166 research outputs found

    Age Matters: Investigating Older Drivers' Perception of Level 3 Autonomous Cars as a Heterogeneous Age Group

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    Level 3 autonomous cars may benefit older and younger drivers, but their perspectives on the technology remain understudied. We employed a questionnaire and focus groups to examine the perceived trust, safety, and usefulness of older drivers as a heterogeneous age group (60-80 years old divided into four age groups) and younger (22-25 years old) drivers about Level 3 and the non-driving related tasks (NDRTs) they would perform. The 60-65 group was mostly resistant towards Level 3, whereas the 76-80 group saw it as a chance to stay mobile. All groups were eager to engage with NDRTs, however, prior to gaining trust they would not engage with highly distracting tasks such as reading. The 76-80 group stressed the importance of designing take over requests that consider their decline in physical and cognitive abilities. In this research, we highlight the importance of considering age-related needs in HMI design of Level 3 cars

    Pimp My Ride: Designing Versatile eHMIs for Cyclists

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    Autonomous vehicles (AVs) must communicate their intentions to nearby road users and may use external Human-Machine Interfaces (eHMIs). Most eHMIs have focused on interaction with pedestrians at crossings. However, these may not work for cyclists, who can be anywhere around vehicles and encounter them in diverse traffic scenarios. We used participatory design with cyclists and AutoUI researchers (N = 12) collaborating in a real-world setting to design eHMIs around an actual vehicle. Participants preferred eHMIs that co-exist with traditional vehicle signals and use a single design language across traffic scenarios to communicate awareness and intent quickly without distracting their attention from the road. We used our findings to develop a taxonomy of eHMI features for cyclists, allowing us to synthesise the designs and contribute versatile eHMI concepts catered to cyclists’ needs. This is important to ensure AVs can safely navigate and interact with cyclists in all road scenarios

    Quantifying Wildlife Use of Escape Ramps Along a Fenced Highway

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    Wildlife exclusion fencing can significantly reduce wildlife–vehicle collisions. However, some animals breach the fence and become trapped in the highway corridor, thereby increasing risk of a wildlife–vehicle collision. An emerging solution to this problem is the installation of earthen escape ramps (i.e., jumpouts), which allow trapped animals to escape the highway corridor. Few studies have quantified wildlife use of jumpouts, and none have investigated intraspecific differences in use. We used camera traps to document wildlife use of 4 2m-high jumpouts associated with wildlife exclusion fencing along Highway 101 near San Luis Obispo, California, USA, from 2012 to 2017. We surveyed for 7,361 nights across all 4 jumpouts, yielding 1,015 visitation events by 10 different species of large- and medium-sized mammals. Mule deer (Odocoileus hemionus) accounted for 895 (88%) detections; they jumped out 20% of the time when detected at the top of the ramp and were never detected using the jumpout to enter the highway corridor. We differentiated male and female deer using the presence of antlers and found that they jumped out at similar rates, but females were detected 6 times more often and were more likely to return to the same jumpout. Two groups of 2–3 deer accounted for ~41% of deer detections, which allowed us to investigate their behavior over time. These results indicate that individual variation could influence jumpout use, which should be considered when quantifying their use. To increase the overall jumpout rate, we recommend a jumpout height between 1.75 and 2 m

    Dielectric loss of boron-based dielectrics on niobium resonators

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    Advanced solid-state quantum bits (qubits) are likely to require a variety of dielectrics for wiring crossovers, substrates, and Josephson junctions. Microwave superconducting resonators are an excellent tool for measuring the internal dielectric loss of materials. We report the dielectric loss of boron-based dielectric films using a microwave coplanar waveguide (CPW) resonator with heterostructure geometry. Power-dependent internal quality factors of magnetron-sputtered boron carbide ( B4C ) and boron nitride (BN) were measured and are compared to silicon oxide ( SiO2 ), a common material used in wiring crossovers. The internal dielectric loss due to two-level systems for B4C , and BN is less than silicon dioxide ( SiO2 ), which demonstrates the existence of low-loss sputtered materials. We also found that niobium (Nb) CPW resonators suffer a decrease in internal quality factor after deposition of B4C at temperatures above 150 ∘C . This result is consistent with the idea that the oxidation of the surface of the superconducting metal can contribute to loss in a device

    Development of a small molecule that corrects misfolding and increases secretion of Z α1 -antitrypsin.

