A Method to Evaluate the Stimulation of a Real World Field of View by Means of a Spectroradiometric Analysis

Stimulation elicited by a real world field of view is related to the color, the intensity and the direction of the information reaching the eye: different spectral power distributions of light trigger different responses. An evaluation of the stimulation provided by the field of view can be performed by measuring the spectral radiance with a spectroradiometer and weighting this data with an efficiency curve. Different weights (physical, physiological and psychological) can lead to different analyses and consequently to different results. The proposed method allows an overall and simplified evaluation of the field of view based on spectral and luminance measures and a script that processes the luminous information. The final aim of this approach is to provide further information about the light stimulation reaching the retina and to supply a qualitative evaluation of the field of view, allowing to know how much stimulation is coming from a certain area within the visual field depending on the type of surface, basing on spectral and directional information. This approach can have practical implications, allowing technicians and designers to take into consideration the possible visual fields, in order to properly shape the features of stimulation throughout the day, hence following a field of view-based dynamic design

A Method to Evaluate the Stimulation of a Real World Field of View by Means of a Spectroradiometric Analysis

Stimulation elicited by a real world field of view is related to the color, the intensity and the direction of the information reaching the eye: different spectral power distributions of light trigger different responses. An evaluation of the stimulation provided by the field of view can be performed by measuring the spectral radiance with a spectroradiometer and weighting this data with an efficiency curve. Different weights (physical, physiological and psychological) can lead to different analyses and consequently to different results. The proposed method allows an overall and simplified evaluation of the field of view based on spectral and luminance measures and a script that processes the luminous information. The final aim of this approach is to provide further information about the light stimulation reaching the retina and to supply a qualitative evaluation of the field of view, allowing to know how much stimulation is coming from a certain area within the visual field depending on the type of surface, basing on spectral and directional information. This approach can have practical implications, allowing technicians and designers to take into consideration the possible visual fields, in order to properly shape the features of stimulation throughout the day, hence following a field of view-based dynamic design

Effects of new light sources on task switching and mental rotation performance

Recent studies investigated the non-visual effects of light on cognitive processes and mood regulation and showed that light exposure has positive effects on circadian rhythms and alertness, vigilance and mood states and also increases work productivity. However, the effects of light exposure on visuo-spatial abilities and executive functions have only been partially explored. In this study, we aimed to investigate the effects of new LED light sources on healthy participants' performance on some components of visuo-spatial abilities and executive functions in a specifically-designed and fully-controlled luminous environment. Participants had to mentally rotate 3-D objects and perform a switching task in which inhibitory processes and switch cost were measured. Results suggest that cooler light exposure improves the cognitive system's capacity to deal with multiple task representations, which might remain active simultaneously without interfering with each other, and visuo-spatial ability, producing fewer errors in the mental rotation of 3-D objects.Recent studies investigated the non-visual effects of light on cognitive processes and mood regulation and showed that light exposure has positive effects on circadian rhythms and alertness, vigilance and mood states and also increases work productivity. However, the effects of light exposure on visuo-spatial abilities and executive functions have only been partially explored. In this study, we aimed to investigate the effects of new LED light sources on healthy participants' performance on some components of visuo-spatial abilities and executive functions in a specifically-designed and fully-controlled luminous environment. Participants had to mentally rotate 3-D objects and perform a switching task in which inhibitory processes and switch cost were measured. Results suggest that cooler light exposure improves the cognitive system's capacity to deal with multiple task representations, which might remain active simultaneously without interfering with each other, and visuo-spatial abi

Evaluation of a quality improvement intervention to reduce anastomotic leak following right colectomy (EAGLE): pragmatic, batched stepped-wedge, cluster-randomized trial in 64 countries

Background Anastomotic leak affects 8 per cent of patients after right colectomy with a 10-fold increased risk of postoperative death. The EAGLE study aimed to develop and test whether an international, standardized quality improvement intervention could reduce anastomotic leaks. Methods The internationally intended protocol, iteratively co-developed by a multistage Delphi process, comprised an online educational module introducing risk stratification, an intraoperative checklist, and harmonized surgical techniques. Clusters (hospital teams) were randomized to one of three arms with varied sequences of intervention/data collection by a derived stepped-wedge batch design (at least 18 hospital teams per batch). Patients were blinded to the study allocation. Low- and middle-income country enrolment was encouraged. The primary outcome (assessed by intention to treat) was anastomotic leak rate, and subgroup analyses by module completion (at least 80 per cent of surgeons, high engagement; less than 50 per cent, low engagement) were preplanned. Results A total 355 hospital teams registered, with 332 from 64 countries (39.2 per cent low and middle income) included in the final analysis. The online modules were completed by half of the surgeons (2143 of 4411). The primary analysis included 3039 of the 3268 patients recruited (206 patients had no anastomosis and 23 were lost to follow-up), with anastomotic leaks arising before and after the intervention in 10.1 and 9.6 per cent respectively (adjusted OR 0.87, 95 per cent c.i. 0.59 to 1.30; P = 0.498). The proportion of surgeons completing the educational modules was an influence: the leak rate decreased from 12.2 per cent (61 of 500) before intervention to 5.1 per cent (24 of 473) after intervention in high-engagement centres (adjusted OR 0.36, 0.20 to 0.64; P < 0.001), but this was not observed in low-engagement hospitals (8.3 per cent (59 of 714) and 13.8 per cent (61 of 443) respectively; adjusted OR 2.09, 1.31 to 3.31). Conclusion Completion of globally available digital training by engaged teams can alter anastomotic leak rates. Registration number: NCT04270721 (http://www.clinicaltrials.gov)