1,525 research outputs found
Mobile heritage practices. Implications for scholarly research, user experience design, and evaluation methods using mobile apps.
Mobile heritage apps have become one of the most popular means for audience
engagement and curation of museum collections and heritage contexts. This
raises practical and ethical questions for both researchers and practitioners, such
as: what kind of audience engagement can be built using mobile apps? what are
the current approaches? how can audience engagement with these experience
be evaluated? how can those experiences be made more resilient, and in turn
sustainable? In this thesis I explore experience design scholarships together with
personal professional insights to analyse digital heritage practices with a view to
accelerating thinking about and critique of mobile apps in particular. As a result,
the chapters that follow here look at the evolution of digital heritage practices,
examining the cultural, societal, and technological contexts in which mobile
heritage apps are developed by the creative media industry, the academic
institutions, and how these forces are shaping the user experience design
methods. Drawing from studies in digital (critical) heritage, Human-Computer
Interaction (HCI), and design thinking, this thesis provides a critical analysis of
the development and use of mobile practices for the heritage. Furthermore,
through an empirical and embedded approach to research, the thesis also
presents auto-ethnographic case studies in order to show evidence that mobile
experiences conceptualised by more organic design approaches, can result in
more resilient and sustainable heritage practices. By doing so, this thesis
encourages a renewed understanding of the pivotal role of these practices in the
broader sociocultural, political and environmental changes.AHRC REAC
Tradition and Innovation in Construction Project Management
This book is a reprint of the Special Issue 'Tradition and Innovation in Construction Project Management' that was published in the journal Buildings
Current issues of the management of socio-economic systems in terms of globalization challenges
The authors of the scientific monograph have come to the conclusion that the management of socio-economic systems in the terms of global challenges requires the use of mechanisms to ensure security, optimise the use of resource potential, increase competitiveness, and provide state support to economic entities. Basic research focuses on assessment of economic entities in the terms of global challenges, analysis of the financial system, migration flows, logistics and product exports, territorial development. The research results have been implemented in the different decision-making models in the context of global challenges, strategic planning, financial and food security, education management, information technology and innovation. The results of the study can be used in the developing of directions, programmes and strategies for sustainable development of economic entities and regions, increasing the competitiveness of products and services, decision-making at the level of ministries and agencies that regulate the processes of managing socio-economic systems. The results can also be used by students and young scientists in the educational process and conducting scientific research on the management of socio-economic systems in the terms of global challenges
The pharmaco-epidemiology of loop diuretic dispensing and its relationship to the diagnosis of heart failure and to prognosis
Heart failure is a major and growing public health problem associated with poor patient outcomes, including reduced quality of life and high hospitalisation and mortality rates. It is a complex clinical syndrome rather than a single disease, which lacks a practical, universal, and standardised definition. Currently, the definition relies on the identification of symptoms and signs of cardiac dysfunction, such as ankle swelling and breathlessness, which are neither specific nor objective. Many patients are only diagnosed once their symptoms and signs are severe enough to require hospitalisation. Pathophysiologically, heart failure can be defined by the presence of salt and water retention, also known as congestion, associated with cardiac dysfunction. Within the United Kingdom, the pharmacological class of loop diuretics is used primarily for the treatment of congestion due to cardiac dysfunction. The aim of this thesis is to investigate the pharmacoepidemiology of loop diuretic dispensing and its relationship to the diagnosis of heart failure, with a particular focus on patient outcomes.
The first analysis describes the prevalence of repeated loop diuretic dispensing and/or diagnosis of heart failure within the NHS Greater Glasgow & Clyde Health Board population on 1st January 2012, including patient outcomes over the following five years. This research is thought to be the first population-level investigation into the prevalence of repeated loop diuretic dispensing and its prognostic significance in patients with and without a diagnosis of heart failure. The analysis found that an estimated 3.2% of the population received repeated loop diuretic dispensing, while only 1.3% of the population had a diagnosis of heart failure. Hospitalisation rates were higher in those with a loop diuretic (0.99 admissions per patient-year at risk for those with only repeated loop diuretic dispensing and 1.51 admissions per patient-year at risk for those with both) than those with only a diagnosis of heart failure (0.93 admissions patient-year at risk). All-cause mortality followed a similar pattern; adjusting for age, sex, socioeconomic deprivation and comorbidity status, the 5-year hazard ratio and (95% confidence interval) were 1.8 (1.8 - 1.9) for those with those only repeated loop diuretic dispensing and 2.3 (2.2 - 2.4) for those with both, while only 1.2 (2.2 - 2.4) for those with only a diagnosis of heart failure, implying that the presence of repeated loop diuretic dispensing is a marker of serious disease.
