The Effects of Variability and Uncertainty (DRAFT)

2018 ◽  
Author(s):  
Boaz Ronen ◽  
Joseph S Pliskin ◽  
Shimeon Pass
Keyword(s):  
Group Technology ◽  
Response Times ◽  
Healthcare Systems ◽  
Protective Capacity ◽  
Tools And Techniques ◽  
Technology Structure

Uncertainty and variability are among the biggest enemies of healthcare systems. Variability that is not properly managed may turn noncritical resources into bottlenecks, leading to increased response times, decreased throughput, and deteriorating quality. The chapter presents tools and techniques to protect against variability (managing buffers, creating protective capacity, etc.) and to reduce variability (response times reduction, creating a group technology structure, working in small batches, etc.). The chapter also presents Litvak’s approach to managing variability.

Reducing Response Times (DRAFT)

2018 ◽  
Author(s):  
Boaz Ronen ◽  
Joseph S Pliskin ◽  
Shimeon Pass
Keyword(s):  
Response Time ◽  
Processing Time ◽  
Significant Contribution ◽  
Group Technology ◽  
Response Times ◽  
Just In Time ◽  
Traffic Lights ◽  
Work In Process ◽  
Tools And Techniques ◽  
Concept Group

This chapter introduces practical tools for reducing response times significantly. Using the approaches and techniques presented in the chapter can reduce response time several folds. This is a strategic and tactical goal for every organization to reduce response times. The significant contribution of Lean/just in time to management is manifested in focusing on short response and introducing the perception that work in process is a burden, not an asset. This chapter presents tools and techniques such as the small batch concept, group technology, tactical gating, the “traffic lights” system, Superzoufing, working with a complete kit, and the shortest processing time.

The Complete Kit Concept (DRAFT)

2018 ◽  
Author(s):  
Boaz Ronen ◽  
Joseph S Pliskin ◽  
Shimeon Pass
Keyword(s):  
Healthcare System ◽  
Response Times ◽  
Healthcare Systems ◽  
Poor Quality ◽  
Considerable Improvement ◽  
Outpatient Clinics ◽  
Work In Process ◽  
Paramedical Staff ◽  
Improvement Potential ◽  
Customer Dissatisfaction

The complete kit (CK) concept is a well-established concept that offers considerable improvement potential for healthcare systems. It enables faster response times, lower costs, and improved quality. Working with incomplete kits leads to more work in process, longer response times, poor quality and customer dissatisfaction. The CK concept can be applied in all departments of healthcare systems including, among others, operating rooms, emergency departments, and outpatient clinics. To implement the CK concept, the healthcare system must train and educate executives, managers, physicians, nurses, and paramedical staff. Even though the concept is intuitively appreciated and accepted by people, there is a need to reinforce some formal frameworks as an infrastructure for implementing the CK concept.

Nanostructure of semiconductor quantum dots in a borosilicate glass matrix by complementary use of HREM and AEM

1990 ◽  
Vol 48 (4) ◽  
pp. 728-729
Author(s):  
M.J. Kim ◽  
L.C. Liu ◽  
S.H. Risbud ◽  
R.W. Carpenter
Keyword(s):  
Quantum Dots ◽  
Borosilicate Glass ◽  
Glass Matrix ◽  
Optical Switching ◽  
Response Times ◽  
Fast Response ◽  
Processing Technique ◽  
Internal Stresses ◽  
Electron Hole ◽  
Spatial Dimensions

When the size of a semiconductor is reduced by an appropriate materials processing technique to a dimension less than about twice the radius of an exciton in the bulk crystal, the band like structure of the semiconductor gives way to discrete molecular orbital electronic states. Clusters of semiconductors in a size regime lower than 2R {where R is the exciton Bohr radius; e.g. 3 nm for CdS and 7.3 nm for CdTe) are called Quantum Dots (QD) because they confine optically excited electron- hole pairs (excitons) in all three spatial dimensions. Structures based on QD are of great interest because of fast response times and non-linearity in optical switching applications.In this paper we report the first HREM analysis of the size and structure of CdTe and CdS QD formed by precipitation from a modified borosilicate glass matrix. The glass melts were quenched by pouring on brass plates, and then annealed to relieve internal stresses. QD precipitate particles were formed during subsequent "striking" heat treatments above the glass crystallization temperature, which was determined by differential thermal analysis.

