Design

设计
  • 文章类型: English Abstract
    仪器分析是许多化学专业的重要专业课程。其教学内容丰富,多样,与日常生活密切相关。此外,这门课程包含了大量的思想政治资源。本研究以色谱技术在仪器分析中的应用为例,专注于色谱知识等方面,溶液制备,标准操作,和指导实验,深入挖掘思想政治教育要素,有机地融入到工具分析课程教学中。专业知识的学术教学增加了教学内容的多样性和丰富性,增强了学生的创新能力。此外,这种教学方法可以激励学生树立人生目标和远大理想,目的是最终培养有道德的人。
    Instrumental analysis is an important professional course for many chemistry majors. Its teaching content is rich, diverse and is closely related to daily life. Moreover, this course contains a large number of ideological and political resources. This study investigates chromatography technology in instrumental analysis as an example, focusing on aspects such as chromatography knowledge, solution preparation, standard operations, and guided experiments, to deeply explore the elements of ideological and political education and organically integrate them into the teaching of instrumental analysis courses. Academic teaching of professional knowledge increases the diversity and richness of the teaching content and enhances the innovative skills of the students. In addition, this teaching method can inspire students to establish life goals and great ideals, with the aim of ultimately cultivating moral people.
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  • 文章类型: Letter
    背景:解决复杂的研究挑战需要创新思维和传统方法的替代方法。一个这样的例子是手臂和手的问题,或多发性硬化症(MS)的上肢功能,一种神经系统疾病,影响全球约290万人,在英国影响超过15万人。历史上,临床试验和研究集中在行动能力和步行能力。这就排除了大量轮椅使用者的病人,限制他们的生活质量,限制获得可能有用的药物。为了解决这个问题,ThinkHand运动于2016年启动,旨在提高人们对MS上肢功能重要性的认识,并开发替代测量方法,记录,并说明手部和手臂功能的变化。
    方法:该活动在科学会议和在线调查中利用创新策略吸引受MS影响的人,医疗保健专业人员,慈善机构,和研究人员讨论保持上肢功能的重要性。通过共同设计和跨学科合作,该运动开发了新工具,例如低成本纸板版的九孔钉测试,便于手功能的远程监控。此外,该运动共同创建了“Under&Over”康复工具,允许具有高级MS的个人参与远程康复计划。ThinkHand运动的影响是巨大的,帮助转移学术和行业支持的试验的重点,包括O\'HAND和ChariotMS试验,两者都以上肢功能为主要终点。该运动以患者为中心的方法强调了在研究中认识患者观点的重要性,并挑战了既定的假设和实践。它证明了跨学科合作的有效性,系统思维,并与利益相关者共同创造解决复杂问题。
    结论:ThinkHand活动为健康研究实践提供了宝贵的见解。通过让患者参与所有阶段,研究人员可以更深入地了解疾病对他们生活的影响,找出差距,重点研究他们的需求。实验和迭代可以带来创新的解决方案,对非常规方法的开放可以推动广泛的变化。ThinkHand活动体现了以患者为中心的方法的潜力,以解决复杂的研究挑战,并彻底改变了MS研究和管理领域。采用这种方法将有助于未来更具包容性和影响力的研究。
    解决复杂的研究挑战需要创造性思维和新的做事方式。一个这样的挑战是了解多发性硬化症(MS)中手臂和手功能的问题,在英国影响超过150,000的神经系统疾病。在过去,研究主要集中在步行能力上,忽略了许多使用轮椅的人。为了解决这个问题,我们在2016年创建了ThinkHand运动。其目标是提高人们对手和手臂功能对MS(pwMS)患者的重要性的认识,并找到更好的方法来测量这些功能的变化,以便它们可以成为临床试验的结果。这可以为无法行走的pwMS提供更好的治疗途径。这场运动使用了各种方法,包括调查,社交媒体帖子,展览和音乐涉及pwMS,医疗保健专业人员,慈善机构,和研究人员在讨论这些问题。一起工作,他们创建了支持pwMS的工具,特别是那些在疾病的晚期阶段(pwAMS),参与研究并测量他们的手和手臂功能。通过我们专注于患者观点的协作方法,这场运动挑战了旧思想和根深蒂固的实践。研究表明,在研究的各个阶段,涉及pwMS的不同专业领域之间的合作可以帮助解决复杂的问题。这项运动为我们提供了宝贵的健康研究经验。当研究人员倾听患者并尝试新事物时,他们可以更好地了解疾病如何影响人们的生活,并制定更好的解决方案。总之,我们展示了采用以患者为中心的方法如何应对复杂的研究挑战,并改善我们未来研究和管理MS和其他疾病的方式.
