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Formal Methods in System Design 2017is an approach to enforce safety properties at runtime. A shield monitors the system and corrects any erroneous output values instantaneously. The shield deviates from...
is an approach to enforce safety properties at runtime. A shield monitors the system and corrects any erroneous output values instantaneously. The shield deviates from the given outputs as little as it can and recovers to hand back control to the system as soon as possible. In the first part of this paper, we consider shield synthesis for reactive hardware systems. First, we define a general framework for solving the shield synthesis problem. Second, we discuss two concrete shield synthesis methods that automatically construct shields from a set of properties: (1) shields, which guarantee recovery in a finite time. (2) shields, which attempt to work with the system to recover as soon as possible. Next, we discuss an extension of -stabilizing and admissible shields, where erroneous output values of the reactive system are corrected while liveness properties of the system are preserved. Finally, we give experimental results for both synthesis methods. In the second part of the paper, we consider shielding a human operator instead of shielding a reactive system: the outputs to be corrected are not initiated by a system but by a human operator who works with an autonomous system. The challenge here lies in giving simple and intuitive explanations to the human for any interferences of the shield. We present results involving mission planning for unmanned aerial vehicles.
PubMed: 32009740
DOI: 10.1007/s10703-017-0276-9 -
Nature Communications Aug 2022Force and strain sensors made of soft materials enable robots to interact intelligently with their surroundings. Capacitive sensing is widely adopted thanks to its low...
Force and strain sensors made of soft materials enable robots to interact intelligently with their surroundings. Capacitive sensing is widely adopted thanks to its low power consumption, fast response, and facile fabrication. Capacitive sensors are, however, susceptible to electromagnetic interference and proximity effects and thus require electrical shielding. Shielding has not been previously implemented in soft capacitive sensors due to the parasitic capacitance between the shield and sensing electrodes, which changes when the sensor is deformed. We address this crucial challenge by patterning the central sensing elastomer layer to control its compressibility. One design uses an ultrasoft silicone foam, and the other includes microchannels filled with liquid metal and air. The force resolution is sub-mN both in normal and shear directions, yet the sensor withstands large forces (>20 N), demonstrating a wide dynamic range. Performance is unaffected by nearby high DC and AC electric fields and even electric sparks.
PubMed: 35945227
DOI: 10.1038/s41467-022-32391-0 -
Frontiers in Public Health 2015A nipple shield is a breastfeeding aid with a nipple-shaped shield that is positioned over the nipple and areola prior to nursing. Nipple shields are usually recommended... (Review)
Review
INTRODUCTION
A nipple shield is a breastfeeding aid with a nipple-shaped shield that is positioned over the nipple and areola prior to nursing. Nipple shields are usually recommended to mothers with flat nipples or in cases in which there is a failure of the baby to effectively latch onto the breast within the first 2 days postpartum. The use of nipple shields is a controversial topic in the field of lactation. Its use has been an issue in the clinical literature since some older studies discovered reduced breast milk transfer when using nipple shields, while more recent studies reported successful breastfeeding outcomes. The purpose of this review was to examine the evidence and outcomes associated with nipple shield use.
METHODS
A literature search was conducted in Ovid MEDLINE, OLDMEDLINE, EMBASE Classic, EMBASE, Cochrane Central Register of Controlled Trials, and CINAHL. The primary endpoint was any breastfeeding outcome following nipple shield use. Secondary endpoints included the reasons for nipple shield use and the average/median length of use. For the analysis, we examined the effect of nipple shield use on physiological responses, premature infants, mothers' experiences, and health professionals' experiences.
RESULTS
The literature search yielded 261 articles, 14 of which were included in this review. Of these 14 articles, three reported on physiological responses, two reported on premature infants, eight reported on mothers' experiences, and one reported on health professionals' experiences.
CONCLUSION
Through examining the use of nipple shields, further insight is provided on the advantages and disadvantages of this practice, thus allowing clinicians and researchers to address improvements on areas that will benefit mothers and infants the most.
PubMed: 26528467
DOI: 10.3389/fpubh.2015.00236 -
American Journal of Ophthalmology Oct 2020To evaluate the efficacy of slit lamp breath shields to prevent droplet spray from a simulated sneeze. (Comparative Study)
Comparative Study
PURPOSE
To evaluate the efficacy of slit lamp breath shields to prevent droplet spray from a simulated sneeze.
