μGIM - Microgrid intelligent management system based on a multi-agent approach and the active participation of end-users

[ES] Los sistemas de potencia y energía están cambiando su paradigma tradicional, de sistemas centralizados a sistemas descentralizados. La aparición de redes inteligentes permite la integración de recursos energéticos descentralizados y promueve la gestión inclusiva que involucra a los usuarios finales, impulsada por la gestión del lado de la demanda, la energía transactiva y la respuesta a la demanda. Garantizar la escalabilidad y la estabilidad del servicio proporcionado por la red, en este nuevo paradigma de redes inteligentes, es más difícil porque no hay una única sala de operaciones centralizada donde se tomen todas las decisiones. Para implementar con éxito redes inteligentes, es necesario combinar esfuerzos entre la ingeniería eléctrica y la ingeniería informática. La ingeniería eléctrica debe garantizar el correcto funcionamiento físico de las redes inteligentes y de sus componentes, estableciendo las bases para un adecuado monitoreo, control, gestión, y métodos de operación. La ingeniería informática desempeña un papel importante al proporcionar los modelos y herramientas computacionales adecuados para administrar y operar la red inteligente y sus partes constituyentes, representando adecuadamente a todos los diferentes actores involucrados. Estos modelos deben considerar los objetivos individuales y comunes de los actores que proporcionan las bases para garantizar interacciones competitivas y cooperativas capaces de satisfacer a los actores individuales, así como cumplir con los requisitos comunes con respecto a la sostenibilidad técnica, ambiental y económica del Sistema. La naturaleza distribuida de las redes inteligentes permite, incentiva y beneficia enormemente la participación activa de los usuarios finales, desde actores grandes hasta actores más pequeños, como los consumidores residenciales. Uno de los principales problemas en la planificación y operación de redes eléctricas es la variación de la demanda de energía, que a menudo se duplica más que durante las horas pico en comparación con la demanda fuera de pico. Tradicionalmente, esta variación dio como resultado la construcción de plantas de generación de energía y grandes inversiones en líneas de red y subestaciones. El uso masivo de fuentes de energía renovables implica mayor volatilidad en lo relativo a la generación, lo que hace que sea más difícil equilibrar el consumo y la generación. La participación de los actores de la red inteligente, habilitada por la energía transactiva y la respuesta a la demanda, puede proporcionar flexibilidad en desde el punto de vista de la demanda, facilitando la operación del sistema y haciendo frente a la creciente participación de las energías renovables. En el ámbito de las redes inteligentes, es posible construir y operar redes más pequeñas, llamadas microrredes. Esas son redes geográficamente limitadas con gestión y operación local. Pueden verse como áreas geográficas restringidas para las cuales la red eléctrica generalmente opera físicamente conectada a la red principal, pero también puede operar en modo isla, lo que proporciona independencia de la red principal. Esta investigación de doctorado, realizada bajo el Programa de Doctorado en Ingeniería Informática de la Universidad de Salamanca, aborda el estudio y el análisis de la gestión de microrredes, considerando la participación activa de los usuarios finales y la gestión energética de lascarga eléctrica y los recursos energéticos de los usuarios finales. En este trabajo de investigación se ha analizado el uso de conceptos de ingeniería informática, particularmente del campo de la inteligencia artificial, para apoyar la gestión de las microrredes, proponiendo un sistema de gestión inteligente de microrredes (μGIM) basado en un enfoque de múltiples agentes y en la participación activa de usuarios. Esta solución se compone de tres sistemas que combinan hardware y software: el emulador de virtual a realidad (V2R), el enchufe inteligente de conciencia ambiental de Internet de las cosas (EnAPlug), y la computadora de placa única para energía basada en el agente (S4E) para permitir la gestión del lado de la demanda y la energía transactiva. Estos sistemas fueron concebidos, desarrollados y probados para permitir la validación de metodologías de gestión de microrredes, es decir, para la participación de los usuarios finales y para la optimización inteligente de los recursos. Este documento presenta todos los principales modelos y resultados obtenidos durante esta investigación de doctorado, con respecto a análisis de vanguardia, concepción de sistemas, desarrollo de sistemas, resultados de experimentación y descubrimientos principales. Los sistemas se han evaluado en escenarios reales, desde laboratorios hasta sitios piloto. En total, se han publicado veinte artículos científicos, de los cuales nueve se han hecho en revistas especializadas. Esta investigación de doctorado realizó contribuciones a dos proyectos H2020 (DOMINOES y DREAM-GO), dos proyectos ITEA (M2MGrids y SPEAR), tres proyectos portugueses (SIMOCE, NetEffiCity y AVIGAE) y un proyecto con financiación en cascada H2020 (Eco-Rural -IoT)

