Associations of sympathetic and parasympathetic activity in job stress and burnout: A systematic review.

Unlabelled: This systematic review examines the relationship between sympathetic and parasympathetic activity on the one hand and job stress and burnout on the other, and is registered at PROSPERO under CRD42016035918.

Background: Previous research has shown that prolonged job stress may lead to burnout, and that differences in heart rate variability are apparent in people who have heightened job stress.

Aims: In this systematic review, the associations between job stress or burnout and heart rate (variability) or skin conductance are studied.

First experiences with the modelling and simulation package MIRACLES applied to a picture archiving and communication system (PACS) in a clinical environment.

Since the construction of picture archiving and communication systems (PACS) appears to be extremely difficult, computer modelling and simulation are used as decision support tools. The package MIRACLES (Medical Image Representation, Archiving and Communication Learned from Extensive Simulation) has been developed at BAZIS in order to support the construction of simulation models of image information systems. This article discusses the application of MIRACLES to a prototypical PACS as being installed in a clinical environment.

Prediction and analysis of PACS performance with the simulation tool MIRACLES.

Since the construction of image information systems appears to be extremely difficult in practice, BAZIS has decided to use computer modelling and simulation as decision support tools. In order to support the construction of simulation models, the simulation package and modelling environment MIRACLES (Medical Image Representation, Archiving and Communication Learned from Extensive Simulation) has been developed by BAZIS. This paper describes modelling and simulation techniques in general, as well as the benefits of simulation within the scope of designing Picture Archiving and Communication Systems (PACS).

Top-down design of a picture archiving and communications system (PACS) by means of simulation.

The development of picture archiving and communications systems (PACS) for medical applications can be regarded as a challenging field in medical informatics. Since 1982, several projects have been started into this direction worldwide. The Dutch IMAGIS (Image Information System) project, started in 1984, is one of them.