    BACKGROUND: Solving complex research challenges requires innovative thinking and alternative approaches to traditional methods. One such example is the problem of arm and hand, or upper limb function in multiple sclerosis (MS), a neurological condition affecting approximately 2.9 million people worldwide and more than 150,000 in the United Kingdom. Historically, clinical trials and research have focused on mobility and walking ability. This excludes a large number of patients who are wheelchair users, limiting their quality of life and restricting access to possibly helpful medications. To address this issue, the ThinkHand campaign was launched in 2016, aiming to raise awareness about the importance of upper limb function in MS and develop alternative ways to measure, record, and account for hand and arm function changes.
    METHODS: The campaign utilised innovative strategies at scientific conferences and online surveys to engage people affected by MS, healthcare professionals, charities, and researchers in discussing the importance of preserving upper limb function. Through co-design and interdisciplinary collaboration, the campaign developed new tools like the low-cost cardboard version of the Nine-Hole Peg Test, facilitating remote monitoring of hand function. Additionally, the campaign co-created the \"Under & Over\" rehabilitation tool, allowing individuals with advanced MS to participate in a remote rehabilitation program.The impact of the ThinkHand campaign has been significant, helping to shift the focus of both academic and industry-supported trials, including the O\'HAND and ChariotMS trials, both using upper limb function as their primary end point. The campaign\'s patient-centred approach highlighted the importance of recognising patients\' perspectives in research and challenged established assumptions and practices. It demonstrated the effectiveness of interdisciplinary collaboration, systems thinking, and co-creation with stakeholders in tackling complex problems.
    CONCLUSIONS: The ThinkHand campaign provides valuable insights for health research practices. By involving patients at all stages, researchers can gain a deeper understanding of the impact of disease on their lives, identify gaps and focus research on their needs. Experimentation and iteration can lead to innovative solutions, and openness to unconventional methods can drive widespread change. The ThinkHand campaign exemplifies the potential of patient-centred approaches to address complex research challenges and revolutionise the field of MS research and management. Embracing such approaches will contribute to more inclusive and impactful research in the future.
    Solving complex research challenges requires creative thinking and new ways of doing things. One such challenge is understanding the problems with arm and hand function in multiple sclerosis (MS), a neurological condition that affects more than 150,000 in the United Kingdom. In the past, research focused mainly on walking ability, leaving out many people who use wheelchairs.To tackle this issue, we created the ThinkHand campaign in 2016. Its goal was to raise awareness about the importance of hand and arm function for people with MS (pwMS) and find better ways to measure changes in these functions such that they can become outcomes in clinical trials. This could provide a pathway to better treatments for pwMS who cannot walk.The campaign used various methods, including surveys, social media posts, exhibitions and music to involve pwMS, healthcare professionals, charities, and researchers in discussions about the issues. Working together, they created tools to support pwMS, particularly those at an advanced stage of the disease (pwAMS), to take part in research and measure their hand and arm function. Through our collaborative approach focusing on patients’ perspectives, the campaign challenged old ideas and deeply embedded practices. It showed that collaboration between different areas of expertise involving pwMS at all stages of research can help solve complex problems. This campaign teaches us valuable lessons for health research. When researchers listen to patients and try new things, they can better understand how a disease affects people’s lives and develop better solutions.In conclusion, we show how embracing a patient-centred approach can address complex research challenges and improve how we study and manage MS and other conditions in the future.
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  • 文章类型: Case Reports
    数字微笑设计(DSD)在美学治疗的规划中起着至关重要的作用。然而,大多数数字微笑设计软件程序都很昂贵,需要专门的培训和技能才能有效实施。本文说明了AdobePhotoshop和MicrosoftPowerPoint的使用,这是经济和用户友好的规划美学在临床情况下。
    Digital smile design (DSD) plays an essential role in the planning of aesthetic treatments. However, most digital smile designing software programmes are expensive and require specialised training and skill for effective implementation. This paper illustrates the use of Adobe Photoshop and Microsoft PowerPoint, which are economical and user friendly for planning aesthetics in a clinical case.