Compact and efficient gas diffusion electrodes based on nanoporous alumina membranes for microfuel cells and gas sensors

The Analyst ◽  
2020 ◽  
Vol 145 (1) ◽  
pp. 122-131 ◽  
Author(s):  
Wanda V. Fernandez ◽  
Rocío T. Tosello ◽  
José L. Fernández
Keyword(s):  
Response Times ◽  
Hydrogen Oxidation ◽  
Fast Response ◽  
Gas Diffusion ◽  
Limiting Current ◽  
Gas Diffusion Electrodes ◽  
Nanoporous Alumina ◽  
Alumina Membranes ◽  
Current Densities ◽  
Microfuel Cells

Gas diffusion electrodes based on nanoporous alumina membranes electrocatalyze hydrogen oxidation at high diffusion-limiting current densities with fast response times.

The S-SH Confusion Test and the Effects of Frequency Lowering

2019 ◽  
Vol 62 (5) ◽  
pp. 1486-1505
Author(s):  
Joshua M. Alexander
Keyword(s):  
Cognitive Processing ◽  
Hearing Aids ◽  
Response Times ◽  
Nonlinear Frequency ◽  
Low Frequencies ◽  
Frequency Compression ◽  
Negative Side ◽  
Minimal Word ◽  
Low Pass ◽  
Negative Side Effects

PurposeFrequency lowering in hearing aids can cause listeners to perceive [s] as [ʃ]. The S-SH Confusion Test, which consists of 66 minimal word pairs spoken by 6 female talkers, was designed to help clinicians and researchers document these negative side effects. This study's purpose was to use this new test to evaluate the hypothesis that these confusions will increase to the extent that low frequencies are altered.MethodTwenty-one listeners with normal hearing were each tested on 7 conditions. Three were control conditions that were low-pass filtered at 3.3, 5.0, and 9.1 kHz. Four conditions were processed with nonlinear frequency compression (NFC): 2 had a 3.3-kHz maximum audible output frequency (MAOF), with a start frequency (SF) of 1.6 or 2.2 kHz; 2 had a 5.0-kHz MAOF, with an SF of 1.6 or 4.0 kHz. Listeners' responses were analyzed using concepts from signal detection theory. Response times were also collected as a measure of cognitive processing.ResultsOverall, [s] for [ʃ] confusions were minimal. As predicted, [ʃ] for [s] confusions increased for NFC conditions with a lower versus higher MAOF and with a lower versus higher SF. Response times for trials with correct [s] responses were shortest for the 9.1-kHz control and increased for the 5.0- and 3.3-kHz controls. NFC response times were also significantly longer as MAOF and SF decreased. The NFC condition with the highest MAOF and SF had statistically shorter response times than its control condition, indicating that, under some circumstances, NFC may ease cognitive processing.ConclusionsLarge differences in the S-SH Confusion Test across frequency-lowering conditions show that it can be used to document a major negative side effect associated with frequency lowering. Smaller but significant differences in response times for correct [s] trials indicate that NFC can help or hinder cognitive processing, depending on its settings.

Toward Identifying Mild Cognitive Impairment in Hispanic and African American Adults

2017 ◽  
Vol 2 (2) ◽  
pp. 110-116
Author(s):  
Valarie B. Fleming ◽  
Joyce L. Harris
Keyword(s):  
Older Adults ◽  
African American ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Healthcare Access ◽  
Communication Disorders ◽  
Healthcare Systems ◽  
Prevention Education ◽  
Education Management ◽  
African American Adults

Across the breadth of acquired neurogenic communication disorders, mild cognitive impairment (MCI) may go undetected, underreported, and untreated. In addition to stigma and distrust of healthcare systems, other barriers contribute to decreased identification, healthcare access, and service utilization for Hispanic and African American adults with MCI. Speech-language pathologists (SLPs) have significant roles in prevention, education, management, and support of older adults, the population must susceptible to MCI.

Causal attribution and counterfactual thinking - when does performing one facilitate performance of the other

2003 ◽  
Vol 62 (4) ◽  
pp. 209-218
Author(s):  
A. N’gbala ◽  
N. R. Branscombe
Keyword(s):  
Response Times ◽  
Causal Attribution ◽  
Counterfactual Thinking ◽  
The Other

When do causal attribution and counterfactual thinking facilitate one another, and when do the two responses overlap? Undergraduates (N = 78) both explained and undid, in each of two orders, events that were described either with their potential causes or not. The time to perform either response was recorded. Overall, mutation response times were shorter when performed after an attribution was made than before, while attribution response times did not vary as a consequence of sequence. Depending on whether the causes of the target events were described in the scenario or not, respondents undid the actor and assigned causality to another antecedent, or pointed to the actor for both responses. These findings suggest that counterfactual mutation is most likely to be facilitated by attribution, and that mutation and attribution responses are most likely to overlap when no information about potential causes of the event is provided.

