Prevention of indwelling central venous catheter sepsis

In an attempt to decrease the incidence of central venous catheter sepsis in children with cancer, we conducted a study to evaluate the benefit of adding broad-spectrum antibiotics to the catheter "flush solution." In a prospective, placebo-controlled, double-blinded, randomized trial, 69 children with different types of malignancies were studied. The central venous catheters in these children were flushed with either the standard solution (normal saline + 100 U/ml of heparin) or the study solution (25 microgram/ml of both amikacin and vancomycin added to the standard solution). At the conclusion of the study, 64 children with a total of 67 indwelling central venous lines were assessable. The total catheter days on study were 20,700 days, with a median of 323 catheter days per patient. We documented 10 events of catheter-related infections (0.49 events/1,000 catheter days at risk). Five of these events were catheter-related sepsis (0.24 sepses/1,000 catheter days): two were fungal and three were bacterial. Due to the low incidence of catheter-related sepsis in this study, no statement regarding the prophylactic use of antibiotics could be made. The extremely low rate of catheter-related sepsis reported herein may be retrospectively attributed to continuous staff education regarding aseptic techniques in handling these catheters. Staff education is essential, and probably the most effective factor in preventing catheter-related sepsis.     

A modular neural network approach to fault diagnosis

Certain real-world applications present serious challenges to conventional neural-network design procedures. Blindly trying to train huge networks may lead to unsatisfactory results and wrong conclusions about the type of problems that can be tackled using that technology. In this paper a modular solution to power systems alarm handling and fault diagnosis is described that overcomes the limitations of "toy" alternatives constrained to small and fixed-topology electrical networks. In contrast to monolithic diagnosis systems, the neural-network-based approach presented here accomplishes the scalability and dynamic adaptability requirements of the application. Mapping the power grid onto a set of interconnected modules that model the functional behavior of electrical equipment provides the flexibility and speed demanded by the problem. After a preliminary generation of candidate fault locations, competition among hypotheses results in a fully justified diagnosis that may include simultaneous faults. The way in which the neural system is conceived allows for a natural parallel implementation.     

Picbreeder: a case study in collaborative evolutionary exploration of design space

For domains in which fitness is subjective or difficult to express formally, interactive evolutionary computation (IEC) is a natural choice. It is possible that a collaborative process combining feedback from multiple users can improve the quality and quantity of generated artifacts. Picbreeder, a large-scale online experiment in collaborative interactive evolution (CIE), explores this potential. Picbreeder is an online community in which users can evolve and share images, and most importantly, continue evolving others' images. Through this process of branching from other images, and through continually increasing image complexity made possible by the underlying neuroevolution of augmenting topologies (NEAT) algorithm, evolved images proliferate unlike in any other current IEC system. This paper discusses not only the strengths of the Picbreeder approach, but its challenges and shortcomings as well, in the hope that lessons learned will inform the design of future CIE systems.     

An online tool to identify white-collar worker profiles in relation to their ICT skills and mental strain

The introduction of Internet and Information and communication Technologies (ICT) in offices is a global phenomenon that transformed white-collar worker job demands. Although there are several studies of e-skills and mental workload for central countries, there is a lack of similar studies for the Latin American context. An online snowball sampled (n = 352) survey was developed and validated by the authors (internal consistency = 0.7). We characterized ICT worker profiles from e-skills and these dimensions: attitudes toward, resources usage and technology dependency. Mental Strain was assessed with raw task load index (RTLX) and correlated with the proposed profiles by means of paired T-tests and Mann–Whitney Tests. The sample was characterized by 7.2% of non visual display terminal users and 92.8% of visual display terminal, ICT skilled users. Of the latter, 30.7% were ICT practitioners, 30.4% were ICT Users and 27.2% were E-Business Users. Non VDT users’ mental strain was statistically meaningful smaller than VDT–ICT skilled users’ mental workload. No statistical differences were found in RTLX results when comparing ICT skilled user profiles. Non VDT users can be identified from ICT skilled Users by their lower ITC Dependency and minor use of ICT resources. There were no differences in those dimensions among ICT skilled Profiles. Attitude toward these technologies was a distinct factor for ICT Users in relation to ICT Practitioners and ITC Business Users. The application of this tool in peripheral and central countries would allow a complete ergonomical characterization of white-collar workers within the Information Society.     

