The fatiguing effects of camera use in virtual meetings: A within-person field experiment.

The COVID-19 pandemic propelled many employees into remote work arrangements, and face-to-face meetings were quickly replaced with virtual meetings. This rapid uptick in the use of virtual meetings led to much popular press discussion of virtual meeting fatigue (i.e., "Zoom fatigue"), described as a feeling of being drained and lacking energy following a day of virtual meetings. In this study, we aimed to better understand how one salient feature of virtual meetings-the camera-impacts fatigue, which may affect outcomes during meetings (e.g., participant voice and engagement). We did so through the use of a 4-week within-person experience sampling field experiment where camera use was manipulated. Drawing from theory related to self-presentation, we propose and test a model where study condition (camera on versus off) was linked to daily feelings of fatigue; daily fatigue, in turn, was presumed to relate negatively to voice and engagement during virtual meetings. We further predict that gender and organizational tenure will moderate this relationship such that using a camera during virtual meetings will be more fatiguing for women and newer members of the organization. Results of 1,408 daily observations from 103 employees supported our proposed model, with supplemental analyses suggesting that fatigue affects same-day and next-day meeting performance. Given the anticipated prevalence of remote work even after the pandemic subsides, our study offers key insights for ongoing organizational best practices surrounding virtual meetings. (PsycInfo Database Record (c) 2021 APA, all rights reserved).

A Study of the Effect of Sintering Conditions of Mg0.95Ni0.05Ti3 on Its Physical and Dielectric Properties.

Mg0.95Ni0.05TiO3 ceramics were prepared by traditional solid-state route using sintering temperatures between 1300 and 1425 °C and holding time of 2-8 h. The sintered samples were characterized for their phase composition, micro-crystalline structure, unit-cell constant, and dielectric properties. A two-phase combination region was identified over the entire compositional range. The effect of sintering conditions was analyzed for various properties. Both permittivity (εr) and Q factor (Qf) were sensitive to sintering temperatures and holding times, and the optimum performance was found at 1350 °C withholding time of 4 h. The temperature coefficient of resonant frequency (τf) in a range from -45.2 to -52 (ppm/°C) and unit-cell constant were not sensitive to both the sintering temperature and holding time. An optimized Q factor of 192,000 (GHz) related with a permittivity (εr) of 17.35 and a temperature coefficient (τf) of -47 (ppm/°C) was realized for the specimen sintered at 1350 °C withholding time of 4 h. For applications of 5G communication device (filter, antennas, etc.), Mg0.95Ni0.05TiO3 is considered to be a suitable candidate for substrate materials.

The construction process for pre-stressed ultra high performance concrete communication tower.

Towers are important structures for installing radio equipment to emit electromagnetic waves that allow radio, television and/or mobile communications to function. Feasibility, cost, and speed of the construction are considered in the design process as well as providing stability and functionality for the communication tower. This study proposes the new design for construction of segmental tubular section communication tower with ultra-high-performance fibre concrete (UHPFC) material and prestress tendon to gain durability, ductility, and strength. The proposed mix design for UHPFC in this study which used for construction of communication tower is consisted of densified Silica Fume, Silica fine and coarse Sand and hooked-ends Steel Fiber. The prestressed tendon is used in the tower body to provide sufficient strength against the lateral load. The proposed design allows the tower to be built with three precast segments that are connected using bolts and nuts. This paper presents a novel method of construction and installation of the communication tower. The advantages of proposed design and construction process include rapid casting of the precast segment for the tower and efficient installation of segments in the project. The use of UHPFC material with high strength and prestress tendon can reduce the size and thickness of the tower as well as the cost of construction. Notably, this material can also facilitate the construction and installation procedure.

Factors Affecting Risk Perception of Electromagnetic Waves From 5G Network Base Stations.

The coverage of the fifth-generation network has increased steadily since the network was introduced in 2019. However, public protests around the globe against the construction of 5G network base stations have continued to occur for fear that electromagnetic (EM) waves emitted from the stations would cause adverse health effects. To identify factors that have contributed to such increased risk perception, we conducted a cross-sectional study using data obtained from a survey that assessed Korean adults' risk perception of EM wave-related objects. We found that female gender, high level of perceived exposure to EM waves, evaluation of public policies as ineffective, and high level of objective knowledge on EM waves were associated with increased risk perception. Furthermore, we found that higher ratings on a few risk characteristics such as "personal knowledge," "seriousness of the risk to future generations," "dreadfulness," and "severity of consequences" were also associated with increased risk perception as well. Bioelectromagnetics. © 2020 The Authors. Bioelectromagnetics published by Wiley Periodicals LLC on behalf of Bioelectromagnetics Society.

