Aim: Improvement and harmonization of European clinical pharmacology and therapeutics (CPT) education is urgently required. Because digital educational resources can be easily shared, adapted to local situations and re-used widely across a variety of educational systems, they may be ideally suited for this purpose. Methods: With a cross-sectional survey among principal CPT teachers in 279 out of 304 European medical schools, an overview and classification of digital resources was compiled. Results: Teachers from 95 (34%) medical schools in 26 of 28 EU countries responded, 66 (70%) of whom used digital educational resources in their CPT curriculum. A total of 89 of such resources were described in detail, including e-learning (24%), simulators to teach pharmacokinetics and/or pharmacodynamics (10%), virtual patients (8%), and serious games (5%). Together, these resources covered 235 knowledge-based learning objectives, 88 skills, and 13 attitudes. Only one third (27) of the resources were in-part or totally free and only two were licensed open educational resources (free to use, distribute and adapt). A narrative overview of the largest, free and most novel resources is given. Conclusion: Digital educational resources, ranging from e-learning to virtual patients and games, are widely used for CPT education in EU medical schools. Learning objectives are based largely on knowledge rather than skills or attitudes. This may be improved by including more real-life clinical case scenarios. Moreover, the majority of resources are neither free nor open. Therefore, with a view to harmonizing international CPT education, more needs to be learned about why CPT teachers are not currently sharing their educational materials.
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With Fontys' new educational developments we became part of the project called 'BILOBA'. The principal outlines of this new education are based on developing competences, communication by ICT and setting up a major-minor educational system. Fontys has already developed 40 minors with topics related to several areas from institutes' backgrounds. One of the minor courses is 'Strategic Innovation'. The main goal of this minor is to make students competent to contribute to innovation in the SME's. Students will acquire relevant knowledge as well as relevant competences for developing innovation in companies. The outline of the minor is 50 % knowledge development and 50% project work, where the knowledge is used in practice. New in the project is the so-called 'Innovation Simulator'. In this simulator as part of the project students will be confronted with the real world of initiating innovation in the context of a real company. Role-play is an important element to this simulator. We need to learn more about this approach. We have done some evaluations during the spring of 2007 and have found some imperfections, which will be changed in June of 2007/2008 as an outcome of an evaluation with all of the participants.
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Post-partum hemorrhaging is a medical emergency that occurs during childbirth and, in extreme cases, can be life-threatening. It is the number one cause of maternal mortality worldwide. High-quality training of medical staff can contribute to early diagnosis and work towards preventing escalation towards more serious cases. Healthcare education uses manikin-based simulators to train obstetricians for various childbirth scenarios before training on real patients. However, these medical simulators lack certain key features portraying important symptoms and are incapable of communicating with the trainees. The authors present a digital embodiment agent that can improve the current state of the art by providing a specification of the requirements as well as an extensive design and development approach. This digital embodiment allows educators to respond and role-play as the patient in real time and can easily be integrated with existing training procedures. This research was performed in collaboration with medical experts, making a new contribution to medical training by bringing digital humans and the representation of affective interfaces to the field of healthcare.
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This year, OPTIMAX was warmly welcomed by University College Dublin. For the sixth time students and teachers from Europe, South Africa, South America and Canada have come together enthusiastically to do research in the Radiography domain. As in previous years, there were several research groups consisting of PhD-, MSc- and BSc students and tutors from the OPTIMAX partner Universities or on invitation by partner Universities. OPTIMAX 2018 was partly funded by the partner Universities and partly by the participants.
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For twenty years, typical outdoor lifestyle sports like rafting, snowboarding and rock climbing, which used to be exclusively practised in natural environments, are being offered in controlled artificial settings. This process can be described as 'the indoorisation of outdoor sports'. With this development, questions of authenticity arise. Are these new, commercial forms still authentic lifestyle sports? And can we consider the participants in these indoorised lifestyle sports as authentic? There has been a discussion about authenticity in lifestyle sports since its worldwide popularisation and it is worth to reconsider this discussion against the background of new, commercial versions of lifestyle sports. Therefore, in this paper a qualitative analysis is offered about the consumption of a constructed authenticity in a cultural context increasingly characterized by artificialization.