JTIT

kwartalni

Context-Aware Self-Healing for Small Cell Networks

These can be an invaluable source of information for the management of the network, in a way that we have denominated as context-aware SON, which is the approach proposed in this thesis. To develop this concept, the thesis follows a top-down approach. Firstly, the characteristics of the cellular deployments are assessed, especially for indoor small cell networks. In those scenarios, the need for context-aware SON is evaluated and considered indispensable. Secondly, a new cellular architecture is defined to integrate both context information and SON mechanisms in the management plane of the mobile network. Thus, the specifics of making context an integral part of cellular OAM/SON are defined. Also, the real-world implementation of the architecture is proposed. Thirdly, from the established general SON architecture, a logical self-healing framework is defined to support the context-aware healing mechanisms to be developed. Fourthly, different self-healing algorithms are defined depending on the failures to be managed and the conditions of the considered scenario. The mechanisms are based on probabilistic analysis, making use of both context and network data for detection and diagnosis of cellular issues. The conditions for the implementation of these methods are assessed. Their applicability is evaluated by means of simulators and testbed trials. The results show important improvements in performance and capabilities in comparison to previous methods, demonstrating the relevance of the proposed approach.The last years have seen a continuous increase in the use of mobile communications. To cope with the growing traffic, recently deployed technologies have deepened the adoption of small cells (low powered base stations) to serve areas with high demand or coverage issues, where macrocells can be both unsuccessful or inefficient. Also, new cellular and non-cellular technologies (e.g. WiFi) coexist with legacy ones, including also multiple deployment schemes (macrocell, small cells), in what is known as heterogeneous networks (HetNets). Due to the huge complexity of HetNets, their operation, administration and management (OAM) became increasingly difficult. To overcome this, the NGMN Alliance and the 3GPP defined the Self-Organizing Network (SON) paradigm, aiming to automate the OAM procedures to reduce their costs and increase the resulting performance. One key focus of SON is the self-healing of the network, covering the automatic detection of problems, the diagnosis of their causes, their compensation and their recovery. Until recently, SON mechanisms have been solely based on the analysis of alarms and performance indicators. However, on the one hand, this approach has become very limited given the complexity of the scenarios, and particularly in indoor cellular environments. Here, the deployment of small cells, their coexistence with multiple telecommunications systems and the nature of those environments (in terms of propagation, coverage overlapping, fast demand changes and users' mobility) introduce many challenges for classic SON. On the other hand, modern user equipment (e.g. smartphones), equipped with powerful processors, sensors and applications, generate a huge amount of context information. Context refers to those variables not directly associated with the telecommunication service, but with the terminals and their environment. This includes the user's position, applications, social data, etc