Smartphone to-do list application to improve workflow in an intensive care unit: A superiority quasi-experimental study.

BACKGROUND: Smartphone to-do list app was hypothesized to be more efficient than a paper-based list in the management of workflow and to provide additional benefits. PURPOSE: To analyze the impact of a mobile task-management application on the workflow of an ICU medical staff. METHODS: Superiority by a margin test, quasi-experimental study comparing the use of a smartphone application versus standard practice regarding tasks management in an academic ICU. Superiority margin was set at 8 % based on a pilot study. During two periods of 20 working days each (October 2018 and January 2019), medical staff managed tasks with both methods on a weekly rotation basis. Primary outcome was the proportion of daily tasks completed. Secondary outcomes assessed users' satisfaction and the impact of the app in terms of changes in clinical practice. RESULTS: 25 ICU physicians were enrolled. A total of 1983 tasks were recorded. The proportion of completed tasks per day was higher when using the smartphone app (99 % [96-100] versus 95 % [93-98] for the standard group, p = 0.006), but did not reach the superiority margin. Smartphone application was perceived as positive experience, as participants felt that they forgot fewer tasks (p = 0.02), were more aware of their progress on ongoing or remaining tasks (p = 0.03) and observed an improvement in communication among the medical staff (p = 0.03). CONCLUSION: This study failed to demonstrate the superiority of a smartphone app over paper-based lists regarding the proportion of daily tasks completed. However, positive feedback regarding the application was received from the medical staff.

Telepresence robots: Encouraging interactive communication between family carers and people with dementia.

OBJECTIVE: The aim of the study was to explore the feasibility of using telepresence robots to encourage interactive communication in dementia care, from the perspective of family carers. METHODS: Qualitative findings from semi-structured interviews with six family carers. RESULTS: Generally, family carers reported a feeling of presence and connectedness when talking to their family member via the telepresence robots. They reported the robots as helping to enhance longer conversations and social connection with their family member. CONCLUSION: Telepresence may offer potential to encourage social connection, in particular where families are unable to make regular visits to the nursing home.

Dispatcher-assisted cardiopulmonary resuscitation: Differential effects of landline, Mobile, and transferred calls.

BACKGROUND: Dispatcher-assisted cardiopulmonary resuscitation (DACPR) could improve the survival rate of out-of-hospital cardiac arrest (OHCA). However, the efficiency of DACPR varies. Our study compared the effectiveness of DACPR instructed via landline calls, mobile calls, and landline calls transferred to mobiles. METHOD: This prospective cohort study enrolled patients with OHCA between 1 July 2017 and 30 November 2018 in Taichung. Patients were divided into a mobile group and a landline group according to device used to call emergency medical services (EMS). The landline group was subdivided according to whether the call was transferred to a mobile. We compared the DACPR rate and call to chest compression time between groups. RESULTS: The study comprised 2404 cases after exclusion: 934 cases of DACPR via mobile and 1470 via landline. In the mobile group, DACPR rate (54% vs. 47.5%, P <  0.001) was higher and call to chest compression time (median: 156 s vs. 174 s P < 0.001) was shorter than in the landline group. In the transferred group, DACPR rate (72.7% vs. 28.8%, P <  0.001) was higher than in the non-transferred group, but no difference was observed in call to chest compression time (median: 173 s vs. 177 s, P = 0.69). CONCLUSION: According to this city-based prospective clinical study, communication over mobiles resulted in higher DACPR rate and shorter call to chest compression time than that over landlines. Transferring calls from a landline to a mobile could increase the DACPR rate without delaying the initiation of chest compression.

Automated Deployment of an Internet Protocol Telephony Service on Unmanned Aerial Vehicles Using Network Functions Virtualization.

