搜索结果：Australian critical care : official journal of the Confederation of Australian Critical Care Nurses

A significant gender disparity is widely known to occur within the fields of science, technology, engineering and mathematics (STEM). Women are both under-represented in their participation in Australian STEM education (compared to their fraction within the population at large), and face a much higher attrition rate from STEM subjects throughout secondary and tertiary education. Even within STEM careers the proportion of women frequently generally decreases with increasing position of seniority. In 2015 organisers and members of the Australian Space Research Community began to analyse the data from participants of the Australian Space Research Conference, in order to derive statistics relating to the gender balance of the conference. In this paper, the data from the most recent conference (held on the Gold Coast, in September 2018) is analysed, considering the gender demographics of delegates, presenters (within numerous categories), and awards. This year, we also present the dimensions of career type and academic level of conference attendees. The resulting trends are compared to those of other national space research conferences - the Scientific Meeting of the Astronomical Societ

Progress of machine learning in critical care has been difficult to track, in part due to absence of public benchmarks. Other fields of research (such as computer vision and natural language processing) have established various competitions and public benchmarks. Recent availability of large clinical datasets has enabled the possibility of establishing public benchmarks. Taking advantage of this opportunity, we propose a public benchmark suite to address four areas of critical care, namely mortality prediction, estimation of length of stay, patient phenotyping and risk of decompensation. We define each task and compare the performance of both clinical models as well as baseline and deep learning models using eICU critical care dataset of around 73,000 patients. This is the first public benchmark on a multi-centre critical care dataset, comparing the performance of clinical gold standard with our predictive model. We also investigate the impact of numerical variables as well as handling of categorical variables on each of the defined tasks. The source code, detailing our methods and experiments is publicly available such that anyone can replicate our results and build upon our work.

We find ourselves on the ever-shifting cusp of an AI revolution -- with potentially metamorphic implications for the future practice of healthcare. For many, such innovations cannot come quickly enough; as healthcare systems worldwide struggle to keep up with the ever-changing needs of our populations. And yet, the potential of AI tools and systems to shape healthcare is as often approached with great trepidation as celebrated by health professionals and patients alike. These fears alight not only in the form of privacy and security concerns but for the potential of AI tools to reduce patients to datapoints and professionals to aggregators -- to make healthcare, in short, less caring. This infixated concern, we - as designers, developers and researchers of AI systems - believe it essential we tackle head on; if we are not only to overcome the AI implementation gap, but realise the potential of AI systems to truly augment human-centred practices of care. This, we argue we might yet achieve by realising newly-accessible practices of AI healthcare innovation, engaging providers, recipients and affected communities of care in the inclusive design of AI tools we may yet enthusiastically

Accurate classification of self-care problems in children who suffer from physical and motor affliction is an important problem in the healthcare industry. This is a difficult and a time consumming process and it needs the expertise of occupational therapists. In recent years, healthcare professionals have opened up to the idea of using expert systems and artificial intelligence in the diagnosis and classification of self care problems. In this study, we propose a new deep learning based approach named Care2Vec for solving these kind of problems and use a real world self care activities dataset that is based on a conceptual framework designed by the World Health Organization (WHO). Care2Vec is a mix of unsupervised and supervised learning where we use Autoencoders and Deep neural networks as a two step modeling process. We found that Care2Vec has a better prediction accuracy than some of the traditional methods reported in the literature for solving the self care classification problem viz. Decision trees and Artificial neural networks.

In critical care settings such as the Intensive Care Unit, clinicians face the complex challenge of balancing conflicting objectives, primarily maximizing patient survival while minimizing resource utilization (e.g., length of stay). Single-objective Reinforcement Learning approaches typically address this by optimizing a fixed scalarized reward function, resulting in rigid policies that fail to adapt to varying clinical priorities. Multi-objective Reinforcement Learning (MORL) offers a solution by learning a set of optimal policies along the Pareto Frontier, allowing for dynamic preference selection at test time. However, applying MORL in healthcare necessitates strict offline learning from historical data. In this paper, we benchmark three offline MORL algorithms, Conditioned Conservative Pareto Q-Learning (CPQL), Adaptive CPQL, and a modified Pareto Efficient Decision Agent (PEDA) Decision Transformer (PEDA DT), against three scalarized single-objective baselines (BC, CQL, and DDQN) on the MIMIC-IV dataset. Using Off-Policy Evaluation (OPE) metrics, we demonstrate that PEDA DT algorithm offers superior flexibility compared to static scalarized baselines. Notably, our results ext

