Software agents & human behavior

People make important decisions in emergencies. Often these decisions involve high stakes in terms of lives and property. Bhopal disaster (1984), Piper Alpha disaster (1988), Montara blowout (2009), and explosion on Deepwater Horizon (2010) are a few examples among many industrial incidents. In these incidents, those who were in-charge took critical decisions under various ental stressors such as time, fatigue, and panic. This thesis presents an application of naturalistic decision-making (NDM), which is a recent decision-making theory inspired by experts making decisions in real emergencies. This study develops an intelligent agent model that can be programed to make human-like decisions in emergencies. The agent model has three major components: (1) A spatial learning module, which the agent uses to learn escape routes that are designated routes in a facility for emergency evacuation, (2) a situation recognition module, which is used to recognize or distinguish among evolving emergency situations, and (3) a decision-support module, which exploits modules in (1) and (2), and implements an NDM based decision-logic for producing human-like decisions in emergencies. The spatial learning module comprises a generalized stochastic Petri net-based model of spatial learning. The model classifies routes into five classes based on landmarks, which are objects with salient spatial features. These classes deal with the question of how difficult a landmark turns out to be when an agent observes it the first time during a route traversal. An extension to the spatial learning model is also proposed where the question of how successive route traversals may impact retention of a route in the agent’s memory is investigated. The situation awareness module uses Markov logic network (MLN) to define different offshore emergency situations using First-order Logic (FOL) rules. The purpose of this module is to give the agent the necessary experience of dealing with emergencies. The potential of this module lies in the fact that different training samples can be used to produce agents having different experience or capability to deal with an emergency situation. To demonstrate this fact, two agents were developed and trained using two different sets of empirical observations. The two are found to be different in recognizing the prepare-to-abandon-platform alarm (PAPA ), and similar to each other in recognition of an emergency using other cues. Finally, the decision-support module is proposed as a union of spatial-learning module, situation awareness module, and NDM based decision-logic. The NDM-based decision-logic is inspired by Klein’s (1998) recognition primed decision-making (RPDM) model. The agent’s attitudes related to decision-making as per the RPDM are represented in the form of belief, desire, and intention (BDI). The decision-logic involves recognition of situations based on experience (as proposed in situation-recognition module), and recognition of situations based on classification, where ontological classification is used to guide the agent in cases where the agent’s experience about confronting a situation is inadequate. At the planning stage, the decision-logic exploits the agent’s spatial knowledge (as proposed in spatial-learning module) about the layout of the environment to make adjustments in the course of actions relevant to a decision that has already been made as a by-product of situation recognition. The proposed agent model has potential to be used to improve virtual training environment’s fidelity by adding agents that exhibit human-like intelligence in performing tasks related to emergency evacuation. Notwithstanding, the potential to exploit the basis provided here, in the form of an agent representing human fallibility, should not be ignored for fields like human reliability analysis

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

On autonomous agent modelling for virtual offshore environments

This study explores how simulation based training for offshore emergency situations can embrace software agents who exhibit human-like behaviour when exposed to hazardous situations such as fire aboard, smoke or explosions. Simulation based training uses a virtual environment to expose a participant to scenarios related to mustering events on offshore oil and gas platforms. These scenarios are also relevant to a number of other industrial applications, as they help rehearse for emergency situations such as installation fires. The agent model proposed here exploits the concepts of similarity-matching and frequency gambling as the primary knowledge retrieval methods and uses the agent’s reliability based selection of appropriate knowledge-units to make a decision in the event of a hazard. The agent’s reliability is a probability that it acts rationally, and is estimated as a function of the agent’s mental modalities: stress, panic, fear, overconfidence and distraction. The effects of these modalities during simulated harsh weather conditions and hazardous events are presented in the form of computer simulations. These simulations show that the use of the agent-model in a training software would enhance the scope of learning by exposing the human participant to more natural human-like behavior during a simulated hazardous event

A Method to Detect Anomalies in Complex Socio-Technical Operations Using Structural Similarity

Traditional techniques for accident investigation have hindsight biases. Specifically, they isolate the process of the accident event and trace backward from the event to determine the factors leading to the accident. Nonetheless, the importance of the contributing factors towards a successful operation is not considered in conventional accident modeling. The Safety-II approach promotes an examination of successful operations as well as failures. The rationale is that there is an opportunity to learn from successful operations, in addition to failure, and there is an opportunity to further differentiate failure processes from successful operations. The functional resonance analysis method (FRAM) has the capacity to monitor the functionality and performance of a complex socio-technical system. The method can model many possible ways a system could function, then captures the specifics of the functionality of individual operational events in functional signatures. However, the method does not support quantitative analysis of the functional signatures, which may demonstrate similarities as well as differences among each other. This paper proposes a method to detect anomalies in operations using functional signatures. The present work proposes how FRAM data models can be converted to graphs and how such graphs can be used to estimate anomalies in the data. The proposed approach is applied to human performance data obtained from ice-management tasks performed by a cohort of cadets and experienced seafarers in a ship simulator. The results show that functional differences can be captured by the proposed approach even though the differences were undetected by usual statistical measures

