PaperChain: A Collaborative Healthcare System Grounded in Field Study Work

In this extended abstract we summarise our recent experiences of designing and deploying PaperChain, a system to support real-time information sharing in healthcare work. A guiding principle has been the development of a deep understanding of the work as the foundation for effective system design. We summarise the field work that motivated the development of PaperChain, some of the key findings and the resulting system. We briefly reflect on the benefits gained from undertaking substantial HCI work in the design of a healthcare system

Reconceptualising clinical handover: Information sharing for situation awareness

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Public yet private: the status, durability and visibility of handover sheets

Drawing on data from a multi-site case study of a range of clinical settings, this paper explores the form of nursing handover sheets and the processes through which they are created and updated. We argue that these documents function as both public and private documents, having relevance for the whole ward while also acting as a personal workspace. Such dual functionality needs to be supported by any technology that seeks to provide for the work of handover, if the handover sheet is to continue to act as a space for work, rather than just a repository of information

Effect of inflow control on inlet noise of a cut-on fan

The control of turbulence and other inflow disturbances in anechoic chambers for static turbofan noise studies was studied. A cut-on, high tip speed fan stage was acoustically tested with three configurations of an inflow control device in an anechoic chamber. Although this was a cut-on design, rotor inflow interaction appeared to be a much stronger source of blade passing tone radiated from the inlet than rotor stator interaction for the 1.6 mean rotor chord separation. Aft external suction applied to the area where the inflow control device joined the inlet produced a further reduction in blade passing tone, suggesting that disturbances in the forward flow on the outside of the inlet were superimposed on the inlet boundary layer and were a significant source of tone noise

Acoustic and aerodynamic performance of a 1.83-meter (6-ft) diameter 1.25-pressure-ratio fan (QF-8)

A 1.25-pressure-ratio 1.83-meter (6-ft) tip diameter experimental fan stage with characteristics suitable for engine application on STOL aircraft was tested for acoustic and aerodynamic performance. The design incorporated proven features for low noise, including absence of inlet guide vanes, low rotor blade tip speed, low aerodynamic blade loading, and long axial spacing between the rotor and stator blade rows. The fan was operated with five exhaust nozzle areas. The stage noise levels generally increased with a decrease in nozzle area. Separation of the acoustic one-third octave results into broadband and pure-tone components showed the broadband noise to be greater than the corresponding pure-tone components. The sideline perceived noise was highest in the rear quadrants. The acoustic results of QF-8 were compared with those of two similar STOL application fans in the test series. The QF-8 had somewhat higher relative noise levels than those of the other two fans. The aerodynamic results of QF-8 and the other two fans were compared with corresponding results from 50.8-cm (20-in.) diam scale models of these fans and design values. Although the results for the full-scale and scale models of the other two fans were in reasonable agreement for each design, the full-scale fan QF-8 results showed poor performance compared with corresponding model results and design expectations. Facility effects of the full-scale fan QF-8 installation were considered in analyzing this discrepancy

Factors influencing take-up of free school meals in primary- and secondary-school children in England.

OBJECTIVE: The present study sought to explore the factors that influence registration for free school meals and the subsequent take-up following registration in England. DESIGN: The research design consisted of two phases, a qualitative research phase followed by an intervention phase. Findings are presented from the qualitative research phase, which comprised interviews with head teachers, school administrators, parents and focus groups with pupils. SETTING: The study took place in four primary schools and four secondary schools in Leeds, UK. SUBJECTS: Participants included head teachers, school administrators, parents and pupils. RESULTS: Findings suggested that parents felt the registration process to be relatively straightforward although many secondary schools were not proactive in promoting free school meals. Quality and choice of food were regarded by both pupils and parents as significant in determining school meal choices, with stigma being less of an issue than originally anticipated. CONCLUSIONS: Schools should develop proactive approaches to promoting free school meals and attention should be given not only to the quality and availability of food, but also to the social, cultural and environmental aspects of dining. Processes to maintain pupils' anonymity should be considered to allay parents' fear of stigma

Low-frequency rear quadrant noise of a turbojet engine with exhaust duct muffling

A J-65 engine was run with a tuned sound-absorbing exhaust duct to study the internal and jet components of rear quadrant noise. Full muffler, hard wall duct, and regular production engine configurations were tested. The jet exhaust velocities were subsonic. The use of the exhaust muffler extended the relation between the jet noise and the eighth power of the jet velocity to lower velocities than for the hard wall duct

Interventions to increase free school meal take-up

Purpose: The purpose of this paper is to design and implement interventions to increase free school meal (FSM) uptake in pilot schools. This paper describes the interventions, reports on acceptability (as perceived by school working parties) and explores the process of implementing change. Design/methodology/approach: The research consisted of two phases, an exploratory phase followed by an intervention phase. Findings from the latter are presented. Ten pilot schools (five primary and five secondary) in Leeds, England were recruited. Each established a working party, examined current claiming processes and implemented individualised action plans. This paper draws on the final action plans and interviews/focus groups with working parties. Findings: Interventions to improve FSM claiming process, minimise discrimination and maximise awareness were designed. The majority were implemented successfully, the exception being amending anti-bullying policies. Creative ways of delivering interventions were demonstrated. The process of change was effective, critical factors being having individualised action plans that allowed flexibility in implementation, reflecting on current claiming processes, and setting up working parties. Practical implications: Ways of working with schools to increase FSM uptake and more generally improve nutritional policies are suggested. Amending claiming systems in schools is recommended as is greater pupil and parent involvement in nutrition policies. Originality/value: An estimated 300,000 UK children do not take FSMs they are entitled to – with many schools unaware of the issue. This study worked with schools to discover how to address this issue and evaluated the perceived acceptability and feasibility of the approach

Acoustic and aerodynamic performance of a 1.5-pressure-ratio, 1.83-meter (6 ft) diameter fan stage for turbofan engines (QF-2)

The fan was externally driven by an electric motor. Design features for low-noise generation included the elimination of inlet guide vanes, long axial spacing between the rotor and stator blade rows, and the selection of blade-vane numbers to achieve duct-mode cutoff. The fan QF-2 results were compared with those of another full-scale fan having essentially identical aerodynamic design except for nozzle geometry and the direction of rotation. The fan QF-2 aerodynamic results were also compared with those obtained from a 50.8 cm rotor-tip-diameter model of the reverse rotation fan QF-2 design. Differences in nozzle geometry other than exit area significantly affected the comparison of the results of the full-scale fans

Effects of installation caused flow distortion on noise from a fan designed for turbofan engines

Far-field noise measurements were taken for three different installations of essentially the same fan. The installation with the most uniform inlet flow resulted in fan-blade-passage tone sound pressure levels more than 10 dB lower than the installation with more nonuniform inflow. Perceived noise levels were computed for the various installations and compared. Some measurements of inlet flow distortion were made and used in a blade-passage noise generation theory to predict the effects of distortion on noise. Good agreement was obtained between the prediction and the measured effect. Possible origins of the distortion were identified by observation of tuft action in the vicinity of the inlet