On-call work: to sleep or not to sleep? It depends

On-call working time arrangements are increasingly common, involve work only in the event of an unpredictable incident and exist primarily outside of standard hours. Like other non-standard working time arrangements, on-call work disrupts sleep and can therefore have negative effects on health, safety and performance. Unlike other non-standard working time arrangements, on-call work often allows sleep opportunities between calls. Any sleep obtained during on-call periods will be beneficial for waking performance. However, there is evidence that sleep while on call may be of substantially reduced restorative value because of the expectation of receiving the call and apprehension about missing the call. In turn, waking from sleep to respond to a call may be associated with temporary increases in performance impairment. This is dependent on characteristics of both the preceding sleep, the tasks required upon waking and the availability and utility of any countermeasures to support the transition from sleep to wake. In this paper, we critically evaluate the evidence both for and against sleeping during on-call periods and conclude that some sleep, even if it is of reduced quality and broken by repeated calls, is a good strategy. We also note, however, that organisations utilising on-call working time arrangements need to systematically manage the likelihood that on-call sleep can be associated with temporary performance impairments upon waking. Given that the majority of work in this area has been laboratory-based, there is a significant need for field-based investigations of the magnitude of sleep inertia, in addition to the utility of sleep inertia countermeasures. Field studies should include working with subject matter experts to identify the real-world impacts of changes in performance associated with sleeping, or not sleeping, whilst on call.

The effect of working on-call on stress physiology and sleep: a systematic review

On-call work is becoming an increasingly common work pattern, yet the human impacts of this type of work are not well established. Given the likelihood of calls to occur outside regular work hours, it is important to consider the potential impact of working on-call on stress physiology and sleep. The aims of this review were to collate and evaluate evidence on the effects of working on-call from home on stress physiology and sleep. A systematic search of Ebsco Host, Embase, Web of Science, Scopus and ScienceDirect was conducted. Search terms included: on-call, on call, standby, sleep, cortisol, heart rate, adrenaline, noradrenaline, nor-adrenaline, epinephrine, norepinephrine, nor-epinephrine, salivary alpha amylase and alpha amylase. Eight studies met the inclusion criteria, with only one study investigating the effect of working on-call from home on stress physiology. All eight studies investigated the effect of working on-call from home on sleep. Working on-call from home appears to adversely affect sleep quantity, and in most cases, sleep quality. However, studies did not differentiate between night's on-call from home with and without calls. Data examining the effect of working on-call from home on stress physiology were not sufficient to draw meaningful conclusions.

Improving call bell response times

Aim: To explore and compare call bell response times in two wards in a geriatric evaluation and management facility before and after the introduction of a suite of interventions aimed at decreasing patient falls. Method: Data on call bell response times were collected over two periods. The first were before implementation of falls prevention initiatives. Data were retrieved from the call bell system that detailed the time taken to respond to every call bell activation. A second period of data collection was conducted six months after implementation of the initiatives. Results: Prioritising call bell response and raising staff awareness improved response to patient calls. There was a slight decrease in falls although call bell activations did not decrease. Conclusion: Strong leadership is necessary from nurse managers to stress the importance of prompt call bell response. Visual surveillance of high-risk fallers is important as they are generally unable to ring for assistance when required.

Zero-day malware detection based on supervised learning algorithms of API call signatures

Zero-day or unknown malware are created using code obfuscation techniques that can modify the parent code to produce offspring copies which have the same functionality but with different signatures. Current techniques reported in literature lack the capability of detecting zero-day malware with the required accuracy and efficiency. In this paper, we have proposed and evaluated a novel method of employing several data mining techniques to detect and classify zero-day malware with high levels of accuracy and efficiency based on the frequency of Windows API calls. This paper describes the methodology employed for the collection of large data sets to train the classifiers, and analyses the performance results of the various data mining algorithms adopted for the study using a fully automated tool developed in this research to conduct the various experimental investigations and evaluation. Through the performance results of these algorithms from our experimental analysis, we are able to evaluate and discuss the advantages of one data mining algorithm over the other for accurately detecting zero-day malware successfully. The data mining framework employed in this research learns through analysing the behavior of existing malicious and benign codes in large datasets. We have employed robust classifiers, namely Naïve Bayes (NB) Algorithm, k−Nearest Neighbor (kNN) Algorithm, Sequential Minimal Optimization (SMO) Algorithm with 4 differents kernels (SMO - Normalized PolyKernel, SMO – PolyKernel, SMO – Puk, and SMO- Radial Basis Function (RBF)), Backpropagation Neural Networks Algorithm, and J48 decision tree and have evaluated their performance. Overall, the automated data mining system implemented for this study has achieved high true positive (TP) rate of more than 98.5%, and low false positive (FP) rate of less than 0.025, which has not been achieved in literature so far. This is much higher than the required commercial acceptance level indicating that our novel technique is a major leap forward in detecting zero-day malware. This paper also offers future directions for researchers in exploring different aspects of obfuscations that are affecting the IT world today.

