Rethinking Attentional Habits

Attentional habits acquired by visual statistical learning cause enduring biases toward specific locations. These habits, driven by recent search history, are thought to be independent of both goal-directed and stimulus-driven attentional mechanisms. This theoretical claim is based on three characteristics that these habits apparently exhibit, that is, they are inflexible, implicit, and efficient. We review methodological limitations in previous studies and briefly describe recent results that challenge this new framework. We conclude that it might be premature to assume that attentional habits are based on a special search history process that differs from the two traditionally recognized attentional mechanisms

Is probabilistic cuing of visual search an inflexible attentional habit? A meta-analytic review

In studies on probabilistic cuing of visual search, participants search for a target among several distractors and report some feature of the target. In a biased stage the target appears more frequently in one specific area of the search display. Eventually, participants become faster at finding the target in that rich region compared to the sparse region. In some experiments, this stage is followed by an unbiased stage, where the target is evenly located across all regions of the display. Despite this change in the spatial distribution of targets, search speed usually remains faster when the target is located in the previously rich region. The persistence of the bias even when it is no longer advantageous has been taken as evidence that this phenomenon is an attentional habit. The aim of this meta-analysis was to test whether the magnitude of probabilistic cuing decreases from the biased to the unbiased stage. A meta-analysis of 42 studies confirmed that probabilistic cuing during the unbiased stage was roughly half the size of cuing during the biased stage, and this decrease persisted even after correcting for publication bias. Thus, the evidence supporting the claim that probabilistic cuing is an attentional habit might not be as compelling as previously thought

Simulation Optimization for Healthcare Emergency Departments

AbstractThis article presents an Agent-Based modeling (ABM) simulation to design a decision support system (DSS) for Healthcare Emergency Department (ED). This DSS aims to aid EDs heads in setting up management guidelines to improve the operation of EDs. This ongoing research is being performed by the Research Group in Individual Oriented Modeling (IoM) at the University Autonoma of Barcelona (UAB) with close collaboration of Hospital ED Staff Team. The objective of the proposed ABM procedure is to optimize the performance of such complex and dynamic Healthcare EDs, because worldwide most of them are overcrowded, and unable to provide ad hoc care, quality and service. Exhaustive search (ES) optimization is used to find out the optimal ED staff configuration, which includes doctors, triage nurses, and admission personnel, i.e., a multidimensional problem. An index is proposed to minimize patient length of stay in the ED. The results obtained by using an alternative pipeline scheme to ES are promising and a better understanding of the problem is achieved. The impact of the pipeline scheme to reduce the computational cost of exhaustive search is outlined

Papel del podólogo en lesiones de pierna y pie en corredores

Treball Final de Grau de Podologia, Escola Universitària d'Infermeria, Universitat de Barcelona, curs: 2014-2015, Tutor: Laura Planas OrtegaCorrer/ running es una de las actividades físicas más difundidas en la actualidad, y que está atrayendo a un gran número de participantes en los últimos años. Por tanto, el número de lesiones va en aumento. Centrándonos en la pierna y pie del corredor, trabajaremos sobre las lesiones más frecuentes encontradas en bibliografía, los factores de riesgo relacionados, y seguidamente recopilaremos métodos de prevención, y analizaremos tratamientos descritos en los recursos bibliográficos, relacionándolo al entorno de la podologí

Using an Agent-based Simulation for Predicting the Effects of Patients Derivation Policies in Emergency Departments

AbstractThe increasing demand of urgent care, overcrowding of hospital emergency departments (ED) and limited economic resources are phenomena shared by health systems around the world. It is estimated that up to 50% of patients that are attended in ED have non complex conditions that could be resolved in ambulatory care services. The derivation of less complex cases from the ED to other health care devices seems an essential measure to allocate properly the demand of care service between the different care units. This paper presents the results of an experiment carried out with the objective of analyzing the effects on the ED (patients’ Length of Stay, the number of patients attended and the level of activity of ED Staff) of different derivation policies. The experiment has been done with data of the Hospital of Sabadell (a big hospital, one of the most important in Catalonia, Spain), making use of an Agent-Based model and simulation formed entirely of the rules governing the behaviour of the individual agents which populate the ED, and due to the great amount of data that should be computed, using High Performance Computing