Cellular and Wi-Fi technologies evolution: from complementarity to competition

This PhD thesis has the characteristic to span over a long time because while working on it, I was working as a research engineer at CTTC with highly demanding development duties. This has delayed the deposit more than I would have liked. On the other hand, this has given me the privilege of witnessing and studying how wireless technologies have been evolving over a decade from 4G to 5G and beyond. When I started my PhD thesis, IEEE and 3GPP were defining the two main wireless technologies at the time, Wi-Fi and LTE, for covering two substantially complementary market targets. Wi-Fi was designed to operate mostly indoor, in unlicensed spectrum, and was aimed to be a simple and cheap technology. Its primary technology for coexistence was based on the assumption that the spectrum on which it was operating was for free, and so it was designed with interference avoidance through the famous CSMA/CA protocol. On the other hand, 3GPP was designing technologies for licensed spectrum, a costly kind of spectrum. As a result, LTE was designed to take the best advantage of it while providing the best QoE in mainly outdoor scenarios. The PhD thesis starts in this context and evolves with these two technologies. In the first chapters, the thesis studies radio resource management solutions for standalone operation of Wi-Fi in unlicensed and LTE in licensed spectrum. We anticipated the now fundamental machine learning trend by working on machine learning-based radio resource management solutions to improve LTE and Wi-Fi operation in their respective spectrum. We pay particular attention to small cell deployments aimed at improving the spectrum efficiency in licensed spectrum, reproducing small range scenarios typical of Wi-Fi settings. IEEE and 3GPP followed evolving the technologies over the years: Wi-Fi has grown into a much more complex and sophisticated technology, incorporating the key features of cellular technologies, like HARQ, OFDMA, MU-MIMO, MAC scheduling and spatial reuse. On the other hand, since Release 13, cellular networks have also been designed for unlicensed spectrum. As a result, the two last chapters of this thesis focus on coexistence scenarios, in which LTE needs to be designed to coexist with Wi-Fi fairly, and NR, the radio access for 5G, with Wi-Fi in 5 GHz and WiGig in 60 GHz. Unlike LTE, which was adapted to operate in unlicensed spectrum, NR-U is natively designed with this feature, including its capability to operate in unlicensed in a complete standalone fashion, a fundamental new milestone for cellular. In this context, our focus of analysis changes. We consider that these two technological families are no longer targeting complementarity but are now competing, and we claim that this will be the trend for the years to come. To enable the research in these multi-RAT scenarios, another fundamental result of this PhD thesis, besides the scientific contributions, is the release of high fidelity models for LTE and NR and their coexistence with Wi-Fi and WiGig to the ns-3 open-source community. ns-3 is a popular open-source network simulator, with the characteristic to be multi-RAT and so naturally allows the evaluation of coexistence scenarios between different technologies. These models, for which I led the development, are by academic citations, the most used open-source simulation models for LTE and NR and havereceived fundings from industry (Ubiquisys, WFA, SpiderCloud, Interdigital, Facebook) and federal agencies (NIST, LLNL) over the years.Aquesta tesi doctoral té la característica d’allargar-se durant un llarg període de temps ja que mentre treballava en ella, treballava com a enginyera investigadora a CTTC amb tasques de desenvolupament molt exigents. Això ha endarrerit el dipositar-la més del que m’hagués agradat. D’altra banda, això m’ha donat el privilegi de ser testimoni i estudiar com han evolucionat les tecnologies sense fils durant més d’una dècada des del 4G fins al 5G i més enllà. Quan vaig començar la tesi doctoral, IEEE i 3GPP estaven definint les dues tecnologies sense fils principals en aquell moment, Wi-Fi i LTE, que cobreixen dos objectius de mercat substancialment complementaris. Wi-Fi va ser dissenyat per funcionar principalment en interiors, en espectre sense llicència, i pretenia ser una tecnologia senzilla i barata. La seva tecnologia primària per a la convivència es basava en el supòsit que l’espectre en el que estava operant era de franc, i, per tant, es va dissenyar simplement evitant interferències a través del famós protocol CSMA/CA. D’altra banda, 3GPP estava dissenyant tecnologies per a espectres amb llicència, un tipus d’espectre costós. Com a resultat, LTE està dissenyat per treure’n el màxim profit alhora que proporciona el millor QoE en escenaris principalment a l’aire lliure. La tesi doctoral comença amb aquest context i evoluciona amb aquestes dues tecnologies. En els primers capítols, estudiem solucions de gestió de recursos de radio per a operacions en espectre de Wi-Fi sense llicència i LTE amb llicència. Hem anticipat l’actual tendència fonamental d’aprenentatge automàtic treballant solucions de gestió de recursos de radio basades en l’aprenentatge automàtic per millorar l’LTE i Wi-Fi en el seu espectre respectiu. Prestem especial atenció als desplegaments de cèl·lules petites destinades a millorar la eficiència d’espectre llicenciat, reproduint escenaris de petit abast típics de la configuració Wi-Fi. IEEE i 3GPP van seguir evolucionant les tecnologies al llarg dels anys: El Wi-Fi s’ha convertit en una tecnologia molt més