scholarly journals Audit (closed loop): Daily reviews: Are we seeing our inpatients on a daily basis?

2015 ◽  
Vol 23 ◽  
pp. S44
Author(s):  
C. Flood ◽  
A. Oyekan ◽  
M. Bhat
Keyword(s):  
2021 ◽  
Author(s):  
Ayesha Ahmed Abdulla Salem Alsaeedi ◽  
Manar Maher Mohamed Elabrashy ◽  
Mohamed Ali Alzeyoudi ◽  
Mohamed Mubarak Albadi ◽  
Sandeep Soni ◽  
...  

Abstract Asset engineers spend significant time in data validation on a daily basis by gathering data from multiple sources, manually collecting and analyzing these data points to deduce well behavior, and finally implementing the changes on the field. This paper proposes a closed-loop methodology that drastically reduces the time lost in low-efficiency activities, helps engineers to make faster decisions, and assists in efficiently implementing the changes in the field. This well performance evaluation starts with direct integration with the corporate database to feed the field data into a hydraulic model. Next, Pre-configured well performance limits such as reservoir parameters, well calibration parameters, and surface parameters are used to validate the input data and alert the end-user to trigger a well performance evaluation workflow. This workflow is based on a business intelligence tool that integrates statistical information with physics-based model information. Finally, after the engineer makes a holistic decision, an integrated action tracking mechanism assigns an actionable item to the field operator to close the workflow. This approach significantly reduces the time spent on data consolidation and analysis. Essentially this means more time for the engineers to focus on well behavior improvement strategies such as stimulation or re-perforation from more than three hundred strings with more than a thousand well data captured over a month. This approach is not entirely dependent on either static physics-based or statistical models; instead, this approach integrates both methods to enhance decision-making. Moreover, the dynamic behavior of the well is captured in the statistical model and validated against the estimated well behavior derived from the hydraulic model. Furthermore, the streamlined visualization tool helps engineers quickly identify well problems, such as lower productivity, reduced reservoir pressure, increased well scale, increased restrictions in the wellbore, etc. Another critical value addition of this closed-loop workflow is the actionable feedback that is well defined and stored within the system for common reference. For example, the asset engineers provide actionable feedback such as retesting requirement, well stimulation, artificial lift candidate, tubing clearance. Within the action tracking framework, field engineers can quickly filter the assigned action items to him or her for the day and take appropriate actions. This new integrated action-based closed-loop workflow significantly reduces the time spent on daily validation tasks and well performance evaluation tasks by combining the statistical and hydraulic models supported with visualization and action tracking capabilities.


2020 ◽  
Vol 18 (3) ◽  
pp. 365-375 ◽  
Author(s):  
Nathaniel D. Sisterson ◽  
Thomas A. Wozny ◽  
Vasileios Kokkinos ◽  
Anto Bagic ◽  
Alexandra P. Urban ◽  
...  

AbstractClosed-loop brain stimulation is increasingly used in level 4 epilepsy centers without an understanding of how the device behaves on a daily basis. This lack of insight is a barrier to improving closed-loop therapy and ultimately understanding why some patients never achieve seizure reduction. We aimed to quantify the accuracy of closed-loop seizure detection and stimulation on the RNS device through extrapolating information derived from manually reviewed ECoG recordings and comprehensive device logging information. RNS System event logging data were obtained, reviewed, and analyzed using a custom-built software package. A weighted-means methodology was developed to adjust for bias and incompleteness in event logs and evaluated using Bland–Altman plots and Wilcoxon signed-rank tests to compare adjusted and non-weighted (standard method) results. Twelve patients implanted for a mean of 21.5 (interquartile range 13.5–31) months were reviewed. The mean seizure frequency reduction post-RNS implantation was 40.1% (interquartile range 0–96.2%). Three primary levels of event logging granularity were identified (ECoG recordings: 3.0% complete (interquartile range 0.3–1.8%); Event Lists: 72.9% complete (interquartile range 44.7–99.8%); Activity Logs: 100% complete; completeness measured with respect to Activity Logs). Bland–Altman interpretation confirmed non-equivalence with unpredictable differences in both magnitude and direction. Wilcoxon signed rank tests demonstrated significant (p < 10−6) differences in accuracy, sensitivity, and specificity at >5% absolute mean difference for extrapolated versus standard results. Device behavior logged by the RNS System should be used in conjunction with careful review of stored ECoG data to extrapolate metrics for detector performance and stimulation.