The Network Function Virtualization (NFV) paradigm is one of the key enabling technologies in the development of the 5th generation of mobile networks. This technology aims to lessen the dependence on hardware in the provision of network functions and services by using virtualization techniques that allow the softwarization of those functionalities over an abstraction layer. In this context, there is increasing interest in exploring the potential of unmanned aerial vehicles (UAVs) to offer a flexible platform capable of enabling cost-effective NFV operations over delimited geographic areas. To demonstrate the practical feasibility of utilizing NFV technologies in UAV platforms, a protocol is presented to set up a functional NFV environment based on open source technologies, in which a set of small UAVs supply the computational resources that support the deployment of moderately complex network services. Then, the protocol details the different steps needed to support the automated deployment of an internet protocol (IP) telephony service over a network of interconnected UAVs, leveraging the capacities of the configured NFV environment. Experimentation results demonstrate the proper operation of the service after its deployment. Although the protocol focuses on a specific type of network service (i.e., IP telephony), the described steps may serve as a general guide to deploy other type of network services. On the other hand, the protocol description considers concrete equipment and software to set up the NFV environment (e.g., specific single board computers and open source software). The utilization of other hardware and software platforms may be feasible, although the specific configuration aspect of the NFV environment and the service deployment may present variations with respect to those described in the protocol.

Comparative effectiveness of rapid-cycle ultraviolet decontamination to chemical decontamination on high-touch communication devices.

BACKGROUND: This quantitative, comparative-descriptive study of inpatient units in a large military medical center was designed to compare the effectiveness of compact ultraviolet (UV-C) decontamination to standard chemical decontamination in reducing the microbial burden on Vocera (San Jose, CA) communication devices and to characterize changes in staff cleaning practices following UV-C device implementation. METHODS: Aerobic and anaerobic swabs were used to collect microbial samples from Vocera devices (n = 60) before and after chemical decontamination (first sampling) and before and after UV decontamination (second sampling). Cleaning behaviors were assessed by observation and oral inquiry during the baseline sampling and surveyed 8 weeks after UV-C device implementation. Outcomes included aerobic and anaerobic colony-forming units and prevalence of methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, or Clostridium difficile, as determined by standard microbiological methods. RESULTS: No differences were found between the two cleaning methods in their ability to reduce aerobic bacteria; however, UV-C was significantly more effective at reducing bacteria grown anaerobically (P < .01). This study elucidated an 8.3% prevalence of methicillin-resistant Staphylococcus aureus on Vocera devices in the inpatient environment. Initially, 42% of respondents reported deviations from manufacturer's cleaning guidelines, and 16.7% reported daily or more frequent cleaning of the Vocera devices. CONCLUSIONS: After implementation, UV-C decontamination reduced average cleaning time by 43% and increased the rate of daily Vocera cleaning to 86.5%. Respondents reported an overall 98% user satisfaction with the UV-C device.

Risk Communication Strategies for Possible Health Risks From Radio-Frequency Electromagnetic Fields (RF-EMF) Emission by Telecommunication Structures.

There is widespread anxiety and speculation about RF-EMF emissions by telecommunication base stations and structures, as it is perceived by some to be unsafe and a threat to public health. Scientists, medical experts, politicians, journalists, and mobile telecommunication company specialists are involved in an active debate on whether people are immune to RF or if we are gambling with our future. Interviews with 31 individuals from 7 stakeholder groups in Malaysia reveal that the residents' main concerns are that the telecommunication companies do not follow guidelines and as a result the telecommunication structures are constructed close to their homes, which they perceive as a threat to public health. Some residents also do not want these structures because of cultural reasons, while some are jealous over rental income received by the landlords. Meanwhile, the authorities entrusted with safe-guarding public health are involved in a blame game as there is no agency that is clearly in charge. The interviews also highlight that the current risk communication initiatives are more reactive rather than proactive, and that the authorities do not speak in one voice. Based on the outcome of the interviews, eleven recommendations are formulated to improve risk communication initiatives in Malaysia. The recommendations stress on repairing, building, and strengthening trust, because trust in agencies, along with credibility, determines risk communication initiatives' effectiveness. These strategies can also be effectively replicated across regions to deal with contestations over RF-EMF emissions and the impact on health.

Telementoring Demonstration in Craniofacial Surgery With HoloLens, Skype, and Three-Layer Facial Models.

BACKGROUND: Telementoring is the technology for providing surgical instruction from a remote place via a network. To demonstrate the use of telementoring in craniofacial surgery, Skype and a mixed reality device HoloLens were adopted, and 3-layer facial models had been developed. METHODS: A resident in hospital A used the model surgery under remote guidance by a mentor surgeon in hospital B 4 times on different dates. The straight-line between hospitals A and B is 250 km. The mentor gave the resident guidance via Skype and HoloLens, communicating by voice, and video of the surgical field, and providing reference data. RESULTS: There was no delay in voice communication and a delay of <0.5 seconds in the video. The resident was able to confirm the main landmarks of the surgical field and to grasp the situation without problems. The mentor could send appropriate instructions by voice, could point out a specific part by telestration function, and could draw lines on the 2-dimentional images pasted on the operator's field of vision. DISCUSSION: With the use of HoloLens, Skype, and the 3-layer models, it was possible to demonstrate telementoring. The risk of personal information leakage due to data interception seems to be very low because its data communication is encrypted with advanced encryption standard. CONCLUSION: This telementoring system has various advantages and many improvable aspects in the field of craniofacial surgery.