Historical Analysis of the Role of Governance Systems in the Sustainable Development of Biofuels in Brazil and the United States of America (USA)

The United States of America and Brazil are the world’s first and second-largest biofuels producers. The United States (U.S.) has dedicated a significant portion of agricultural land for crops to produce biodiesel, while Brazil has been using sugar cane as raw material to produce ethanol. To make the world’s top producers in global biofuel markets, various institutions in each country have played significant roles. These institutions include renewable energy legislators, bioenergy policymakers, and energy ministries of their governments. This study delineates the historical role of these institutions responsible for the sustainable development of biofuel industries in both countries. It also provides an overview of economic impacts as a result of institutional decisions. The study reveals that systematic legislations and sustainable and robust renewable energy policies of government institutions have helped the U.S. and Brazil to boost their bio-economies. As both countries intend to keep expanding their biofuel productions, the role of key government institutions is vital in the sustainability of biofuels

An Explorative Methodology to Assess the Risk of Fire and Human Fatalities in a Subway Station Using Fire Dynamics Simulator (FDS)

Subway transportation is one of the most prevalent urban transportation methods globally. Millions of people around the globe use this medium as their mode of transportation daily. However, subway stations may be highly prone to fire, smoke, or explosion accidents. The safety of people using subway stations demands a robust and practical framework to assess fire hazards and risks. This study provides a methodology to assess fire risk at a subway station. This study integrates fault tree analysis (FTA) and fuzzy analysis to conduct a comprehensive fire risk assessment. An integrated numerical model of fire temperature and fatality rate was developed using probit correlations for various fire exposure scenarios. The fire dynamics simulator (FDS) provides the probability distribution of casualties caused by fire. To demonstrate the operationalization of the model, Line 1 of the Harbin Metro, located in China, is used as a case study. Results show a probability of 42% of having fire risk in the subway station. Results reveal the highest fatality rate is 6.2% when evacuation time exceeds 200 s. The research helps us to understand the spread of smoke and temperature distribution due to a fire in a subway station. This study is helpful for fire protection engineers, safety managers, and local fire departments to develop a contingency plan to deal with fire in a subway statio

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

Background: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Global variation in postoperative mortality and complications after cancer surgery: a multicentre, prospective cohort study in 82 countries

© 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY-NC-ND 4.0 licenseBackground: 80% of individuals with cancer will require a surgical procedure, yet little comparative data exist on early outcomes in low-income and middle-income countries (LMICs). We compared postoperative outcomes in breast, colorectal, and gastric cancer surgery in hospitals worldwide, focusing on the effect of disease stage and complications on postoperative mortality. Methods: This was a multicentre, international prospective cohort study of consecutive adult patients undergoing surgery for primary breast, colorectal, or gastric cancer requiring a skin incision done under general or neuraxial anaesthesia. The primary outcome was death or major complication within 30 days of surgery. Multilevel logistic regression determined relationships within three-level nested models of patients within hospitals and countries. Hospital-level infrastructure effects were explored with three-way mediation analyses. This study was registered with ClinicalTrials.gov, NCT03471494. Findings: Between April 1, 2018, and Jan 31, 2019, we enrolled 15 958 patients from 428 hospitals in 82 countries (high income 9106 patients, 31 countries; upper-middle income 2721 patients, 23 countries; or lower-middle income 4131 patients, 28 countries). Patients in LMICs presented with more advanced disease compared with patients in high-income countries. 30-day mortality was higher for gastric cancer in low-income or lower-middle-income countries (adjusted odds ratio 3·72, 95% CI 1·70–8·16) and for colorectal cancer in low-income or lower-middle-income countries (4·59, 2·39–8·80) and upper-middle-income countries (2·06, 1·11–3·83). No difference in 30-day mortality was seen in breast cancer. The proportion of patients who died after a major complication was greatest in low-income or lower-middle-income countries (6·15, 3·26–11·59) and upper-middle-income countries (3·89, 2·08–7·29). Postoperative death after complications was partly explained by patient factors (60%) and partly by hospital or country (40%). The absence of consistently available postoperative care facilities was associated with seven to 10 more deaths per 100 major complications in LMICs. Cancer stage alone explained little of the early variation in mortality or postoperative complications. Interpretation: Higher levels of mortality after cancer surgery in LMICs was not fully explained by later presentation of disease. The capacity to rescue patients from surgical complications is a tangible opportunity for meaningful intervention. Early death after cancer surgery might be reduced by policies focusing on strengthening perioperative care systems to detect and intervene in common complications. Funding: National Institute for Health Research Global Health Research Unit

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

© 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 licenseBackground: Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide. Methods: A multimethods analysis was performed as part of the GlobalSurg 3 study—a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital. Findings: Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3·85 [95% CI 2·58–5·75]; p<0·0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63·0% vs 82·7%; OR 0·35 [0·23–0·53]; p<0·0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer. Interpretation: Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised. Funding: National Institute for Health and Care Research