Learning clinical skills during bedside teaching encounters in general practice: a video-observational study with insights from activity theory

Purpose – This paper aims to explore how opportunities for learning clinical skills are negotiated within bedside teaching encounters (BTEs). Bedside teaching, within the medical workplace, is considered essential for helping students develop their clinical skills. Design/methodology/approach – An audio and/or video observational study examining seven general practice BTEs was undertaken. Additionally, audio-recorded, semi-structured interviews were conducted with participants. All data were transcribed. Data analysis comprised Framework Analysis informed by Engeström’s Cultural Historical Activity Theory. Findings – BTEs can be seen to offer many learning opportunities for clinical skills. Learning opportunities are negotiated by the participants in each BTE, with patients, doctors and students playing different roles within and across the BTEs. Tensions emerged within and between nodes and across two activity systems. Research limitations/implications – Negotiation of clinical skills learning opportunities involved shifts in the use of artefacts, roles and rules of participation, which were tacit, dynamic and changing. That learning is constituted in the activity implies that students and teachers cannot be fully prepared for BTEs due to their emergent properties. Engaging doctors, students and patients in refecting on tensions experienced and the factors that infuence judgements in BTEs may be a useful frst step in helping them better manage the roles and responsibilities therein. Originality/value – The paper makes an original contribution to the literature by highlighting the tensions inherent in BTEs and how the negotiation of roles and division of labour whilst juggling two interacting activity systems create or inhibit opportunities for clinical skills learning. This has signifcant implications for how BTEs are conceptualised.

The degree of usability from selected DVD menus and their navigational systems

The purpose of this research is to investigate the usability of DVD interfaces via their menus and navigation, inspired by Donald Norman who has had a pivotal role in user-centred design and usability. The paper encompasses theoretical aspects of interactivity, usability and DVD technology. A usability test was administered with the DVDs chosen. The results from the usability test were the main focus in this research. Such results were supportive of Normanrsquos claims, as participants experienced varying degrees of usability issues. Furthermore, the findings were used to develop a set of guidelines and recommendations designers could follow. If these were adhered to, it would have significantly alleviated the difficulty the participants had in interacting with the DVDs.

A platform for dynamic organization of agents in agent-based systems

In most agent-based systems, different middle agents are employed to increase their flexibility. However, there are still three issues remain unsolved. In centralized architecture with single middle agent, the middle agent itself is a bottleneck and suffers from single point failure; middle agents in distributed architecture lack capability of dynamic organization of agents; The reliability is not strong because of the single point failure and lack of effective architecture. We introduce a platform with ring architectural model to solve all above problems. In the platform, multiple middle agents are dynamically supported for solving the first problem. For solving the second problem, middle agents dynamically manage the registration and cancellation of service provider agents and application teams, each of which includes a set of closely interacting requester agents to complete an independent task. Redundancy middle agent technique is proposed for solving the third problem. All middle agents are of the feature of proliferation and self-cancellation according to the sensory inputs from their environment. For organizing the middle agents effectively, a ring architectural model is proposed. We demonstrate the applicability of the platform by its application and present experimental evidence that the platform is flexible and robust.

Dielectrophoresis for manipulation of micro/nano particles in microfluidic systems

Dielectrophoretic (DEP) force is exerted when a neutral particle is polarized in a non-uniform electric field, and depends on the dielectric properties of the particle and the suspending medium. The integration of DEP and microfluidic systems offers numerous applications for the separation, trapping, assembling, transportation, and characterization of micro/nano particles. This article reviews the applications of DEP forces in microfluidic systems. It presents the theory of dielectrophoresis, different configurations, and the applications of such systems for particle manipulation and device fabrication.

The effect of nano-particle TiO2 fillers on structure and transport in polymer electrolytes

Nano-particle oxide fillers including TiO₂, SiO₂ and Al₂O₃ have previously been shown to have a significant affect on the properties of polymer electrolytes, especially those based on polyether–lithium salt systems. In some cases, conductivity increases of more than one order of magnitude have been reported in crystalline PEO-based complexes. In this work, we report on the effects of TiO₂ on a completely amorphous polyether-based system to remove the complication of multiple phases presented by the semi-crystalline nature of PEO. Multinuclear magnetic resonance spectroscopy has shown that the lithium ion environment is changed by the addition of filler. Vibrational spectroscopy shows that the filler influences the disordered-longitudinal acoustic modes (DLAM) in the case of an amorphous polyether and suggests an interaction between the filler surface and the polymer. Positron annihilation lifetime spectroscopy indicates an increase in free volume upon addition of filler to an amorphous polyether–salt complex, coinciding with an apparent increase in polymer mobility as determined from ¹H T₂ NMR measurements. Impedance spectroscopy has shown clear evidence of an inter-phase region that may be more or less conductive than the bulk polymer electrolyte itself. The data support a model which includes conduction through an interfacial region in addition to the bulk polymer

Adaptive intelligent systems for energy management of vehicles

The thesis demonstrated the architecture of adaptive intelligent systems for energy management that is capable of interacting with complex systems including the vehicle, environment, and driver components, as well as the interrelationships between these variables, to deliver fuel consumption improvements.

Performance of suspended and attached growth MBR systems in treating high strength synthetic wastewater

The performance of laboratory-scale attached growth (AG) and suspended growth (SG) membrane bioreactors (MBRs) was evaluated in treating synthetic wastewater simulating high strength domestic wastewater. This study investigated the influence of sponge suspended carriers in AG-MBR system, occupying 15% reactor volume, on the removal of chemical oxygen demand (COD), total nitrogen (TN) and total phosphorus (TP), and compared it to that of SG-MBR. Results showed that the removal efficiencies of COD, TN and TP in AG-MBR were 98%, 89% and 58%, respectively as compared to 98%, 74% and 38%, respectively in SG-MBR. Improved TN removal in AG-MBR systems was primarily based on simultaneous nitrification and denitrification (SND) process. These results infer that the presence of small bio-particles having higher microbial activity and the growth of complex biomass captured within the suspended sponge carriers resulted in improved TN and TP removal in AG-MBR.

