scholarly journals Review of flight simulation fidelity requirements to help reduce ‘rotorcraft loss of control in-flight’ accident rates

2021 ◽  
Author(s):  
Mark D. White ◽  
Gareth D. Padfield ◽  
Linghai Lu ◽  
Sunjoo Advani ◽  
Mario Potter
Keyword(s):  
Training Programme ◽  
Flight Simulation ◽  
Lessons Learned ◽  
Loss Of Control ◽  
Commercial Aircraft ◽  
Simulation Tools ◽  
Flight Simulators ◽  
Motion Cueing ◽  
Accident Rates ◽  
Training Programmes

AbstractThis paper examines the fidelity requirements for flight simulators to improve training and address the problems associated with rotorcraft loss of control in-flight (LOC-I). To set the context, trends in rotorcraft accident statistics are presented. The data show that, despite recent safety initiatives, LOC-I rotorcraft accidents have been identified as a significant and growing contribution to accident rates. In the late 1990s, the fixed-wing commercial aircraft community faced a similar situation relating to upset prevention and recovery, and through a coordinated international effort, developed a focussed training programme to reduce accident rates. Lessons learned from the fixed-wing programme are presented to highlight how improved rotorcraft modelling and simulation tools are required to reduce rotorcraft accidents through higher quality, simulator-based training programmes. Relevant flight simulator certification standards are reviewed, with an emphasis on flight-model fidelity and vestibular motion cueing requirements. The findings from rotorcraft modelling and motion cueing research, that highlight relevant fidelity issues, are presented to identify areas for further activities to enhance the fidelity of simulators standards for use in LOC-I prevention training.

Design and evaluation of the objective motion cueing test and criterion

2016 ◽  
Vol 120 (1227) ◽  
pp. 873-891 ◽  
Author(s):  
R. Hosman ◽  
S. Advani
Keyword(s):  
Flight Simulation ◽  
Flight Training ◽  
Pilot Training ◽  
Tuning Parameters ◽  
Flight Simulators ◽  
Flight Mode ◽  
Subjective Judgement ◽  
Motion Cueing ◽  
Simulator Motion ◽  
Mode Of Transport

ABSTRACTSince the introduction of hexapod-type motion systems for flight simulation in the 1970s, Motion Drive Algorithm tuning has been primarily based on the subjective judgement of experienced pilots. This subjective method is often not transparent and often leads to ambiguous process of adjustment of the tuning parameters. Consequently, there are large variations in the motion cueing characteristics of flight training devices, a variability that subsequently raises questions regarding the value of motion cueing for pilot training itself. The third revision of ICAO 9625 Manual of Criteria for the Qualification of Flight Simulation Training Devices offered the opportunity to take a closer look at simulator motion cueing requirements in general. This led to the concept of the objective motion cueing test (OMCT), which was reported in 2006. After the method was evaluated on three research flight simulators, the results were published in 2007, demonstrating a larger spread in dynamic behaviour of cueing algorithms than expected. After discussions with the simulator industry regarding the form and methodology of the OMCT, an evaluation of the test in cooperation with the industry started in 2011. This led to the final form of the OMCT and cueing parameter criterion for the in-flight mode of transport aircraft. This paper describes the OMCT, the evaluation results and the criterion.

scholarly journals Addressing the shortage of pathologists in Africa: Creation of a MMed Programme in Pathology in Zambia

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Victor Mudenda ◽  
Evans Malyangu ◽  
Shahin Sayed ◽  
Kenneth Fleming
Keyword(s):  
United States ◽  
Training Programme ◽  
The United States ◽  
Lessons Learned ◽  
Shared Resources ◽  
Important Lesson ◽  
Regional College ◽  
Training Programmes ◽  
Severe Shortage ◽  
Country Specific

Background: With approximately one pathologist for one million people compared to ratios of approximately 1 to 25 000 in the United States and United Kingdom, there is a severe shortage of pathologists in much of Africa. The situation is particularly severe in Zambia, where, in 2009, the ratio was 1 to 1.4 million.Objective: To address this, a postgraduate Master of Medicine (MMed) training programme was launched in Lusaka in 2011.Methods: The process and most significant challenges and lessons learned were documented, as they may be of value to other countries facing similar challenges.Results: Since 2011, four Zambian pathologists have graduated, doubling the number of indigenous pathologists in the country. Currently 10 students are in training. The most significant problem was issues arising from the split responsibilities of the Ministries of Health and of Education and the most important lesson learned was the crucial need for broad local ownership and commitment.Conclusion: Successfully addressing the shortage of local pathologists by creating country-specific, postgraduate MMed training programmes, even in situations of restricted resources, is feasible. However, having access to and support from the shared resources, expertise and knowledge of a regional College of Pathologists would be a major advantage.

