Team Characteristics Moderating Effect on Software Project Completion Time

This study highlights the importance of human factors in software projects developed in capability maturity model (CMM) level software development environments. While software process initiatives help streamline the development process, people factors can influence project outcomes. Using data procured from the International Software Benchmarking Standard Group, the effects of team turnover, team heterogeneity, and team member work experience were examined as they moderate project elapsed time for software projects developed in CMM level software development environments. Team member work experience and team functional heterogeneity were found to have significant moderating effects on project elapsed time to completion. The turnover of members on the team did not have a significant moderating effect on project elapsed time to completion. Previous studies have examined the benefits of raising the level of maturity as identified by the capability maturity model. This study identifies the importance of human factors as they moderate project success.

Development of a Simulation Surgical Cricothyroidotomy Curriculum for Novice Providers: A Learning Curve Study

ABSTRACT Introduction Airway obstruction is the third most common cause of preventable death on the battlefield, accounting for 1%–2% of total combat fatalities. No previous surgical cricothyroidotomy (SC) studies have analyzed the learning curve required to obtain proficiency despite being studied in numerous other surgical technique training experiments. The aims of this study were to establish expert SC performance criteria, develop a novel standardized SC curriculum, and determine the necessary number of practice iterations required by a novice to reach this pre-determined performance goal. Materials and Methods A standardized checklist and SC performance standards were established based on the performance of 12 board certified Military Health System surgeons with prior experience on performing a SC using a simulated trauma mannequin. Expert-level criteria were defined as a SC time to completion of 40 s or less and checklist score of at least 9/10, including all critical steps. Study subjects included 89 novice providers (54 active-duty first- and second-year medical students and 35 Navy corpsmen). Subjects received instruction on performing a SC using the principles of mastery learning and performed a final test of SC proficiency on a trauma mannequin within a realistic simulated MEDEVAC helicopter. The total number of subject practice attempts, checklist scores, and time to completion were measured and/or blindly scored. Learning curve and exponential plateau equations were used to characterize their improvement in mean time to SC completion and checklist scores. Results Mean pre-test knowledge scores for the entire group were 11.8 ± 3.1 out of 24 points. Total mean practice learning plateaued at checklist scores of 9.9/10 after 7 iterations and at a mean completion time of 30.4 s after 10 iterations. During the final test performance in the helicopter, 67.4% of subjects achieved expert-level performance on the first attempt. All subjects achieved expert-level performance by the end of two additional attempts. While a significantly larger proportion of medical students (79.9%) successfully completed the helicopter test on the first attempt compared to corpsmen (54.3%), there were no statistically significant differences in mean SC completion times and checklist scores between both groups (P > 0.05). Medical students performed a SC only 1.3 s faster and scored only 0.16 points higher than corpsmen. The effect size for differences were small to negligible (Cohen’s d range 0.18–0.33 for SC completion time; Cohen’s d range 0.45–0.46 for checklist scores). Conclusion This study successfully defined SC checklist scores and completion times based on the performance of experienced surgeons on a simulator. Using these criteria and the principles of mastery learning, novices with little knowledge and experience in SC were successfully trained to the level of experienced providers. All subjects met performance targets after training and overall performance plateaued after approximately seven iterations. Over two-thirds of subjects achieved the performance target on the first testing attempt in a simulated helicopter environment. Performance was comparable between medical student and corpsmen subgroups. Further research will assess the durability of maintaining SC skills and the timing for introducing refresher courses after initial skill acquisition.

Lower Extremity Splinting: A Head-to-Head Comparison of A Novel One-Step Spray-on Splint Versus Standard Splinting

