Optimal dose calibration in radiotherapy

In this paper, the tools provided by the theory of Optimal Experimental Design are applied to a nonlinear calibration model. This is motivated by the need of estimating radiation doses using radiochromic films for radiotherapy purposes. The calibration model is in this case nonlinear and the explanatory variable cannot be worked out explicitly from the model. In this case an experimental design has to be found on the dependent variable. For that, the inverse function theorem will be used to obtain an information matrix to be optimized. Optimal designs on the response variable are computed from two different perspectives, first for fitting the model and estimating each of the parameters and then for predicting the proper dose. While the first is a common point of view in a general context of the Optimal Experimental Design, the latter is actually the main objective of the calibration problem for the practitioners and algorithms for computing these optimal designs are also provided. The optimal designs obtained have just three different points in their support, but practitioners usually demand for more support points. Thus, a methodology for computing space-filling designs is also provided when the support points are forced to follow some mathematical rule, such as arithmetic or geometric sequences. Cross efficiencies of all these designs are computed in order to show their ability for different goals

MAGIC sensitivity to millisecond-duration optical pulses

The MAGIC telescopes are a system of two Imaging Atmospheric Cherenkov Telescopes (IACTs) designed to observe very high energy (VHE) gamma rays above ~50 GeV. However, as IACTs are sensitive to Cherenkov light in the UV/blue and use photo-detectors with a time response well below the ms scale, MAGIC is also able to perform simultaneous optical observations. Through an alternative system installed in the central PMT of MAGIC II camera, the so-called central pixel, MAGIC is sensitive to short (1ms - 1s) optical pulses. Periodic signals from the Crab pulsar are regularly monitored. Here we report for the first time the experimental determination of the sensitivity of the central pixel to isolated 1-10 ms long optical pulses. The result of this study is relevant for searches of fast transients such as Fast Radio Bursts (FRBs).Comment: Proceedings of the 35th International Cosmic Ray Conference (ICRC 2017), Bexco, Busan, Korea (arXiv:1708.05153

Optimal experimental design for cytogenetic dose-response calibration curves

Purpose: To introduce optimal experimental design techniques in the cytogenetic biological dosimetry practice. This includes the development of a new optimatility criterion for the calibration of radiation doses. Materials and Methods: The most typical optimal design criterion and the one developed in this research are introduced and applied in an example from the litera- ture. In another example from the literature, a simulation study has been performed to compare the standard error of the dose estimation using di erent experimental designs. An RStudio project and a GitHub project have been developed to repro- duce these results. Results: It is appreciated how the application of optimal experimental design tech- niques can reduce the standard error of biodosimetric dose estimations. Conclusions: Optimal experimental design techniques jointly with practitioners re- quirements may be applied. This practice would not involve an additional laboratory work

Evaluation of thermal comfort and building form attributes in different semi-outdoor environments in a high-density tropical setting

In highly dense tropical cities, a semi-outdoor space (SOS) is frequently used as a social space within tall building forms where people can interact and connect. Thermal comfort in SOSs within tall buildings, however, may vary depending on the type and form attributes that define it. This study classifies 63 SOSs in four tall buildings of Singapore into five types based on literature review: perimeter buffers, sky terraces, horizontal breezeways, breezeway atria and vertical breezeways. Findings suggest that the five SOS types perform differently in terms of thermal comfort (based on PMV*), environmental parameters (air temperature, mean radiant temperature, relative humidity, and air velocity), and building form attributes (height-to-depth ratio, open space ratio, and green plot ratio). Of these five, vertical breezeways and horizontal breezeways are the most thermally comfortable for all activities during a typically warm hour. It is postulated that higher thermal comfort levels in these SOS types are linked to form attributes that enhance air velocity. This study examines the pros and cons of each SOS type in terms of thermal comfort in their role as communal spaces in tall buildings situated within a highly dense tropical city

Passive cooling design strategies as adaptation measures for lowering the indoor overheating risk in tropical climates

Year-round high temperatures and humidity in the Tropics, coupled with poor design decisions and climate change, can cause indoor environments to overheat, affecting health and increasing energy demand and carbon emissions. Passive cooling could help lower the indoor overheating risk. Given the gap in the relative influence of passive cooling design strategies on lowering the indoor overheating risk in tropical locations, this study investigated their impact in two warm tropical cities (i.e., Tegucigalpa and San Pedro Sula), considering both current and future climate scenarios, with a total of 3840 thermal simulations performed. Indoor overheating risk in apartment-type dwellings was assessed using two metrics (i.e., hours of exceedance and the indoor overheating degree), and considering fixed and adaptive thermal comfort limits. Simulation results show that the overheating risk can be significantly lowered in these tropical contexts using solely passive cooling strategies as heat adaptation measures. Multivariate regression models demonstrate that natural ventilation, wall absorptance, the solar heat gain coefficient, and semi-outdoor spaces have the greatest impact in lowering the risk in vertical social housing projects. This study emphasizes the importance of passive cooling and overheating protection design strategies in tropical building codes and building design while considering current and future risk

