NorthStar, a support tool for the design and evaluation of quality improvement interventions in healthcare

Background: The Research-Based Education and Quality Improvement (ReBEQI) European partnership aims to establish a framework and provide practical tools for the selection, implementation, and evaluation of quality improvement (QI) interventions. We describe the development and preliminary evaluation of the software tool NorthStar, a major product of the ReBEQI project. Methods: We focused the content of NorthStar on the design and evaluation of QI interventions. A lead individual from the ReBEQI group drafted each section, and at least two other group members reviewed it. The content is based on published literature, as well as material developed by the ReBEQI group. We developed the software in both a Microsoft Windows HTML help system version and a web-based version. In a preliminary evaluation, we surveyed 33 potential users about the acceptability and perceived utility of NorthStar. Results: NorthStar consists of 18 sections covering the design and evaluation of QI interventions. The major focus of the intervention design sections is on how to identify determinants of practice (factors affecting practice patterns), while the major focus of the intervention evaluation sections is on how to design a cluster randomised trial. The two versions of the software can be transferred by email or CD, and are available for download from the internet. The software offers easy navigation and various functions to access the content. Potential users (55% response rate) reported above-moderate levels of confidence in carrying out QI research related tasks if using NorthStar, particularly when developing a protocol for a cluster randomised trial Conclusion: NorthStar is an integrated, accessible, practical, and acceptable tool to assist developers and evaluators of QI interventions

Secular changes in the quiescence of WZ Sge: the development of a cavity in the inner disk

We find a dimming during optical quiescence of the cataclysmic variable WZ Sge by about half a magnitude between superoutbursts. We connect the dimming with the development of a cavity in the inner part of the accretion disk. We suggest that, when the cavity is big enough, accretion of material is governed by the magnetic field of the white dwarf and pulsations from the weakly magnetic white dwarf appear. The time scale of forming the cavity is about a decade, and it persists throughout the whole quiescent phase. Such a cavity can be accommodated well by the proposed magnetic propeller model for WZ Sge, where during quiescence mass is being expelled by the magnetic white dwarf from the inner regions of the accretion disk to larger radii.Comment: 10 pages, 4 figures, accepted for publication in Astronomy and Astrophysics; following referee report, many textual changes, figures improved, more historic data added, conclusions unchange

Spacelab system analysis: A study of the Marshall Avionics System Testbed (MAST)

An analysis of the Marshall Avionics Systems Testbed (MAST) communications requirements is presented. The average offered load for typical nodes is estimated. Suitable local area networks are determined

Proposition and validation of an original MAC layer with simultaneous medium accesses for low latency wireless control/command applications

Control/command processes require a transmission system with some characteristics like high reliability, low latency and strong guarantees on messages delivery. Concerning wire networks, field buses technologies like FIP offer this kind of service (periodic tasks, real time constraints...). Unfortunately, few wireless technologies can propose a communication system which respects such constraints. Indeed, wireless transmissions must deal with medium characteristics which make impossible the direct translation of mechanisms used with wire networks. The purpose of this paper is to present an original Medium Access Control (MAC) layer for a real time Low Power-Wireless Personal Area Network (LP-WPAN). The proposed MAC-layer has been validated by several complementary methods; in this paper, we focus on the specific Simultaneous Guaranteed Time Slot (SGTS) part

Long-Range Communications in Unlicensed Bands: the Rising Stars in the IoT and Smart City Scenarios

Connectivity is probably the most basic building block of the Internet of Things (IoT) paradigm. Up to know, the two main approaches to provide data access to the \emph{things} have been based either on multi-hop mesh networks using short-range communication technologies in the unlicensed spectrum, or on long-range, legacy cellular technologies, mainly 2G/GSM, operating in the corresponding licensed frequency bands. Recently, these reference models have been challenged by a new type of wireless connectivity, characterized by low-rate, long-range transmission technologies in the unlicensed sub-GHz frequency bands, used to realize access networks with star topology which are referred to a \emph{Low-Power Wide Area Networks} (LPWANs). In this paper, we introduce this new approach to provide connectivity in the IoT scenario, discussing its advantages over the established paradigms in terms of efficiency, effectiveness, and architectural design, in particular for the typical Smart Cities applications