Psychophysiological Responses to Stress Related to Anxiety in Healthy Aging

2019 ◽  
Vol 33 (3) ◽  
pp. 188-197 ◽  
Author(s):  
Roberta Adorni ◽  
Agostino Brugnera ◽  
Alessia Gatti ◽  
Giorgio A. Tasca ◽  
Kaoru Sakatani ◽  
...  
Keyword(s):  
Healthy Aging ◽  
Near Infrared ◽  
Response Times ◽  
Cognitive Resources ◽  
Stressful Condition ◽  
Healthy Elderly ◽  
Situational Stress ◽  
Anxiety Response ◽  
Nirs Signal ◽  
Psychophysiological Correlates

Abstract. The aim of the study was to explore the effects of situational stress and anxiety in a group of healthy elderly, both in terms of psychophysiological correlates and cognitive performance. Eighteen participants ( Mage = 70 ± 6.3; range 60–85) were assessed for anxiety and were instructed to perform a computerized math task, under both a stressful and a control condition, while near-infrared spectroscopy (NIRS) signal and electrocardiography (ECG) were recorded. NIRS results evidenced an increased activation of right PFC during the entire procedure, even if effect sizes between left and right channels were larger during the experimental condition. The amount of right activation during the stressful condition was positively correlated with anxiety. Response times (RTs) were slower in more anxious than in less anxious individuals, both during the control and stressful conditions. Accuracy was lower in more anxious than in less anxious individuals, only during the stressful condition. Moreover, heart rate (HR) was not modulated by situational stress, nor by anxiety. Overall, the present study suggests that in healthy elderly, anxiety level has a significant impact on cerebral responses, and both on the amount of cognitive resources and the quality of performance in stressful situations.

The Latin Square Task as a Measure of Relational Reasoning

2020 ◽  
Vol 36 (2) ◽  
pp. 296-302 ◽  
Author(s):  
Luke J. Hearne ◽  
Damian P. Birney ◽  
Luca Cocchi ◽  
Jason B. Mattingley
Keyword(s):  
Brain Imaging ◽  
Response Times ◽  
Latin Square ◽  
Error Rates ◽  
Functional Brain Imaging ◽  
Inspection Time ◽  
Relational Reasoning ◽  
Validity And Reliability ◽  
The Stability ◽  
Test Retest Reliability

Abstract. The Latin Square Task (LST) is a relational reasoning paradigm developed by Birney, Halford, and Andrews (2006) . Previous work has shown that the LST elicits typical reasoning complexity effects, such that increases in complexity are associated with decrements in task accuracy and increases in response times. Here we modified the LST for use in functional brain imaging experiments, in which presentation durations must be strictly controlled, and assessed its validity and reliability. Modifications included presenting the components within each trial serially, such that the reasoning and response periods were separated. In addition, the inspection time for each LST problem was constrained to five seconds. We replicated previous findings of higher error rates and slower response times with increasing relational complexity and observed relatively large effect sizes (η2p > 0.70, r > .50). Moreover, measures of internal consistency and test-retest reliability confirmed the stability of the LST within and across separate testing sessions. Interestingly, we found that limiting the inspection time for individual problems in the LST had little effect on accuracy relative to the unconstrained times used in previous work, a finding that is important for future brain imaging experiments aimed at investigating the neural correlates of relational reasoning.

Disfluent, But Fast

2019 ◽  
Vol 66 (5) ◽  
pp. 346-354
Author(s):  
Štěpán Bahník
Keyword(s):  
Cognitive Processing ◽  
Response Times ◽  
Processing Fluency ◽  
Retrieval Fluency ◽  
Decision Times

Abstract. Processing fluency, a metacognitive feeling of ease of cognitive processing, serves as a cue in various types of judgments. Processing fluency is sometimes evaluated by response times, with shorter response times indicating higher fluency. The present study examined existence of the opposite association; that is, it tested whether disfluency may lead to faster decision times when it serves as a strong cue in judgment. Retrieval fluency was manipulated in an experiment using previous presentation and phonological fluency by varying pronounceability of pseudowords. Participants liked easy-to-pronounce and previously presented words more. Importantly, their decisions were faster for hard-to-pronounce and easy-to-pronounce pseudowords than for pseudowords moderate in pronounceability. The results thus showed an inverted-U shaped relationship between fluency and decision times. The findings suggest that disfluency can lead to faster decision times and thus demonstrate the importance of separating different processes comprising judgment when response times are used as a measure of processing fluency.

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