Upskilling health and care workers with augmented and virtual reality: protocol for a realist review to develop an evidence-informed programme theory.

From Europe PMC via Jisc Publications RouterHistory: ppub 2021-07-01, epub 2021-07-05Publication status: PublishedIntroductionAugmented reality (AR) and virtual reality (VR) are increasingly used to upskill health and care providers, including in surgical, nursing and acute care settings. Many studies have used AR/VR to deliver training, providing mixed evidence on their effectiveness and limited evidence regarding contextual factors that influence effectiveness and implementation. This review will develop, test and refine an evidence-informed programme theory on what facilitates or constrains the implementation of AR or VR programmes in health and care settings and understand how, for whom and to what extent they 'work'.Methods and analysisThis realist review adheres to the Realist And Meta-narrative Evidence Syntheses: Evolving Standards (RAMESES) standards and will be conducted in three steps: theory elicitation, theory testing and theory refinement. First, a search will identify practitioner, academic and learning and technology adoption theories from databases (MEDLINE, Scopus, CINAHL, Embase, Education Resources Information Center, PsycINFO and Web of Science), practitioner journals, snowballing and grey literature. Information regarding contexts, mechanisms and outcomes will be extracted. A narrative synthesis will determine overlapping configurations and form an initial theory. Second, the theory will be tested using empirical evidence located from the above databases and identified from the first search. Quality will be assessed using the Mixed Methods Appraisal Tool (MMAT), and relevant information will be extracted into a coding sheet. Third, the extracted information will be compared with the initial programme theory, with differences helping to make refinements. Findings will be presented as a narrative summary, and the MMAT will determine our confidence in each configuration.Ethics and disseminationEthics approval is not required. This review will develop an evidence-informed programme theory. The results will inform and support AR/VR interventions from clinical educators, healthcare providers and software developers. Upskilling through AR/VR learning interventions may improve quality of care and promote evidence-based practice and continued learning. Findings will be disseminated through conference presentations and peer-reviewed journal articles

