The Trainer Project: A New Simulator-Based Driver Training Curriculum

The purpose of the EU funded TRAINER project is to develop a new cost-effective Pan-European driver training curriculum, includingcomputer-based interactive multimedia and simulator technology. Thecurriculum will pay significant attention to higher order skills including riskawareness. For this purpose a number of scenarios were developed thataddresses the most important needs of learner drivers. These scenarios are usedin a PC-based interactive multimedia tool as well as in a driving simulator. Theinteractive multimedia tool allows training and assessment of higher cognitiveskills (i.e., strategic and manoeuvring tasks), familiarisation of novice driverswith the basic principles of driving, and contributing to a better understandingof (potential) risks. A low cost stationary driving simulator is used for acquiringskills in vehicle handling and negotiating common traffic situations (i.e.,manoeuvring and control tasks). In addition, a mean cost semi-dynamic drivingsimulator is developed for supporting the needs of specific driver cohorts, suchas novice drivers with enhanced knowledge problems and drivers in high-riskgroups. Application of such an advanced computer-based curriculum alsoimplies development of criteria to allow driving instructors to determinetraining progress. These criteria are based on a database of normative driverbehaviour. This paper mainly focuses on the description of the technical (softandhardware) requirements for both low-cost and mean-cost simulators

Generation of parallel electric fields in the Jupiter-Io torus wake region

Infrared and ultraviolet images have established that auroral emissions at Jupiter caused by the electromagnetic interaction with Io not only produce a bright spot, but an emission trail that extends in longitude from Io's magnetic footprint. Electron acceleration that produces the bright spot is believed to be dominated by Alfvén waves whereas we argue that the trail or wake aurora results from quasi-static parallel electric fields associated with large-scale, field-aligned currents between the Io torus and Jupiter's ionosphere. These currents ultimately transfer angular momentum from Jupiter to the Io torus. We examine the generation and the impact of the quasi-static parallel electric fields in the Io trail aurora. A critical component to our analysis is a current-voltage relation that accounts for the low-density plasma along the magnetic flux tubes that connect the Io torus and Jupiter. This low-density region, ∼2 Rj from Jupiter's center, can significantly limit the field-aligned current, essentially acting as a "high-latitude current choke." Once parallel electric fields are introduced, the governing equations that couple Jupiter's ionosphere to the Io torus become nonlinear and, while the large-scale behavior is similar to that expected with no parallel electric field, there are substantial deviations on smaller scales. The solutions, bound by properties of the Io torus and Jupiter's ionosphere, indicate that the parallel potentials are on the order of 1 kV when constrained by peak energy fluxes of a few milliwatts per square meter. The parallel potentials that we predict are significantly lower than earlier reports

Evaluation of the passive safety in cars adapted with steering control devices for disabled drivers

The purpose of this research is to analyse the influence of steering control devices for disabled people on passive safety. It is based on the advances made in the modelling and simulation of the driver position and in the suit verification test. The influence of these devices is studied through airbag deployment and/or its influence on driver safety. We characterise the different adaptations that are used in adapted cars that can be found mounted in vehicles in order to generate models that are verified by experimental test. A three-dimensional design software package was used to develop the model. The simulations were generated using a dynamic simulation program employing LS-DYNA finite elements. This program plots the geometry and assigns materials. The airbag is shaped, meshed and folded just as it is mounted in current vehicles. The thermodynamic model of expansion of gases is assigned, and the contact interfaces are defined. Static tests were carried out on the deployment of the airbag to contrast with and to validate the computational models and to measure the behaviour of the airbag when there are steering adaptations mounted in the vehicle. © 2011 Taylor & Francis.Masiá Vañó, J.; Eixerés Tomás, B.; Dols Ruiz, JF. (2011). Evaluation of the passive safety in cars adapted with steering control devices for disabled drivers. International Journal of Crashworthiness. 16(1):75-83. doi:10.1080/13588265.2010.514772S7583161Bedewi, N. E., Marzougui, D., & Motevalli, V. (1996). Evaluation of parameters affecting simulation of airbag deployment and interaction with occupants. International Journal of Crashworthiness, 1(4), 339-354. doi:10.1533/cras.1996.0025Chawla, A., Mukherjee, S., & Sharma, A. (2005). Development of FE meshes for folded airbags. International Journal of Crashworthiness, 10(3), 259-266. doi:10.1533/ijcr.2005.0343Cheng, Z., Rizer, A. L., & Pellettiere, J. A. (2003). Modeling and Simulation of OOP Occupant-Airbag Interaction. SAE Technical Paper Series. doi:10.4271/2003-01-0510Crandall, J. R., Bass, C. R., Pikey, W. D., Miller, H. J., Sikorski, J., & Wilkins, M. (1996). Thoracic response and injury with belt, driver side airbag, and force limited belt restraint systems. International Journal of Crashworthiness, 2(1), 119-132. doi:10.1533/cras.1997.0039Dalrymple, G. (1996). Effects of Assistive Steering Devices on Air Bag Deployment. SAE Technical Paper Series. doi:10.4271/960223Khan, M. U., & Moatamedi, M. (2008). A review of airbag test and analysis. International Journal of Crashworthiness, 13(1), 67-76. doi:10.1080/13588260701731674Khan, M. U., Moatamedi, M., Souli, M., & Zeguer, T. (2008). Multiphysics out of position airbag simulation. International Journal of Crashworthiness, 13(2), 159-166. doi:10.1080/13588260701788385Richert, J., Coutellier, D., Götz, C., & Eberle, W. (2007). Advanced smart airbags: The solution for real-life safety? International Journal of Crashworthiness, 12(2), 159-171. doi:10.1080/13588260701433461Ruff, C., Jost, T., & Eichberger, A. (2007). Simulation of an airbag deployment in out-of-position situations. Vehicle System Dynamics, 45(10), 953-967. doi:10.1080/0042311070153830