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  • 文章类型: Journal Article
    Congenital limb defects occur when a limb does not develop normally during pregnancy. The quality of each person\'s everyday life is significantly impacted by any of these defects and there is no concrete treatment. 3D modeling and printing, enables the creation and customization of precise virtual and/or physical models, including models of the human anatomy. These technologies provide a novel method of producing new devices with optimized design and production time, improving adaptability, and incorporating functionality. To this end, we propose a method of designing and producing 3D printed assistive devices and we also present an example of an assistive device, done in the 3D Printing Center for Health, as well as its impact on the patient\'s daily life. With this device, the patient became able to play the guitar and hold a knife, thus helping on these two activities.
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  • 文章类型: Journal Article
    背景:不良事件是指在医院对患者有潜在或实际伤害的事件。这些事件通常通过患者安全事件(PSE)报告进行记录。其中包括详细的叙述,提供有关事件的上下文信息。PSE报告的准确分类对于患者安全监测至关重要。然而,由于分类不一致和报告数量庞大,这一过程面临挑战。文本表示的最新进展,特别是从基于转换器的语言模型派生的上下文文本表示,为更精确的PSE报告分类提供了一个有前途的解决方案。集成机器学习(ML)分类器需要在人类专业知识和人工智能(AI)之间取得平衡。这种整合的核心是可解释性的概念,这对于建立信任和确保有效的人与人工智能协作至关重要。
    目的:本研究旨在研究使用上下文文本表示训练的ML分类器在自动分类PSE报告中的功效。此外,该研究提出了一个界面,该界面将ML分类器与可解释性技术集成在一起,以促进PSE报告分类的人与人工智能协作。
    方法:本研究使用了来自美国东南部一家大型学术医院产科的861份PSE报告的数据集。使用PSE报告的静态和上下文文本表示来训练各种ML分类器。使用多类分类度量和混淆矩阵评估训练的ML分类器。使用本地可解释模型不可知解释(LIME)技术来提供ML分类器预测的基本原理。为事件报告系统设计了将ML分类器与LIME技术集成的接口。
    结果:使用上下文表示的最佳分类器能够获得75.4%(95/126)的准确性,而使用静态文本表示训练的最佳分类器的准确性为66.7%(84/126)。已设计了PSE报告界面,以促进PSE报告分类中的人类与AI协作。在这个设计中,ML分类器推荐前2个最可能的事件类型,以及对预测的解释,使PSE记者和患者安全分析师选择最合适的一个。LIME技术表明,分类器偶尔依赖于任意单词进行分类,强调人类监督的必要性。
    结论:这项研究表明,使用上下文文本表示训练ML分类器可以显着提高PSE报告分类的准确性。本研究设计的界面为PSE报告分类中的人与人协作奠定了基础。从这项研究中获得的见解增强了PSE报告分类中的决策过程,使医院能够更有效地识别潜在的风险和危害,并使患者安全分析师能够及时采取行动,防止患者受到伤害。
    BACKGROUND: Adverse events refer to incidents with potential or actual harm to patients in hospitals. These events are typically documented through patient safety event (PSE) reports, which consist of detailed narratives providing contextual information on the occurrences. Accurate classification of PSE reports is crucial for patient safety monitoring. However, this process faces challenges due to inconsistencies in classifications and the sheer volume of reports. Recent advancements in text representation, particularly contextual text representation derived from transformer-based language models, offer a promising solution for more precise PSE report classification. Integrating the machine learning (ML) classifier necessitates a balance between human expertise and artificial intelligence (AI). Central to this integration is the concept of explainability, which is crucial for building trust and ensuring effective human-AI collaboration.
    OBJECTIVE: This study aims to investigate the efficacy of ML classifiers trained using contextual text representation in automatically classifying PSE reports. Furthermore, the study presents an interface that integrates the ML classifier with the explainability technique to facilitate human-AI collaboration for PSE report classification.
