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Carlone, Luca; Kulic, Dana; Venture, Gentiane; Strader, Jared (Ed.)The central line dressing change is a life-critical procedure performed by nurses to provide patients with rapid infusion of fluids, such as blood and medications. Due to their complexity and the heavy workloads nurses face, dressing changes are prone to preventable errors that can result in central line-associated bloodstream infections (CLABSIs), leading to serious health complications or, in the worst cases, patient death. In the post-COVID-19 era, CLABSI rates have increased, partly due to the heightened nursing workload caused by shortages of both registered nurses and nurse educators. To address this challenge, healthcare facilities are seeking innovative nurse training solutions to complement expert nurse educators. In response, we present the design, development and evaluation of a robotic tutoring system, ASTRID: the Automated Sterile Technique Review and Instruction Device. ASTRID, which is the outcome of a two-year participatory design process, is designed to aid in the training of nursing skills essential for CLABSI prevention. First, we describe insights gained from interviews with nurse educators and nurses, which revealed the gaps of current training methods and requirements for new training tools. Based on these findings, we outline the development of our robotic tutor, which interacts with nursing students, providing real-time interventions and summary feedback to support skill acquisition. Finally, we present evaluations of the system's performance and perceived usefulness, conducted in a simulated clinical setting with nurse participants. These evaluations demonstrate the potential of our robotic tutor in nursing education. Our work highlights the importance of participatory design for robotics systems, and motivates new avenues for foundational research in robotics.more » « lessFree, publicly-accessible full text available June 21, 2026
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Task and motion planning represents a powerful set of hybrid planning methods that combine reasoning over discrete task domains and continuous motion generation. Traditional reasoning necessitates task domain models and enough information to ground actions to motion planning queries. Gaps in this knowledge often arise from sources like occlusion or imprecise modeling. This work generates task and motion plans that include actions cannot be fully grounded at planning time. During execution, such an action is handled by a provided human designed or learned closed-loop behavior. Execution combines offline planned motions and online behaviors till reaching the task goal. Failures of behaviors are fed back as constraints to find new plans. Forty real-robot trials and motivating demonstrations are performed to evaluate the proposed framework and compare against state-of-the-art. Results show faster execution time, less number of actions, and more success in problems where diverse gaps arise. The experiment data is shared for researchers to simulate these settings. The work shows promise in expanding the applicable class of realistic partially grounded problems that robots can address.more » « less
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In the aftermath of COVID-19, screening for pathogens has never been a more relevant problem. However, computational screening for pathogens is challenging due to a variety of factors, including (i) the complexity and role of the host, (ii) virulence factor divergence and dynamics, and (iii) population and community-level dynamics. Considering a potential pathogen's molecular interactions, specifically individual proteins and protein interactions can help pinpoint a potential protein of a given microbe to cause disease. However, existing tools for pathogen screening rely on existing annotations (KEGG, GO, etc), making the assessment of novel and unannotated proteins more challenging. Here, we present an LLM-inspired approach that considers protein sequence and structure to predict protein virulence. We present a two-stage model incorporating evolutionary features captured from the DistilProtBert language model and protein structure in a graph convolutional network. Our model performs better than sequence alone for virulence function when high-quality structures are present, thus representing a path forward for virulence prediction of novel and unannotated proteins.more » « less
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Robotic task planning is computationally challenging. To reduce planning cost and support life-long operation, we must leverage prior planning experience. To this end, we address the problem of extracting reusable and generalizable abstract skills from successful plan executions. In previous work, we introduced a supporting framework, allowing us, theoretically, to extract an abstract skill from a single execution and later automatically adapt it and reuse it in new domains. We also proved that, given a library of such skills, we can significantly reduce the planning effort for new problems. Nevertheless, until now, abstract-skill extraction could only be performed manually. In this paper, we finally close the automation loop and explain how abstract skills can be practically and automatically extracted. We start by analyzing the desired qualities of an abstract skill and formulate skill extraction as an optimization problem. We then develop two extraction algorithms, based on the novel concept of abstraction-critical state detection. As we show experimentally, the approach is independent of any planning domain.more » « less
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