The second analysis stepped backwards in ‘patient-time’ to describe the pattern of hospitalisations in the year leading up to the initiation of loop diuretic dispensing or an incident diagnosis of heart failure using network graphs. While the precursors to heart failure are known, this research is thought to be the first to report the common patterns in events leading up to the initiation of loop diuretics. While there was little difference in comorbidity and medication levels 24 months prior, in the year leading up to the initiation, those who received a diagnosis of heart failure were more likely to be admitted for well-recognised contributors to the condition, including ischaemic heart disease in particular, but also atrial fibrillation/flutter and valve disease. In contrast, these patterns were not often seen in those who were only initiated on a loop diuretic, instead with a focus on admissions for non-specific symptoms and signs, most commonly unspecified chest pain.
The third analysis starts where the second leaves off. It assesses the prognostic relationship between the initiation of loop diuretic and diagnosis of heart failure on mortality and whether the sequence of these events matters using semi-Markov multi-state modes, a flexible model for use on longitudinal time data where there is an event-related dependence on outcomes. Those on repeated loop diuretic dispensing without a diagnosis of heart failure were majority women (62%). Many with evidence of left atrial dilation (53%), while those with a diagnosis of heart failure without a repeat loop diuretic were majority men (63%). Many had a history of myocardial infarction (51%). Hospitalisations and mortality were higher in those with a repeat loop diuretic (within the first year per patient-year at risk: hospitalisation, 1.44; mortality, 0.20) compared to those with a diagnosis of heart failure without a repeat loop diuretic (within the first year per patient-year at risk: hospitalisation, 1.47; mortality, 0.14). Rates were higher still in those with both loop diuretic and heart failure (where both events occurred together within the first year per patient-year at risk: hospitalisation, 1.74; mortality, 0.16; or where the diagnosis of HF preceded the initiation of loop diuretic, within the first year per patient-year at risk: hospitalisation, 1.68; mortality, 0.20), with the highest being in those who initiated the loop diuretic in advance of receiving a diagnosis of heart failure (within the first year per patient-year at risk: hospitalisation, 2.26; mortality, 0.28).
The fourth and final analysis subsets the population to investigate the mortality of the 24,921 patients with ischaemic heart disease according to whether or not they have had a repeat loop diuretic and/or diagnosis of heart failure; of whom, 3,806 had only repeat loop diuretic, 2,384 had only a diagnosis of heart failure, and 3,531 had both. This analysis found that after adjusting for age, sex, and other prognostic markers, mortality was associated with the repeat loop diuretic regardless of the patient’s heart failure status. Those with a repeat loop diuretic without a diagnosis of heart failure experienced substantially higher rates of cardiovascular (an estimated 15%) and all-cause mortality (47%) than those with a diagnosis of heart failure without a repeat loop diuretic (an estimated 8% cardiovascular and 19% all-cause mortality), while rates were highest for those with both (an estimated 25% cardiovascular and 57% all-cause mortality).
In conclusion, these analyses found that many more patients are repeatedly treated with loop diuretic than ever receive a diagnosis of heart failure. These patients are at a high risk of hospitalisation and death, and based on their characteristics, many probably have undiagnosed heart failure. From a public health and epidemiological perspective, the current definition of heart failure likely underestimates the true burden on the healthcare system. From the patient’s perspective, with the efficacy of angiotensin receptor-neprilysin inhibitor, sodium-glucose co-transporter-2 inhibitors, and mineralocorticoid receptor antagonistss, a missed diagnosis means a missed opportunity to improve the patient’s outcome and quality of life, regardless of their heart failure phenotype. Even more alarming, if these patients are receiving the loop diuretic inappropriately, the loop diuretic is likely causing these increased hospitalisation and mortality rates. If the loop diuretic can be safely withdrawn, other medications with diuretic properties exist which have good safety profiles. Ultimately, further research is required to determine the optimal strategy for managing these patients
ArchCloudChain Dapp: the efficient workflow for interior designers
The interior design and construction industry involves various stakeholders who must collaborate
and coordinate effectively to ensure the successful realization of projects. However, the existing
workflow often suffers from fragmentation and inefficiency, leading to delays, errors, and
increased costs. To address these challenges, this paper introduces the Arch Cloud Chain Dapp
project, a decentralized software application that leverages blockchain technology and Building
Information Modeling (BIM) to establish a transparent, secure, and efficient platform for
stakeholder collaboration in interior design projects. The primary objective of this project is to
reduce interior design costs while upholding high standards of quality and transparency.
By integrating BIM and blockchain technology, the Arch Cloud Chain Dapp enables stakeholders
to collaborate in real-time, significantly mitigating the risk of errors and miscommunication. Smart
contracts play a crucial role in ensuring the enforceability and transparency of agreements, while
the blockchain serves as an immutable ledger, providing an auditable record of all project
transactions. These innovative features present a novel solution to the challenges faced by the
interior design and construction industry.
