corrector, and the selective model were implemented and tested in the PSPICE simulator. The sensor model accurately expresses the nonlinear character of the response and the dependence on temperature and relative humidity in addition to their gas nature dependency. The corrector linearizes and compensates the sensor's responses. The method discriminates qualitatively and quantitatively between seven gases. The advantage of the method is that it uses a small representative database so we can easily implement the model in an electrical simulator. This method can be extended to other sensors.

  19. Trust-Based Access Control Model from Sociological Approach in Dynamic Online Social Network Environment

    Science.gov (United States)

    Kim, Seungjoo

    2014-01-01

    There has been an explosive increase in the population of the OSN (online social network) in recent years. The OSN provides users with many opportunities to communicate among friends and family. Further, it facilitates developing new relationships with previously unknown people having similar beliefs or interests. However, the OSN can expose users to adverse effects such as privacy breaches, the disclosing of uncontrolled material, and the disseminating of false information. Traditional access control models such as MAC, DAC, and RBAC are applied to the OSN to address these problems. However, these models are not suitable for the dynamic OSN environment because user behavior in the OSN is unpredictable and static access control imposes a burden on the users to change the access control rules individually. We propose a dynamic trust-based access control for the OSN to address the problems of the traditional static access control. Moreover, we provide novel criteria to evaluate trust factors such as sociological approach and evaluate a method to calculate the dynamic trust values. The proposed method can monitor negative behavior and modify access permission levels dynamically to prevent the indiscriminate disclosure of information. PMID:25374943

  20. Wireless Propagation Characteristics for Vehicular Ad–Hoc Networks in Motorway Environments

    Directory of Open Access Journals (Sweden)

    A. Edwards

    2009-10-01

    Full Text Available This paper presents the measurements and analytical results regarding important characteristics of wireless propagation for vehicular ad–hoc networks in motorway environments, including Doppler Effect, Free Space Signal propagation, path loss and system operating margin. In this work, we employ IEEE 802.1 1b wireless cards for inter–vehicular communication to analyze large and small–scale propagation models. According to large–scale models, the maximum distance between the transmitter and receiver vehicle is 446 m using 5 dBi omni–directional antennas. Additionally, the feasible System Operating Margin (SOM of 446 m is greater than 13 dB, which is over the minimum margin recommended. Our results show that the Doppler Effect does not affect the transmission between communication partners at high speeds in small–scale models. Finally, we realize an experiment to validate the results in the worst case scenario, when the transmitter and receiver vehicle are traveling in opposing directions on a straightaway. Results show that at least 8 packets can be relayed when the transmitter and receiver antennas are mountedonautomobile dashboards.