An international inventory of antimicrobial stewardship (AMS) training programmes for AMS teams

2021 ◽  
Author(s):  
Naomi Weier ◽  
Dilip Nathwani ◽  
Karin Thursky ◽  
Thomas Tängdén ◽  
Vera Vlahović-Palčevski ◽  
...  
Keyword(s):  
Antimicrobial Stewardship ◽  
Online Survey ◽  
Training Programme ◽  
Medical Doctors ◽  
Online Search ◽  
Barriers To Participation ◽  
Potential Barriers ◽  
Training Costs ◽  
Training Programmes ◽  
Individual Training

Abstract Background Healthcare professionals are increasingly expected to lead antimicrobial stewardship (AMS) initiatives. This role in complex healthcare environments requires specialized training. Objectives Little is known about the types of AMS training programmes available to clinicians seeking to play a lead role in AMS. We aimed to identify clinicians’ awareness of AMS training programmes, characteristics of AMS training programmes available and potential barriers to participation. Methods AMS training programmes available were identified by members of the ESCMID Study Group for Antimicrobial Stewardship (ESGAP) via an online survey and through an online search in 2018. Individual training programme course coordinators were then contacted (September–October 2018) for data on the target audience(s), methods of delivery, intended outcomes and potential barriers to accessing the training programme. Results A total of 166/250 ESGAP members (66%) responded to the survey, nominating 48 unique AMS training programmes. An additional 32 training programmes were identified through an online search. AMS training programmes were from around the world. Less than half (44.4%) of respondents were aware of one or more AMS training programmes available, with pharmacists more aware compared with medical doctors and other professionals (73% versus 46% and 25%, respectively). AMS training programmes were most commonly delivered online (59%) and aimed at medical doctors (46%). Training costs and a lack of recognition by health professional societies were the most frequently cited barriers to participation in AMS training programmes. Conclusions The development of a systematic inventory of AMS training programmes around the globe identifies opportunities and limitations to current training available. Improving access and increasing awareness amongst target participants will support improved education in AMS.

The role of paediatricians in specialist nurse training: a community child health example

2021 ◽  
pp. edpract-2020-320797
Author(s):  
Cliona Ni Bhrolchain
Keyword(s):  
Child Health ◽  
Training Programme ◽  
Formal Training ◽  
Nurse Training ◽  
Training Curriculum ◽  
Clinical Specialty ◽  
Specialist Nurse ◽  
Training Programmes ◽  
Nursing Roles

Specialist and advanced nursing roles have started to emerge in paediatrics and paediatricians may be asked to support nurses through their training. While there are specific training programmes for some areas of practice eg, neonatology, there are currently no programmes for others. Paediatricians may therefore find themselves being asked to train nurse specialists outside a formal training programme, or to provide the clinical specialty component linked to a generic MSc course, where the paediatrician may be required to devise a training curriculum specific to their area of practice. Using, neonatology, there are currently no programmes for others. Paediatricians may therefore find themselves being asked to train nurse specialists outside a formal training programme, or to provide the clinical specialty component linked to a generic MSc course, where the paediatrician may be required to devise a training curriculum specific to their area of practice. Using community child health as an example, this paper outlines how paediatricians might approach this, based on the experience of the author. However, the principles outlined can apply to any area of paediatrics.

Mindfulness and compassion training for clinicians: a qualitative study

2021 ◽  
Author(s):  
Clémence Brun ◽  
Alexis Akinyemi ◽  
Laurène Houtin ◽  
Claire Mizzi ◽  
Thierry Cardoso ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Positive Impact ◽  
Quality Care ◽  
Training Programme ◽  
Mindfulness Training ◽  
Psychological Consequences ◽  
Care Programme ◽  
Work Related ◽  
Training Programmes ◽  
High Level

Objectives: Providing quality care requires compassion, and encouraging caregivers to develop a patient-centred care relationship could be beneficial for both patients and caregivers. Such a goal can be achieved through mindfulness-based programmes, which can improve caregivers’ compassion and self-compassion. They are particularly relevant for caregivers, as they have a high risk of experiencing work-related burnout due to the high level of involvement required in their work. We hypothesised that a mindfulness training programme specifically focused on situations that are relevant for caregivers could improve patient–caregiver relationships and the care provided by the latter. Methods: We conducted a qualitative study with 10 interviews designed to explore the perceived psychological consequences of such training programmes amongst caregivers who experienced a mindfulness training programme specifically elaborated for the medical staff at APHP Sorbonne University (i.e., the Mindfulness Based (MB) CARE programme). Results: Content analysis results showed that the training had an overall positive impact on the caregivers’ ability to feel compassion toward their patients and themselves. The caregivers were more attentive to their patients and their needs, without being able to articulate how well they were paying attention to them. The programme also helped them develop kindness towards themselves and their patients. The participants were better able to accept more sympathetically the difficult experiences they might encounter in the workplace or those reported by their patients. Conclusions: We conclude that professional mindfulness training programmes could be operational levers for institutions aiming at fostering a more compassionate caregiver–patient relationship, which in turn, can improve the efficiency of care provision.

scholarly journals Building a Maternal and Newborn Care Training Programme for Health-Care Professionals in Guinea-Bissau

