Generic approach for deriving reliability and maintenance requirements through consideration of in-context customer objectives

Not all implementations of reliability are equally effective at providing customer and user benefit. Random system failure with no prior warning or failure accommodation will have an immediate, usually adverse impact on operation. Nevertheless, this approach to reliability, implicit in measurements such as ‘failure rate’ and ‘MTBF’, is widely assumed without consideration of potential benefits of pro-active maintenance. Similarly, it is easy to assume that improved maintainability is always a good thing. However, maintainability is only one option available to reduce cost of ownership and reduce the impact of failure. This paper discusses a process for deriving optimised reliability and maintenance requirements through consideration of in-context customer objectives rather than a product in isolation

AN ANALYSIS OF THE IMPACT FORCES OF DIFFERENT MODES OF EXERCISE AS A CAUSAL FACTOR TO THE LOW BONE MINERAL DENSITY IN JOCKEYS

The purpose of this study was to investigate the forces placed on the lower limbs of jockeys during riding and to determine whether these were comparable to the impact forces associated with traditional weight bearing activities such as walking and running. Evaluation of these forces will allow isolation of the key causes of the previously reported high incidence of low bone mineral density (BMD) associated with this population and indicate as to whether a lack of weight bearing exercise is a causative factor in this phenomenon. Eight apprentice jockeys completed 6 different activities including walking, running and riding (walk, trot, canter, gallop), where accelerometry data was collected to determine the amount of impact loading applied to the lower limbs. The impact accelerations of the lower limbs in horse riding were significantly lower than those seen in running (

Phenotype X Herbage Allowance Interactions in Reproduction of First Calf Heifers Grazing Semiarid Rangeland

Cattle are differentially adapted to nutritional environments. The most sensitive measure of adaptation is reproduction of first-calf heifers. We studied the role of maturation rate and milk production on reproductive performance of first-calf heifers allowed different levels of herbage in semiarid rangeland

Utilizing Forages to Program Steer Growth Patterns to Achieve Consistent Quality Beef

Many options are available for programming stocker cattle growth patterns through forage selection. In semi-arid south Texas rapid growth rates can be achieved by grazing irrigated small grains (oats, wheat and ryegrass) and slow growth rates are possible grazing native range pastures. Ryegrass (RG) nutrient quality indicates potential gains greater than 1.0 kg/d for steers, while typical winter native range (NR) pasture indicates gains of 0.45 kg/d or less. The purpose of this experiment was to quantify the impact of different programmed growth patterns on beef retail product especially size, marbling and tenderness

A particular difficulty in discriminating between mirror images

We investigated the selective impairment of mirror image discrimination in a patient with bilateral parieto-occipital lesions (FIM). We report a difficulty with the discrimination between mirror images more selective than has been previously reported (Turnbull OH, McCarthy RA. Failure to discriminate between mirror-image objects: a case of viewpoint-independent object recognition? Neurocase 1996;2:63). FIM was asked to judge, in five same/different experiments, whether pairs of simultaneously presented line drawings of objects were identical. FIM demonstrated only a minor impairment in discriminating between orientations in the picture plane but was at chance in making discrimination between mirror images. An experiment with normal observers established that our results were not due to differences in task difficulty. Two further experiments investigated the effects of rotation on the discrimination of letters and geometric shapes. FIM's impairment extended to geometric shapes but not to letters. These results would be consistent with the preservation of an abstract representation for object recognition that did not code the difference between mirror image views

Researching sensitive topics with children and young people: ethical practice and blurry boundaries

Despite representing a vast and global concern, the narratives of children who experience child sexual exploitation (CSE) and access associated services are marginalised within research. As an outcome, relatively little is known about how children cope with the impact and consequences of their experiences. This paper draws together methodological insights from researchers reflecting upon three distinct pieces of qualitative fieldwork conducted with children and young people considered ‘vulnerable’ to, and ‘at risk of’, CSE. In doing so, we seek to recognise the challenges encountered when conducting research with vulnerable populations and explore the ‘blurry boundaries’ that researchers tread in order to balance competing power dynamics. This paper will discuss potential safeguarding concerns that arise when conducting sensitive research and will share our experiences of supporting young people to take part in research around child sexual exploitation. We will reflect upon the research process to highlight some of the strategies adopted to enable young people to engage in data collection safely. We consider the dynamic ethical practices that take place in the moment of research encounters, alongside the framework of procedural ethics, to conclude that both are fundamental to enable meaningful participation in research