Australia, Asia and cultural anxiety : inaugural AHA Anniversary Public Lecture, given at the Grand Hotel, Mildura on 29 September (2003).

My theme tonight is the recurrent idea that Australia could be expected to have an Asian future. From the 1880s there developed a speculative literature around the notion that Asia ('generic Asia' as I prefer to call it) would exert an increasing influence, possibly a determining influence, on the development and settlement of the Australian continent. There is a certain pathos about this story of a young, newly formed community on the threshold of nationhood finding Asia blocking its path. Would the ensuing contest be the making of white Australia; would the young nation define its national purpose and assert its right to exist or would it succumb to a force more powerful? Would white Australia become nothing more than a faint historical memory, a failed experiment in the complex and uncertain business of nation building? In short, would white Australia fail?

`Don`t call me sweetie!` patients differ from nurses in their perceptions of caring

Effective nursing care relies on congruent nurse-patient perception of needs. This study used Q methodology to compare nurses' and patients' perceptions of important nursing care behaviour. Q methodology applies statistical analysis to qualitative data through a technique of comparative rating using a forced choice format. The Care Q Sort, comprising fifty statements of nursing behaviour, was administered to nurses and patients from medical wards. Participants ranked the nursing behaviours from most to least important. Analysis was completed on 74 rankings. There was agreement for many behaviours but bimodal distributions for nurses' scores for some statements which may be attributable to different professional levels. An additional open comments section provided an experiential dimension to the research results. The findings will inform nursing practice and patient care planning.

Managing data using neighbor replication on triangular-grid structure

Data is one of the domains in grid research that deals with the storage, replication, and management of large data sets in a distributed environment. The all-data-to-all sites replication scheme such as read-one write-all and tree grid structure (TGS) are the popular techniques being used for replication and management of data in this domain. However, these techniques have its weaknesses in terms of data storage capacity and also data access times due to some number of sites must ‘agree’ in common to execute certain transactions. In this paper, we propose the all-data-to-some-sites scheme called the neighbor replication on triangular grid (NRTG) technique by considering only neighbors have the replicated data, and thus, minimizes the storage capacity as well as high update availability. Also, the technique tolerates failures such as server failures, site failure or even network partitioning using remote procedure call (RPC).

Individual variation in the pup attraction call produced by female Australian fur seals during early lactation

Otariid seals (fur seals and sea lions) are colonial breeders with large numbers of females giving birth on land during a synchronous breeding period. Once pups are born, females alternate between feeding their young ashore and foraging at sea. Upon return, both mother and pup must relocate each other and it is thought to be primarily facilitated by vocal recognition. Vocalizations of thirteen female Australian fur seals (Arctocephalus pusillus doriferus) were recorded during the breeding seasons of December 2000 and 2001, when pups are aged from newborns to one month. The pup attraction call was examined to determine whether females produce individually distinct calls which could be used by pups as a basis for vocal recognition. Potential for individual coding, discriminant function analysis (DFA), and classification and regression tree analysis were used to determine which call features were important in separating individuals. Using the results from all three analyses: F0, MIN F and DUR were considered important in separating individuals. In 76% of cases, the PAC was classified to the correct caller, using DFA, suggesting that there is sufficient stereotypy within individual calls, and sufficient variation between them, to enable vocal recognition by pups of this species.

Image retrieval based on the combination of color and keyword

In this paper, color information and keyword information are combined for image retrieval. In detail, each image is divided into several blocks and then the color histograms of each block are derived. Users could feed back some annotations represented by keywords. Then, the keywords may spread in the image database so that both color-based and keyword-based retrieval could be utilized together. A prototype system shows that the proposed method is effective and efficient in performing image retrieval tasks.