Ten Australian ICU nurses` perceptions of organisational restructuring

The Australian healthcare system underwent radical reform in the 1990s as economic rationalist policies were embraced. As a result, there was significant organisational restructuring within hospitals. Traditional indicators, such as nursing absenteeism and attrition, increase during times of organisational change. Despite this, nurses' views of healthcare reform are under-represented in the literature and little is known about the impact of organisational restructuring on perceived performance. This study investigated the perceived impact of organisational restructuring on a group of intensive care unit (ICU) nurses' workplace performance. It employed a qualitative approach to collect data from a purposive sample of clinical nurses. The primary method of data collection was semi-structured interviews. Content analysis generated three categories of data. Participants identified constant pressure, inadequate communication and organisational components of restructuring within the hospital as issues that had a significant impact on their workplace performance. They perceived organisational restructuring was poorly communicated, and this resulted in an environment of constant pressure. Organisational components of restructuring included the subcategories of specialised service provision and an alternative administrative structure that had both positive and negative ramifications for performance.
To date, there has been little investigation of nurses' perceptions of organisational restructure or the impact this type of change has in the clinical domain. Participants in this study believed reorganisation was detrimental to quality care delivery in intensive care, as a result of fiscal constraint, inadequate communication and pressure that influenced their workplace performance.

Chromatic and luminance losses with multiple sclerosis and optic neuritis measured using dynamic random luminance contrast noise

We measured thresholds for detecting changes in colour and in luminance contrast in observers with multiple sclerosis (MS) and/or optic neuritis (ON) to determine whether reduced sensitivity occurs principally in red-green or blue-yellow second-stage chromatic channels or in an achromatic channel. Colour thresholds for the observers with MS/ON were higher in the red-green direction than in the blue-yellow direction, indicating greater levels of red-green loss than blue-yellow loss. Achromatic thresholds were raised less than either red-green or blue-yellow thresholds, showing less luminance-contrast loss than chromatic loss. With the MS/ON observers, blue-yellow and red-green thresholds were positively correlated but increasing impairment was associated with more rapid changes in red-green thresholds than blue-yellow thresholds. These findings indicate that demyelinating disease selectively reduces sensitivity to colour vision over luminance vision and red-green colours over blue-yellow colours.

Assessing the reliability of the sedation-agitation scale between nurses and doctors in a New Zealand ICU

The aim of the study was to determine whether nurses and doctors rate “real world” intensive care unit (ICU) patients similarly using the Sedation–Agitation Scale (SAS) in a generalist ICU context outside USA

Robust filtering for uncertain discrete-time systems with uncertain noise covariance and uncertain observations

The use of Kalman filtering is very common in state estimation problems. The problem with Kalman filters is that they require full prior knowledge about the system modeling. It is also assumed that all the observations are fully received. In real applications, the previous assumptions are not true all the time. It is hard to obtain the exact system model and the observations may be lost due to communication problems. In this paper, we consider the design of a robust Kalman filter for systems subject to uncertainties in the state and white noise covariances. The systems under consideration suffer from random interruptions in the measurements process. An upper bound for the estimation error covariance is proposed. The proposed upper bound is further minimized by selection of optimal filter parameters. Simulation example shows the effectiveness of the proposed filter.

Imagery cultivation vs. noise reduction : shamanic-like journeying as a psi-conducive alternative to the Ganzfeld protocol

Historically, psi effects have been linked to altered states of consciousness (ASCs; Bem and Honorton, 1994). In this context, arguably the most widely used technique is the Ganzfeld. However, in recent times, scholars (e.g., Alvarado, 1998; Braud, 2005; Scimeca, Boca, and Iannuzzo, 2001) have formulated cogent arguments that cast doubt on whether the Ganzfeld is, in fact, an ASC that is psi-conducive. Consequently, it may prove prudent to investigate other conditions that induce ostensible ASCs that are purportedly psi-conducive, and it would be wise to get feedback from test participants in these states. In this theoretical paper, we propose that psi effects may be enhanced (i.e., strengthened) using a shamanic-like treatment. On that basis, we argue that parapsychologists must go beyond the assumption that psi effects are optimised under conditions that are inherently passive procedures, and foster techniques that require cognitive action from test participants.

