Infectious hospital agents: A HAI spreading simulation framework

Infectious Hospital Agents (IHA) is an individual-based simulation framework that is able to model wide range of infection spreading scenarios in the hospital environment. The simulations are agent-based simulations driven by stochastic events, the evolution of the model is tracked in discrete time. Our aim was to build a general, customisable and extensible simulation environment for the domain of Hospital-Associated Infections (HAIs). The system is designed in Object Oriented fashion, and the implementation is in C++. In this paper, the authors describe the motivations and the background of the framework, sketch the conceptual framework, and present a demonstration example. © 2017, Budapest Tech Polytechnical Institution. All rights reserved

ooRexx 5 Yielding Swiss Army Knife Usability

The new version 5.0 of the message based object-oriented programming language ooRexx ("open object-oriented REXX") is easy to learn, yet powerful. This article introduces some of the new language features with nutshell examples that at the same time demonstrate its power when deployed in different operating system environments. The modern native API of ooRexx makes it in addition very easy to extend the language with new functionality and deploy it as a macro language for any C++-based application

The use of participatory object-oriented Bayesian networks and agro-economic models for groundwater management in Spain

This paper describes the development of a participatory decision support system for water management in the Upper Guadiana basin in central Spain where there has long been competition for groundwater resources between the agricultural sector and the environment. In the last few decades the rapid development of irrigation has led to the over-exploitation of the Mancha Occidental aquifer, the main water source in the area; this in turn has led to the loss of ecologically important wetlands. Against this background the River Basin Authority (RBA) has designed a new water management plan aimed at reducing water consumption. The objective of this paper is to evaluate the impact of these measures on both the environment and the agricultural sector. To this end stakeholders have been invited to actively participate in the development of a decision support system (DSS) based on the combination of an agro-economic model and an object-oriented Bayesian network. This DSS has been used to evaluate the trade-off between agriculture and the environment for different management options at different scales. Results indicate that achieving even a partial recovery of the aquifer water levels will require strict enforcement by the RBA of water restrictions on farmers combined with a high offer price for the purchase of water rights. However, compliance with water restrictions inevitably leads to losses in farm income, especially in small vineyard farms, unless additional measures are taken to compensate for those potential losses. The purchase of water rights alone is insufficient to ensure the recovery of water levels; accompanying measures included in the new regional management plan will also need to be undertaken

London SynEx Demonstrator Site: Impact Assessment Report

The key ingredients of the SynEx-UCL software components are: 1. A comprehensive and federated electronic healthcare record that can be used to reference or to store all of the necessary healthcare information acquired from a diverse range of clinical databases and patient-held devices. 2. A directory service component to provide a core persons demographic database to search for and authenticate staff users of the system and to anchor patient identification and connection to their federated healthcare record. 3. A clinical record schema management tool (Object Dictionary Client) that enables clinicians or engineers to define and export the data sets mapping to individual feeder systems. 4. An expansible set of clinical management algorithms that provide prompts to the patient or clinician to assist in the management of patient care. CHIME has built up over a decade of experience within Europe on the requirements and information models that are needed to underpin comprehensive multiprofessional electronic healthcare records. The resulting architecture models have influenced new European standards in this area, and CHIME has designed and built prototype EHCR components based on these models. The demonstrator systems described here utilise a directory service and object-oriented engineering approach, and support the secure, mobile and distributed access to federated healthcare records via web-based services. The design and implementation of these software components has been founded on a thorough analysis of the clinical, technical and ethico-legal requirements for comprehensive EHCR systems, published through previous project deliverables and in future planned papers. The clinical demonstrator site described in this report has provided the solid basis from which to establish "proof of concept" verification of the design approach, and a valuable opportunity to install, test and evaluate the results of the component engineering undertaken during the EC funded project. Inevitably, a number of practical implementation and deployment obstacles have been overcome through this journey, each of those having contributed to the time taken to deliver the components but also to the richness of the end products. UCL is fortunate that the Whittington Hospital, and the department of cardiovascular medicine in particular, is committed to a long-term vision built around this work. That vision, outlined within this report, is shared by the Camden and Islington Health Authority and by many other purchaser and provider organisations in the area, and by a number of industrial parties. They are collectively determined to support the Demonstrator Site as an ongoing project well beyond the life of the EC SynEx Project. This report, although a final report as far as the EC project is concerned, is really a description of the first phase in establishing a centre of healthcare excellence. New EC Fifth Framework project funding has already been approved to enable new and innovative technology solutions to be added to the work already established in north London