Attack vectors against social networking systems : the Facebook example

Social networking systems (SNS’s) such as Facebook are an ever evolving and developing means of social interaction, which is not only being used to disseminate information to family, friends and colleagues but as a way of meeting and interacting with "strangers" through the advent of a large number of social applications. The attractiveness of such software has meant a dramatic increase in the number of frequent users of SNS’s and the threats which were once common to the Internet have now been magnified, intensified and altered as the potential for criminal behaviour on SNS’s increases. Social networking sites including Facebook contain a vast amount of personal information, that if obtained could be used for other purposes or to carry out other crimes such as identity theft. This paper will focus on the security threats posed to social networking sites and gain an understanding of these risks by using a security approach known as “attack trees”. This will allow for a greater understanding of the complexity associated with protecting Social Networking systems with a particular focus on Facebook.

Airport and air cargo operation systems

Analysis of airport and air cargo operations is commonly performed in isolation, sharing only simple information such as flight schedules. Systems theory and Systems methodology can enhance such analysis by considering all aspects of air operations. It provides the decision-maker with an improved understanding of the implication of policy decisions, resource allocations and infrastructure investment strategies, through the capture of emergent behaviours and interdependencies. For example, the term airport operations, initially reminds us of the thought of passengers being transported by aircraft. Deeper thinking would identify activities that affect passenger operations, such as baggage handling systems, aircraft maintenance, and passenger security. In reality, airport operations consist of numerous aspects, including; concourses, runways, airlines, fuel depots, cargo terminal operators, retail, parking, cleaning, catering and many interacting people including travellers, service providers and visitors. For the airport to function effectively, these numerous systems must work together. This talk will focus on new tools and methodologies that are required for model development and analysis. It will then focus on modelling, simulation and analysis of the airport operations, providing greater understanding of airport operation with an emphasis towards security.

Wind-thermal systems operation optimization considering emission problem

This paper proposes a hybrid computational framework based on Sequential Quadratic Programming (SQP) and Particle Swarm Optimization (PSO) to address the Combined Unit Commitment and Emission (CUCE) problem. By considering a model which includes both thermal generators and wind farms, the proposed hybrid computational framework can minimize the scheduling cost and greenhouse gases emission cost. The viability of the proposed hybrid technique is demonstrated using a set of numerical case studies. Moreover, comparisons are performed with other optimization algorithms. The simulation results show that our hybrid method is better in terms of the speed and accuracy. The main contribution of this paper is the development of a emission unit commitment model integrating with wind energy and combining the SQP and PSO methods to achieve faster and better performance optimization

Maximum power point tracking of partial shaded photovoltaic array using an evolutionary algorithm: a particle swarm optimization technique

 Partial shading is one of the unavoidable complications in the field of solar power generation. Although the most common approach in increasing a photovoltaic (PV) array’s efficiency has always been to introduce a bypass diode to the said array, this poses another problem in the form of multi-peaks curves whenever the modules are partially shaded. To further complicate matters, most conventional Maximum Power Point Tracking methods develop errors under certain circumstances (for example, they detect the local Maximum Power Point (MPP) instead of the global MPP) and reduce the efficiency of PV systems even further. Presently, much research has been undertaken to improve upon them. This study aims to employ an evolutionary algorithm technique, also known as particle swarm optimization, in MPP detection. VC 2014 Author(s).

Using iTextbook as an alternate frontend to learning management systems

Learning management systems (LMS) have been a popular tool for delivery of learning content as well as the management of learners and courses. In recent years, the ubiquity of mobile devices such as smartphones and tablets has seen the increased popularity of using them to consume eBooks. While the LMS is popular among administrators, accessing content on mobile devices appear to be the preference of our learners. Furthermore, there are reports on a number of shortcomings with learners using the LMS, e.g., the experience of using LMSes on mobile devices falling short and learners are less engaged interacting with the LMS than with their mobile devices, etc. In this paper, we investigate the idea of using eBooks as an alternative frontend for learners to interact with the LMS. A proof of concept eBook was developed for a data management course to showcase how content on the LMS can be deployed via the eBook interface while connecting our learners to the LMS for learning management. We find that this approach delivers a rich and immersive experience to our learners, as they would expect from their devices. The outcomes also gave us food for thought regarding how LMSes may evolve in the future.

A robust adaptive hybrid force/position control scheme of two planar manipulators handling an unknown object interacting with an environment

This paper presents a robust hybrid force/position control scheme of two cooperative manipulators handling an unknown object interacting with an unknown environment. The uncertainty of the object is considered in the weight, length, and the position of centre of mass (COM). The environment is assumed to have an unknown but high stiffness. A hybrid force/position control algorithm is designed for the known system and environment case. The exponential convergence of the position and the interaction force with the environment is proved using the Lyapunov direct method. Similarly, in the unknown object and environment case, and in the presence of bounded disturbances on the robots and the object, an adaptive sliding mode hybrid force/position control scheme is designed. The asymptotic convergence of the object's position and the constraint force is guaranteed using the proposed control methodology. The internal forces and moments between the object and robots are controlled independently of the object's motion and environmental interaction forces. Simulation results confirm the performance and effectiveness of the suggested control methodologies.