Improving the Analyst and Decision-Maker’s Perspective through Uncertainty Visualization

This thesis constructs the Taxonomy of Uncertainty and an approach for enhancing the information in decision support systems. The hierarchical categorization of numerous causes for uncertainty defines the taxonomy, which fostered the development of a technique for visualizing uncertainty. This technique is fundamental to expressing the multi-dimensional uncertainty that can be associated with any object. By including and intuitively expressing uncertainty, the approach facilitates and enhances intuition and decision-making without undue information overload. The resulting approach for enhancing the information involves recording uncertainty, identifying the relevant items, computing and visualizing uncertainty, and providing interaction with the selection of uncertainty. A prototype embodying this approach to enhancing information by including uncertainty was used to validate these efforts. Evaluation responses of a small sample space support the thesis that the decision-maker\u27s knowledge is enhanced with enlightening information afforded by including and visualizing uncertainty, which can improve the decision-making process. Although the concept was initially conceived to help decision support system users deal with uncertainty, this methodology and these ideas can be applied to any problem where objects with many potential reasons for uncertainty are the focus of the decision-making

Processing and Weathering of Sol-Gel Clearcoats for Coil-Coated Steel

Clearcoats provide long-term aesthetics and protection for underlying coating systems, increasing product lifetimes. However, organic clearcoats are predominantly produced using fossil-fuel feedstocks. In search of a sustainable alternative, an experimental investigation was conducted on the development of glass-like clearcoats produced using the sol-gel process. The processing of sol-gel clearcoats over a pigmented polyurethane coating was studied by modifying the sol-gel solution pH, aging, curing, precursor chemistry, and deposition techniques. Under optimal formulation and processing conditions, defect-free sol-gel clearcoats were produced that have potential to be scaled up to a coil-coating line using existing technologies. Mechanical testing demonstrated the coatings had excellent adhesion, hardness, and flexibility. Furthermore, accelerated laboratory weathering tests revealed the sol-gel coatings had superior degradation resistance compared to the organic coatings tested, resulting in negligible colour changes and higher gloss retention after 4000 hours of exposure. The durability and environmental benefits of sol-gel clearcoats highlight their potential as a replacement for traditional organic clearcoats in a variety of applications

Improving the Corrosion Performance of Organically Coated Steel Using a Sol–Gel Overcoat

Organically coated steels are widely used in applications in which they are subjected to the natural environment and therefore require excellent corrosion resistance. Organic clearcoats are typically employed as a barrier that improves the overall corrosion resistance; however, they are typically derived from fossil fuel-based feedstock. A more sustainable alternative could be possible using sol–gel coatings. The application of a simple tetraethoxysilane (TEOS)-based sol–gel was applied to polyurethane-coated steels using a spray coater. The concentration of TEOS was altered to produce coatings containing either 2.5% or 10%. The 10% TEOS resulted in dense, homogeneous coatings that offered a significant improvement in corrosion resistance compared to an uncoated substrate. Whereas the 2.5% TEOS coatings were inhomogeneous and porous, which indicated a limitation of concentration required to produce a uniform coating. The successful demonstration of using a simple TEOS-based coating to improve the corrosion resistance of organically coated steel highlights the potential for further investigation into the use of sol–gels for these applications

Annular pancreas: endoscopic and pancreatographic findings from a tertiary referral ERCP center

Background and Aims Annular pancreas is a congenital anomaly whereby pancreatic tissue encircles the duodenum. Current knowledge of endoscopic findings of annular pancreas is limited to small case series. The aim of this study was to describe the endoscopic and pancreatographic findings of patients with annular pancreas at a large tertiary care ERCP center. Methods This is a retrospective observational study. Our Institutional Review Board–approved, prospectively collected ERCP database was queried for cases of annular pancreas. The electronic medical records were searched for patient and procedure-related data. Results From January 1, 1994, to December 31, 2016, 46 patients with annular pancreas underwent ERCP at our institution. Index ERCP was technically successful in 42 patients (91.3%), and technical success was achieved in all 46 patients (100%) after 2 attempts, when required. A duodenal narrowing or ring was found in most patients (n = 39, 84.8%), yet only 2 (4.3%) had retained gastric contents. Pancreas divisum was found in 21 patients (45.7%), 18 of which were complete divisum. Pancreatobiliary neoplasia was the indication for ERCP in 7 patients (15.2%). Pancreatographic findings consistent with chronic pancreatitis were noted in 15 patients (32.6%) at the index ERCP. Conclusion This is the largest series describing the endoscopic and pancreatographic findings of patients with annular pancreas. We found that 45.7% of patients had concurrent pancreas divisum. Endoscopic therapy was successful in most patients at our institution after 1 ERCP, and in all patients after a second ERCP. Nearly one-third of patients had findings consistent with chronic pancreatitis at the time of index ERCP. It is unclear whether this may be a feature of the natural history of annular pancreas