DESIGN
Experimental study to test the effectiveness of personal protective equipment.
METHODS
The nozzle of a spray gun was adjusted to angularly disperse a mist of colored dye that approximated a patient sneezing on a dimensionally accurate cardboard slit lamp model. The designs of 6 commercially available breath shields and 1 breath shield repurposed from a plastic container lid were tested. Each breath shield was sprayed in a standardized fashion 3 times, and the amount of overspray was compared to spray with no shield and quantified. The surface area that was sprayed was calculated using a commercially available software with color range function. The average percentage of overspray of each breath shield was computed in comparison to the control.
RESULTS
The breath shields ranged in surface area from 116 to 924 cm, and the amount of overspray varied from 54% to virtually none. Larger breath shields offered better protection than smaller ones. Breath shields attached to the objective lens arm were better barriers than those of comparable size hung by the oculars. A repurposed plastic lid breath shield, 513 cm, was slightly curved toward the examiner's face and allowed only 2% overspray. The largest breath shield (924 cm) hung near the oculars and prevented essentially all overspray.
CONCLUSIONS
The performance of different designs of breath shields was variable. Even high-functioning shields should be used in conjunction with personal protective equipment including masks, goggles, and gloves and handwashing. Ideally patients should also wear a face mask during all slit lamp examinations.
Topics: Aerosols; Betacoronavirus; COVID-19; Coronavirus Infections; Equipment Design; Humans; Infectious Disease Transmission, Patient-to-Professional; Inhalation Exposure; Models, Theoretical; Pandemics; Personal Protective Equipment; Pneumonia, Viral; SARS-CoV-2; Slit Lamp Microscopy; Sneezing; Video Recording
PubMed: 32407727
DOI: 10.1016/j.ajo.2020.05.005 -
American Journal of Infection Control Mar 2022Face shields are a critical piece of personal protective equipment and their comfort impacts compliant use and thus protectiveness. Optimal design criteria for face...
BACKGROUND
Face shields are a critical piece of personal protective equipment and their comfort impacts compliant use and thus protectiveness. Optimal design criteria for face shield use in healthcare environments are limited. We attempt to identify factors affecting face shield usability and to test and optimize a face shield for comfort and function in health care settings.
METHODS
A broad range of workers in a large health care system were surveyed regarding face shield features and usability. Quantitative and qualitative analysis informed the development of iterative prototypes which were tested against existing shields. Iterative testing and redesign utilized expert insight and feedback from participant focus groups to inform subsequent prototype designs.
RESULTS
From 1,648 responses, 6 key elements were identified: ability to adjust tension, shifting load bearing from the temples, anti-fogging, ventilation, freedom of movement, and durability. Iterative prototypes received consistently excellent feedback based on use in the clinical environment, demonstrating incremental improvement.
CONCLUSION
We defined elements of face shield design necessary for usability in health care and produced a highly functional face shield that satisfies frontline provider criteria and Emergency Use Authorization standards set by the Food and Drug Administration. Integrating human factors principles into rapid-cycle prototyping for personal protective equipment is feasible and valuable.
Topics: COVID-19; Health Personnel; Humans; Personal Protective Equipment; Protective Devices; SARS-CoV-2
PubMed: 34774896
DOI: 10.1016/j.ajic.2021.10.033 -
Physics of Fluids (Woodbury, N.Y. :... Dec 2020A flow analysis around a face shield was performed to examine the risk of virus infection when a medical worker wearing a face shield is exposed to a patient's sneeze...