An Agent-Based Decision Support System for Hospitals Emergency Departments

AbstractModeling and simulation have been shown to be useful tools in many areas of the Healthcare operational management, field in which there is probably no area more dynamic and complex than hospital emergency departments (ED). This paper presents the results of an ongoing project that is being carried out by the Research Group in Individual Oriented Modeling (IoM) of the University Autonoma of Barcelona (UAB) with the participation of Hospital of Sabadell ED Staff Team. Its general objective is creating a simulator that, used as decision support system (DSS), aids the heads of the ED to make the best informed decisions possible. The defined ED model is a pure Agent-Based Model, formed entirely of the rules governing the behavior of the individual agents which populate the system. Two distinct types of agents have been identified, active and passive. Active agents represent human actors, meanwhile passive agents represent services and other reactive systems. The actions of agents and the communication between them will be represented using Moore state machines extended to include probabilistic transitions. The model also includes the environment in which agents move and interact. With the aim of verifying the proposed model an initial simulation has been created using NetLogo, an agent-based simulation environment well suited for modeling complex systems

Combination antiretroviral therapy improves cognitive performance and functional connectivity in treatment-naïve HIV-infected individuals.

Our study aimed to investigate the short-term effect of combination antiretroviral therapy (cART) on cognitive performance and functional and structural connectivity and their relationship to plasma levels of antiretroviral (ARV) drugs. Seventeen ARV treatment-naïve HIV-infected individuals (baseline mean CD4 cell count, 479 ± 48 cells/mm3) were age matched with 17 HIV-uninfected individuals. All subjects underwent a detailed neurocognitive and functional assessment and magnetic resonance imaging. HIV-infected subjects were scanned before starting cART and 12 weeks after initiation of treatment. Uninfected subjects were assessed once at baseline. Functional connectivity (FC) was assessed within the default mode network while structural connectivity was assessed by voxel-wise analysis using tract-based spatial statistics (TBSS) and probabilistic tractography within the DMN. Tenofovir and emtricitabine blood concentration were measured at week 12 of cART. Prior to cART, HIV-infected individuals had significantly lower cognitive performance than control subjects as measured by the total Z-score from the neuropsychological tests assessing six cognitive domains (p = 0.020). After 12 weeks of cART treatment, there remained only a weak cognitive difference between HIV-infected and HIV-uninfected subjects (p = 0.057). Mean FC was lower in HIV-infected individuals compared with those uninfected (p = 0.008), but FC differences became non-significant after treatment (p = 0.197). There were no differences in DTI metrics between HIV-infected and HIV-uninfected individuals using the TBSS approach and limited evidence of decreased structural connectivity within the DMN in HIV-infected individuals. Tenofovir and emtricitabine plasma concentrations did not correlate with either cognitive performance or imaging metrics.ConclusionsTwelve weeks of cART improves cognitive performance and functional connectivity in ARV treatment-naïve HIV-infected individuals with relatively preserved immune function. Longer periods of observation are necessary to assess whether this effect is maintained

Automatic DVB signal analyser

El problema de controlar les emissions de televisió digital a tota Europa pel desenvolupament de receptors robustos i fiables és cada vegada més significant, per això, sorgeix la necessitat d'automatitzar el procés d'anàlisi i control d'aquests senyals. Aquest projecte presenta el desenvolupament software d'una aplicació que vol solucionar una part d'aquest problema. L'aplicació s'encarrega d'analitzar, gestionar i capturar senyals de televisió digital. Aquest document fa una introducció a la matèria central que és la televisió digital i la informació que porten els senyals de televisió, concretament, la que es refereix a l'estàndard "Digital Video Broadcasting". A continuació d'aquesta part, l'escrit es concentra en l'explicació i descripció de les funcionalitats que necessita cobrir l'aplicació, així com introduir i explicar cada etapa d'un procés de desenvolupament software. Finalment, es resumeixen els avantatges de la creació d'aquest programa per l'automatització de l'anàlisi de senyal digital partint d'una optimització de recursos.El problema de controlar las emisiones de televisión digital de toda Europa para el desarrollo de receptores robustos y fiables es cada vez más notable, por ello, surge la necesidad de automatizar el proceso de análisis y control de estas señales. Este proyecto presenta el desarrollo software de una aplicación que pretende solucionar parte del problema. La aplicación se encarga de analizar, gestionar y capturar señales de televisión digital. Este documento hace una introducción en la materia central que es la televisión digital y la información que transportan las señales de televisión, concretamente, la que se refiere al estándar "Digital Video Broadcasting". A continuación de esta parte, el escrito se centra en la explicación y descripción de las funcionalidades que necesita cubrir la aplicación, así como introducir y explicar cada etapa de un proceso de desarrollo de software. Finalmente, se resumen las ventajas de la creación de este programa para la automatización del análisis de señal digital a partir de una optimización de recursos.The problem of controlling all European digital television broadcastings for sturdy and reliable receivers' development is every time more remarkably, for this reason, the necessity of analysis and control process automation of these signals appears. This project presents the software development of an application that tries to solve part of the problem. The application is in charge of analyse, manage and record digital television signals. This essay introduces the main subject that it is digital television and the information that television signals carries, specifically, the information related to the standard "Digital Video Broadcasting". Following this section, the document focuses in the explanation and description of application scope functionalities, and also wants to introduce and explain each stage of a software development process. Finally, the advantages of program creation for the automation of digital signal analysis from an optimization of resources are summarised