Online tool for monitoring adverse events in patients with cancer during treatment (eRAPID): field testing in a clinical setting

Objectives: Electronic patient self-Reporting of Adverse-events: Patient Information and aDvice (eRAPID) is an online system developed to support patient care during cancer treatment by improving the detection and management of treatment-related symptoms. Patients can complete symptom reports from home and receive severity-based self-management advice, including notifications to contact the hospital for severe symptoms. Patient data are available in electronic records for staff to review. Prior to the commencement of a randomised controlled trial (RCT), field testing of the intervention was undertaken to troubleshoot practical issues with intervention integration in clinical practice. Design: Observational clinical field testing. Setting: Medical oncology breast service in a UK cancer centre. Participants: 12 patients receiving chemotherapy for early breast cancer and 10 health professionals (oncologists and specialist nurses). Intervention: Patients were asked to use the eRAPID intervention and complete weekly online symptom reports during four cycles of chemotherapy. Clinical staff were invited to access and use patient data in clinical assessments. Analysis: Descriptive data on the frequency of online symptom report completion and severe symptom notifications were collated. Verbal and written feedback was collected from patients and staff and semistructured interviews were conducted to explore patient experiences. Interviews were transcribed and analysed thematically. Results: The testing ran from January 2014 to March 2014. Feedback from patients and staff was largely positive. Patients described eRAPID as ‘reassuring’ and ‘comforting’ and valued the tailored management advice. Several changes were made to refine eRAPID. In particular, improvement of the clinical notification, patient reminder systems and changes to patient and staff training. Conclusions: The field testing generated valuable results used to guide refinement of eRAPID prior to formal intervention evaluation. Feedback indicated that eRAPID has the potential to improve patients’ self-efficacy, knowledge and confidence with managing symptoms during treatment. A large-scale RCT is underway with data collection due to finish in October 2018

Can a supported self-management program for COPD upon hospital discharge reduce readmissions? A randomized controlled trial

Introduction: Patients with COPD experience exacerbations that may require hospitalization. Patients do not always feel supported upon discharge and frequently get readmitted. A Self-management Program of Activity, Coping, and Education for COPD (SPACE for COPD), a brief self-management program, may help address this issue. Objective: To investigate if SPACE for COPD employed upon hospital discharge would reduce readmission rates at 3 months, compared with usual care. Methods: This is a prospective, single-blinded, two-center trial (ISRCTN84599369) with participants admitted for an exacerbation, randomized to usual care or SPACE for COPD. Measures, including health-related quality of life and exercise capacity, were taken at baseline (hospital discharge) and at 3 months. The primary outcome measure was respiratory readmission at 3 months. Results: Seventy-eight patients were recruited (n=39 to both groups). No differences were found in readmission rates or mortality at 3 months between the groups. Ten control patients were readmitted within 30 days compared to five patients in the intervention group (P>0.05). Both groups significantly improved their exercise tolerance and Chronic Respiratory Questionnaire (CRQ-SR) results, with between-group differences approaching statistical significance for CRQ-dyspnea and CRQ-emotion, in favor of the intervention. The “Ready for Home” survey revealed that patients receiving the intervention reported feeling better able to arrange their life to cope with COPD, knew when to seek help about feeling unwell, and more often took their medications as prescribed, compared to usual care (P<0.05). Conclusion: SPACE for COPD did not reduce readmission rates at 3 months above that of usual care. However, encouraging results were seen in secondary outcomes for those receiving the intervention. Importantly, SPACE for COPD appears to be safe and may help prevent readmission with 30 days

Faces capture attention: Evidence from Inhibition-of-return

The human face is a visual pattern of great social and biological importance. While previous studies have shown that attention may be preferentially directed and engaged longer by faces, the current study presents a new methodology to test the notion that faces can capture attention. The present study uses the occurrence of inhibition of return (IOR) as a diagnostic tool to determine the allocation of attention in visual space. Because previous research suggested that IOR at a location in space only occurs after attention has been reflexively moved to that location, the current finding of IOR at the location of the face provides converging support for the claim that faces do have the ability to summon attention. Faces capture attention: The human face constitutes one of the most important stimuli for social interactions. In addition, face perception is considered to be the most developed visual perceptual skill in humans. Research using single cell recording (Perrett, Hietanen, Oram, ..