Data science has become increasingly essential for the production of official statistics, as it enables the automated collection, processing, and analysis of large amounts of data. With such data science practices in place, it enables more timely, more insightful and more flexible reporting. However, the quality and integrity of data-science-driven statistics rely on the accuracy and reliability of the data sources and the machine learning techniques that support them. In particular, changes in data sources are inevitable to occur and pose significant risks that are crucial to address in the context of machine learning for official statistics. This paper gives an overview of the main risks, liabilities, and uncertainties associated with changing data sources in the context of machine learning for official statistics. We provide a checklist of the most prevalent origins and causes of changing data sources; not only on a technical level but also regarding ownership, ethics, regulation, and public perception. Next, we highlight the repercussions of changing data sources on statistical reporting. These include technical effects such as concept drift, bias, availability, validity, accur

The City of Toronto Long Term Care Homes & Services (LTCH&S) division is one of the largest providers of long-term care in the Canadian province of Ontario, providing care to 2,640 residents at 10 homes across Toronto. Our collaboration with LTCH&S was initiated to facilitate the increasingly challenging task of scheduling nursing staff and reduce high absenteeism rate observed among the part-time nurses. We developed a spreadsheet-based scheduling tool to automate the generation of schedules and incorporate nurses' preferences for different shifts into the schedules. At the core of the scheduling tool is a hierarchical optimization model that generates a feasible schedule with the highest total preference score while satisfying the maximum possible demand. Feasible schedules had to abide by a set of complex seniority requirements which prioritized more senior nurses when allocating the available shifts. Our scheduling tool was implemented in a 391-bed home in Toronto. The tool allowed nursing managers to generate feasible schedules within a fraction of an hour, in contrast to the status-quo manual approach which could took up to tens of hours. In addition, the schedule

In this paper we use for the first time a systematic approach in the study of harmonic centrality at a Web domain level, and gather a number of significant new findings about the Australian web. In particular, we explore the relationship between economic diversity at the firm level and the structure of the Web within the Australian domain space, using harmonic centrality as the main structural feature. The distribution of harmonic centrality values is analyzed over time, and we find that the distributions exhibit a consistent pattern across the different years. The observed distribution is well captured by a partition of the domain space into six clusters; the temporal movement of domain names across these six positions yields insights into the Australian Domain Space and exhibits correlations with other non-structural characteristics. From a more global perspective, we find a significant correlation between the median harmonic centrality of all domains in each OECD country and one measure of global trust, the WJP Rule of Law Index. Further investigation demonstrates that 35 countries in OECD share similar harmonic centrality distributions. The observed homogeneity in distribution

As the aging population increases and the shortage of healthcare workers increases, the need to examine other means for caring for the aging population increases. One such means is the use of humanoid robots to care for social, emotional, and physical wellbeing of the people above 65. Understanding skilled and long term care nursing home administrators' perspectives on humanoid robots in caregiving is crucial as their insights shape the implementation of robots and their potential impact on resident well-being and quality of life. This authors surveyed two hundred and sixty nine nursing homes executives to understand their perspectives on the use of humanoid robots in their nursing home facilities. The data was coded and results revealed that the executives were keen on exploring other avenues for care such as robotics that would enhance their nursing homes abilities to care for their residents. Qualitative analysis reveals diverse perspectives on integrating humanoid robots in nursing homes. While acknowledging benefits like improved engagement and staff support, concerns persist about costs, impacts on human interaction, and doubts about robot effectiveness. This highlights compl

