Incremental planning to control a blackboard-based problem solver

To control problem solving activity, a planner must resolve uncertainty about which specific long-term goals (solutions) to pursue and about which sequences of actions will best achieve those goals. A planner is described that abstracts the problem solving state to recognize possible competing and compatible solutions and to roughly predict the importance and expense of developing these solutions. With this information, the planner plans sequences of problem solving activities that most efficiently resolve its uncertainty about which of the possible solutions to work toward. The planner only details actions for the near future because the results of these actions will influence how (and whether) a plan should be pursued. As problem solving proceeds, the planner adds new details to the plan incrementally, and monitors and repairs the plan to insure it achieves its goals whenever possible. Through experiments, researchers illustrate how these new mechanisms significantly improve problem solving decisions and reduce overall computation. They briefly discuss current research directions, including how these mechanisms can improve a problem solver's real-time response and can enhance cooperation in a distributed problem solving network

Perceptions of Nurses after the First Year of Practice: Expectations and Reality

Background: The nursing profession is facing a critical shortage stemming from retirement of experienced nurses, increasing healthcare needs of an older population, and more inclusive healthcare coverage. Newly licensed nurses (NLNs) have been the long-term plan to fill the gap. Despite the support from nurse residency programs (NRPs), many of these graduate nurses are leaving their first position. This turnover of nurses is detrimental to the nursing shortage, and financially burdensome for health care systems. Purpose: Two aims were explored: 1) to better understand the perceptions of newly licensed nurses after the first year of practice about their expectations and the actual reality of working as a nurse; and 2) to describe the perceived influences in the transition of newly licensed nurses into practice within an acute care setting. Methods: Using a medically focused, ethnographic approach semi-structured interviews were conducted with purposive sampling of 15 NLNs who had just completed a NRP. Transcribed interviews were coded using Atlas ti. V8. Data content was analyzed and once redundancy was reached relevant themes were identified through content analysis from exemplars. Findings: Perceptions of the NLN experience of being a nurse was that it was overwhelming and hard. Interpretive descriptive analysis of their perception of transition showed that nursing school provided them with a foundation but clinical experiences were not realistic to their real life practice. Four concepts to the reality of being a nurse emerged from the data; “Unexpected patient care experiences”; “More responsibility than expected”; “Difficulty with patient coordination and time management”; “Living the nursing lifestyle”. Success depended on NLNs receiving additional education and sufficient support. Conclusion: NLNs enter practice not prepared for the role of the real nurse. Strong academic preparation, an NRP, and time and support from experienced nurses is necessary for NLNs to become confident in navigating the physical, mental and emotional requirements of caring for acutely ill patients

Asynchronous Partial Overlay: A New Algorithm for Solving Distributed Constraint Satisfaction Problems

Distributed Constraint Satisfaction (DCSP) has long been considered an important problem in multi-agent systems research. This is because many real-world problems can be represented as constraint satisfaction and these problems often present themselves in a distributed form. In this article, we present a new complete, distributed algorithm called Asynchronous Partial Overlay (APO) for solving DCSPs that is based on a cooperative mediation process. The primary ideas behind this algorithm are that agents, when acting as a mediator, centralize small, relevant portions of the DCSP, that these centralized subproblems overlap, and that agents increase the size of their subproblems along critical paths within the DCSP as the problem solving unfolds. We present empirical evidence that shows that APO outperforms other known, complete DCSP techniques

Report of the ultraviolet and visible sensors panel

In order to meet the science objectives of the Astrotech 21 mission set the Ultraviolet (UV) and Visible Sensors Panel made a number of recommendations. In the UV wavelength range of 0.01 to 0.3 micro-m the focus is on the need for large format high quantum efficiency, radiation hard 'solar-blind' detectors. Options recommended for support include Si and non-Si charge coupled devices (CCDs) as well as photocathodes with improved microchannel plate readouts. For the 0.3 to 0.9 micro-m range, it was felt that Si CCDs offer the best option for high quantum efficiencies at these wavelengths. In the 0.9 to 2.5 micro-m the panel recommended support for the investigation of monolithic arrays. Finally, the panel noted that the implementation of very large arrays will require new data transmission, data recording, and data handling technologies

Mapping the predicted and potential impacts of metal mining and its mitigation measures in Arctic and boreal regions using environmental and social impact assessments: a systematic map protocol

