Changes in medical stability upon admission to a rehabilitation unit

The implementation of Medicare's prospective payment system in acute care has coincided with a steady increase in medically unstable admissions to our freestanding rehabilitation facility. We investigated the consequences of these admissions by collecting medical information regarding transfers beginning in 1983. Patients requiring transfer back to the acute setting within 1 day of admission were considered medically unstable and their charts were reviewed. The number of patients requiring transfer back within 1 day increased from 1.5% of all first admissions to 3.1% in 1988 (Mantel - Haenszel chi 2 = 8.03, (df = 1), p < .01), but the increase among Medicare patients alone was not significant. This progressive increase was most pronounced in the cerebrovascular accident and spinal cord injury populations. Beginning in 1988, an intensified preadmission evaluation program was implemented, resulting in a significant decline in unstable patient transfers from hospitals where our consultants were on staff. Physiatric consultations at referral institutions decreased the number of unstable patients at admission.     

下一代SONET/SDH对网络部署的冲击

面对电信业的低迷,运营商和设备制造商都捏紧了钱袋,想方设法少花钱多办事。这就意味着,必须改进现有传输网(见图1),使话音和数据传输效率更高。从网络部署的角度来看,运营商需要:用一些有效的方法,将多协议数据转换到SONET/SDH信道上;用一种灵活的带宽适应机制,使SONET/SDH信道大小与在其中传输的数据的需求相一致;用一种机制,灵活并以理想的动态方式改变整个SONET/SDH网络的信道带宽。这就要求集成电路供应商提供有助于在SONET/SDH上有效传输数据的芯片。虽然现在有多种SONET/SDH信息包(PoS)产品,但是它们的转换效率都太…     

Perceptual image hashing via feature points: performance evaluation and tradeoffs.

We propose an image hashing paradigm using visually significant feature points. The feature points should be largely invariant under perceptually insignificant distortions. To satisfy this, we propose an iterative feature detector to extract significant geometry preserving feature points. We apply probabilistic quantization on the derived features to introduce randomness, which, in turn, reduces vulnerability to adversarial attacks. The proposed hash algorithm withstands standard benchmark (e.g., Stirmark) attacks, including compression, geometric distortions of scaling and small-angle rotation, and common signal-processing operations. Content changing (malicious) manipulations of image data are also accurately detected. Detailed statistical analysis in the form of receiver operating characteristic (ROC) curves is presented and reveals the success of the proposed scheme in achieving perceptual robustness while avoiding misclassification.     

Target based image fusion using multi-scale feature selection in three regions

Image captured by low dynamic range (LDR) camera fails to capture entire exposure level of scene, and instead only covers certain range of exposures. In order to cover entire exposure level in single image, bracketed exposure LDR images are combined. The range of exposures in different images results in information loss in certain regions. These regions need to be addressed and based on this motive a novel methodology of layer based fusion is proposed to generate high dynamic range image. High and low-frequency layers are formed by dividing each image based on pixel intensity variations. The regions are identified based on information loss section created in differently exposed images. High-frequency layers are combined using region based fusion with Dense SIFT which is used as activity level testing measure. Low-frequency layers are combined using weighted sum. Finally combined high and low-frequency layers are merged together on pixel to pixel basis to synthesize fused image. Objective analysis is performed to compare the quality of proposed method with state-of-the-art. The measures indicate superiority of the proposed method.

     

Manifold Preserving Features and Regression for Semantic Labelling in High Dimensional Images

Wireless Personal Communications - This paper proposes an combined method for manifold preservation and Subspace Eigenvectors(SE) based regression in high dimensional (HD) images. We studied...     

Building a speech recognition system with privacy identification information based on Google Voice for social robots

The Journal of Supercomputing - Currently, many smart speakers, even social robots, appear on the market to help people's lives become more convenient. Usually, people use smart speakers to...     

Development and validation of a Re-Modified Work-Style Short Form Questionnaire for assessment of stress in medical practitioners working in Indian hospitals

Medical practitioners are unduly stressed, leading to ill health, loss of work efficiency, sometimes affecting decision-making capability. The present study was conducted with the aim to quantify the psychosocial factors that affect the medical practitioners working in Indian hospitals. This study constructed and validated Re-Modified Work-Style Short Form Questionnaire, an eight-item instrument based on work style of 108 medical practitioners comprising Indian physicians and surgeons. The re-modified tool had acceptable validity and internal consistency, which the modified one did not. Explorative factor analysis identified and labelled three factors: ‘Working through pain’, ‘Deadlines/pressure’ and ‘Self-imposed workload’. The findings of the study reveal that the mean total work style score exceeded the standardised limits ≥16, which suggests that the work style of medical practitioners working in Indian hospitals are at risk which may precipitate psychosocial stress. Factor weights was derived through Analytic Hierarchy Process to prioritise the relative importance of three potential work-style factors. The study may help to increase the preventive strategies to proactively reduce the effect of risk factors for the precipitation of stress, successfully leading to its attenuation.     

Application of analytical network process for analysis of product design characteristics of lean remanufacturing system: a case study

The modern manufacturing systems are adopting with lean practices to ensure value addition and waste elimination. Also, product recovery options are found to be vital. Appropriate product design characteristics are identified, and their prioritization is framed as decision-making problem with multiple criteria. Analytical network process is used as solution methodology. The objective of the study is to formulate multi-criteria decision making problem for assessment of lean remanufacturing product design characteristics. The priority order of lean remanufacturing operations is obtained. The study is exemplified with a case conducted with reference to remanufacture of an automotive component. The priority order of criteria is Disassembly > Cleaning > Inspection > Remanufacturing > Reassembly. The inferences desired from the study would facilitate cleaner manufacturing practices. Sensitivity analysis is conducted and practical validity of the method has been tested with an industrial case study.     

Temperature dependent H2S and Cl2 sensing selectivity of Cr2O3 thin films

The conductometric gas sensing characteristics of Cr₂O₃ thin films - prepared by electron-beam deposition of Cr films on quartz substrate followed by oxygen annealing - have been investigated for a host of gases (CH₄, CO, NO₂, Cl₂, NH₃ and H₂S) as a function of operating temperature (between 30 and 300 °C) and gas concentration (1-30 ppm). We demonstrate that these films are highly selective to H₂S at an operating temperature of 100 °C, while at 220 °C the films become selective to Cl₂. This result has been explained on the basis of depletion of chemisorbed oxygen from the surface of films due to temperature and/or interaction with Cl₂/H₂S, which is supported experimentally by carrying out the work function measurements using Kelvin probe method. The temperature dependent selectivity of Cr₂O₃ thin films provides a flexibility to use same film for the sensing of Cl₂ as well as H₂S.