Robot-Assisted Therapy (RAT) has successfully been used in Human Robot Interaction (HRI) research by including social robots in health-care interventions by virtue of their ability to engage human users in both social and emotional dimensions. Robots used for these tasks must be designed with several user groups in mind, including both individuals receiving therapy and care professionals responsible for the treatment. These robots must also be able to perceive their context of use, recognize human actions and intentions, and follow the therapeutic goals to perform meaningful and personalized treatment. Effective interactions require for robots to be capable of coordinated, timely behavior in response to social cues. This means being able to estimate and predict levels of engagement, attention, intentionality and emotional state during human-robot interactions. An additional challenge for social robots in therapy and care is the wide range of needs and conditions the different users can have during their interventions, even if they may share the same pathologies their current requirements and the objectives of their therapies can varied extensively. Therefore, it becomes crucial for

The flexibility level allowed in nursing care delivery and uncertainty in infusion durations are very important factors to be considered during the chemotherapy schedule generation task. The nursing care delivery scheme employed in an outpatient chemotherapy clinic (OCC) determines the strictness of the patient-to-nurse assignment policies, while the estimation of infusion durations affects the trade-off between patient waiting time and nurse overtime. We study the problem of daily scheduling of patients, assignment of patients to nurses and chairs under uncertainty in infusion durations for an OCC that functions according to any of the three commonly used nursing care delivery models representing fully flexible, partially flexible, and inflexible care models, respectively. We develop a two-stage stochastic mixed-integer programming model that is valid for the three care delivery models to minimize expected weighted cost of patient waiting time and nurse overtime. We propose multiple variants of a scenario grouping-based decomposition algorithm to solve the model using data of a major university oncology hospital. The variants of the algorithm differ from each other according to th

In recent years, there has been significant debate and discussion about the glaring gender disparity in the physical sciences. To better understand and address this within the Australian Space Research Community, in 2015 we began the process of keeping a record of the gender balance at the annual Australian Space Research Conference. In addition, we began holding an annual 'Women in Space Research' lunch at that meeting, to discuss the situation, and search for routes by which issues of equity can be addressed, and the situation improved. We present an update based on the 16th Australian Space Research Conference, held at RMIT, Melbourne, in September 2016. As in 2015, male attendees outnumbered female attendees approximately 3:1. However, there was a small shift (~2.3%) in the balance, with female delegates now making up 26.4% of the total, up from 24.1% in 2015. This shift was mirrored in the gender distribution of talks, with 28.9% of all oral presentations being given by women (up from 25.2%). More striking, however, were the changes in the distribution of plenary presentations (44.4% female, up from 22.2%), poster presentations (31.8% female, up from 7.7%), and student awards

The rapid advancement of Generative AI (GenAI) technologies offers transformative opportunities within Australia's critical technologies of national interest while introducing unique security challenges. This paper presents SecGenAI, a comprehensive security framework for cloud-based GenAI applications, with a focus on Retrieval-Augmented Generation (RAG) systems. SecGenAI addresses functional, infrastructure, and governance requirements, integrating end-to-end security analysis to generate specifications emphasizing data privacy, secure deployment, and shared responsibility models. Aligned with Australian Privacy Principles, AI Ethics Principles, and guidelines from the Australian Cyber Security Centre and Digital Transformation Agency, SecGenAI mitigates threats such as data leakage, adversarial attacks, and model inversion. The framework's novel approach combines advanced machine learning techniques with robust security measures, ensuring compliance with Australian regulations while enhancing the reliability and trustworthiness of GenAI systems. This research contributes to the field of intelligent systems by providing actionable strategies for secure GenAI implementation in ind

Speculation about Martian canals was a recurring feature of late nineteenth-century popular astronomy. This paper examines how colonial newspapers used humour to negotiate the epistemic uncertainty and interpretive excess associated with canal theory. Drawing on over one thousand metropolitan and regional Australian newspapers published between 1877 and 1899, we identify five overlapping modes of humour: imported metropolitan wit; satire of modern engineering culture; humour grounded in observational uncertainty; scale-based exaggeration and colonial self-comparison; and overt sceptical parody. These modes tracked shifting relationships between observation, interpretation and authority, allowing newspapers to entertain speculative ideas while marking the limits of scientific credibility. At the same time, humorous treatments positioned Australian readers within a global culture of science and modernity. Comparisons with projects such as the Suez and Panama Canals, and with European and American astronomers, aligned colonial audiences with metropolitan discourse, even as local experience with land, water and scale shaped the tone of satire. We demonstrate that Australian newspapers