complexa i sofisticada, incorporant les característiques clau de les tecnologies cel·lulars, com ara HARQ i la reutilització espacial. D’altra banda, des de la versió 13, també s’han dissenyat xarxes cel·lulars per a espectre sense llicència. Com a resultat, els dos darrers capítols d’aquesta tesi es centren en aquests escenaris de convivència, on s’ha de dissenyar LTE per conviure amb la Wi-Fi de manera justa, i NR, l’accés a la radio per a 5G amb Wi-Fi a 5 GHz i WiGig a 60 GHz. A diferència de LTE, que es va adaptar per funcionar en espectre sense llicència, NR-U està dissenyat de forma nativa amb aquesta característica, inclosa la seva capacitat per operar sense llicència de forma autònoma completa, una nova fita fonamental per al mòbil. En aquest context, el nostre focus d’anàlisi canvia. Considerem que aquestes dues famílies de tecnologia ja no estan orientades cap a la complementarietat, sinó que ara competeixen, i afirmem que aquesta serà el tendència per als propers anys. Per permetre la investigació en aquests escenaris multi-RAT, un altre resultat fonamental d’aquesta tesi doctoral, a més de les aportacions científiques, és l’alliberament de models d’alta fidelitat per a LTE i NR i la seva coexistència amb Wi-Fi a la comunitat de codi obert ns-3. ns-3 és un popular simulador de xarxa de codi obert, amb la característica de ser multi-RAT i, per tant, permet l’avaluació de manera natural d’escenaris de convivència entre diferents tecnologies. Aquests models, pels quals he liderat el desenvolupament, són per cites acadèmiques, els models de simulació de codi obert més utilitzats per a LTE i NR i que han rebut finançament de la indústria (Ubiquisys, WFA, SpiderCloud, Interdigital, Facebook) i agències federals (NIST, LLNL) al llarg dels anys.Esta tesis doctoral tiene la característica de extenderse durante mucho tiempo porque mientras trabajaba en ella, trabajaba como ingeniera de investigación en CTTC con tareas de desarrollo muy exigentes. Esto ha retrasado el depósito más de lo que me hubiera gustado. Por otro lado, gracias a ello, he tenido el privilegio de presenciar y estudiar como las tecnologías inalámbricas han evolucionado durante una década, de 4G a 5G y más allá. Cuando comencé mi tesis doctoral, IEEE y 3GPP estaban definiendo las dos principales tecnologías inalámbricas en ese momento, Wi-Fi y LTE, cumpliendo dos objetivos de mercado sustancialmente complementarios. Wi-Fi fue diseñado para funcionar principalmente en interiores, en un espectro sin licencia, y estaba destinado a ser una tecnología simple y barata. Su tecnología primaria para la convivencia se basaba en el supuesto en que el espectro en el que estaba operando era gratis, y así fue diseñado simplemente evitando interferencias a través del famoso protocolo CSMA/CA. Por otro lado, 3GPP estaba diseñando tecnologías para espectro con licencia, un tipo de espectro costoso. Como resultado, LTE está diseñado para aprovechar el espectro al máximo proporcionando al mismo tiempo el mejor QoE en escenarios principalmente al aire libre. La tesis doctoral parte de este contexto y evoluciona con estas dos tecnologías. En los primeros capítulos, estudiamos las soluciones de gestión de recursos de radio para operación en espectro Wi-Fi sin licencia y LTE con licencia. Anticipamos la tendencia ahora fundamental de aprendizaje automático trabajando en soluciones de gestión de recursos de radio para mejorar LTE y funcionamiento deWi-Fi en su respectivo espectro. Prestamos especial atención a las implementaciones de células pequeñas destinadas a mejorar la eficiencia de espectro licenciado, reproduciendo los típicos escenarios de rango pequeño de la configuración Wi-Fi. IEEE y 3GPP siguieron evolucionando las tecnologías a lo largo de los años: Wi-Fi se ha convertido en una tecnología mucho más compleja y sofisticada, incorporando las características clave de las tecnologías celulares, como HARQ, OFDMA, MU-MIMO, MAC scheduling y la reutilización espacial. Por otro lado, desde la Release 13, también se han diseñado redes celulares para espectro sin licencia. Como resultado, los dos últimos capítulos de esta tesis se centran en estos escenarios de convivencia, donde LTE debe diseñarse para coexistir con Wi-Fi de manera justa, y NR, el acceso por radio para 5G con Wi-Fi en 5 GHz y WiGig en 60 GHz. A diferencia de LTE, que se adaptó para operar en espectro sin licencia, NR-U está diseñado de forma nativa con esta función, incluyendo su capacidad para operar sin licencia de forma completamente independiente, un nuevo hito fundamental para los celulares. En este contexto, cambia nuestro enfoque de análisis. Consideramos que estas dos familias tecnológicas ya no tienen como objetivo la complementariedad, sino que ahora están compitiendo, y afirmamos que esta será la tendencia para los próximos años. Para permitir la investigación en estos escenarios de múltiples RAT, otro resultado fundamental de esta tesis doctoral, además de los aportes científicos, es el lanzamiento de modelos de alta fidelidad para LTE y NR y su coexistencia con Wi-Fi y WiGig a la comunidad de código abierto de ns-3. ns-3 es un simulador popular de red de código abierto, con la característica de ser multi-RAT y así, naturalmente, permite la evaluación de escenarios de convivencia entre diferentes tecnologías. Estos modelos, para los cuales lideré el desarrollo, son por citas académicas, los modelos de simulación de código abierto más utilizados para LTE y NR y han recibido fondos de la industria (Ubiquisys, WFA, SpiderCloud, Interdigital, Facebook) y agencias federales (NIST, LLNL) a lo largo de los años.Postprint (published version