Using telepresence for social connection: views of older people with dementia, families, and health professionals from a mixed methods pilot study.

Objectives: To explore the acceptability of telepresence robots in dementia care from the perspectives of people with dementia, family carers, and health professionals/trainees, and investigate the utility of a social presence assessment tool, the Modified-Temple Presence Inventory (Modified-TPI), for people with dementia. Method: A mixed-methods pilot study conducted in a social robotics laboratory. Three participant groups (n = 22) - dyads of people with dementia and their carers (n = 5 respectively), and health professionals/trainees (n = 12) - participated in individual one-off intervention sessions with the telepresence robot, Giraff, with follow-up interviews. Sessions covered how to use Giraff, followed by interactive practice in making a video-call involving conversation and manoeuvring of Giraff. Participants with dementia experienced receiving a call made by their carer; healthcare professionals/trainees experienced making and receiving a call. Outcomes of interest were sense of presence [Modified-TPI], affective response (International Positive and Negative Affect Schedule [I-PANAS-S]; Observable Displays of Affect Scale [ODAS]), and attitudes and reactions to Giraff (semi-structured interviews). Results: Participants reported a sense of authenticity and social connection through the experience. They indicated positive social presence through Giraff, and significantly higher positive (mean score 18.77; ±4.00) than negative affect (mean score 8.05; ±1.76) on the I-PANAS-SF, and on the facial display subscale of the ODAS (positive - mean score 15.50; ±3.51 versus negative - mean score 4.00; ±0.00). Conclusion: Telepresence has potential use in situations where people with dementia require social connection. Studies with larger sample sizes, varied characteristics, and cost-effectiveness analysis are needed to inform the application of telepresence in healthcare practice.

Automatic detection of fish sounds based on multi-stage classification including logistic regression via adaptive feature weighting.

This paper presents a method for automatic detection of fish sounds in an underwater environment. There exist two difficulties: (i) features and classifiers that provide good detection results differ depending on the underwater environment and (ii) there are cases where a large amount of training data that is necessary for supervised machine learning cannot be prepared. A method presented in this paper (the proposed hybrid method) overcomes these difficulties as follows. First, novel logistic regression (NLR) is derived via adaptive feature weighting by focusing on the accuracy of classification results by multiple classifiers, support vector machine (SVM), and k-nearest neighbors (k-NN). Although there are cases where SVM or k-NN cannot work well due to divergence of useful features, NLR can produce complementary results. Second, the proposed hybrid method performs multi-stage classification with consideration of the accuracy of SVM, k-NN, and NLR. The multi-stage acquisition of reliable results works adaptively according to the underwater environment to reduce performance degradation due to diversity of useful classifiers even if abundant training data cannot be prepared. Experiments on underwater recordings including sounds of Sciaenidae such as silver croakers (Pennahia argentata) and blue drums (Nibea mitsukurii) show the effectiveness of the proposed hybrid method.

Aplicaciones de la telemedicina en montaña y entornos hostiles / Telemedicine applications in Mountain and hostile environments

