Expressing Inflection Tonally

In Limburg Dutch, the difference between neuter and feminine agreement on adjectives is expressed by a difference in lexical tone. This paper argues that this distinction is due to a difference in underlying representations and not to a paradigmatic antifaithfulness effect. In particular, it argues for a specific version of REALIZE-MORPHEME, the constraint demanding every underlying morpheme to be present in phonological surface representations. The key argument is that a schwa suffix turns up whenever the tonal change from neuter to feminine is not possible

Developments in the Safety Science Domain and in Safety Management From the 1970s Till the 1979 Near Disaster at Three Mile Island

Objective: What has been the influence of general management schools and safety research into causes of accidents and disasters on managing safety from 1970 till 1979? Method: The study was limited to original articles and documents, written in English or Dutch from the period under concern. For the Netherlands, the professional journal De Veiligheid (Safety) has been consulted. Results and conclusions: Dominant management approaches started with 1) the classical management starting from the 19th century, with scientific management from the start of the 20st century as a main component. During the interwar period 2) behavioural management started, based on behaviourism, followed by 3) quantitative management from the Second World War onwards. After the war 4) modern management became important. A company was seen as an open system, interacting with an external environment with external stakeholders. These schools management were not exclusive, but have existed in the period together. Early 20th century, the U.S. 'Safety First' movement was the starting point of this knowledge development on managing safety, with cost reduction and production efficiency as key drivers. Psychological models and metaphors explained accidents from ‘unsafe acts’. And safety was managed with training and selection of reckless workers, all in line with scientific management. Supported by behavioural management, this approach remained dominant for many years, even long after World War II. Influenced by quantitative management, potential and actual disasters after the war led to two approaches; loss prevention (up-scaling process industry) and reliability engineering (inherently dangerous processes in the aerospace and nuclear industries). The distinction between process safety and occupational safety became clear after the war, and the two developed into relatively independent domains. In occupational safety in the 1970s human errors thought to be symptoms of mismanagement. The term ‘safety management’ was introduced in scientific safety literature as well as concepts as loose, and tightly coupled processes, organizational culture, incubation of a disaster and mechanisms blinding organizations for portents of disaster scenarios. Loss prevention remained technically oriented. Till 1979 there was no clear relation with safety management. Reliability engineering, based on systems theory did have that relation with the MORT technique as a management audit. The Netherlands mainly followed Anglo-Saxon developments. Late 1970s, following international safety symposia in The Hague and Delft, independent research started in The Netherland

Adapting the complexity level of a serious game to the proficiency of players

As games are continuously assessing the player, this assessment can be used to adapt the complexity of a game to the proficiency of the player in real time. We performed an experiment to examine the role of dynamic adaptation. In one condition, participants played a version of our serious game for triage training that automatically adapted the complexity level of the presented cases to how well the participant scored previously. Participants in the control condition played a version of the game with no adaptation. The adapted version was significantly more efficient and resulted in higher learning gains per instructional case, but did not lead to a difference in engagement. Adapting games to the proficiency of the player could make serious games more efficient learning tools

Expected survival with and without second-line palliative chemotherapy: who wants to know?

Background According to surveys, many patients with advancedcancer wish to receive survival information.Objective This study invest igated information preferences by offer-ing patients a decision aid (DA) with infor mation on expected sur-vival for two treatment options: supportive care with or withoutsecond-line palliative chemotherapy. Predicto rs of accepting sur-vival information were explored.Design Eligible patients in this multicentre prospective study wereoffered secon d-line chemotherapy for advanced breast or colorectalcancer. A nurse presented a DA on second-line treatment andasked patients whether they desired information on (i) adverseevents, (ii) tumour response and (iii) survival. Data on 50 clinicaland psychosocial patient characteristics were collected from inclu-sion forms and patient questionnaires.Results Seventy-seven patients received a DA; median age62 years (range 32–80), 61% female, 77% colorectal cancer. Fifty-seven patients (74%; 95% CI 64–84) desired survival information.Four psychosocial characteristics (e.g . deliberative decision style)independently predicted information desire. However, the use ofthese characteristics to predict information desire hardly outper-formed a simple prediction rule.Conclusions Many patients desired information on expected sur-vival when deciding about second-line treatment. However, ourexploratory analysis indicated that patients desiring this informa-tion could not be identified based on their clinical or psychosocialcharacteristics. These findings can help encourage candid discus-sions about expected survival. Health professionals should be care-ful not to make implicit assumptions of information desire based on patient characteristics, but to explicitly ask patients if survivalinformation is desired, and act accordingly