2017 ◽  
Vol 30 (10) ◽  
pp. 734 ◽  
Author(s):  
Ana Reynolds ◽  
Ahmed Zaky ◽  
Joana Moreira-Barros ◽  
João Bernardes
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Newborn Care ◽  
Training Programme ◽  
Guinea Bissau ◽  
Care Training ◽  
Multiple Choice Questionnaire ◽  
Training Programmes ◽  
Maternal And Newborn Care ◽  
Maternal And Newborn

Introduction: The Integrated Programme of Maternal and Child Health aims to reduce maternal and child mortality in Guinea-Bissau. The purpose of this article is to share our experience in building a training programme on maternal and newborn care for health-care professionals in Guinea-Bissau.Material and Methods: Regional directors of the four target areas chose a group of staff who provide prenatal and childbirth care to attend the course (12 to 15 trainees per region). In each region, 15 highly interactive and practical sessions were scheduled over eight weeks. The trainees’ summative and reactive assessment was obtained using a multiple choice questionnaire (final test) and an anonymous survey, respectively.Results: Attendees included 25 nurses, 17 midwives and 14 doctors. About two thirds had five years’ practice or less. Test median scores were higher among trainees with two to nine years of practice (54.4% to 60.9%), as compared to those with a year or less (47.8%) or 10 or more years (45.7%). Pedagogical variables were rated as ‘good’ or ‘very good’ by 91% to 95% of the attendees.Discussion: Use of an interactive and practical pedagogical methodology produced positive results and was crucial to tailoring the training to local needs. However, adapting the syllabus according to professional categories and experiences should be considered.Conclusion: Our results warrant further development and evaluation of training programmes on maternal and neonatal care in Guinea-Bissau.

scholarly journals Exercise Training in Heart Failure Patients With Persistent Atrial Fibrillation: a Practical Approach

2018 ◽  
Vol 4 (2) ◽  
pp. 107 ◽  
Author(s):  
Justien Cornelis ◽  
Jonathan Myers ◽  
◽  
◽  
Keyword(s):  
Heart Failure ◽  
Exercise Training ◽  
Persistent Atrial Fibrillation ◽  
Training Programme ◽  
Cardiopulmonary Exercise Test ◽  
Aerobic Exercise Training ◽  
Exercise Programmes ◽  
Training Programmes ◽  
Training Modalities

Persistent AF is present in at least 20 % of patients with chronic heart failure (CHF) and is related to a poor prognosis and more severe cardiac arrhythmias. CHF and AF share a common pathophysiology and can exacerbate one another. Exercise programmes for people with CHF have been shown to improve aerobic capacity, prognosis and quality of life. Given that patients with both CHF and AF show greater impairment in exercise performance, exercise training programmes have the potential to be highly beneficial. Optimal clinical evaluation using a cardiopulmonary exercise test should be performed before starting a training programme. Heart rate should be calculated over a longer period of time In patients with CHF and AF than those in sinus rhythm. The use of telemetry is advised to measure HR accurately during training. If telemetry is not available, patients can be safely trained based on the concomitant workload. An aerobic exercise training programme of moderate to high intensity, whether or not combined with strength training, is advised in patients with CHF and AF. Optimal training modalities and their intensity require further investigation.

scholarly journals Awareness on Drudgery Reducing Farm Technologies for Gender Equity

2020 ◽  
pp. 9-19
Author(s):  
V. Vijaya Lakshmi ◽  
J. Deepika
Keyword(s):  
Capacity Building ◽  
Gender Equity ◽  
Training Programme ◽  
Farm Women ◽  
Crop Season ◽  
Before And After ◽  
Seed Placement ◽  
Training Programmes ◽  
Adoption Level ◽  
The Given

Agriculture in India is moving away from animal driven to machine driven. Apart from tractors and power weeders which are used by farmers, there are farm tools and implements that can be used by farm women to reduce their drudgery with increased productivity. The present study made an attempt in introducing the set of 14 drudgery reducing farm tools and implements i.e. sapling transplanter, sickle/kurpi, long handle weeders, three types of harvest bags, ring cutter, finger guards, milking stand cum stool, head load manager, seed cum fertilizer bag, seed placement tube and fertilizer broad caster. A capacity building training programme was conducted to the farm women for exposure about the improved set of farm tools and implements. The implements were given to village secretary for use of this equipment by a group of 50 farm women and data were collected from them regarding the awareness about the technologies before and after the capacity building training programmes. Adoption levels were assessed after completion of a crop season. It was found that partial awareness was there about the improved equipment before training and cent per cent awareness was in the random selected group after the training programs. About 62 per cent of the sample has moderately adopted the given technologies. The study indicated for educating the farmers about the importance of drudgery reducing technologies, training them in using the farm implements and providing them to have an easy accessibility to enhance the adoption level. Custom hiring centres can be the solution to house the improved technologies suitable for farm women so that they can be used on rotation basis.

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