Design behaviors : programming the material world for responsive architecture

The advances of material science, coupled with computation and digital technologies, and applied to the architectural discipline have brought to life unprecedented possibilities for the design and making of responsive, collectively created and intelligent environments. Over the last two decades, research and applications of novel active materials, together with digital technologies such as Ubiquitous Computing, Human-Computer Interaction, and Artificial Intelligence, have introduced a model of Materially Responsive Architecture that presents unique possibilities for designing novel performances and behaviors of the architectural Beyond the use of mechanical systems, sensors, actuators or wires, often plugged into traditional materials to animate space, this dissertation proves that matter itself, can be the agent to achieve monitoring, reaction or adaptation with no need of any additional mechanics, electrical or motorized systems. Materials, therefore, become bits and information uniting with the digital world, while computational processes, such as algorithmic control, circular feedback, input or output, both drive and are driven by the morphogenetic capacities of matter, uniting, therefore, with the material world. Through the applications and implications of Materially Responsive Architecture we are crossing a threshold in design where physicality follows and reveals information through time and through dynamic configurations. Design is not limited to a finalised form but rather associated to a performance, where the final formal outcome consists in a series of animated and organic topologies rather than static geometries and structures. This new paradigm, is referred to, in this thesis, as the Design Behaviors paradigm (in the double sense of "behaviors of design" and "designing behaviors"), and is characterized by unique exchanges and dialogues between users and the environment, facilitated by the conjunction of human, material and computational intelligence. Buildings, objects and spaces are able to reconfigure themselves, in both atomic and macro scale, to support environmental changes and users' needs, behavioral and occupational patterns. At the same time the Design Behaviors paradigm places not only matter and the environment at the center of design and morphogenesis, but also the users, that become active participants of their built environment and play the final creative role. This paradigm shift, boosts new relations among the human's perception and body and the inhabited space. The new design paradigm is also a new cultural one, in which statics, repetition and Cartesian grids, traditionally related with safety, orientation and comfort, give way to motion, unpredictability and organic principles of evolution. Materially Responsive Architecture and the Design Behaviors paradigm define uniquely enhanced "environments" and "ecologies" where human, nature, artifice and technology collectively and evolutionally co-exist within a framework of increased consciousness and awareness. This thesis argues that, while there is no doubt that our future cities will consist in an extensive layer of distributed sensors, actuators and digital interfaces, they will also consist in an additional layer of novel materials, that are dynamic and soft, rather than rigid and hard, able to sense as sensors, actuate as motors, and be programmed as a software. The new materiality of our cities relies on the advances of material science, coupled with the cybernetic and computational power, and can be actuated by the environment to change states (Re-Active Matter), can be controlled by the users to respond (Co-Active Matter), and eventually can be designed and programmed to learn and evolve as living organisms do (Self-Active Matter). The physical space of the city is, thus, the seamless intertwining of digital and material content, becoming an active agent in the dynamic relationship between the environment and humans.Los avances en la ciencia de los materiales, junto con la computación y las tecnologías digitales, y aplicados a la disciplina arquitectónica, han dado vida a posibilidades sin precedentes para el diseño y la realización de entornos responsivos, inteligentes y creados de forma colectiva. En las últimas dos décadas, la investigación y aplicación de nuevos materiales activos junto con tecnologías digitales como la Computación Ubicua, la Interacción Hombre-Ordenador y la Inteligencia Artificial, han introducido el modelo de Materially Responsive Architecture (Arquitectura Materialmente Responsiva), que presenta posibilidades únicas para el diseño de nuevas actuaciones y comportamientos del espacio arquitectónico. Más allá del uso de sistemas mecánicos, sensores, o motores, a menudo conectados a materiales tradicionales para activar el espacio, esta disertación demuestra que la materia en sí misma puede ser el agente que consiga monitoreo o reactividad sin necesidad de añadir ningún sistema mecánico o eléctrico. Los materiales, en este caso, se convierten en bits e información fundiéndose con el mundo digital, mientras que los procesos computacionales, como el feedback circular y el input o output, a la vez impulsan y son impulsados por la capacidad morfogenética de la materia, uniéndose, por lo tanto, con el mundo material. A través de las aplicaciones y las implicaciones de la Materially Responsive Architecture, estamos cruzando un umbral en el diseño donde el mundo físico sigue y revela información a través de configuraciones dinámicas en el tiempo. El diseño no se limita a una forma finalizada, sino se relaciona a una performance, donde el resultado formal final consiste en una serie de topologías orgánicas y animadas en lugar de estructuras y geometrías estáticas. En esta tesis doctoral, este nuevo paradigma se denomina paradigma de Design Behaviours (en el doble sentido de "comportamientos de diseño" y de "diseño de comportamientos") y se caracteriza por intercambios únicos entre el usuario y el entorno, facilitados por la conjunción de inteligencia humana, material y computacional. Los edificios, objetos y espacios pueden reconfigurarse a sí mismos, tanto a nivél atómico como a macro escala, para responder a los cambios ambientales y a las necesidades de los usuarios. Al mismo tiempo, el paradigma Design Behaviors coloca en el centro del diseño y la morfogénesis no solo la materia y el medio ambiente, sino también a los usuarios, que se convierten en participantes de su entorno construido y desempeñan el papel creativo final. El nuevo paradigma define "entornos" y "ecologías" aumentados de manera singular, donde el ser humano, la naturaleza, el artificio y la tecnología coexisten de manera colectiva y evolutiva dentro de un marco de mayor conciencia consciente. El nuevo paradigma de diseño es también un nuevo paradigma cultural, en el que las redes estáticas, repetitivas y cartesianas, tradicionalmente relacionadas con la seguridad, la orientación y el confort, dan paso al movimiento, la imprevisibilidad y la evolución orgánica. Esta tesis sostiene que, si bien no hay duda de que nuestras ciudades futuras consistirán en una capa extensa de sensores distribuidos e interfaces digitales, también contarán con una capa adicional de materiales dinámicos y suaves, en lugar de rígidos y duros, capaces de sentir como sensores, actuar como motores y ser programados como un software. La nueva materialidad de nuestras ciudades puede ser activada por el medio ambiente para cambiar su estado (Re-Active Matter), puede ser controlada por los usuarios para responderles (Co-Active Matter), y eventualmente puede diseñarse y programarse para aprender y evolucionar por sí misma así como lo hacen los organismos vivos (Self-Active Matter). El espacio físico de la ciudad es, por lo tanto, el entrelazado holístico entre contenido digital y material, convirtiéndose en un agente activo en la relación dinámica entre el medio ambiente y los humanos