Abstract : Background: Since the 1960s, environmental impact assessments (EIAs) and recently, social impact assessments (SIAs), have been conducted during the planning stages of large development projects to identify potential adverse effects and propose mitigation measures to ameliorate these impacts. EIAs and SIAs should outline all possible posi- tive and negative effects of a proposed action or development on ecological and social systems, respectively, includ- ing biodiversity, flora and fauna, abiotic components (such as air quality), human health, security and wellbeing. The work outlined herein aims to generate a list of all possible direct and indirect effects of metal mining (including gold, iron, copper, nickel, zinc, silver, molybdenum and lead) along with the impacts of mitigation measures proposed, that are mentioned in EIAs and SIAs in Arctic and boreal regions of the following countries/regions: Canada, Alaska (USA), Greenland, the Faroe Islands, Iceland, Norway, Sweden, Finland and Russia. Methods: We will conduct searches for environmental and social impact assessments in Swedish and English, and until theoretical saturation is reached (i.e. no new action-impact pathways are identified). We will perform searches of specialist websites (e.g. public repositories of environmental and social impact assessments) and Google Scholar. We will also contact relevant stakeholders (that have been identified in the wider 3MK project https://osf.io/cvh3u/) and make a call for additional information. Eligibility screening will be conducted at two levels: title and full text. Meta-data will be extracted from eligible studies including type of mining activity, location of mine, type of impacts, and planned mitigation measures. Findings will be presented narratively, in a searchable relational database and in an evidence altas (a cartographic map). We will produce a framework of different mining impacts and related mitiga- tion measures from practitioners’ knowledge reflected in EIAs and SIAs. This framework will further form the basis of a multiple knowledge base on mining impacts and mitigation measures generated from different knowledges includ- ing scientific, Indigenous, and practitioners’ knowledge

Review of the Surgical Approaches for Peyronie's Disease: Corporeal Plication and Plaque Incision with Grafting

The understanding and management of Peyronie's disease (PD) has improved but elucidating the exact etiology of the disease has yet to be achieved. In this paper, we review the historical and clinical aspects of PD. We focus on the evolution of surgical management for PD and review recent published articles that compare popular surgical techniques such as plication and plaque incision with vein graft. These two techniques have been reported to be equivalent with respect to patient satisfaction; however, each technique has its own advantages and disadvantages

Penile Corporeal Reconstruction during Difficult Placement of a Penile Prosthesis

For some patients with impotence and concomitant severe tunical/corporeal tissue fibrosis, insertion of a penile prosthesis is the only option to restore erectile function. Closing the tunica over an inflatable penile prosthesis in these patients can be challenging. We review our previous study which included 15 patients with severe corporeal or tunical fibrosis who underwent corporeal reconstruction with autologous rectus fascia to allow placement of an inflatable penile prosthesis. At a mean follow-up of 18 months (range 12 to 64), all patients had a prosthesis that was functioning properly without evidence of separation, herniation, or erosion of the graft. Sexual activity resumed at a mean time of 9 weeks (range 8 to 10). There were no adverse events related to the graft or its harvest. Use of rectus fascia graft for coverage of a tunical defect during a difficult penile prosthesis placement is surgically feasible, safe, and efficacious

Pilot Study Examining Pregnancy-specific Equations to Estimate Percent Body Fat in an Overweight/obese Pregnant Hispanic Population

Background and Purpose: Over half of women entering pregnancy are overweight or obese, increasing metabolic risk. This pilot study investigated whether established equations for estimating maternal percent body fat using anthropometry are accurate for Hispanic, overweight or obese pregnant women. Methods: The Siri technique of calculating percent body fat from direct measurements of body density and total body water was the gold-standard. Other pregnancy-specific equations were also examined. The study population included 15 normoglycemic, pregnant Hispanic women in their third trimester (33.2±1.9 gestational week) with a pre-pregnancy body mass index ≥25 to <40kg/m2 , and with no history of chronic disease, or illicit drug, cigarette or alcohol use. Five skinfold sites, pre-pregnancy weight, current weight, and wrist circumference were measured. Body density was measured using air displacement plethysmography. Total body water was measured using 2H2O. Results: Paired t-tests showed that the Paxton equation (intended for use at gestational week 37) overestimated percent body fat compared to the Siri method, p<0.001, whereas the Presley equation (intended for use at gestational week 30) produced statistically similar results to the gold-standard, p=0.842. Discussion: Using skinfold thickness measurements and the Presley equation to assess percent body fat may be useful and accessible for this population