Transient Cognitive Impairment and White Matter Hyperintensities in Severely Depressed Older Patients Treated With Electroconvulsive Therapy

BACKGROUND: Although electroconvulsive therapy (ECT) is a safe and effective treatment for patients with severe late life depression (LLD), transient cognitive impairment can be a reason to discontinue the treatment. The aim of the current study was to evaluate the association between structural brain characteristics and general cognitive function during and after ECT. METHODS: A total of 80 patients with LLD from the prospective naturalistic follow-up Mood Disorders in Elderly treated with Electroconvulsive Therapy study were examined. Magnetic resonance imaging scans were acquired before ECT. Overall brain morphology (white and grey matter) was evaluated using visual rating scales. Cognitive functioning before, during, and after ECT was measured using the Mini Mental State Examination (MMSE). A linear mixed-model analysis was performed to analyze the association between structural brain alterations and cognitive functioning over time. RESULTS: Patients with moderate to severe white matter hyperintensities (WMH) showed significantly lower MMSE scores than patients without severe WMH (F(1,75.54) = 5.42, p = 0.02) before, during, and post-ECT, however their trajectory of cognitive functioning was similar as no time × WMH interaction effect was observed (F(4,65.85) = 1.9, p = 0.25). Transient cognitive impairment was not associated with medial temporal or global cortical atrophy (MTA, GCA). CONCLUSION: All patients showed a significant drop in cognitive functioning during ECT, which however recovered above baseline levels post-ECT and remained stable until at least 6 months post-ECT, independently of severity of WMH, GCA, or MTA. Therefore, clinicians should not be reluctant to start or continue ECT in patients with severe structural brain alterations

Hand-assisted retroperitoneoscopic versus standard laparoscopic donor nephrectomy: HARP-trial

Contains fulltext : 88436.pdf (publisher's version ) (Open Access)BACKGROUND: Transplantation is the only treatment offering long-term benefit to patients with chronic kidney failure. Live donor nephrectomy is performed on healthy individuals who do not receive direct therapeutic benefit of the procedure themselves. In order to guarantee the donor's safety, it is important to optimise the surgical approach. Recently we demonstrated the benefit of laparoscopic nephrectomy experienced by the donor. However, this method is characterised by higher in hospital costs, longer operating times and it requires a well-trained surgeon. The hand-assisted retroperitoneoscopic technique may be an alternative to a complete laparoscopic, transperitoneal approach. The peritoneum remains intact and the risk of visceral injuries is reduced. Hand-assistance results in a faster procedure and a significantly reduced operating time. The feasibility of this method has been demonstrated recently, but as to date there are no data available advocating the use of one technique above the other. METHODS/DESIGN: The HARP-trial is a multi-centre randomised controlled, single-blind trial. The study compares the hand-assisted retroperitoneoscopic approach with standard laparoscopic donor nephrectomy. The objective is to determine the best approach for live donor nephrectomy to optimise donor's safety and comfort while reducing donation related costs. DISCUSSION: This study will contribute to the evidence on any benefits of hand-assisted retroperitoneoscopic versus standard laparoscopic donor nephrectomy. TRIAL REGISTRATION: Dutch Trial Register NTR1433

Variability of the auroral footprint of io detected by Juno‐JIRAM and modeling of the Io plasma torus

One of the auroral features of Jupiter is the emission associated with the orbital motion of its moon Io. The relative velocity between Io and the surrounding plasma trigger perturbations that travels as Alfvén waves along the magnetic field lines toward the Jovian ionosphere. These waves can accelerate electrons into the atmosphere and ultimately produce an auroral emission, called the Io footprint. The speed of the Alfvén waves—and hence the position of the footprint—depends on the magnetic field and on the plasma distribution along the field line passing through Io, whose SO2-rich atmosphere is the source of a dense plasma torus around Jupiter. Since 2016, the Jovian InfraRed Auroral Mapper (JIRAM) onboard Juno has been observing the Io footprint with a spatial resolution of ∼few tens of km/pixel. JIRAM detected evidences of variability in the Io footprint position that are not dependent on the System III longitude of Io. The position of the Io footprint in the JIRAM images is compared with the position predicted by a model of the Io Plasma Torus and of the magnetic field. This is the first attempt to retrieve quantitative information on the variability of the torus by looking at the Io footprint. The results are consistent with previous observations of the density and temperature of the Io Plasma Torus. However, we found that the plasma density and temperature exhibit considerable non-System III variability that can be due either to local time asymmetry of the torus or to its temporal variability