The REVEAL educational environmental narrative framework for PlayStation VR

The REVEAL project is pioneering the use of PlayStation VR for educational applications which engage audiences in Europe's rich scientific and cultural heritage. The REVEAL software framework facilitates the development of Educational Environmental Narrative (EEN) games in virtual reality for the PlayStation 4. The framework is composed of a set of software layers and editor plugins which augment an existing game engine technology ("The PhyreEngine") and facilitate its transfer to educational applications. The PhyreEngine was created by Sony Interactive Entertainment Europe and is free and open source to registered PlayStation developers, including academic partners under the PlayStation First scheme. The REVEAL framework is built on top of the PhyreEngine and will be made similarly available to PlayStation developers through Sony Interactive Entertainment's developer network. This paper describes the functionality and design of the REVEAL framework, including its graph-based architecture, node-based locomotion system and high-resolution paper artefact rendering system. Key supporting tools are also described, including the Story Scaffolding Tool and its role in collecting detailed game analytics. The application of the framework is illustrated through an EEN case study application based on the life of Dr. Edward Jenner: the 18th century scientist credited with the discovery of vaccination. Finally, we discuss how we will empirically evaluate the effectiveness of a VR application and its components

Implementation of clinical guidelines on physical therapy for patients with low back pain: randomized trial comparing patient outcomes after a standard and active implementation strategy

Contains fulltext : 47628.pdf (publisher's version ) (Closed access)BACKGROUND AND PURPOSE: An active strategy was developed for the implementation of the clinical guidelines on physical therapy for patients with low back pain. The effect of this strategy on patients' physical functioning, coping strategy, and beliefs regarding their low back pain was studied. SUBJECTS: One hundred thirteen primary care physical therapists treated a total of 500 patients. METHODS: The physical therapists were randomly assigned to 1 of 2 groups. The control group received the guidelines by mail (standard passive method of dissemination). The intervention group, in contrast, received an additional active training strategy consisting of 2 sessions with education, group discussion, role playing, feedback, and reminders. Patients with low back pain, treated by the participating therapists, completed questionnaires on physical functioning, pain, sick leave, coping, and beliefs. RESULTS: Physical functioning and pain in the 2 groups improved substantially in the first 12 weeks. Multilevel longitudinal analysis showed no differences between the 2 groups on any outcome measure during follow-up. DISCUSSION AND CONCLUSION: The authors found no additional benefit to applying an active strategy to implement the physical therapy guidelines for patients with low back pain. Active implementation strategies are not recommended if patient outcomes are to be improved

Influence of skull conductivity perturbations on EEG dipole source analysis

PURPOSE: Electroencephalogram (EEG) source analysis is a noninvasive technique used in the presurgical of epilepsy. In this study, the dipole location and orientation errors due to skull conductivity perturbations were investigated in two groups of three-dimensional head models: A spherical head model and a realistic head model. METHODS: In each group, the head model had a brain-to-skull conductivity ratio (Rsigma) within the range of 10-40. Solving the forward problem in the head model with skull conductivity perturbations along with the inverse problem in the baseline head model with Rsigma=20 permitted the derivation of the dipole estimation errors. RESULTS: Perturbations in the skull conductivity generated dipole location and orientation errors: The larger the perturbations, the larger the errors and the error ranges. The dipole orientation error due to skull conductivity perturbations was not great (maximal mean of 5 mm). CONCLUSIONS: Therefore, the influence of skull conductivity perturbations on EEG dipole source analysis cannot be neglected. This study suggests that it is necessary to measure the skull conductivity of the individual patients in order to achieve accurate EEG source analysis.status: publishe