    METHODS: This study used a data set of 861 PSE reports from a large academic hospital\'s maternity units in the Southeastern United States. Various ML classifiers were trained with both static and contextual text representations of PSE reports. The trained ML classifiers were evaluated with multiclass classification metrics and the confusion matrix. The local interpretable model-agnostic explanations (LIME) technique was used to provide the rationale for the ML classifier\'s predictions. An interface that integrates the ML classifier with the LIME technique was designed for incident reporting systems.
    RESULTS: The top-performing classifier using contextual representation was able to obtain an accuracy of 75.4% (95/126) compared to an accuracy of 66.7% (84/126) by the top-performing classifier trained using static text representation. A PSE reporting interface has been designed to facilitate human-AI collaboration in PSE report classification. In this design, the ML classifier recommends the top 2 most probable event types, along with the explanations for the prediction, enabling PSE reporters and patient safety analysts to choose the most suitable one. The LIME technique showed that the classifier occasionally relies on arbitrary words for classification, emphasizing the necessity of human oversight.
    CONCLUSIONS: This study demonstrates that training ML classifiers with contextual text representations can significantly enhance the accuracy of PSE report classification. The interface designed in this study lays the foundation for human-AI collaboration in the classification of PSE reports. The insights gained from this research enhance the decision-making process in PSE report classification, enabling hospitals to more efficiently identify potential risks and hazards and enabling patient safety analysts to take timely actions to prevent patient harm.
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  • 文章类型: Journal Article
    背景:动脉粥样硬化性心血管疾病(ASCVD)仍然是美国的主要死亡原因。使用模块的电子交付的基于案例的学习可以教育临床医生,并改善将循证指南转化为高风险ASCVD患者的实践。
    目的:开发和优化模块设计,内容,以及电子学习模块的可用性,用于根据针对高风险ASCVD患者的多社会指南教授临床医生基于证据的管理,这些指南将在TEACH-ASCVD研究中在美国卫生系统中实施和评估。
    方法:由脂质专家委员会创建了七个电子学习模块。与脂质专家一起进行焦点小组,以征求对病例内容的反馈,然后与临床医生的目标受众进行访谈,以评估在线模块平台的可用性。评估了两组的反应,并进行了适当的更改以改善电子学习模块。介绍了TEACH-ASCVD研究的设计。
    结果:脂质专家关于病例内容的反馈包括提供更详细的病史,阐明各种诊断标准,并强调基于循证指南的临床最佳实践。目标受众临床医生小组报告了对电子学习模块的满意体验,但注意到基于证据的指南与他们自己的实践中的临床决策之间存在不一致。参与者认为这些模块将有助于教育临床医生管理高危ASCVD患者。
    结论:随着脂质学领域的不断发展,临床医生必须了解最佳实践。电子学习模块提供了一个简洁的,有价值,和可访问的机制,教育临床医生关于领域的变化,以提供最好的病人护理。
    BACKGROUND: Atherosclerotic cardiovascular disease (ASCVD) remains the leading cause of death in the United States. Case-based learning using electronic delivery of the modules can educate clinicians and improve translation of evidence-based guidelines into practice for high-risk ASCVD patients.
    OBJECTIVE: To develop and optimize module design, content, and usability of e-learning modules to teach clinicians evidence-based management in accordance with multi-society guidelines for high-risk ASCVD patients that will be implemented and evaluated in U.S. health systems in the TEACH-ASCVD study.
    METHODS: Seven e-learning modules were created by a committee of lipid experts. Focus groups were conducted with lipid experts to elicit feedback on case content followed by interviews with a target audience of clinicians to assess usability of the online module platform. Responses from both groups were evaluated, and appropriate changes were made to improve the e-learning modules. Design of the TEACH-ASCVD study is presented.
    RESULTS: Feedback regarding case content by lipid experts included providing more detailed patient histories, clarifying various diagnostic criteria, and emphasizing clinical best practices based on evidence-based guidelines. The target audience clinician group reported an agreeable experience with the e-learning modules but noted a discordance between the evidence-based guidelines and clinical decision-making in their own practices. Participants felt the modules would help educate clinicians in managing high-risk ASCVD patients.
    CONCLUSIONS: Clinicians must be informed of best practices as the field of lipidology continues to evolve. E-learning modules provide a concise, valuable, and accessible mechanism for educating clinicians regarding changes in the field to deliver the best patient care.
