365 research outputs found

    Kurio: A museum guide for families

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    We discuss three design strategies for improving the quality of social interaction and learning with interactive museum guides: 1) embodied interaction; 2) game-learning; 3) a hybrid system. We used these strategies in our prototype Kurio, which is aimed at supporting families visiting museums. The results of our evaluation show positive implications of implementing the design strategies: closing the social gap, naturalizing technology, and supporting exploration and discovery in learning

    A core outcome set for localised prostate cancer effectiveness trials

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    Objective: To develop a core outcome set (COS) applicable for effectiveness trials of all interventions for localised prostate cancer. Background: Many treatments exist for localised prostate cancer, although it is unclear which offers the optimal therapeutic ratio. This is confounded by inconsistencies in the selection, definition, measurement and reporting of outcomes in clinical trials. Subjects and methods: A list of 79 outcomes was derived from a systematic review of published localised prostate cancer effectiveness studies and semi-structured interviews with 15 prostate cancer patients. A two-stage consensus process involving 118 patients and 56 international healthcare professionals (HCPs) (cancer specialist nurses, urological surgeons and oncologists) was undertaken, consisting of a three-round Delphi survey followed by a face-to-face consensus panel meeting of 13 HCPs and 8 patients. Results: The final COS included 19 outcomes. Twelve apply to all interventions: death from prostate cancer, death from any cause, local disease recurrence, distant disease recurrence/metastases, disease progression, need for salvage therapy, overall quality of life, stress urinary incontinence, urinary function, bowel function, faecal incontinence, sexual function. Seven were intervention-specific: perioperative deaths (surgery), positive surgical margin (surgery), thromboembolic disease (surgery), bothersome or symptomatic urethral or anastomotic stricture (surgery), need for curative treatment (active surveillance), treatment failure (ablative therapy), and side effects of hormonal therapy (hormone therapy). The UK-centric participants may limit the generalisability to other countries, but trialists should reason why the COS would not be applicable. The default position should not be that a COS developed in one country will automatically not be applicable elsewhere. Conclusion: We have established a COS for trials of effectiveness in localised prostate cancer, applicable across all interventions which should be measured in all localised prostate cancer effectiveness trials

    B’More healthy: retail rewards - design of a multi-level communications and pricing intervention to improve the food environment in Baltimore City

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    BackgroundLow-income black residents of Baltimore City have disproportionately higher rates of obesity and chronic disease than other Maryland residents. Increasing the availability and affordability of healthy food are key strategies to improve the food environment and can lead to healthier diets. This paper describes B’More Healthy: Retail Rewards (BHRR), an intervention that tests the effectiveness of performance-based pricing discounts and health communications, separately and combined, on healthy food purchasing and consumption among low-income small store customers.Methods/designBHRR is 2x2 factorial design randomized controlled trial. Fifteen regular customers recruited from each of 24 participating corner stores in Baltimore City were enrolled. Food stores were randomized to 1) pricing intervention, 2) communications intervention, 3) combined intervention, or 4) control. Pricing stores were given a 10-30% price discount on selected healthier food items, such as fresh fruits, frozen vegetables, and baked chips, at the point of purchase from two food wholesale stores during the 6-month trial. Storeowners agreed to pass on the discount to the consumer to increase demand for healthy food. Communications stores received visual and interactive materials to promote healthy items, including signage, taste tests, and refrigerators. Primary outcome measures include consumer food purchasing and associated psychosocial variables. Secondary outcome measures include consumer food consumption, store sales, and associated storeowner psychosocial factors. Process evaluation was monitored throughout the trial at wholesaler, small store, and consumer levels.DiscussionThis is the first study to test the impact of performance-based pricing and communications incentives in small food stores, an innovative strategy to encourage local wholesalers and storeowners to share responsibility in creating a healthier food supply by stocking, promoting, and reducing costs of healthier foods in their stores. Local food wholesalers were involved in a top-down, participatory approach to develop and implement an effective and sustainable program. This study will provide evidence on the effectiveness of price incentives and health communications, separately and combined, among a low-income urban U.S. population.Trial registrationClinicalTrials.gov: NCT02279849 (2/18/2014)

    Single-step hydrogen production from NH3, CH4, and biogas in stacked proton ceramic reactors