ABSTRACT Introduction Splinting is an essential component of treating many lower extremity musculoskeletal injuries; however, little development has been made in splinting technology. The purpose of this study is to evaluate the efficacy of current immobilization equipment for lower extremity fractures by testing a novel one-step spray-on foam splint (Fast Cast) against structural aluminum malleable (SAM) lower extremity musculoskeletal injuries and 6-inch ACE (3M Corp., Minneapolis, MN, USA) bandage splints. Materials and Methods Six orthopedic surgical residents and two medical students participated in a prospective analysis of austere splinting techniques and equipment that utilized a cadaveric model with a distal third tibia-fibula shaft fracture. Each participant was observed and scored by three fellowship trained attending orthopedic surgeons. All scoring was independent using a 5-point Likert scale based on 10 splinting criteria (50 total points possible), including quality of radiographic reduction, time to completion, safety, and sustain longitudinal traction. The Likert scale is a set of questions that reflects the respondent’s degree of agreement or disagreement with a statement. Each of the 10 questions has a range of 1-5. A score of 50 means the splint performed perfectly. The lowest possible score is a 10. The participants utilized standard equipment that included SAM splints and 6-inch ACE wraps (3M Corp., Minneapolis, MN, USA) in their first attempt. A second immobilization attempt was done with a one-step spray-on foam splint (Fast Cast). After each splinting attempt, the reduction was verified with radiographic imaging. Data analysis was performed using standard descriptive statistics, Student’s t-tests, and inter-rater reliability was calculated using Cronbach’s alpha scores. This project is Institutional Review Board (IRB) exempt. Results The one-step spray-on foam splinting technique was superior (P < .05) in all parameters of the Likert scale, yielding a mean overall score of 45.1 points (±3.8), safety 4.7 points, longitudinal traction 4.5 points, and time 136 seconds (±23). The SAM resulted in a mean overall score of 33.8 points (±7.3), safety 2.8 points, longitudinal traction 4.1 points, and time 170 seconds (±52). Radiographic rating was 4.1 points (±0.7) for the SAM splint and 4.5 (±0.6) for Fast Cast. The differences in time to completion and radiograph rating did not reach statistical significance (P = .12 and P = .07, respectively). Conclusion A one-step spray-on foam splinting technique demonstrated consistent superiority in reducing fracture motion, potential soft-tissue damage, and sustained longitudinal traction as compared to the standard technique.

Efficacy of simulation training for beating heart coronary anastomosis using BEAT + YOUCAN simulator

Background We sought to evaluate our distributed practice program developed for training for beating heart anastomosis by employing a novel beating heart simulator. Methods Eleven trainees watched and reviewed instructional video recordings of coronary anastomosis methods with a BEAT + YOUCAN training device, then performed coronary anastomosis procedures under a beating condition. Next, they participated in a four-hour training program developed by faculty surgeons. Ten different anastomosis components were assessed on a five-point rating scale (5, good; 3, average; 1, poor). After finishing the training program, each trainee again performed a coronary anastomosis procedure. Component scores were then compared before and after the training program. Results The mean time to completion of the procedure improved from 1033 ± 424 to 795 ± 201 s (p < 0.05). Assessment scores improved from 1.88 ± 0.41 to 2.57 ± 0.30 (p < 0.05). Improvements in some technical components related to handling of instruments were noted (p < 0.05), whereas no significant improvement was seen with arteriotomy, graft orientation, suture management, or knot tying after finishing the training program. Conclusion Trainees who participated in our four-hour focused training program for coronary anastomosis with a novel beating heart simulator showed improved ability under the beating condition in regard to technical skills related to handling instruments.

The Impact of Moderate and High Intensity Cardiovascular Exertion on Sub-Elite Soccer Referee’s Cognitive Performance: A Lab-Based Study

Soccer referees represent a specialized population who are required to perform decisional or perceptual tasks during physical exertion. Recent studies have demonstrated that submaximal acute exercise has a positive impact on cognitive performance. However, less is known about the impact of more strenuous exertion on cognitive performance. This study assessed the effect of moderate and maximal intensity exercise exertion on a cognitive performance in sub-elite soccer referees. Twelve experienced soccer referees (4 female, 8 male) were recruited. Data were collected on 2 separate days. Baseline fitness level was assessed by a standardized aerobic capacity test (VO2max Test) on Day 1, along with practice trials of the Stroop Color Word Test (Stroop Test) for evaluating cognitive performance. On Day 2, cognitive performance was assessed before, during, and after an incremental intensity exercise protocol based on the Fédération International de Football Association (FIFA) referee fitness test. Relative to results obtained at rest performance on the Stroop Test improved at moderate exertion and at maximal exertion during the modified FIFA fitness test (F = 18.97, p = .005). Mean time to completion (in seconds) of the interference Stroop task significantly improved (p < .05) between rest and moderate exertion [-3.0 ± 3.0 seconds] and between rest and maximal exertion [-4.8 ± 2.6 seconds]. In summary, we observed that cognitive performance was found to improve when sub-elite soccer referees performed moderate and maximal exercise relative to results obtained at rest. It is possible that referees focus their attention to improve goal-oriented processing in the brain during physical exertion.