Endoscopic retrieval of a proximally migrated biliary stent: digital cholangioscope to the rescue

Endoscopic techniques for the retrieval of proximally migrated biliary stents include the following: fluoroscopy-guided grasping of the stent with a rat-tooth forceps, balloon placement parallel to the stent with traction retrieval, cannulation of the stent lumen with a wire (standard technique, or use of the curved plastic tip of a modified Soehendra stent retriever [Cook Medical, Bloomington, Ind]) followed by use of standard or modified Soehendra stent retriever, wire-guided retrieval basket, and snare. The technique used depends on the extent of proximal stent migration, the presence of ductal dilatation or biliary stricture, and the endoscopist’s experience. This report describes the retrieval of a proximally migrated biliary stent within an aberrant right hepatic duct (RHD) using a digital cholangioscope (SpyGlass DS system; Boston Scientific, Natick, Mass

Total pancreatectomy with islet cell transplantation vs intrathecal narcotic pump infusion for pain control in chronic pancreatitis

AIM: To evaluate pain control in chronic pancreatitis patients who underwent total pancreatectomy with islet cell transplantation or intrathecal narcotic pump infusion. METHODS: We recognized 13 patients who underwent intrathecal narcotic pump (ITNP) infusion and 57 patients who underwent total pancreatectomy with autologous islet cell transplantation (TP + ICT) for chronic pancreatitis (CP) pain control between 1998 and 2008 at Indiana University Hospital. All patients had already failed multiple other modalities for pain control and the decision to proceed with either intervention was made at the discretion of the patients and their treating physicians. All patients were evaluated retrospectively using a questionnaire inquiring about their pain control (using a 0-10 pain scale), daily narcotic dose usage, and hospital admission days for pain control before each intervention and during their last follow-up. RESULTS: All 13 ITNP patients and 30 available TP + ICT patients were evaluated. The mean age was approximately 40 years in both groups. The median duration of pain before intervention was 6 years and 7 years in the ITNP and TP + ICT groups, respectively. The median pain score dropped from 8 to 2.5 (on a scale of 0-10) in both groups on their last follow up. The median daily dose of narcotics also decreased from 393 mg equivalent of morphine sulfate to 8 mg in the ITNP group and from 300 mg to 40 mg in the TP + ICT group. No patient had diabetes mellitus (DM) before either procedure whereas 85% of those who underwent pancreatectomy were insulin dependent on their last evaluation despite ICT. CONCLUSION: ITNP and TP + ICT are comparable for pain control in patients with CP however with high incidence of DM among those who underwent TP + ICT. Prospective comparative studies and longer follow up are needed to better define treatment outcomes

Architecture and Information Requirements to Assess and Predict Flight Safety Risks During Highly Autonomous Urban Flight Operations

As aviation adopts new and increasingly complex operational paradigms, vehicle types, and technologies to broaden airspace capability and efficiency, maintaining a safe system will require recognition and timely mitigation of new safety issues as they emerge and before significant consequences occur. A shift toward a more predictive risk mitigation capability becomes critical to meet this challenge. In-time safety assurance comprises monitoring, assessment, and mitigation functions that proactively reduce risk in complex operational environments where the interplay of hazards may not be known (and therefore not accounted for) during design. These functions can also help to understand and predict emergent effects caused by the increased use of automation or autonomous functions that may exhibit unexpected non-deterministic behaviors. The envisioned monitoring and assessment functions can look for precursors, anomalies, and trends (PATs) by applying model-based and data-driven methods. Outputs would then drive downstream mitigation(s) if needed to reduce risk. These mitigations may be accomplished using traditional design revision processes or via operational (and sometimes automated) mechanisms. The latter refers to the in-time aspect of the system concept. This report comprises architecture and information requirements and considerations toward enabling such a capability within the domain of low altitude highly autonomous urban flight operations. This domain may span, for example, public-use surveillance missions flown by small unmanned aircraft (e.g., infrastructure inspection, facility management, emergency response, law enforcement, and/or security) to transportation missions flown by larger aircraft that may carry passengers or deliver products. Caveat: Any stated requirements in this report should be considered initial requirements that are intended to drive research and development (R&D). These initial requirements are likely to evolve based on R&D findings, refinement of operational concepts, industry advances, and new industry or regulatory policies or standards related to safety assurance