La Unidad de Telemedicina de las Fuerzas Armadas, ha permitido dotar a nuestros escalones sanitarios en zona de operaciones (Z/O) de una mayor capacidad diagnóstica y terapéutica, gracias al apoyo y asesoramiento a distancia desde el ROLE 4 Hospital Central de la Defensa "Gómez Ulla", a través de diferentes equipos de Telemedicina. Estos equipos se han ubicado siempre en estructuras tipo ROLE 1 ó ROLE 2E, así como en Buques de la Armada. En el año 2006 durante la expedición del Grupo Militar de Alta Montaña al Gasherbrum II (8.035 mts) en el Karakorum (Himalaya) desde la Escuela Militar de Montaña y Operaciones Especiales, aprovechando las condiciones extremas de un campo base, junto con la Unidad de Telemedicina de las FAS, se desarrolló un proyecto experimental con equipos de Telemedicina. El objetivo del proyecto era comprobar si en condiciones tan extremas era viable la utilización de estos equipos, con el fin de extrapolar resultados a un equipo médico tipo "célula de estabilización" desplegado en Z/O, sin el apoyo de una Base o de un ROLE. El proyecto se realizó con equipos de: monitorización de constantes vitales, electrocardiografía, imagen de alta resolución y video conferencia, efectuándose una comunicación en tiempo real con especialistas médicos ubicados en el Hospital Central de la Defensa "Gómez Ulla" de Madrid. Posteriormente en el año 2009, se completó este proyecto realizando una prueba de transmisión en tiempo real de una ecocardiografía desde las Montañas Altai a 4000 (mts) en Mongolia en condiciones similares. Y, finalmente, en 2016 en las inmediaciones del Destacamento de Candanchú y en condiciones invernales y en terreno nevado se realizó una prueba con "gafas de realidad aumentada", durante la cual un Soldado de Infantería, sin preparación previa alguna, pudo enlazar con la Unidad de Telemedicina y siguiendo las instrucciones que recibía del personal facultativo de dicha Unidad, ejecutar una maniobra salvadora de vida en una baja simulada. Todo esto junto con otros dispositivos y aplicaciones informáticas actualmente en desarrollo, abren un campo de posibilidades que permitirá llevar la Telemedicina hasta el mismo lugar donde se produce la baja, con la mejora asistencial que esto supone

The Telemedicine Unit of the Armed Forces, has allowed to equip our sanitary steps in zone of operations (Z/O) to improve diagnostic and therapeutic capacity, due to the support and distance advising from the ROLE 4 HCD "Gómez Ulla", through different Telemedicine equipment. These equipment have always been placed in ROLE 1 or ROLE 2E structures, as well as in navy ships. In the year 2006 during the expedition of the High Mountain Military Group to the Gasherbrum II (8.035 mts) in the Karakorum (Himalaya) from the Military of Mountain and Special Operations School, taking advantage of the extreme conditions of a base camp, in collaboration with the Telemedicine Unit of the Armed Forces, an experimental project with telemedicine equipment was developed. The objective of the project was to check whether in so extreme conditions the use of these equipment was feasible, in order to extrapolate results to a medical team type "stabilization cell", deployed in Z/O, without the support of a Base or a ROLE. The project was carried out with equipment of: vital constants monitoring, electrocardiograph, high resolution image and video conferencing, be presented a real-time communication with medical specialists located in the Central Defense Hospital "Gómez Ulla" from Madrid. Later in the year 2009, this project was completed carrying out a test of transmission in real time of a echocardiography from the Altai Mountains to 4000 (mts) in Mongolia in similar conditions. And finally, in 2016 close to the detachment of Candanchú and in winter conditions and in snowy terrain was carried out a test with "glasses of augmented reality", during which an infantryman, without previous preparation, could link with the Telemedicine unit and following the instructions received from the staff of the Unit, perform a life saving manoeuvre in a simulated casualty. All this with other devices and software applications currently in development, open a lot of possibilities that will allow telemedicine to the place where the casualty is, with the improvement of care that this implies

Simulation-Based Testing of Pager Interruptions During Laparoscopic Cholecystectomy.

OBJECTIVE: To determine if pager interruptions affect operative time, safety, or complications and management of pager issues during a simulated laparoscopic cholecystectomy. DESIGN: Twelve surgery resident volunteers were tested on a Simbionix Lap Mentor II simulator. Each resident performed 6 randomized simulated laparoscopic cholecystectomies; 3 with pager interruptions (INT) and 3 without pager interruptions (NO-INT). The pager interruptions were sent in the form of standardized patient vignettes and timed to distract the resident during dissection of the critical view of safety and clipping of the cystic duct. The residents were graded on a pass/fail scale for eliciting appropriate patient history and management of the pager issue. Data was extracted from the simulator for the following endpoints: operative time, safety metrics, and incidence of operative complications. The Mann-Whitney U test and contingency table analysis were used to compare the 2 groups (INT vs. NO-INT). SETTING: Level I trauma center; Simulation laboratory. PARTICIPANTS: Twelve general surgery residents. RESULTS: There was no significant difference between the 2 groups in any of the operative endpoints as measured by the simulator. However, in the INT group, only 25% of the time did the surgery residents both adequately address the issue and provide effective patient management in response to the pager interruption. CONCLUSION: Pager interruptions did not affect operative time, safety, or complications during the simulated procedure. However, there were significant failures in the appropriate evaluations and management of pager issues. Consideration for diversion of patient care issues to fellow residents not operating to improve quality and safety of patient care outside the operating room requires further study.