Effects of low- versus high-fidelity simulations on the cognitive burden and performance of entry-level paramedicine students: a mixed-methods comparison trial using eye-tracking, continuous heart rate, difficulty rating scales, video observation and inte

INTRODUCTION: High-fidelity simulation-based training is often avoided for early-stage students because of the assumption that while practicing newly learned skills, they are ill suited to processing multiple demands, which can lead to "cognitive overload" and poorer learning outcomes. We tested this assumption using a mixed-methods experimental design manipulating psychological immersion. METHODS: Thirty-nine randomly assigned first-year paramedicine students completed low- or high-environmental fidelity simulations [low-environmental fidelity simulations (LFenS) vs. high-environmental fidelity simulation (HFenS)] involving a manikin with obstructed airway (SimMan3G). Psychological immersion and cognitive burden were determined via continuous heart rate, eye tracking, self-report questionnaire (National Aeronautics and Space Administration Task Load Index), independent observation, and postsimulation interviews. Performance was assessed by successful location of obstruction and time-to-termination. RESULTS: Eye tracking confirmed that students attended to multiple, concurrent stimuli in HFenS and interviews consistently suggested that they experienced greater psychological immersion and cognitive burden than their LFenS counterparts. This was confirmed by significantly higher mean heart rate (P < 0.001) and National Aeronautics and Space Administration Task Load Index mental demand (P < 0.05). Although group allocation did not influence the proportion of students who ultimately revived the patient (58% vs. 30%, P < 0.10), the HFenS students did so significantly more quickly (P < 0.01). The LFenS students had low immersion resulting in greater assessment anxiety. CONCLUSIONS: High-environmental fidelity simulation engendered immersion and a sense of urgency in students, whereas LFenS created assessment anxiety and slower performance. We conclude that once early-stage students have learned the basics of a clinical skill, throwing them in the "deep end" of high-fidelity simulation creates significant additional cognitive burden but this has considerable educational merit.

Asymptotic throughput capacity analysis of VANETs exploiting mobility diversity

Vehicular ad hoc networks (VANETs) rely on intervehicle relay to extend the communication range of individual vehicles for message transmissions to roadside units (RSUs). With the presence of a large number of quickly moving vehicles in the network, the end-to-end transmission performance from individual vehicles to RSUs through intervehicle relaying is, however, highly unreliable due to the violative intervehicle connectivity. As an effort toward this issue, this paper develops an efficient message routing scheme that can maximize the message delivery throughput from vehicles to RSUs. Specifically, we first develop a mathematical framework to analyze the asymptotic throughput scaling of VANETs. We demonstrate that in an urban-like layout, the achievable uplink throughput per vehicle from vehicle to RSUs scales as Θ(1/ log n) when the number of RSUs scales as Θ(n/log n) with n denoting vehicle population. By noting that the network throughput is bottlenecked by the unbalanced data traffic generated by hotspots of realistic urban areas, which may overload the RSUs nearby, a novel packet-forwarding scheme is proposed to approach the optimal network throughput by exploiting the mobility diversity of vehicles to balance the data traffic across the network. Using extensive simulations based on realistic traffic traces, we demonstrate that the proposed scheme can improve the network throughput approaching the asymptotic throughput capacity.

Personalized recommendation on multi-layer context graph

Recommender systems have been successfully dealing with the problem of information overload. A considerable amount of research has been conducted on recommender systems, but most existing approaches only focus on user and item dimensions and neglect any additional contextual information, such as time and location. In this paper, we propose a Multi-Layer Context Graph (MLCG) model which incorporates a variety of contextual information into a recommendation process and models the interactions between users and items for better recommendation. Moreover, we provide a new ranking algorithm based on Personalized PageRank for recommendation in MLCG, which captures users' preferences and current situations. The experiments on two real-world datasets demonstrate the effectiveness of our approach.

Movement-based incentive for cellular traffic offloading through D2D communications

Due to the various applications for smartphones, mobile data traffic is growing at an unprecedented rate. The cellular network is suffering from traffic overloaded currently. Offloading part of the cellular traffic through opportunistic contact between mobile devices is a promising solution to solve the overload problem. However, due to the uneven distribution of devices and regular mobility of smartphone users, the contacts between mobile devices are opportunistic, the cellular traffic offloading approach results in poor performance, i.e., the relay user contacts with other mobile users with small probability. In this paper, we are the first to propose a movement-based incentive mechanism for cellular traffic offloading, where we control the mobility of relay users to improve the performance of traffic offloading. The movement-based incentive mechanism contains a relay user selection algorithm and a payment determination algorithm. Comparing with existing solutions, our proposed movement-based incentive mechanism has better performance.