The Arch Cloud Chain Dapp project holds significant potential to revolutionize the industry by
streamlining processes, enhancing collaboration, and reducing costs. Through its adoption,
stakeholders can benefit from improved project outcomes, streamlined communication, and
enhanced efficiency, ultimately leading to a more sustainable and prosperous interior design and
construction sector
Taxonomy, Semantic Data Schema, and Schema Alignment for Open Data in Urban Building Energy Modeling
Urban Building Energy Modeling (UBEM) is a critical tool to provide
quantitative analysis on building decarbonization, sustainability,
building-to-grid integration, and renewable energy applications on city,
regional, and national scales. Researchers usually use open data as inputs to
build and calibrate UBEM. However, open data are from thousands of sources
covering various perspectives of weather, building characteristics, etc.
Besides, a lack of semantic features of open data further increases the
engineering effort to process information to be directly used for UBEM as
inputs. In this paper, we first reviewed open data types used for UBEM and
developed a taxonomy to categorize open data. Based on that, we further
developed a semantic data schema for each open data category to maintain data
consistency and improve model automation for UBEM. In a case study, we use
three popular open data to show how they can be automatically processed based
on the proposed schematic data structure using large language models. The
accurate results generated by large language models indicate the
machine-readability and human-interpretability of the developed semantic data
schema
Measuring the impact of COVID-19 on hospital care pathways
Care pathways in hospitals around the world reported significant disruption during the recent COVID-19 pandemic but measuring the actual impact is more problematic. Process mining can be useful for hospital management to measure the conformance of real-life care to what might be considered normal operations. In this study, we aim to demonstrate that process mining can be used to investigate process changes associated with complex disruptive events. We studied perturbations to accident and emergency (A &E) and maternity pathways in a UK public hospital during the COVID-19 pandemic. Co-incidentally the hospital had implemented a Command Centre approach for patient-flow management affording an opportunity to study both the planned improvement and the disruption due to the pandemic. Our study proposes and demonstrates a method for measuring and investigating the impact of such planned and unplanned disruptions affecting hospital care pathways. We found that during the pandemic, both A &E and maternity pathways had measurable reductions in the mean length of stay and a measurable drop in the percentage of pathways conforming to normative models. There were no distinctive patterns of monthly mean values of length of stay nor conformance throughout the phases of the installation of the hospital’s new Command Centre approach. Due to a deficit in the available A &E data, the findings for A &E pathways could not be interpreted
Efficient Security Protocols for Constrained Devices
During the last decades, more and more devices have been connected to the Internet.Today, there are more devices connected to the Internet than humans.An increasingly more common type of devices are cyber-physical devices.A device that interacts with its environment is called a cyber-physical device.Sensors that measure their environment and actuators that alter the physical environment are both cyber-physical devices.Devices connected to the Internet risk being compromised by threat actors such as hackers.Cyber-physical devices have become a preferred target for threat actors since the consequence of an intrusion disrupting or destroying a cyber-physical system can be severe.Cyber attacks against power and energy infrastructure have caused significant disruptions in recent years.Many cyber-physical devices are categorized as constrained devices.A constrained device is characterized by one or more of the following limitations: limited memory, a less powerful CPU, or a limited communication interface.Many constrained devices are also powered by a battery or energy harvesting, which limits the available energy budget.Devices must be efficient to make the most of the limited resources.Mitigating cyber attacks is a complex task, requiring technical and organizational measures.Constrained cyber-physical devices require efficient security mechanisms to avoid overloading the systems limited resources.In this thesis, we present research on efficient security protocols for constrained cyber-physical devices.We have implemented and evaluated two state-of-the-art protocols, OSCORE and Group OSCORE.These protocols allow end-to-end protection of CoAP messages in the presence of untrusted proxies.Next, we have performed a formal protocol verification of WirelessHART, a protocol for communications in an industrial control systems setting.In our work, we present a novel attack against the protocol.We have developed a novel architecture for industrial control systems utilizing the Digital Twin concept.Using a state synchronization protocol, we propagate state changes between the digital and physical twins.The Digital Twin can then monitor and manage devices.We have also designed a protocol for secure ownership transfer of constrained wireless devices. Our protocol allows the owner of a wireless sensor network to transfer control of the devices to a new owner.With a formal protocol verification, we can guarantee the security of both the old and new owners.Lastly, we have developed an efficient Private Stream Aggregation (PSA) protocol.PSA allows devices to send encrypted measurements to an aggregator.The aggregator can combine the encrypted measurements and calculate the decrypted sum of the measurements.No party will learn the measurement except the device that generated it
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