A flow analysis around a face shield was performed to examine the risk of virus infection when a medical worker wearing a face shield is exposed to a patient's sneeze from the front. We ensured a space between the shield surface and the face of the human model to imitate the most popularly used face shields. In the present simulation, a large eddy simulation was conducted to simulate the vortex structure generated by the sneezing flow near the face shield. It was confirmed that the airflow in the space between the face shield and the face was observed to vary with human respiration. The high-velocity flow created by sneezing or coughing generates vortex ring structures, which gradually become unstable and deform in three dimensions. Vortex rings reach the top and bottom edges of the shield and form a high-velocity entrainment flow. It is suggested that vortex rings capture small-sized particles, i.e., sneezing droplets and aerosols, and transport them to the top and bottom edges of the face shield because vortex rings have the ability to transport microparticles. It was also confirmed that some particles (in this simulation, 4.4% of the released droplets) entered the inside of the face shield and reached the vicinity of the nose. This indicates that a medical worker wearing a face shield may inhale the transported droplets or aerosol if the time when the vortex rings reach the face shield is synchronized with the inhalation period of breathing.
PubMed: 33362403
DOI: 10.1063/5.0031150 -
BMJ Open Oct 2021In COVID-19, transfer of respiratory materials transmits disease and drives the pandemic but the interplay of droplet and aerosol physics, physiology and environment is...
OBJECTIVES
In COVID-19, transfer of respiratory materials transmits disease and drives the pandemic but the interplay of droplet and aerosol physics, physiology and environment is not fully understood. To advance understanding of disease transmission mechanisms and to find novel exposure minimisation strategies, we studied cough-driven material transport modes and the efficacy of control strategies.
DESIGN
Computer simulations and real-world experiments were used for integrating an intensive care setting, multiphysics and physiology. Patient-focused airflow management and air purification strategies were examined computationally and validated by submicron particle exhalation imaging in volunteers.
SETTING
Hospital setting during a respiratory virus pandemic with transmission by respiratory droplets and aerosols.
PARTICIPANTS
Healthy volunteers.
OUTCOME MEASURES
Distribution of, and exposure to, potentially infectious respiratory secretions.
RESULTS
Respiratory materials ejected by cough exhibited four transport modes: long-distance ballistic, short-distance ballistic, 'jet rider' and aerosol modes. Interaction with air conditioning driven flow contaminated a hospital room rapidly. Different than large droplets or aerosols, jet rider droplets travelled with the turbulent air jet initially, but fell out at a distance, were not well eliminated by air conditioning and exposed bystanders at larger distance and longer time; their size predisposes them to preferential capture in the nasal mucosa, the primordial COVID-19 infection site. 'Cough shields' captured large droplets but induced lateral dispersion of aerosols and jet riders. An air purification device alone had limited efficacy. A Shield and Sink' approach combining cough shields with 'virus sinks' minimised exposure to all secretions in modelling and real-life experiments.
CONCLUSIONS
Jet riders have characteristics of highly efficient respiratory infection vectors and may play a role in COVID-19 transmission. Exposure to all droplet types can be minimised through an easily implemented Shield and Sink strategy.
Topics: Aerosols; Air Conditioning; COVID-19; Hospitals; Humans; SARS-CoV-2
PubMed: 34642190
DOI: 10.1136/bmjopen-2020-047772 -
BMC Pregnancy and Childbirth Jan 2017Preterm infants have an immature sucking behavior and the capacity to be exclusively breastfed may be reduced for a period of weeks or months, depending on gestational...
BACKGROUND
Preterm infants have an immature sucking behavior and the capacity to be exclusively breastfed may be reduced for a period of weeks or months, depending on gestational age. Nipple shields have been used, not only as a device to help mothers with sore nipples, but also to facilitate the infant's latch on to the breast. However, the benefits of using nipple shields have been debated. The aim of this study was to explore perceptions and experiences of using a nipple shield among parents and staff in neonatal units in Sweden and England.
METHODS
An ethnographic study was undertaken where observations and interviews were conducted in four neonatal units in Sweden and England. The data were analyzed using a thematic networks analysis.
RESULT
The global theme was developed and named, 'Nipple shield in a liminal time'. This comprised of two organizing themes: 'Relational breastfeeding' and 'Progression'. 'Relational breastfeeding' was underpinned by the basic themes, 'good enough breast', 'something in between' and 'tranquil moment'. 'Progression' was underpinned by the basic themes, 'learning quicker', 'short-term solution' and 'rescue remedy'. Although breastfeeding was seen primarily as a nutritive transaction, the relational aspects of breastfeeding were of crucial importance. These two organizing themes show the tension between acknowledging the relational aspects of breastfeeding and yet facilitating or supporting the progression of breastfeeding in the period from tube feeding or cup feeding to breastfeeding. It is a liminal time as mothers and their infants are "in between" phases and the outcome, in terms of breastfeeding, is yet to be realized.