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ObjectiveRepeated practice, or spacing, can improve various types of skill acquisition. Similarly, virtual reality (VR) simulators have demonstrated their effectiveness in fostering surgical skill acquisition and provide a promising, realistic environment for spaced training. To explore how spacing impacts VR simulator-based acquisition of surgical psychomotor skills, we performed a systematic literature review.MethodsWe systematically searched the databases PubMed, PsycINFO, Psychology and Behavioral Sciences Collection, ERIC and CINAHL for studies investigating the influence of spacing on the effectiveness of VR simulator training focused on psychomotor skill acquisition in healthcare professionals. We assessed the quality of all included studies using the Medical Education Research Study Quality Instrument (MERSQI) and the risk of bias using the Cochrane Collaboration’s risk of bias assessment tool. We extracted and aggregated qualitative data regarding spacing interval, psychomotor task performance and several other performance metrics.ResultsThe searches yielded 1662 unique publications. After screening the titles and abstracts, 53 publications were retained for full text screening and 7 met the inclusion criteria. Spaced training resulted in better performance scores and faster skill acquisition when compared to control groups with a single day (massed) training session. Spacing across consecutive days seemed more effective than shorter or longer spacing intervals. However, the included studies were too heterogeneous in terms of spacing interval, obtained performance metrics and psychomotor skills analysed to allow for a meta-analysis to substantiate our outcomes.ConclusionSpacing in VR simulator-based surgical training improved skill acquisition when compared to massed training. The overall number and quality of available studies were only moderate, limiting the validity and generalizability of our findings.
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Author supplied: Abstract—The growing importance and impact of new technologies are changing many industries. This effect is especially noticeable in the manufacturing industry. This paper explores a practical implementation of a hybrid architecture for the newest generation of manufacturing systems. The papers starts with a proposition that envisions reconfigurable systems that work together autonomously to create Manufacturing as a Service (MaaS). It introduces a number of problems in this area and shows the requirements for an architecture that can be the main research platform to solve a number of these problems, including the need for safe and flexible system behaviour and the ability to reconfigure with limited interference to other systems within the manufacturing environment. The paper highlights the infrastructure and architecture itself that can support the requirements to solve the mentioned problems in the future. A concept system named Grid Manufacturing is then introduced that shows both the hardware and software systems to handle the challenges. The paper then moves towards the design of the architecture and introduces all systems involved, including the specific hardware platforms that will be controlled by the software platform called REXOS (Reconfigurable EQuipletS Operating System). The design choices are provided that show why it has become a hybrid platform that uses Java Agent Development Framework (JADE) and Robot Operating System (ROS). Finally, to validate REXOS, the performance is measured and discussed, which shows that REXOS can be used as a practical basis for more specific research for robust autonomous reconfigurable systems and application in industry 4.0. This paper shows practical examples of how to successfully combine several technologies that are meant to lead to a faster adoption and a better business case for autonomous and reconfigurable systems in industry.
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This article delves into the acceptance of autonomous driving within society and its implications for the automotive insurance sector. The research encompasses two different studies conducted with meticulous analysis. The first study involves over 600 participants involved with the automotive industry who have not yet had the opportunity to experience autonomous driving technology. It primarily centers on the adaptation of insurance products to align with the imminent implementation of this technology. The second study is directed at individuals who have had the opportunity to test an autonomous driving platform first-hand. Specifically, it examines users’ experiences after conducting test drives on public roads using an autonomous research platform jointly developed by MAPFRE, Universidad Carlos III de Madrid, and Universidad Politécnica de Madrid. The study conducted demonstrates that the user acceptance of autonomous driving technology significantly increases after firsthand experience with a real autonomous car. This finding underscores the importance of bringing autonomous driving technology closer to end-users in order to improve societal perception. Furthermore, the results provide valuable insights for industry stakeholders seeking to navigate the market as autonomous driving technology slowly becomes an integral part of commercial vehicles. The findings reveal that a substantial majority (96% of the surveyed individuals) believe that autonomous vehicles will still require insurance. Additionally, 90% of respondents express the opinion that policies for autonomous vehicles should be as affordable or even cheaper than those for traditional vehicles. This suggests that people may not be fully aware of the significant costs associated with the systems enabling autonomous driving when considering their insurance needs, which puts the spotlight back on the importance of bringing this technology closer to the general public.