Assessing vulnerability and modelling assistance: using demographic indicators of vulnerability and agent-based modelling to explore emergency flooding relief response

Flooding is a significant concern for much of the UK and is recognised as a primary threat by most local councils. Those in society most often deemed vulnerable: the elderly, poor or sick, for example, often see their level of vulnerability increase during hazard events. A greater knowledge of the spatial distribution of vulnerability within communities is key to understanding how a population may be impacted by a hazard event. Vulnerability indices are regularly used – in conjunction with needs assessments and on-the-ground research – to target service provision and justify resource allocation. Past work on measuring and mapping vulnerability has been limited by a focus on income-related indicators, a lack of consideration of accessibility, and the reliance on proprietary data. The Open Source Vulnerability Index (OSVI) encompasses an extensive range of vulnerability indicators supported by the wider literature and expert validation and provides data at a sufficiently fine resolution that can identify vulnerable populations. Findings of the OSVI demonstrate the potential cascading impact of a flood hazard as it impacts an already vulnerable population: exacerbating pre-existing vulnerabilities, limiting capabilities and restricting accessibility and access to key services. The OSVI feeds into an agent-based model (ABM) that explores the capacity of the British Red Cross (BRC) to distribute relief during flood emergencies using strategies based upon the OSVI. A participatory modelling approach was utilised whereby the BRC were included in all aspects of the model development. The major contribution of this work is the novel synthesis of demographics analysis, vulnerability mapping and geospatial simulation. The project contributes to the growing understanding of vulnerability and response management within the NGO sector. It is hoped that the index and model produced will allow responder organisations to run simulations of similar emergency events and adjust strategic response plans accordingly

Information and Communication Technologies in Tourism 2022

This open access book presents the proceedings of the International Federation for IT and Travel & Tourism (IFITT)’s 29th Annual International eTourism Conference, which assembles the latest research presented at the ENTER2022 conference, which will be held on January 11–14, 2022. The book provides an extensive overview of how information and communication technologies can be used to develop tourism and hospitality. It covers the latest research on various topics within the field, including augmented and virtual reality, website development, social media use, e-learning, big data, analytics, and recommendation systems. The readers will gain insights and ideas on how information and communication technologies can be used in tourism and hospitality. Academics working in the eTourism field, as well as students and practitioners, will find up-to-date information on the status of research

Information and Communication Technologies in Tourism 2022

This open access book presents the proceedings of the International Federation for IT and Travel & Tourism (IFITT)’s 29th Annual International eTourism Conference, which assembles the latest research presented at the ENTER2022 conference, which will be held on January 11–14, 2022. The book provides an extensive overview of how information and communication technologies can be used to develop tourism and hospitality. It covers the latest research on various topics within the field, including augmented and virtual reality, website development, social media use, e-learning, big data, analytics, and recommendation systems. The readers will gain insights and ideas on how information and communication technologies can be used in tourism and hospitality. Academics working in the eTourism field, as well as students and practitioners, will find up-to-date information on the status of research

Yale Medicine : Alumni Bulletin of the School of Medicine, Fall 1990- Summer 1992

This volume contains Yale medicine: alumni bulletin of the School of Medicine, v.25 (Fall 1990) through v.26 (Summer 1992). Prepared in cooperation with the alumni and development offices at the School of Medicine. Earlier volumes are called Yale School of Medicine alumni bulletins, dating from v.1 (1953) through v.13 (1965). Digitized with funding from the Arcadia fund, 2017.https://elischolar.library.yale.edu/yale_med_alumni_newsletters/1010/thumbnail.jp