The 1989 Goddard Conference on Space Applications of Artificial Intelligence

The following topics are addressed: mission operations support; planning and scheduling; fault isolation/diagnosis; image processing and machine vision; data management; and modeling and simulation

9th International Conference on Business, Technology and Innovation 2020

Welcome to IC – UBT 2020 UBT Annual International Conference is the 9th international interdisciplinary peer reviewed conference which publishes works of the scientists as well as practitioners in the area where UBT is active in Education, Research and Development. The UBT aims to implement an integrated strategy to establish itself as an internationally competitive, research-intensive university, committed to the transfer of knowledge and the provision of a world-class education to the most talented students from all background. The main perspective of the conference is to connect the scientists and practitioners from different disciplines in the same place and make them be aware of the recent advancements in different research fields, and provide them with a unique forum to share their experiences. It is also the place to support the new academic staff for doing research and publish their work in international standard level. This conference consists of sub conferences in different fields like: Security Studies Sport, Health and Society Psychology Political Science Pharmaceutical and Natural Sciences Mechatronics, System Engineering and Robotics Medicine and Nursing Modern Music, Digital Production and Management Management, Business and Economics Language and Culture Law Journalism, Media and Communication Information Systems and Security Integrated Design Energy Efficiency Engineering Education and Development Dental Sciences Computer Science and Communication Engineering Civil Engineering, Infrastructure and Environment Architecture and Spatial Planning Agriculture, Food Science and Technology Art and Digital Media This conference is the major scientific event of the UBT. It is organizing annually and always in cooperation with the partner universities from the region and Europe. We have to thank all Authors, partners, sponsors and also the conference organizing team making this event a real international scientific event. Edmond Hajrizi, President of UBTUBT – Higher Education Institutio

A Survey of Assistive Technology (AT) Knowledge and Experiences of Healthcare Professionals in the UK and France: Challenges and Opportunities for Workforce Development