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  • 文章类型: Journal Article
    背景:移动健康中的即时自适应干预(JITAI)是一种干预设计,可根据个人的变化和动态上下文状态提供行为更改支持。然而,很少有研究记录了JITAI技术的最终用户如何参与其开发,特别是历史上被边缘化的家庭和儿童。公共卫生研究人员和设计师对家庭协商需求时发生的紧张局势知之甚少。
    目的:我们旨在从公共卫生的角度扩大我们对历史边缘化家庭如何被纳入共同设计的理解。我们试图解决围绕JITAI的研究问题;共同设计;并与历史上边缘化的家庭合作,包括黑色,土著,有色人种(BIPOC)儿童和成人,关于改善防晒行为。我们试图更好地了解父母和儿童在移动健康技术方面的需求以及如何做出设计决策方面的价值紧张关系。
    方法:我们研究了两组协同设计数据(本地和基于网络的),这些数据与洛杉矶家庭对移动SunSmartJITAI技术的更大研究有关,加州,美国,他们主要是拉丁裔和多种族背景。在这些共同设计会议中,我们通过对危害和利益的看法以及对利益相关者观点和价值观的评估,进行了利益相关者分析。我们对数据进行了开放编码,并使用对价值敏感的设计框架对开发的主题进行了比较,方法是检查价值张力,以帮助组织我们的定性数据。我们的研究是通过一个叙述性的案例研究,捕捉基本的意义和品质,是难以呈现的,如孤立的报价。
    结果:我们从共同设计数据中提出了3个主要主题:阳光和防护的不同体验,关于阳光和防晒的误解,以及技术设计和期望。我们还提供了价值流(设计机会),价值坝(设计挑战),或价值流或大坝(混合问题)子主题。对于每个子主题,我们提供了一个设计决策和回应,我们最终根据所呈现的内容和我们观察到的各种价值紧张关系做出了回应。
    结论:我们提供了经验数据,以显示与多个BIPOC利益相关者在家庭和儿童角色中的合作是什么样的。我们展示了使用价值张力框架来解释多个利益相关者和技术开发的不同需求。具体来说,我们证明了价值张力框架有助于将我们的参与者共同设计的响应分类为清晰易懂的设计指南。利用价值张力框架,我们能够解决儿童和成人之间的紧张关系,家庭社会经济和健康需求,以及研究人员和参与者,同时能够从这个有组织的角度做出具体的设计决策。最后,我们为BIPOC家庭JITAI移动干预的开发提供设计启示和指导。
    BACKGROUND: Just-in-time adaptive interventions (JITAIs) in mobile health are an intervention design that provides behavior change support based on an individual\'s changing and dynamic contextual state. However, few studies have documented how end users of JITAI technologies are involved in their development, particularly from historically marginalized families and children. Less is known for public health researchers and designers of the tensions that occur as families negotiate their needs.
    OBJECTIVE: We aimed to broaden our understanding of how historically marginalized families are included in co-design from a public health perspective. We sought to address research questions surrounding JITAIs; co-design; and working with historically marginalized families, including Black, Indigenous, and people of color (BIPOC) children and adults, regarding improving sun protection behaviors. We sought to better understand value tensions in parents\' and children\'s needs regarding mobile health technologies and how design decisions are made.
    METHODS: We examined 2 sets of co-design data (local and web-based) pertaining to a larger study on mobile SunSmart JITAI technologies with families in Los Angeles, California, United States, who were predominantly of Latinx and multiracial backgrounds. In these co-design sessions, we conducted stakeholder analysis through perceptions of harms and benefits and an assessment of stakeholder views and values. We open coded the data and compared the developed themes using a value-sensitive design framework by examining value tensions to help organize our qualitative data. Our study is formatted through a narrative case study that captures the essential meanings and qualities that are difficult to present, such as quotes in isolation.
    RESULTS: We presented 3 major themes from our co-design data: different experiences with the sun and protection, misconceptions about the sun and sun protection, and technological design and expectations. We also provided value flow (opportunities for design), value dam (challenges to design), or value flow or dam (a hybrid problem) subthemes. For each subtheme, we provided a design decision and a response we ended up making based on what was presented and the kinds of value tensions we observed.