CONCLUSION
This study demonstrates parents' and staffs' perceptions of the nipple shield as a short term solution to help initiation of breastfeeding but also as a barrier between the mother and infant. It is important that the mother and baby's own particular needs are taken into account, in a person-centred way and on an ongoing basis. Furthermore, we need to emphasise the importance of the 'relational' whilst understanding the need for 'progression'. Holding these in balance may be the key to appropriate use of the nipple shield.
Topics: Adult; Anthropology, Cultural; Breast Feeding; England; Female; Humans; Infant, Newborn; Male; Nipples; Parents; Perception; Perinatal Care; Personnel, Hospital; Protective Devices; Sucking Behavior; Sweden
PubMed: 28049520
DOI: 10.1186/s12884-016-1183-6 -
Children (Basel, Switzerland) Dec 2022This systematic literature search was performed to determine the clinical effectiveness of vestibular shields (VSs) in children undergoing orthodontic treatment. A... (Review)
Review
This systematic literature search was performed to determine the clinical effectiveness of vestibular shields (VSs) in children undergoing orthodontic treatment. A comprehensive electronic search was performed in May 2022 using three databases (Medline via PubMed, the Cochrane Central Register of Controlled Trials, and Ovid). The initial screening of articles was based on titles and abstracts. Studies meeting the inclusion criteria were retrieved for the final quality assessment and the methodological qualities were assessed according to the Newcastle-Ottawa Scale and Cochrane risk of bias. The initial search identified 262 publications, of which 15 studies were potentially eligible, with excellent intra-examiner reliability (K = 0.88). A total of five studies were selected for the final analysis, including one randomized controlled trial, three clinical trials, and one cohort study. VS may have potential impacts on orthodontic treatment, lips and dental arches, but further high-quality studies are warranted.
PubMed: 36670567
DOI: 10.3390/children10010016 -
BMC Oral Health Apr 2022Tooth extraction is often followed by remodeling of hard and soft tissues, while socket shield technique has been proposed to prevent or minimize this remodeling. Socket...
BACKGROUND
Tooth extraction is often followed by remodeling of hard and soft tissues, while socket shield technique has been proposed to prevent or minimize this remodeling. Socket shield accompanied with delayed implant placement is a novel technique that could be used when delayed implantation is selected; however, more scientific based evidence is required to recommend this technique as everyday clinical practice. Thus, the aim of this case series was to assess the clinical, radiographic, and esthetic outcomes of the delayed placed implants associated with previously prepared socket shield at 3-15 months follow-up after loading. The stability of the shield and the depth of soft tissue penetration palatal to the shield at reentry of 3-6 months were also assessed.
CASES PRESENTATION
Five case reports of socket shield with delayed implant placement were described in the study. The facial shields were prepared and simultaneously the sockets were grafted with mineralized allograft particles, then the implants were placed 3-6 months later. Periodontal probe was used to measure the depth of soft tissue penetration palatal to the shield at reentry. Clinical indices of bleeding index, plaque index, and probing depths were recorded. Radiographic evaluation to record the amount of marginal bone loss post-loading, esthetic assessment using modified pink esthetic score, and patient assessed outcomes were also evaluated at 3-15 months follow-up after loading. At 3-6 months reentry, all shields were stable with maintenance of the facial bone and with extreme hard tissue formation in the sockets. All five implants were successful and functional without any pain or inflammation, with optimal soft tissue health and esthetics, and with minimal radiographic marginal bone loss at the last follow-up visit (3-15 months after loading).
CONCLUSIONS
Within the limits of this study, socket shield technique with delayed implant placement could be a predictable minimally invasive option for cases requiring delayed implant placement; however, a long-term well-designed clinical proof is warranted.
Topics: Dental Implants; Dental Implants, Single-Tooth; Esthetics, Dental; Humans; Immediate Dental Implant Loading; Maxilla; Tooth Extraction; Tooth Socket; Treatment Outcome
PubMed: 35382808
DOI: 10.1186/s12903-022-02149-7