Background: Assistive Technologies (AT) in healthcare can increase independence and quality of life for users. Concurrently, new AT devices offer opportunities for individualised care solutions. Nonetheless, AT remains under-utilised and is poorly integrated in practice by healthcare professionals (HCPs). Although occupational therapists (OTs), physiotherapists and speech and language therapists (SLTs) consider that AT solutions can offer problem-solving approaches to personalised care, they have a lesser understanding of application of AT in their practice. In this paper, we report findings of a survey on AT knowledge and experiences of HCPs in UK and France. Training needs also explored in the survey are presented in a separate paper on development of online training for the ADAPT project. Method: A survey of 37 closed/open questions was developed in English and French by a team of healthcare researchers. Content was informed by published surveys and studies. Email invitations were circulated to contacts in Health Trusts in UK and France ADAPT regions and the survey was hosted on an online platform. Knowledge questions addressed AT understanding and views of impact on user’s lives. Experience questions focussed on current practices, prescription, follow-up, abandonment and practice standards. 429 HCPs completed the survey (UK = 167; FR = 262) between June and November 2018. Key results: Participants were mainly female (UK 89.2%; FR 82.8%) and qualified 10+ years (UK 66.5%; FR 62.2%). A key group in both countries were OTs (UK 34.1%; FR 46.6%), with more physiotherapists and SLTs in UK (16.8%, 16.8%; vs. FR 6.5%, 2.3%), and more nurses in France (22.1% Vs. UK 10.8%). More HCPs were qualified to degree level in France (75.2%; UK 48.5%, p < 0.001). In terms of knowledge, all HCPs agreed that AT helps people complete otherwise difficult or impossible tasks (UK 86.2%; FR 94.3%) and that successful AT adoption always depends on support from carers, family and professionals (UK 52.7%; FR 66.2%). There were some notable differences between countries that require further exploration. For example, more French HCPs thought that AT is provided by trial and error (84.7%, UK 45.5%, p < 0.001), while more UK HCPs believed that AT promotes autonomous living (93.4%; FR 42.8%, p < 0.001). Also, more French HCPs considered that AT refers exclusively to technologically advanced electronic devices (71.8%, UK 28.8%, p <0.001). In both countries, top AT prescribers were OTs, physiotherapists and SLTs. Respondents had little/no knowledge in comparing/choosing AT (UK 86.8%; FR 76.7%) and stated they would benefit from interdisciplinary clinical standards (UK 80.8%; FR 77.1%). A third of HCPs did not know if AT users had access to adequate resources/support (UK 34.1%; FR 27.5%) and rated themselves as capable to monitor continued effective use of AT (UK 38.9%; FR 34.8%). Conclusion: Knowledge and application of AT was varied between the two countries due to differences in health care provision and support mechanisms. Survey findings suggest that HCPs recognised the value of AT for users’ improved care, but had low confidence in their ability to choose appropriate AT solutions and monitor continued use, and would welcome AT interdisciplinary clinical standards

A Literature Review of the Challenges Encountered in the Adoption of Assistive Technology (AT) and Training of Healthcare Professionals

Background: Long-term disabilities often result in loss of autonomy and social interaction. Accordingly, there is a demand for Assistive Technology (AT) devices to enable individuals to live independently for as long as possible. However, many people experience difficulties in obtaining and using AT. This paper presents findings from a narrative literature review undertaken as part of the development of AT training for healthcare professionals, one of the work areas of the ADAPT project (Assistive Devices for Empowering Disabled People through Robotic Technologies), funded by EU INTERREG France (Channel) England. The results of the review informed the design of a survey of healthcare professionals regarding their views and experiences of AT and the development of AT training. Method: The review sought to understand challenges encountered in the adoption and use of AT as well as how training of healthcare professionals in AT takes place. A narrative approach was adopted as the most appropriate way to synthesise published literature on this topic and describe its current state-of-art. Narrative reviews are considered an important educational tool in continuing professional development. An initial search was conducted via databases in the UK and France, including CINAHL, Academic Search Index, Social Sciences Citation Index, BDSP (Base de données en Santé Publique), Documentation EHESP/MSSH (Ecole des Hautes Etudes en Santé Publique/Maison des Sciences Sociales et Handicap), Cairn, Google Scholar and Pubmed. Inclusion criteria for the review included: covering issues relating to AT provision and training, English or French language, and published from 1990 onwards. Application of these criteria elicited 79 sources, including journal papers (48), reports (11), online sources (11), books (6) and conference papers (3). Sources were thematically analysed to draw out key themes. Key results: The majority of papers were from USA and Canada (27), then UK (20) and France (19). Others were from Europe (7), Australia (3), country unknown (2), and one joint UK/France publication. The main source of literature was journal papers (48), of which the most common types were practice reports (18), evaluation surveys (10) and qualitative studies (9). The review uncovered a number of key challenges related to the adoption of devices, including: difficulty defining AT across disciplines, lack of knowledge of healthcare professionals and users, obtrusiveness and stigmatisation AT users can experience when using devices, and shortfalls in communication amongst professional groups and between professionals and users. These issues can lead to abandonment of AT devices. Furthermore, substantial barriers to healthcare professionals exist, including inconsistent provision and quality of training, lack of evaluation of training, lack of resources and funding, shortage of qualified professionals to teach, and the increasingly rapid development of the technologies. Conclusion: Support, training and education for prescribers, distributors, users, and their carers is vital in the adoption and use of AT. Evidence indicates a need for comprehensive education in the AT field, as well as ongoing assessment, updates and evaluation which is embedded in programmes