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Elke periode kent zijn eigen revolutie en elke revolutie brengt zijn eigen organisatorische model met zich mee. We bevinden ons nu in de 4e industri¨ele revolutie, waar het internet van dingen ons verbindt met autonome embedded systemen. Deze systemen zijn actief in de virtuele ’cyber’ wereld, alsook in de echte ’fysieke’ wereld om ons heen. Deze zogenoemde ’Cyber-Fysieke’ Systemen volgen daarmee een modern organisatorisch model, namelijk zelfmanagement, en zijn dan ook in staat zelf proactieve acties te ondernemen. Dit proefschrift belicht productiesystemen vanuit het Cyber-Fysieke perspectief. De productiesystemen zijn hier herconfigureerbaar, autonoom en zeer flexibel. Dit kan enkel worden bereikt door het ontwikkelen van nieuwe methodes en het toepassen van nieuwe technologie¨en die flexibiliteit verder bevorderen. Echter, effici¨entie is ook van belang, bijvoorbeeld door productassemblage zo flexibel te maken dat het daardoor kosteneffici¨ent is om de productie van diverse producten met een lage oplage, zogenaamde high-mix, low volume producten, te automatiseren. De mogelijkheid om zo flexibel te kunnen produceren moet bereikt worden door de creatie van nieuwe methoden en middelen, waarbij nieuwe technologie¨en worden gecombineerd; een belangrijk aspect hierbij is dat dit toepasbaar getest moet worden door gebruik van simulatoren en speciaal hiervoor ontwikkelde productiesystemen. Dit onderzoek zal beginnen met het introduceren van het concept achter de bijbehorende productiemethodologie, welke Grid Manufacturing is genoemd. Grid Manufacturing wordt uitgevoerd door autonome entiteiten (agenten) die zowel de productiesystemen zelf, als de producten representeren. Producten leven dan al in de virtuele cyber wereld voordat zij daadwerkelijk zijn gebouwd, en zijn zich bewust uit welke onderdelen zij gemaakt moeten worden. De producten communiceren en overleggen met de autonome herconfigureerbare productiesystemen, de zogenaamde equiplets. Deze equiplets leveren generieke diensten aan een grote diversiteit aan producten, die hierdoor op elk moment geproduceerd kunnen worden. Het onderzoek focust hierbij specifiek op de equiplets en de technische uitdagingen om dynamisch geautomatiseerde productie mogelijk te maken. Om Grid Manufacturing mogelijk te maken is er een set van technologische uitdagingen onderzocht. De achtergrond, onderzoeksaanpak en concepten zijn dan ook de eerste drie inleidende hoofdstukken. Daarna begint het onderzoek met Hoofdstuk 4 Object Awareness. Dit hoofdstuk beschrijft een dynamische manier waarop informatie uit verschillende autonome systemen gecombineerd wordt om objecten te herkennen, lokaliseren en daarmee te kunnen manipuleren. Hoofdstuk 5 Herconfiguratie beschrijft hoe producten communiceren met de equiplets en welke achterliggende systemen ervoor zorgen dat, ondanks | Dutch Summary 232 dat het product niet bekend is met de hardware van de equiplet, deze toch in staat is acties uit te voeren. Tevens beschrijft het hoofdstuk hoe de equiplets omgaan met verschillende hardwareconfiguraties en ondanks de aanpassingen zichzelf toch kunnen besturen. De equiplet kan dan ook aangepast worden zonder dat deze opnieuw geprogrammeerd hoeft te worden. In Hoofdstuk 6 Architectuur wordt vervolgens dieper ingegaan op de bovenliggende architectuur van de equiplets. Hier worden prestaties gecombineerd met flexibiliteit, waarvoor een hybride architectuur is ontwikkeld die het grid van equiplets controleert door het gebruik van twee platformen: Multi-Agent System (MAS) en Robot Operating System (ROS). Nadat de architectuur is vastgesteld, wordt er in Hoofdstuk 7 onderzocht hoe deze veilig ingezet kan worden. Hierbij wordt een controlesysteem ingevoerd dat het systeemgedrag bepaalt, waarmee het gedrag van de equiplets transparant wordt gemaakt. Tevens zal een simulatie met input van de sensoren uit de fysieke wereld ’live’ controleren of alle bewegingen veilig uitgevoerd kunnen worden. Nadat de basisfunctionaliteit van het Grid nu compleet is, wordt in Hoofdstuk 8 Validatie en Utilisatie gekeken naar hoe Grid Manufacturing gebruikt kan worden en welke nieuwe mogelijkheden deze kan opleveren. Zo wordt er besproken hoe zowel een hi¨erarchische als een heterarchische aanpak, waar alle systemen gelijk zijn, gebruikt kan worden. Daarnaast laat het hoofdstuk o.a. aan de hand van enkele voorbeelden en simulaties zien welke effecten herconfiguratie kan hebben, en welke voordelen deze aanpak zoal kan bieden.. Het proefschrift laat zien hoe met technische middelen geautomatiseerde flexibiliteit mogelijk wordt gemaakt. Hoewel het gehele concept nog volwassen zal moeten worden, worden er enkele aspecten getoond die op de korte termijn toepasbaar zijn in de industrie. Enkele voorbeelden hiervan zijn: (1) het combineren van gegevens uit diverse (autonome) bronnen voor 6D-lokalisatie; (2) een data-gedreven systeem, de zogeheten hardware-abstractielaag, die herconfigureerbare systemen controleert en de mogelijkheid biedt om deze productiesystemen aan te passen zonder deze te hoeven herprogrammeren; en (3) het gebruik van Cyber-Fysieke systemen om de veiligheid te verhogen.
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