Morphology of the Auroral Tail of Io, Europa, and Ganymede From JIRAM L-Band Imager

Jupiter hosts intense auroral activity associated with charged particles precipitating into the planet's atmosphere. The Galilean moons orbiting within the magnetosphere are swept by the magnetic field: the resulting perturbation travels along field lines as Alfven waves, which are able to accelerate electrons toward the planet, producing satellite-induced auroral emissions. These emissions due to the moons, known as footprints, can be detected in various wavelengths (UV, visible, IR) outside the main auroral emission as multiple bright spots followed by footprint tails. Since 2016 the Juno spacecraft orbiting Jupiter has surveyed the polar regions more than 30 times at close distances. Onboard the spacecraft, the Jovian InfraRed Auroral Mapper (JIRAM) is an imager and spectrometer with an L-band imaging filter suited to observe auroral features at unprecedented spatial resolution. JIRAM revealed a rich substructure in the footprint tails of Io, Europa, and Ganymede, which appear as a trail of quasi-regularly spaced bright sub-dots whose intensity fades away along the emission trail as the spatial separation from the footprint increases. The fine structure of the Europa and Ganymede footprint tails is reported in this work for the first time. We will also show that the typical distance between subsequent sub-dots is the same for all three moons at JIRAM resolution in both hemispheres. In addition, the sub-dots observed by JIRAM are static in a frame corotating with Jupiter. A feedback mechanism between the ionosphere and the magnetosphere is suggested as a potential candidate to explain the morphology of the footprint tails

Nursing Care of Patients With Cirrhosis: The LiverHope Nursing Project

Cirrhosis is a complex disease that is associated with disturbances in different organs besides the liver, including kidneys, heart, arterial circulation, lungs, gut, and brain. As a consequence, patients develop a number of complications that result in frequent hospital admissions and high morbidity and mortality. Patients with cirrhosis require constant and rigorous monitoring both in and outside the hospital. In this context, the role of nurses in the care of patients with cirrhosis has not been sufficiently emphasized and there is very limited information about nursing care of patients with cirrhosis compared with other chronic diseases. The current article provides a review of nursing care for the different complications of patients with cirrhosis. Nurses with specific knowledge on liver diseases should be incorporated into multidisciplinary teams managing patients with cirrhosis, both inpatient and outpatient. Conclusion: Nurses play an important role in the management and prevention of complications of the disease and improvement in patients’ quality of life and bridge the gap between clinicians and families, between primary care and hospital care, and provide medical education to patients and caregivers

Ultraviolet emissions from the magnetic footprints of Io, Ganymede and Europa on Jupiter

Io leaves a magnetic footprint on Jupiter's upper atmosphere that appears as a spot of ultraviolet emission that remains fixed underneath Io as Jupiter rotates(1-3). The specific physical mechanisms responsible for generating those emissions are not well understood, but in general the spot seems to arise because of an electromagnetic interaction between Jupiter's magnetic field and the plasma surrounding Io, driving currents of around 1 million amperes down through Jupiter's ionosphere(4-6). The other galilean satellites may also leave footprints, and the presence or absence of such footprints should illuminate the underlying physical mechanism by revealing the strengths of the currents linking the satellites to Jupiter. Here we report persistent, faint, far-ultraviolet emission from the jovian footprints of Ganymede and Europa. We also show that Io's magnetic footprint extends well beyond the immediate vicinity of Io's flux-tube interaction with Jupiter, and much farther than predicted theoretically(4-6); the emission persists for several hours downstream. We infer from these data that Ganymede and Europa have persistent interactions with Jupiter's magnetic field despite their thin atmospheres.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/62861/1/415997a.pd

Multi-site benchmark classification of major depressive disorder using machine learning on cortical and subcortical measures

Machine learning (ML) techniques have gained popularity in the neuroimaging field due to their potential for classifying neuropsychiatric disorders. However, the diagnostic predictive power of the existing algorithms has been limited by small sample sizes, lack of representativeness, data leakage, and/or overfitting. Here, we overcome these limitations with the largest multi-site sample size to date (N = 5365) to provide a generalizable ML classification benchmark of major depressive disorder (MDD) using shallow linear and non-linear models. Leveraging brain measures from standardized ENIGMA analysis pipelines in FreeSurfer, we were able to classify MDD versus healthy controls (HC) with a balanced accuracy of around 62%. But after harmonizing the data, e.g., using ComBat, the balanced accuracy dropped to approximately 52%. Accuracy results close to random chance levels were also observed in stratified groups according to age of onset, antidepressant use, number of episodes and sex. Future studies incorporating higher dimensional brain imaging/phenotype features, and/or using more advanced machine and deep learning methods may yield more encouraging prospects