Evaluation and Comparison of Artificial Intelligence Vision Aids: Orcam MyEye 1 and Seeing AI

Introduction: We compared the print-to-speech properties and human performance characteristics of two artificial intelligence vision aids, Orcam MyEye 1 (a portable device) and Seeing AI (an iPhone and iPad application). Methods: There were seven participants with visual impairments who had no experience with the two reading aids. Four participants had no light perception. Two individuals with measurable acuity and one with light perception were tested while blindfolded. We also tested performance with text of varying appearance in varying viewing conditions. To evaluate human performance, we asked the participants to use the devices to attempt 12 reading tasks similar to activities of daily living. We assessed the ranges of text attributes for which reading was possible, such as print size, contrast, and light level. We also assessed if individuals could complete tasks with the devices and measured accuracy and completion time. Participants also completed a survey concerning the two aids. Results: Both aids achieved greater than 95% accuracy in text recognition for flat, plain word documents and ranged from 13 to 57% accuracy for formatted text on curved surfaces. Both aids could read print sizes as small as 0.8M (20/40 Snellen equivalent, 40 cm viewing distance). Individuals successfully completed 71% and 55% ( p = .114) of tasks while using Orcam MyEye 1 and Seeing AI, respectively. There was no significant difference in time to completion of tasks ( p = .775). Individuals believed both aids would be helpful for daily activities. Discussion: Orcam MyEye 1 and Seeing AI had similar text-reading capability and usability. Both aids were useful to users with severe visual impairments in performing reading tasks. Implications for Practitioners: Selection of a reading device or aid should be based on individual preferences and prior familiarity with the platform, since we found no clear superiority of one solution over the other.

Exploring the Use of Deep Learning with Crowdsourcing to Annotate Images

We investigate what, if any, benefits arise from employing hybrid algorithm-crowdsourcing approaches over conventional approaches of relying exclusively on algorithms or crowds to annotate images. We introduce a framework that enables users to investigate different hybrid workflows for three popular image analysis tasks: image classification, object detection, and image captioning. Three hybrid approaches are included that are based on having workers: (i) verify predicted labels, (ii) correct predicted labels, and (iii) annotate images for which algorithms have low confidence in their predictions. Deep learning algorithms are employed in these workflows since they offer high performance for image annotation tasks. Each workflow is evaluated with respect to annotation quality and worker time to completion on images coming from three diverse datasets (i.e., VOC, MSCOCO, VizWiz). Inspired by our findings, we offer recommendations regarding when and how to employ deep learning with crowdsourcing to achieve desired quality and efficiency for image annotation.

Literal is not always easier

“Literal translation” is a popular construct in Translation Studies. Research from computational approaches has consistently shown that non-literal translations, i.e., renderings semantically and syntactically different or not close to the source text, are more difficult or effortful to produce than literal ones. This paper researches whether literal translations are systematically less effortful to process than non-literal ones using comparable corpus data. The effort incurred in processing literal translations from a parallel corpus is compared to that of processing the most frequent non-literal renderings found in previous comparable corpus studies. Ten professional translators edited a text using a mock translation environment setup using the keylogger Inputlog. The task was presented as a regular editing process with a full cohesive text presented segment pair by segment pair. Time served as a proxy for overall cognitive effort. We analyzed time from presentation to type (TTP) and time to completion of segment edit (TC), or complete editing events. Results showed that processing efforts are indistinguishable between categories, suggesting that cognitive effort to edit non-literal default translation candidates is not always higher when compared to the most frequent literal translations from a parallel corpus.