    CONCLUSIONS: We provide empirical data to show what it is like to work with multiple BIPOC stakeholders in the roles of families and children. We demonstrate the use of the value tension framework to explain the different needs of multiple stakeholders and technology development. Specifically, we demonstrate that the value tension framework helps sort our participants\' co-design responses into clear and easy-to-understand design guidelines. Using the value tension framework, we were able to sort the tensions between children and adults, family socioeconomic and health wellness needs, and researchers and participants while being able to make specific design decisions from this organized view. Finally, we provide design implications and guidance for the development of JITAI mobile interventions for BIPOC families.
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  • 文章类型: Journal Article
    学校的场地为学生提供了喘息的机会,在学校休息期间放松和缓解日常压力。然而,目前尚不清楚中学校园设计是否充分支持青少年多样化和不断发展的需求,特别是在他们经历快速的情绪和身体发育变化的时候。为了调查这一点,使用定量方法来探索基于学生性别和年份水平的对校园吸引力和恢复性质量的看法差异。在堪培拉的一所中学,在7至10年级对大约284名学生进行了全校范围的调查,澳大利亚。结果表明,学生对校园吸引力和恢复质量的看法显着下降。更高的校园可爱度,可访问性,个人联系和“离开”的恢复性质量与所有年级的男学生有关。需要进一步的工作来探索校园环境如何更好地支持老年和女学生的设计偏好和福祉需求。这些信息将有助于规划者,设计师和土地管理人员开发的校园设计对不同性别和年份的中学生更公平。
    The school grounds provide students opportunities for respite, relaxation and relief from daily stresses during breaks in the school day. However, it is unclear whether secondary schoolyard designs adequately support the diverse and evolving needs of adolescents, particularly at a time when they are experiencing rapid emotional and physical developmental change. To investigate this, quantitative methods were used to explore differences in perceptions of schoolyard attractiveness and restorative quality based on student gender and year level. A school-wide survey was administered to approximately 284 students in years 7 to 10 at a secondary school in Canberra, Australia. Results indicate significant declines in student perceptions of schoolyard attractiveness and restorative quality. Higher ratings of schoolyard likeability, accessibility, personal connection and restorative quality of \'being away\' were associated with male students across all year levels. Further work is needed to explore how schoolyard environments can better support the design preferences and well-being needs of older and female students. Such information would help planners, designers and land managers develop schoolyard designs that are more equitable in their benefits to secondary school students of different genders and year levels.
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  • 文章类型: Journal Article
    背景:创新和创业培训在医学教育中越来越重要。然而,缺乏对这些概念的指导的教师的安慰以及对这项工作的有限的学术认可限制了专注于这些技能的课程的实施。此外,这种熟悉程度的缺乏限制了执业医师参与医疗保健创新,他们的经验是有价值的。黑客马拉松是激烈的创新竞赛,它使用游戏化原则来增加创造性思维的舒适度,解决问题,和人际合作,但是它们需要在医学创新方面进行进一步的探索。
    目标:为了解决这个问题,我们的目标是设计,工具,并评估具有2个主要目标的医疗保健黑客马拉松:提高急诊医师对医疗保健创新和企业家精神原则的熟悉度,并为急诊医学医师和患者面临的3个离散问题开发创新解决方案。
    方法:我们使用之前描述的进行黑客马拉松的实践来开发和实施我们的黑客马拉松(HackED!)。我们与美国急诊医师学会合作,斯坦福大学生物设计学院,和斯坦福大学设计学院(d。学校)为我们的活动提供机构支持和医疗保健创新方面的专业知识。我们确定了一个地点,时间框架,和比赛的后勤,并确定了3个用例供团队工作。我们计划在务实的范式中探索参与者的学习经验,并使用来自各种来源的数据完成诱导性主题分析。
    结果:HackED!发生在2022年10月1日至3日。总之,3个团队为每个用例开发了新颖的解决方案。我们对参与者的教育经验进行的调查表明,该事件是有价值的,并且发现了主题,表明可以在先前未与黑客马拉松相关的创业教育框架内理解学习经验。
    结论:医疗保健黑客马拉松似乎是一种可行的方法,可以通过创新和创业原则来增加医生的经验,并解决医疗保健中的复杂问题。黑客马拉松应被视为关注这些概念的教育计划的一部分。
    BACKGROUND: Innovation and entrepreneurship training are increasingly recognized as being important in medical education. However, the lack of faculty comfort with the instruction of these concepts as well as limited scholarly recognition for this work has limited the implementation of curricula focused on these skills. Furthermore, this lack of familiarity limits the inclusion of practicing physicians in health care innovation, where their experience is valuable. Hackathons are intense innovation competitions that use gamification principles to increase comfort with creative thinking, problem-solving, and interpersonal collaboration, but they require further exploration in medical innovation.