Mapping levels of Palliative Care development in 198 Countries: the situation in 2017

Context Palliative care is gaining ground globally and is endorsed in high-level policy commitments, but service provision, supporting policies, education, and funding are incommensurate with rapidly growing needs. Objectives The objective of this study was to describe current levels of global palliative care development and report on changes since 2006. Methods An online survey of experts in 198 countries generated 2017 data on 10 indicators of palliative care provision, fitted to six categories of development. Factor analysis and discriminant analysis showed the validity of the categorization. Spearman correlation analyses assessed the relationship with World Bank Income Level (WBIL), Human Development Index (HDI), and Universal Health Coverage (UHC). Results Numbers (percentages) of countries in each development category were as follows: 1) no known palliative care activity, 47 (24%); 2) capacity-building, 13 (7%); 3a) isolated provision, 65 (33%); 3b) generalized provision, 22 (11%); 4a) preliminary integration into mainstream provision, 21 (11%); 4b) advanced integration, 30 (15%). Development levels were significantly associated with WBIL (rS = 0.4785), UHC (rS = 0.5558), and HDI (rS = 0.5426) with P < 0.001. Net improvement between 2006 and 2017 saw 32 fewer countries in Categories 1/2, 16 more countries in 3a/3b, and 17 more countries in 4a/4b. Conclusion Palliative care at the highest level of provision is available for only 14% of the global population and is concentrated in European countries. An 87% global increase in serious health-related suffering amenable to palliative care interventions is predicted by 2060. With an increasing need, palliative care is not reaching the levels required by at least half of the global population

Student's Inventory of Professionalism (SIP): A tool to assess attitudes towards professional development based on palliative care undergraduate education

Introduction: Quality medical education, centered on a patient's needs, is crucial to develop the health professionals that our society requires. Research suggests a strong contribution of palliative care education to professionalism. The aim of this study was to design and validate a self-report inventory to measure student's professional development. Method: Sequential exploratory strategy mixed method. The inventory is built based on the themes that emerged from the analysis of four qualitative studies about nursing and medical students' perceptions related to palliative care teaching interventions (see Ballesteros et al. 2014, Centeno et al. 2014 and 2017, Rojí et al. 2017). The structure and psychometrics of the inventory obtained is tested in two different surveys with two different groups of medical students. Inventory reliability and construct validity are tested in the first survey group. To verify the inventory structure, a confirmatory factor analysis is performed in a second survey group. Results: The inventory has 33 items and seven dimensions: a holistic approach, caring for and understanding the patient, personal growth, teamwork, decision-making, patient evaluation, and being a health care professional. Cronbach's-alpha was 0.73-0.84 in all seven domains, ICC: 0.95. The confirmatory factor analysis comparative fit index (CFI) was 1 with a standardized root mean square Index 0.088 (SRMR) and obtained a 0.99 goodness-of-fit R-square coefficient. Conclusions: this new inventory is grounded on student's palliative care teaching experiences and seems to be valid to assess student's professional development

Real Field Deployment of a Smart Fiber Optic Surveillance System for Pipeline Integrity Threat Detection: Architectural Issues and Blind Field Test Results

This paper presents an on-line augmented surveillance system that aims to real time monitoring of activities along a pipeline. The system is deployed in a fully realistic scenario and exposed to real activities carried out in unknown places at unknown times within a given test time interval (socalled blind field tests). We describe the system architecture that includes specific modules to deal with the fact that continuous on-line monitoring needs to be carried out, while addressing the need of limiting the false alarms at reasonable rates. To the best or our knowledge, this is the first published work in which a pipeline integrity threat detection system is deployed in a realistic scenario (using a fiber optic along an active gas pipeline) and is thoroughly and objectively evaluated in realistic blind conditions. The system integrates two operation modes: The machine+activity identification mode identifies the machine that is carrying out a certain activity along the pipeline, and the threat detection mode directly identifies if the activity along the pipeline is a threat or not. The blind field tests are carried out in two different pipeline sections: The first section corresponds to the case where the sensor is close to the sensed area, while the second one places the sensed area about 35 km far from the sensor. Results of the machine+activity identification mode showed an average machine+activity classification rate of 46:6%. For the threat detection mode, 8 out of 10 threats were correctly detected, with only 1 false alarm appearing in a 55:5-hour sensed period.European CommissionMinisterio de Economía y CompetitividadComunidad de Madri