UC-338 Chiba

The core mechanic present in Chiba is pushing around food items to plate tiles. Each time the player pushes a food item it incurs a cut. With enough cuts the food item will be cut into pieces, progressing to the next cut stage - with a max stage of cuts available for the different pieces of food. This is fundamentally built upon the core gameplay mechanic in Sokoban. Additionally, extending upon this further by incorporating new mechanics such as grilling food items and utilizing slick and sticky tiles. Together, these mechanics allow for a unique series of puzzles to test the players\u27 spatial reasoning. Furthermore, players are disallowed from pushing any one piece of food too many times because the food crumbles and breaks after a certain point. This causes them to be forced to restart the level. Players need to balance both navigation and finding the shortest possible paths in order to push the food to the plates to complete the level. If players complete a level in under a certain number of moves, they can earn a star for that level. Players can earn up to three stars per level if they make the minimum number of pushes possible. As the levels progress, more mechanics are added to give players more ways to solve levels. For example, meatballs were added that rolled until they hit something instead of moving a single tile. With additional mechanics like rolling, players are introduced to more complicated levels that allow them to consider more solutions, while also restricting other solutions

UC-336 Concrete formwork simulator

Concrete Formwork Simulator is a simulation game meant to help construction students practice their skills. The goal of the game is to successfully build concrete formwork with the least amount of wasted materials. Players are scored out of 400 on each of the individual stages: shop, cut, and assemble. Players choose between building a formwork for a column, a slab, and a wall. Each formwork has its own set of materials for the players to buy, cut, and assemble. The player will need to take the dimensions of the formwork into account and then calculate the minimum number of each piece of lumber they will need to buy. Then, while considering minimizing waste, they need to calculate if any pieces need to be cut, and how much to cut them. Finally, the Player moves to the assembly where they are instructed to build the formwork of their choice. They must follow the correct order of assembly and build the sections of the formwork in the correct order to receive full points for the assembly stage. If they have done everything correctly, they will receive a perfect score of 1200 for that formwork

The performance of thin NaI(Tl) scintillator plate for dark matter search

A thin (0.05cm) and wide area (5cmX5cm) NaI(Tl) scintillator was developed. The performance of the thin NaI(Tl) plate, energy resolution, single photoelectron energy and position sensitivity were tested. An excellent energy resolution of 20% (FWHM) at 60keV was obtained. The single photoelectron energy was calculated to be approximately 0.42 0.02keV. Position information in the 5cmx5cm area of the detector was also obtained by analyzing the ratio of the number of photons collected at opposite ends of the detector. The position resolution was obtained to be 1cm (FWHM) in the 5cmx5cm area.Comment: 10 pages. Accepted to Journal of Physical Society of Japa

CsI(Tl) for WIMP dark matter searches

We report a study of CsI(Tl) scintillator to assess its applicability in experiments to search for dark matter particles. Measurements of the mean scintillation pulse shapes due to nuclear and electron recoils have been performed. We find that, as with NaI(Tl), pulse shape analysis can be used to discriminate between electron and nuclear recoils down to 4 keV. However, the discrimination factor is typically (10-15)% better than in NaI(Tl) above 4 keV. The quenching factor for caesium and iodine recoils was measured and found to increase from 11% to ~17% with decreasing recoil energy from 60 to 12 keV. Based on these results, the potential sensitivity of CsI(Tl) to dark matter particles in the form of neutralinos was calculated. We find an improvement over NaI(Tl) for the spin independent WIMP-nucleon interactions up to a factor of 5 assuming comparable electron background levels in the two scintillators.Comment: 16 pages, 8 figures, to be published in Nucl. Instrum. and Meth. in Phys. Res.

WIMPs search by means of the highly segmented scintillator

The highly sensitive method to search for WIMPs dark matter particles is proposed. An array of thin NaI(Tl) plate has the great selectivity for distinguishing the WIMPs events and background ones. The principle of signal selection for WIMPs is described. The high sensitivity for SD (spin-dependent) type WIMPs is expected by applying multi-layer system of NaI(Tl) detector.Comment: 11 pages, added some sentences to make the arguments clea

Functional mapping of hospitals by diagnosis-dominant case-mix analysis

BACKGROUND: Principles and methods for the allocation of healthcare resources among healthcare providers have long been health policy research issues in many countries. Healthcare reforms including the development of a new case-mix system, Diagnosis Procedure Combination (DPC), and the introduction of a DPC-based payment system are currently underway in Japan, and a methodology for adequately assessing the functions of healthcare providers is needed to determine healthcare resource allocations. METHODS: By two-dimensional mapping of the rarity and complexity of diagnoses for patients receiving treatment, we were able to quantitatively demonstrate differences in the functions of different healthcare service provider groups. RESULTS: On average, inpatients had diseases that were 3.6-times rarer than those seen in outpatients, while major teaching hospitals treated inpatients with diseases 3.0-times rarer on average than those seen at small hospitals. CONCLUSION: We created and evaluated a new indicator for DPC, the diagnosis-dominant case-mix system developed in Japan, whereby the system was used to assess the functions of healthcare service providers. The results suggest that it is possible to apply the case-mix system to the integrated evaluation of outpatient and inpatient healthcare services and to the appropriate allocation of healthcare resources among health service providers

The Outcome of Complex Hepato-Pancreato-Biliary Surgery for Elderly Patients: A Propensity Score Matching Analysis

Background/Aims: Postoperative mortality and morbidity rates after hepato-pancreato-biliary (HPB) surgery remain high, and the number of elderly patients requiring such surgery has been increasing. This study aimed to investigate postoperative outcomes of complex HPB surgery for elderly patients. Methods: We retrospectively reviewed perioperative data of 721 patients who underwent complex HPB surgery between 2010 and 2015. The patients were divided into 2 groups: elderly (≥75 years) and non-elderly (< 75 years). Surgical outcomes of both groups were compared after propensity score-matching analysis. Subsequently, risk factors for serious postoperative morbidity were identified by multivariate analysis. Results: Before matching, the elderly group (n = 170) had more comorbidities, such as cardiovascular and renal disease, than the non-elderly group (n = 551). Matching yielded elderly (n = 170) and non-elderly groups (n = 170) with similar preoperative backgrounds. The mortality and morbidity rates did not differ significantly between the groups. In multivariate analyses, operative time (OR 1.79; p = 0.005) and blood loss (OR 1.66; p = 0.03) were identified as independent risk factors for serious postoperative morbidity, whereas older age did not have a predictive impact (OR 1.16; p = 0.52). Conclusions: Although elderly ­patients had more comorbidities and higher incidences of postoperative mortality and several complications before matching, their postoperative outcomes were equivalent to those of non-elderly patients after matching