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    Severe α1 -antitrypsin deficiency results from the Z allele (Glu342Lys) that causes the accumulation of homopolymers of mutant α1 -antitrypsin within the endoplasmic reticulum of hepatocytes in association with liver disease. We have used a DNA-encoded chemical library to undertake a high-throughput screen to identify small molecules that bind to, and stabilise Z α1 -antitrypsin. The lead compound blocks Z α1 -antitrypsin polymerisation in vitro, reduces intracellular polymerisation and increases the secretion of Z α1 -antitrypsin threefold in an iPSC model of disease. Crystallographic and biophysical analyses demonstrate that GSK716 and related molecules bind to a cryptic binding pocket, negate the local effects of the Z mutation and stabilise the bound state against progression along the polymerisation pathway. Oral dosing of transgenic mice at 100 mg/kg three times a day for 20 days increased the secretion of Z α1 -antitrypsin into the plasma by sevenfold. There was no observable clearance of hepatic inclusions with respect to controls over the same time period. This study provides proof of principle that "mutation ameliorating" small molecules can block the aberrant polymerisation that underlies Z α1 -antitrypsin deficiency

    Multiple novel prostate cancer susceptibility signals identified by fine-mapping of known risk loci among Europeans

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    Genome-wide association studies (GWAS) have identified numerous common prostate cancer (PrCa) susceptibility loci. We have fine-mapped 64 GWAS regions known at the conclusion of the iCOGS study using large-scale genotyping and imputation in 25 723 PrCa cases and 26 274 controls of European ancestry. We detected evidence for multiple independent signals at 16 regions, 12 of which contained additional newly identified significant associations. A single signal comprising a spectrum of correlated variation was observed at 39 regions; 35 of which are now described by a novel more significantly associated lead SNP, while the originally reported variant remained as the lead SNP only in 4 regions. We also confirmed two association signals in Europeans that had been previously reported only in East-Asian GWAS. Based on statistical evidence and linkage disequilibrium (LD) structure, we have curated and narrowed down the list of the most likely candidate causal variants for each region. Functional annotation using data from ENCODE filtered for PrCa cell lines and eQTL analysis demonstrated significant enrichment for overlap with bio-features within this set. By incorporating the novel risk variants identified here alongside the refined data for existing association signals, we estimate that these loci now explain ∼38.9% of the familial relative risk of PrCa, an 8.9% improvement over the previously reported GWAS tag SNPs. This suggests that a significant fraction of the heritability of PrCa may have been hidden during the discovery phase of GWAS, in particular due to the presence of multiple independent signals within the same regio

    Contributions of mean and shape of blood pressure distribution to worldwide trends and variations in raised blood pressure: A pooled analysis of 1018 population-based measurement studies with 88.6 million participants

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    © The Author(s) 2018. Background: Change in the prevalence of raised blood pressure could be due to both shifts in the entire distribution of blood pressure (representing the combined effects of public health interventions and secular trends) and changes in its high-blood-pressure tail (representing successful clinical interventions to control blood pressure in the hypertensive population). Our aim was to quantify the contributions of these two phenomena to the worldwide trends in the prevalence of raised blood pressure. Methods: We pooled 1018 population-based studies with blood pressure measurements on 88.6 million participants from 1985 to 2016. We first calculated mean systolic blood pressure (SBP), mean diastolic blood pressure (DBP) and prevalence of raised blood pressure by sex and 10-year age group from 20-29 years to 70-79 years in each study, taking into account complex survey design and survey sample weights, where relevant. We used a linear mixed effect model to quantify the association between (probittransformed) prevalence of raised blood pressure and age-group- and sex-specific mean blood pressure. We calculated the contributions of change in mean SBP and DBP, and of change in the prevalence-mean association, to the change in prevalence of raised blood pressure. Results: In 2005-16, at the same level of population mean SBP and DBP, men and women in South Asia and in Central Asia, the Middle East and North Africa would have the highest prevalence of raised blood pressure, and men and women in the highincome Asia Pacific and high-income Western regions would have the lowest. In most region-sex-age groups where the prevalence of raised blood pressure declined, one half or more of the decline was due to the decline in mean blood pressure. Where prevalence of raised blood pressure has increased, the change was entirely driven by increasing mean blood pressure, offset partly by the change in the prevalence-mean association. Conclusions: Change in mean blood pressure is the main driver of the worldwide change in the prevalence of raised blood pressure, but change in the high-blood-pressure tail of the distribution has also contributed to the change in prevalence, especially in older age groups

    Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

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    Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely
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