Trainee involvement in ERCP: new criteria to simplify a complex problem

Endoscopy ◽  
2021 ◽  
Vol 53 (12) ◽  
pp. 1288-1288 ◽  
Author(s):  
Sridhar Sundaram ◽  
Aditya Kale
Keyword(s):  
2020 ◽  
Vol 23 (4) ◽  
pp. 84-95
Author(s):  
H. E. Fourar ◽  
B. D. Ogunvoul ◽  
V. D. Budaev ◽  
F. Lachi

A method of risk assessment of an aircraft on-board information system is being considered, which allows ensuring reliability and safety of such a complex system in operation. This technique implies application of combined mathematical tools to estimate the risks that complex systems/items are being exposed to. The existing risk assessment methods are not flexible enough to solve the complex task of enhancing comprehensive safety of an aircraft information system (AIS) due to difficulty in unifying the criteria for estimating the degree of hazard in reference to all safety concepts. Currently, risks severity and mechanism for the development of one undesirable event (risk event) into more complex forms during technical operation of an aircraft items/system are not being considered. However, the method proposed in this article intends to become a catalyst for generation of new criteria on a unified basis for estimating safety of such a technical complex system such as AIS, since it contains three-component risk parameters. I.e. the risk for threats from violators (cases of unlawful interference (UI)), vulnerabilities (functional hazards that contribute to UI and its development in a system) and loss (set of criteria that evaluates consequences of UI). As a result, these criteria and parameters of threecomponent safety will allow us to find a new approach to determining the complex risk to which important aircraft systems, such as on-board aircraft information systems, are exposed. This article presents a method for determining risk that takes into account the three-component safety concept. Together, these components will make it possible to evaluate technical systems hazard degree, taking into account their sophistication. The information provided in this paper by the authors is a scientific hypothesis designed to draw attention of the scientific community to the problem of lack of methods for evaluating multicomponent risks in such a system as AIS. The article presents the basic criteria for evaluating a complex three-component risk; they are not sufficient for the full formation of new criteria for evaluating the safety of a complex aircraft system/item and requires clarification of their parameters. Thus, this work is not absolute as a complete solution to the complex problem of enhancing comprehensive safety of AIS, but only offers a methodology for unifying the three safety components to evaluate complex risk.


2008 ◽  
Vol 7 (3) ◽  
pp. 1-8
Author(s):  
DENISE NAPOLI
Keyword(s):  

2009 ◽  
Vol 23 (2) ◽  
pp. 129-138 ◽  
Author(s):  
Florian Schmidt-Weigand ◽  
Martin Hänze ◽  
Rita Wodzinski

How can worked examples be enhanced to promote complex problem solving? N = 92 students of the 8th grade attended in pairs to a physics problem. Problem solving was supported by (a) a worked example given as a whole, (b) a worked example presented incrementally (i.e. only one solution step at a time), or (c) a worked example presented incrementally and accompanied by strategic prompts. In groups (b) and (c) students self-regulated when to attend to the next solution step. In group (c) each solution step was preceded by a prompt that suggested strategic learning behavior (e.g. note taking, sketching, communicating with the learning partner, etc.). Prompts and solution steps were given on separate sheets. The study revealed that incremental presentation lead to a better learning experience (higher feeling of competence, lower cognitive load) compared to a conventional presentation of the worked example. However, only if additional strategic learning behavior was prompted, students remembered the solution more correctly and reproduced more solution steps.


2016 ◽  
Vol 32 (4) ◽  
pp. 298-306 ◽  
Author(s):  
Samuel Greiff ◽  
Katarina Krkovic ◽  
Jarkko Hautamäki

Abstract. In this study, we explored the network of relations between fluid reasoning, working memory, and the two dimensions of complex problem solving, rule knowledge and rule application. In doing so, we replicated the recent study by Bühner, Kröner, and Ziegler (2008) and the structural relations investigated therein [ Bühner, Kröner, & Ziegler, (2008) . Working memory, visual-spatial intelligence and their relationship to problem-solving. Intelligence, 36, 672–680]. However, in the present study, we used different assessment instruments by employing assessments of figural, numerical, and verbal fluid reasoning, an assessment of numerical working memory, and a complex problem solving assessment using the MicroDYN approach. In a sample of N = 2,029 Finnish sixth-grade students of which 328 students took the numerical working memory assessment, the findings diverged substantially from the results reported by Bühner et al. Importantly, in the present study, fluid reasoning was the main source of variation for rule knowledge and rule application, and working memory contributed only a little added value. Albeit generally in line with previously conducted research on the relation between complex problem solving and other cognitive abilities, these findings directly contrast the results of Bühner et al. (2008) who reported that only working memory was a source of variation in complex problem solving, whereas fluid reasoning was not. Explanations for the different patterns of results are sought, and implications for the use of assessment instruments and for research on interindividual differences in complex problem solving are discussed.


2010 ◽  
Vol 38 (10) ◽  
pp. 27
Author(s):  
MICHELE G. SULLIVAN
Keyword(s):  

2010 ◽  
Vol 40 (13) ◽  
pp. 1-43
Author(s):  
MICHELE G. SULLIVAN
Keyword(s):  

Author(s):  
Leanne SOBEL ◽  
Katrina SKELLERN ◽  
Kat PEREIRA

Design thinking and human-centred design is often discussed and utilised by teams and organisations seeking to develop more optimal, effective or innovative solutions for better customer outcomes. In the healthcare sector the opportunity presented by the practice of human-centred design and design thinking in the pursuit of better patient outcomes is a natural alignment. However, healthcare challenges often involve complex problem sets, many stakeholders, large systems and actors that resist change. High-levels of investment and risk aversion results in the status quo of traditional technology-led processes and analytical decision-making dominating product and strategy development. In this case study we present the opportunities, challenges and benefits that including a design-led approach in developing complex healthcare technology can bring. Drawing on interviews with participants and reflections from the project team, we explore and articulate the key learning from using a design-led approach. In particular we discuss how design-led practices that place patients at the heart of technology development facilitated the project team in aligning key stakeholders, unearthing critical system considerations, and identifying product and sector-wide opportunities.


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