    OBJECTIVE: To address this, we aimed to design, implement, and evaluate a health care hackathon with 2 main goals: to improve emergency physician familiarity with the principles of health care innovation and entrepreneurship and to develop innovative solutions to 3 discrete problems facing emergency medicine physicians and patients.
    METHODS: We used previously described practices for conducting hackathons to develop and implement our hackathon (HackED!). We partnered with the American College of Emergency Physicians, the Stanford School of Biodesign, and the Institute of Design at Stanford (d.school) to lend institutional support and expertise in health care innovation to our event. We determined a location, time frame, and logistics for the competition and settled on 3 use cases for teams to work on. We planned to explore the learning experience of participants within a pragmatic paradigm and complete an abductive thematic analysis using data from a variety of sources.
    RESULTS: HackED! took place from October 1-3, 2022. In all, 3 teams developed novel solutions to each of the use cases. Our investigation into the educational experience of participants suggested that the event was valuable and uncovered themes suggesting that the learning experience could be understood within a framework from entrepreneurship education not previously described in relation to hackathons.
    CONCLUSIONS: Health care hackathons appear to be a viable method of increasing physician experience with innovation and entrepreneurship principles and addressing complex problems in health care. Hackathons should be considered as part of educational programs that focus on these concepts.
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  • 文章类型: Journal Article
    近年来,电动自行车市场增长迅猛,发展迅速。以一种新产品进入这样的市场,发展过程必须要快,在整个过程中,应寻求未来潜在客户的反馈,以实现最佳的市场接受度。本文介绍了pederec电动自行车中央驱动系统的设计过程。作者是机械传动的开发团队成员和设计师,因此对整个项目有了很好的概述。开发过程和生产的设置需要一定的时间,在此期间,由于客户期望和需求的变化,设计变更是不可避免的。开发团队应该响应这些变化,并在开发过程中考虑到这些变化。只有对变化做出反应并与客户不断沟通的能力,才能最终导致产品在商业上取得成功。基于对成功完成的项目的批判性审查,制定了考虑敏捷方法论原则的机电一体化产品开发的一般准则。特别注意聚合物齿轮的发展,因为这些是系统中最苛刻的组件。提出的指导方针是基于对电动自行车研发过程的概述,但它们可以在任何技术物理产品的开发过程中推广和使用。敏捷方法是在软件开发领域开发的,因此不能直接转移到物理产品开发领域。本文重点介绍并讨论了将物理产品的敏捷开发与软件开发区分开来的各个特殊功能。
    The market for electric bicycles has grown extremely and developed rapidly in recent years. To enter such a market with a new product, the development process has to be fast, and throughout the process, feedback from future potential customer(s) should be sought in order to achieve the best possible market acceptance. The article presents the design process of a pedelec e-bike central drive system. The authors were members of the development team and the designers of the mechanical transmission, and therefore had a good overview of the whole project. The development process and the set-up of production require a certain amount of time, during which design changes are inevitable due to changes in customer expectations and demands. The development team should respond to these changes and take them into account during development. Only the ability to react to changes and constant communication with the customer will ultimately lead to a product that can be commercially successful. Based on a critical review of the successfully completed project, general guidelines were established for the development of mechatronic products that consider the principles of Agile methodology. Particular attention was paid to the development of polymer gears, as these were the most demanding components in the system. The presented guidelines were based on an overview of the e-bike R&D process presented, but they can be generalized and used in the development process of any technical physical product. Agile methods were developed in the field of software development and therefore cannot be directly transferred to the field of physical product development. The article highlights and discusses individual special features that distinguish agile development of physical products from software development.
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