Training Needs and Development of Online AT Training for Healthcare Professionals in UK and France

Background: Assistive Technology (AT) solutions for people with disabilities has become part of mainstream care provision. Despite advantages of AT on offer, abandonment and non-compliance are challenges for healthcare professionals (HCPs), introducing this technology to clients. Studies of abandonment reveal that 1/3 of all devices provided to service users end up stored unused. Key need is training to make informed decisions about AT tailored to individual needs and circumstances. In an online survey undertaken by the ADAPT project, HPCs identified AT training needs and barriers. Currently, a programme is being developed aimed at introducing AT concepts and enhancing practices to a wide range of HCPs. Method: Survey questions explored gaps, availability, qualifications and barriers to AT training in England and France. A series of consultation meetings with ADAPT partners took place. An advisory group consisting of longstanding AT users and their formal/informal carers and HCPs (occupational therapist, speech and language therapist, psychologist and biomedical engineer) contributed to the discussions on survey findings, development and evaluation of AT training for HCPs, key content areas and means of delivery. Key results: HCPs had no AT specific qualifications (UK 94.6%; FR 81.3%) nor in-service AT training (UK 65.1%; FR 66.4%). They either did not know of AT courses (UK 63.3%) or knew that none existed (FR 72.5%). Barriers to AT training were mainly local training (UK 62.7%, FR 50%) and funding (UK 62.7%, FR 55.7%). Some training priorities were clearer for French HCPs – overall knowledge of AT devices (82.1%, UK 45.8%), customization of AT (65.3%, UK 30.1%), assessing patient holistically (53.4%, UK 25.3%), educating patient/carers (56.5%, UK 28.3%) (p < 0.001). Variances may be due to differing country-specific HCP education approach. A third of both groups highlighted also abandonment, client follow-up, powered wheelchair training and prescribing AT. To bridge gaps in knowledge and identified training needs of HCPs, the online interactive training programme starts by introducing foundations of AT, including definitions, types/uses of AT, legislation/policies and AT in practice. More specialist units build and expand on specific areas, e.g. AT for mobility, communication, assessment and evidence-based practice. The biopsychosocial model of Health and World Health Organisation’s (WHO) International Classification of Functioning, Disability and Health (ICF) framework underpin development of content. ICF shifts focus from disability to health and functioning, in line with a social model of rehabilitation. E-learning comprises existing videos, AT textbook material and bespoke animated presentations. Selfassessment and evaluation of training are embedded and learners receive certificate of completion. Training was piloted to a group of HCPs trainees and postregistration HCPs who commented on relevance of AT content, clarity, accessibility of presentation, and usefulness. Users found training very useful, especially legislation/policies and AT literature. Conclusion: Overall, survey results suggest that both UK and French HCPs’ training on AT solutions is limited and highly variable. There is need for crosschannel AT professional competencies, availability of work-based training and funding support. Development of online, interactive training aims to increase professional confidence and competence in this area as well as the evidence base for AT

DRONE DELIVERY OF CBNRECy – DEW WEAPONS Emerging Threats of Mini-Weapons of Mass Destruction and Disruption (WMDD)

Drone Delivery of CBNRECy – DEW Weapons: Emerging Threats of Mini-Weapons of Mass Destruction and Disruption (WMDD) is our sixth textbook in a series covering the world of UASs and UUVs. Our textbook takes on a whole new purview for UAS / CUAS/ UUV (drones) – how they can be used to deploy Weapons of Mass Destruction and Deception against CBRNE and civilian targets of opportunity. We are concerned with the future use of these inexpensive devices and their availability to maleficent actors. Our work suggests that UASs in air and underwater UUVs will be the future of military and civilian terrorist operations. UAS / UUVs can deliver a huge punch for a low investment and minimize human casualties.https://newprairiepress.org/ebooks/1046/thumbnail.jp