An information architecture for a performance management framework by collaborating SMEs

Recently, much attention has been given to performance management within collaborative environments resulting in a wide variety of performance measurement/management frameworks. However, practically all of these frameworks present a common gap regarding the information treatment needs that support these frameworks. This issue is even more important in the case of Small and Medium-sized Enterprises (SMEs) due to their special characteristics. For that purpose, this paper presents an approach called Global Performance Management (GPM) Framework composed of a methodology, an information architecture and a technological solution, focusing mainly on the information architecture. The methodology guides SMEs when defining, developing, deploying and operating the GPM framework. The information architecture consists of a set of elements that support the tasks of collection, treatment and analysis of the used information, which complement the methodology to build a real model for the GPM framework. Finally, the technological solution bridges the engineering and conceptual environment, with the real-world operational and executable environment, following the path defined by the methodology. The information architecture was applied to two European pilots, achieving satisfactory results, which are highlighted in the paper as well as the main barriers encountered and solutions provided.     

Programmable differential brake for passive haptics

This paper outlines work on a novel programmable braking system, which is widely applicable to most passive haptic applications and benefits from a simple design, theoretically infinite positional resolution and the ability to generate stiff collision forces, without the need for any explicit force measurements. Results are also given of a preliminary concept demonstrator which is based on a simple 2-Degrees-Of-Freedom (DOF) Revolute–Revolute (RR) manipulator incorporating the programmable brakes. Performance measures for the joint, as well as figures describing the ability of the 2-DOF prototype to constrain the end effector motion to a plane and a circle, are also provided.     

Poly-bagging predictors for classification modelling for credit scoring

Credit scoring modelling comprises one of the leading formal tools for supporting the granting of credit. Its core objective consists of the generation of a score by means of which potential clients can be listed in the order of the probability of default. A critical factor is whether a credit scoring model is accurate enough in order to provide correct classification of the client as a good or bad payer. In this context the concept of bootstraping aggregating (bagging) arises. The basic idea is to generate multiple classifiers by obtaining the predicted values from the fitted models to several replicated datasets and then combining them into a single predictive classification in order to improve the classification accuracy. In this paper we propose a new bagging-type variant procedure, which we call poly-bagging, consisting of combining predictors over a succession of resamplings. The study is derived by credit scoring modelling. The proposed poly-bagging procedure was applied to some different artificial datasets and to a real granting of credit dataset up to three successions of resamplings. We observed better classification accuracy for the two-bagged and the three-bagged models for all considered setups. These results lead to a strong indication that the poly-bagging approach may promote improvement on the modelling performance measures, while keeping a flexible and straightforward bagging-type structure easy to implement.     

Evidential reasoning using extended fuzzy Dempster–Shafer theory for handling various facets of information deficiency

This work investigates the problem of combining deficient evidence for the purpose of quality assessment. The main focus of the work is modeling vagueness, ambiguity, and local nonspecificity in information within a unified approach. We introduce an extended fuzzy Dempster–Shafer scheme based on the simultaneous use of fuzzy interval‐grade and interval‐valued belief degree (IGIB). The latter facilitates modeling of uncertainties in terms of local ignorance associated with expert knowledge, whereas the former allows for handling the lack of information on belief degree assignments. Also, generalized fuzzy sets can be readily transformed into the proposed fuzzy IGIB structure. The reasoning for quality assessment is performed by solving nonlinear optimization problems on fuzzy Dempster–Shafer paradigm for the fuzzy IGIB structure. The application of the proposed inference method is investigated by designing a reasoning scheme for water quality monitoring and validated through the experimental data available for different sampling points in a water distribution network. © 2011 Wiley Periodicals, Inc.     

Automatic Schaeffer's gestures recognition system

Schaeffer's sign language consists of a reduced set of gestures designed to help children with autism or cognitive learning disabilities to develop adequate communication skills. Our automatic recognition system for Schaeffer's gesture language uses the information provided by an RGB‐D camera to capture body motion and recognize gestures using dynamic time warping combined with k‐nearest neighbors methods. The learning process is reinforced by the interaction with the proposed system that accelerates learning itself thus helping both children and educators. To demonstrate the validity of the system, a set of qualitative experiments with children were carried out. As a result, a system which is able to recognize a subset of 11 gestures of Schaeffer's sign language online was achieved.