2020 ◽  
Vol 63 (6) ◽  
pp. 2016-2026
Author(s):  
Tamara R. Almeida ◽  
Clayton H. Rocha ◽  
Camila M. Rabelo ◽  
Raquel F. Gomes ◽  
Ivone F. Neves-Lobo ◽  
...  

Purpose The aims of this study were to characterize hearing symptoms, habits, and sound pressure levels (SPLs) of personal audio system (PAS) used by young adults; estimate the risk of developing hearing loss and assess whether instructions given to users led to behavioral changes; and propose recommendations for PAS users. Method A cross-sectional study was performed in 50 subjects with normal hearing. Procedures included questionnaire and measurement of PAS SPLs (real ear and manikin) through the users' own headphones and devices while they listened to four songs. After 1 year, 30 subjects answered questions about their usage habits. For the statistical analysis, one-way analysis of variance, Tukey's post hoc test, Lin and Spearman coefficients, the chi-square test, and logistic regression were used. Results Most subjects listened to music every day, usually in noisy environments. Sixty percent of the subjects reported hearing symptoms after using a PAS. Substantial variability in the equivalent music listening level (Leq) was noted ( M = 84.7 dBA; min = 65.1 dBA, max = 97.5 dBA). A significant difference was found only in the 4-kHz band when comparing the real-ear and manikin techniques. Based on the Leq, 38% of the individuals exceeded the maximum daily time allowance. Comparison of the subjects according to the maximum allowed daily exposure time revealed a higher number of hearing complaints from people with greater exposure. After 1 year, 43% of the subjects reduced their usage time, and 70% reduced the volume. A volume not exceeding 80% was recommended, and at this volume, the maximum usage time should be 160 min. Conclusions The habit of listening to music at high intensities on a daily basis seems to cause hearing symptoms, even in individuals with normal hearing. The real-ear and manikin techniques produced similar results. Providing instructions on this topic combined with measuring PAS SPLs may be an appropriate strategy for raising the awareness of people who are at risk. Supplemental Material https://doi.org/10.23641/asha.12431435


1961 ◽  
Vol 41 (3) ◽  
pp. 245-250 ◽  
Author(s):  
George H. Bornside ◽  
Isidore Cohn
Keyword(s):  

2012 ◽  
Vol 220 (1) ◽  
pp. 3-9 ◽  
Author(s):  
Sandra Sülzenbrück

For the effective use of modern tools, the inherent visuo-motor transformation needs to be mastered. The successful adjustment to and learning of these transformations crucially depends on practice conditions, particularly on the type of visual feedback during practice. Here, a review about empirical research exploring the influence of continuous and terminal visual feedback during practice on the mastery of visuo-motor transformations is provided. Two studies investigating the impact of the type of visual feedback on either direction-dependent visuo-motor gains or the complex visuo-motor transformation of a virtual two-sided lever are presented in more detail. The findings of these studies indicate that the continuous availability of visual feedback supports performance when closed-loop control is possible, but impairs performance when visual input is no longer available. Different approaches to explain these performance differences due to the type of visual feedback during practice are considered. For example, these differences could reflect a process of re-optimization of motor planning in a novel environment or represent effects of the specificity of practice. Furthermore, differences in the allocation of attention during movements with terminal and continuous visual feedback could account for the observed differences.


2003 ◽  
Vol 14 (5) ◽  
pp. 471-477
Author(s):  
Dejan M. Novakovic ◽  
Markku J. Juntti ◽  
Miroslav L. Dukic

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