Poor sleep quality, antepartum depression and suicidal ideation among pregnant women.

To evaluate the independent and combined associations of maternal self-reported poor sleep quality and antepartum depression with suicidal ideation during the third trimester METHODS: A cross-sectional study was conducted among 1298 pregnant women (between 24 and 28 gestational weeks) attending prenatal clinics in Lima, Peru. Antepartum depression and suicidal ideation were assessed using the Patient Health Questionnaire-9 (PHQ-9). The Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to assess sleep quality. Multivariate logistical regression procedures were used to estimate odds ratios (OR) and 95% confidence intervals (95% CI) after adjusting for putative confounders. Approximately, 17% of women were classified as having poor sleep quality (defined using the recommended criteria of PSQI global score of >5 vs. ≤5). Further, the prevalence of antepartum depression and suicidal ideation were 10.3% and 8.5%, respectively in this cohort. After adjusting for confounders including depression, poor sleep quality was associated with a 2.81-fold increased odds of suicidal ideation (OR=2.81; 95% CI 1.78-4.45). When assessed as a continuous variable, each 1-unit increase in the global PSQI score resulted in a 28% increase in odds for suicidal ideation, even after adjusting for depression (OR=1.28; 95% CI 1.15-1.41). The odds of suicidal ideation was particularly high among depressed women with poor sleep quality (OR=13.56 95% CI 7.53-24.41) as compared with women without either risk factor. This cross-sectional study utilized self-reported data. Causality cannot be inferred, and results may not be fully generalizable. Poor sleep quality, even after adjusting for depression, is associated with antepartum suicidal ideation. Our findings support the need to explore sleep-focused interventions for pregnant women

Nasal cannula use during polysomnography in children aged under three with suspected sleep apnea

Nasal cannula; Pediatric sleep apnea; PolysomnographyCánula nasal; Apnea del sueño pediátrica; PolisomnografíaCànula nasal; Apnea del son pediàtrica; PolisomnografiaObjective Early diagnosis of obstructive sleep apnea (OSA) in children is important. The use of a nasal cannula as an airflow sensor during polysomnography has not been evaluated in younger children. The study aims to evaluate the use of nasal cannula in detecting respiratory events in children under three with suspected OSA during daytime nap studies. Methods A total of 185 patients were prospectively included. Respiratory events were scored using nasal cannula alone, thermistor alone, and both methods simultaneously as the airflow sensor. Agreement and diagnostic accuracy were assessed. Results One hundred and seventy-two children were finally analyzed and 110 (64.0%) presented OSA. Total sleep time with an uninterpretable signal was longer with the nasal cannula than with the thermistor (17.8% vs 1.9%; p < 0.001), and was associated with poor sensor tolerance and adenotonsillar hypertrophy. In the estimation of the apnea-hypopnea index, the nasal cannula showed lower agreement than the thermistor with the joint use of the two sensors (intraclass correlation coefficient: 0.79 vs 0.996 with thermistor). Compared with the thermistor, the nasal cannula presented lower sensitivity for detecting OSA (82.7% vs 95.5%) and a lower negative predictive value (76.5% vs 92.4%). Overall, fewer children were diagnosed with severe OSA with the nasal cannula (19.8% vs 30.8% with the thermistor, and 32.6% with both). Conclusions In children under the age of three, the ability of the nasal cannula to detect obstructive events was relatively low. Therefore, other non-invasive measurements for identifying respiratory events during sleep may be of additional value