As part of its program of 'Excellence in Research for Australia' (ERA), the Australian Research Council ranked journals into four categories (A*, A, B, C) in preparation for their performance evaluation of Australian universities. The ranking is important because it likely to have a major impact on publication choices and research dissemination in Australia. The ranking is problematic because it is evident that some disciplines have been treated very differently than others. This paper reveals weaknesses in the ERA journal ranking and highlights the poor correlation between ERA rankings and other acknowledged metrics of journal standing. It highlights the need for a reasonable representation of journals ranked as A* in each scientific discipline.

Phosphorus (P) is considered to be one of the key elements for life, making it an important element to look for in the abundance analysis of spectra of stellar systems. Yet, there exists only a handful of spectroscopic studies to estimate the P abundances and investigate its trend across a range of metallicities. We have observed full HK band spectra at a spectral resolving power of R=45,000 with IGRINS instrument. Abundances are determined using SME in combination with 1D MARCS stellar atmosphere models. The investigated sample of stars have reliable stellar parameters estimated using optical FIES spectra (GILD; Jönsson et al. in prep.). In order to determine the P abundances from the 16482.92 Angstrom P line, we take special care of the CO($ν=7-4$) blend. We determine the C, N, O abundances from atomic carbon and a range of non-blended molecular lines (CO, CN, OH) which are aplenty in the H band region of K giant stars, assuring an appropriate modelling of the blending CO($ν=7-4$) line. We present [P/Fe] vs [Fe/H] trend for 38 K giant stars in the metallicity range of -1.2 dex $<$ [Fe/H] $<$ 0.4 dex. We find that our trend matches well with the compiled literature sample of

Publication patterns of 79 forest scientists awarded major international forestry prizes during 1990-2010 were compared with the journal classification and ranking promoted as part of the 'Excellence in Research for Australia' (ERA) by the Australian Research Council. The data revealed that these scientists exhibited an elite publication performance during the decade before and two decades following their first major award. An analysis of their 1703 articles in 431 journals revealed substantial differences between the journal choices of these elite scientists and the ERA classification and ranking of journals. Implications from these findings are that additional cross-classifications should be added for many journals, and there should be an adjustment to the ranking of several journals relevant to the ERA Field of Research classified as 0705 Forestry Sciences.

The 35th Australian/New Zealand Annual Condensed Matter and Materials Meeting was held at the Charles Sturt University campus in Wagga Wagga, NSW, Australia from the 1st to the 4th of February 2011. The conference was attended by 92 delegates from a range of universities across Australia, New Zealand and further afield. There were a total of 9 invited and 21 contributed talks during the three days of scientific sessions, as well as 2 poster sessions with a total of 49 poster presentations. All presenters were invited to submit a manuscript for publication in the conference proceedings. The length limits where six pages for invited papers and four pages for contributed papers. Each manuscript was reviewed by two anonymous referees and 18 papers were accepted for publication. The accepted manuscripts are also available at the online publication section of the Australian Institute of Physics national web site (http://www.aip.org.au/).

A previous study of symmetric collisions of massive nuclei has shown that current models of multi-nucleon transfer (MNT) reactions do not adequately describe the transfer product yields. To gain further insight into this problem, we have measured the yields of MNT products in the interaction of 977 (E/A = 4.79 MeV) and 1143 MeV (E/A = 5.60 MeV) $^{204}$Hg with $^{208}$Pb. We find that the yield of multi-nucleon transfer products are similar in these two reactions and are substantially lower than those observed in the reaction of 1257 MeV (E/A = 6.16 MeV) $^{204}$Hg + $^{198}$Pt. We compare our measurements with the predictions of the GRAZING-F, di-nuclear systems (DNS) and improved quantum molecular dynamics (ImQMD) models. For the observed isotopes of the elements Au, Hg, Tl, Pb and Bi, the measured values of the MNT cross sections are orders of magnitude larger than the predicted values. Furthermore, the various models predict the formation of nuclides near the N=126 shell, which are not observed.