Ecologically sustainable noise barrier – further developments

This paper reports on the second phase of a research project aimed at the development of an environmentally friendly noise barrier for urban freeways, also known as KMAK (Krezel and McManus, 2007). The concrete barrier, which has some unique capabilities to mitigate transportation noise, is made from recycled concrete (RC) aggregate and industrial by-products such as fly ash and reclaimed water. The current developmental work expands on a research project that resulted in a two-layer (2L) concrete barrier. Two prototypes of the 2L barrier were produced, followed by extensive acoustic testing and a number of simulations where standard timber and/or concrete barriers were substituted with KMAK barrier (Krezel et al, 2004). Current research investigates a variety of architectural finishes applied to the original KMAK barrier with the aim of improving its visual appearance and also fine-tuning its acoustic performance. The new three-layer (3L) barrier optimises sound absorption in a frequency range characteristic to that of transportation noise, especially road traffic noise. Three major aspects related to the development of architectural finishes were considered; environmentally responsible materials, surface features and production methods. The light-weight material used in the architectural finish is based on ordinary Portland cement (OPC) and uses very fine fraction of RC aggregate. The manufacturing process of the 3L barrier was tested in a commercial setting and two sets of prototype barrier were cast. An innovative, cost effective method of applying pattern and perforation to the surface of architectural finish was also developed and tested. The findings of the current investigation demonstrate that there is a positive correlation between surface features, percentage of perforation as well as depth of the architectural layer and increased potential of the 3L barrier to mitigate transportation noise. On average, the addition of perforated architectural finish contributes to 20% increase in sound absorption. The preliminary results also show that the sound absorbency of the 3L barrier can be better controlled and tuned to specific noise frequency. The visual appearance has been significantly improved with the addition of the architectural finish, which makes the barrier an attractive, feasible and viable alternative to road barriers made from standard concrete or timber.

Environmentally friendly sound absorbing noise barrier made from concrete waste - further developments

This paper reports on the second phase of a research project aimed at the development of an environmentally friendly noise barrier for urban freeways, also known as KMAK [1]. The concrete barrier, which has some unique capabilities to mitigate transportation noise, is made from recycled concrete (RC) aggregate and industrial by-products such as fly ash and reclaimed water. The current developmental work expands on a research project that resulted in a two-layer (2L) concrete barrier. Two prototypes of the 2L barrier were produced, followed by extensive acoustic testing and a number of simulations where standard timber and/or concrete barriers were substituted with KMAK barrier [2]. Current research investigates a variety of architectural finishes applied to the original KMAK barrier with the aim of improving its visual appearance and also fine-tuning its acoustic performance. The new three-layer (3L) barrier optimizes sound absorption in a frequency range characteristic similar to that of transportation noise, especially road traffic noise. Three major aspects related to the development of architectural finishes were considered; environmentally responsible materials, surface features, and production methods. The findings of the current investigation demonstrate that there is a positive correlation between surface features, percentage of perforation as well as depth of the architectural layer, and increased potential of the 3L barrier to mitigate transportation noise. On average, the addition of perforated architectural finish contributes to a 20% increase in sound absorption. The preliminary results also show that the sound absorbency of the 3L barrier can be better controlled and tuned to specific noise frequency than the 2L type. The visual appearance has been significantly improved with the addition of the architectural finish, which makes the barrier an attractive, feasible, and viable alternative to road barriers made from standard concrete or timber.

Improved image recovery from compressed data contaminated with impulsive noise

Compressed sensing (CS) is a new information sampling theory for acquiring sparse or compressible data with much fewer measurements than those otherwise required by the Nyquist/Shannon counterpart. This is particularly important for some imaging applications such as magnetic resonance imaging or in astronomy. However, in the existing CS formulation, the use of the â„“ 2 norm on the residuals is not particularly efficient when the noise is impulsive. This could lead to an increase in the upper bound of the recovery error. To address this problem, we consider a robust formulation for CS to suppress outliers in the residuals. We propose an iterative algorithm for solving the robust CS problem that exploits the power of existing CS solvers. We also show that the upper bound on the recovery error in the case of non-Gaussian noise is reduced and then demonstrate the efficacy of the method through numerical studies.

Effect of noise factors in energy management of series plug-in hybrid electric vehicles

It has been demonstrated that charge depletion (CD) energy management strategies are more efficient choices for energy management of plug-in hybrid electric vehicles (PHEVs). The knowledge of drive cycle as a priori can improve the performance of CD energy management in PHEVs. However, there are many noise factors which affect both drivetrain power demand and vehicle performance even in identical drive cycles. In this research, the effect of each noise factor is investigated by introducing the concept of power cycle instead of drive cycle for a journey. Based on the nature of the noise factors, a practical solution for developing a power-cycle library is introduced. Investigating the predicted power cycle, an energy management strategy is developed which considers the influence of temperature noise factor on engine performance. The effect of different environmental and geographic conditions, driver behavior, aging of battery and other components are considered. Simulation results for a modelled series PHEV similar to GM Volt show that the suggested energy management strategy based on the driver power cycle library improves both vehicle fuel economy and battery health by reducing battery load and temperature.