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    Proton ceramic reactors offer efficient extraction of hydrogen from ammonia, methane, and biogas by coupling endothermic reforming reactions with heat from electrochemical gas separation and compression. Preserving this efficiency in scale-up from cell to stack level poses challenges to the distribution of heat and gas flows and electric current throughout a robust functional design. Here, we demonstrate a 36-cell well-balanced reactor stack enabled by a new interconnect that achieves complete conversion of methane with more than 99% recovery to pressurized hydrogen, leaving a concentrated stream of carbon dioxide. Comparable cell performance was also achieved with ammonia, and the operation was confirmed at pressures exceeding 140 bars. The stacking of proton ceramic reactors into practical thermo-electrochemical devices demonstrates their potential in efficient hydrogen production.This work was supported by Norway’s Ministry of Petroleum and Energy through the Gassnova project CLIMIT grant 618191 in partnership with Engie SA, Equinor, ExxonMobil, Saudi Aramco, Shell, and TotalEnergies and the Research Council of Norway NANO2021 project DynaPro grant 296548

    MONAI: An open-source framework for deep learning in healthcare

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    Artificial Intelligence (AI) is having a tremendous impact across most areas of science. Applications of AI in healthcare have the potential to improve our ability to detect, diagnose, prognose, and intervene on human disease. For AI models to be used clinically, they need to be made safe, reproducible and robust, and the underlying software framework must be aware of the particularities (e.g. geometry, physiology, physics) of medical data being processed. This work introduces MONAI, a freely available, community-supported, and consortium-led PyTorch-based framework for deep learning in healthcare. MONAI extends PyTorch to support medical data, with a particular focus on imaging, and provide purpose-specific AI model architectures, transformations and utilities that streamline the development and deployment of medical AI models. MONAI follows best practices for software-development, providing an easy-to-use, robust, well-documented, and well-tested software framework. MONAI preserves the simple, additive, and compositional approach of its underlying PyTorch libraries. MONAI is being used by and receiving contributions from research, clinical and industrial teams from around the world, who are pursuing applications spanning nearly every aspect of healthcare.Comment: www.monai.i

    The origin of carbonate cements in the hildasay reservoir, Cambo Field, Faroe-Shetland Basin; clumped isotopic analysis and implications for reservoir performance

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    The early Eocene paralic sandstones of the Hildasay Member of the Flett Formation form the major oil-bearing reservoir in the Cambo Field, located in the Faroe-Shetland Basin. The sandstones locally contain calcite-cemented intervals that vary in thickness from decimetre to over 1 m. A calcite-cemented interval from well 204/10a-5 has been analysed petrographically and using clumped isotopes to determine its mode of formation and potential lateral extent. Petrographic analysis shows the cemented interval to consist of ferroan calcite, with a consistent dull red cathodoluminescence, suggesting a single phase of precipitation. The centre of the cemented interval comprises a finer grained unit with detrital kerogen and early sphaerosiderite, while the rest comprises homogeneous porosity-occluding ferroan calcite. The early sphaerosiderite in the centre is replaced by ferroan calcite with a high δ13 carbon isotopic signature (δ13 CVPDB = 7.53‰) suggesting that it formed during anaerobic methanogenesis or fermentation. Samples from the intermediate zone have a lower δ13 carbon isotopic composition (δ13 CVPDB = 0.72 to −3.68‰). In comparison the outer margin of the cemented unit has an even lower δ13 carbon isotopic signature (δ13 CVPDB = −15.5 to 15.9‰) more typical of a strong aerobic oxidation source. The oxygen isotopic signature of the cements is similar (δ18 OVPDB = −10.9 to −12.2‰). Analysis of the clumped isotopes suggest that the ferroan calcite formed at ∼40–50 °C, from pore waters that were predominantly meteoric in origin (δ18 OVSMOW = −4.8 to −5.7‰). Burial history modelling would suggest that the cements formed at a depth of ∼500–1000 m. Meteoric water was likely to have been introduced during the formation of the mid-Lutetian unconformity ∼45Mya, approximately 10 Mya after the sandstones were deposited. The model proposed is that ferroan calcite precipitation was initiated in the fine lag deposits that contained the kerogen and sphaerosiderite, and then grew outwards. If the model is correct, the cemented units should be restricted to this facies and consequently of limited lateral extent. Consequently, it is likely that the cemented intervals will have a limited impact upon the reservoir performance and are unlikely to act as major barriers to fluid flow

    Combined Forward-Backward Asymmetry Measurements in Top-Antitop Quark Production at the Tevatron

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    The CDF and D0 experiments at the Fermilab Tevatron have measured the asymmetry between yields of forward- and backward-produced top and antitop quarks based on their rapidity difference and the asymmetry between their decay leptons. These measurements use the full data sets collected in proton-antiproton collisions at a center-of-mass energy of s=1.96\sqrt s =1.96 TeV. We report the results of combinations of the inclusive asymmetries and their differential dependencies on relevant kinematic quantities. The combined inclusive asymmetry is AFBttˉ=0.128±0.025A_{\mathrm{FB}}^{t\bar{t}} = 0.128 \pm 0.025. The combined inclusive and differential asymmetries are consistent with recent standard model predictions
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