Towards Gamified Conversational Agents for Self-Regulated Learning in Digital Education

Formal education like higher education oftentimes emphasized on strict non-digital setting. This approach can lead to issues during stressful times (e.g., Covid crisis) or when learners’ needs in general are not considered. Moreover, these times highlighted how important self-regulated learning is and how much this capability is lacking in our educational system. To address these issues, we follow an Action Design Research approach and develop a gamified conversational agent (CA) that considers the learners’ needs. We present our CA and conduct a first small-scale evaluation following a mixed-method approach. First results show that students universally liked a CA for self-regulated digital learning and many enjoyed the gamified experience which helped students to be motivated to learn. As next steps we will develop the next iteration of our CA and conduct a long-term field test at a university

Management of Obstructive Sleep Apnea in Patients With Heart Failure

Sleep apnea is traditionally classified as obstructive sleep apnea (OSA), which occurs when the upper airway collapses due to the relaxation of oropharyngeal musculature, and central sleep apnea occurs when the brainstem cannot stimulate breathing. Most sleep apnea in patients with heart failure (HF) results from coexisting OSA and central sleep apnea (CSA), or complex sleep apnea syndrome. OSA and CSA are common in HF and can be involved in its progression by exposure to the heart to intermittent hypoxia, increased preload and afterload, activating sympathetic, and decreased vascular endothelial function. A majority of treatments have been investigated in patients with CSA and HF; however, less or short-term randomized trials demonstrated whether treating OSA in patients with HF could improve morbidity and mortality. OSA could directly influence the patient's recovery. This review will focus on past and present studies on the various therapies for OSA in patients with HF and summarize CSA treatment options for reasons of reference and completeness. More specifically, the treatment covered include surgical and non-surgical treatments and reported the positive and negative consequences for these treatment options, highlighting possible implications for clinical practice and future research directions

Level-Up your Learning – Introducing a Framework for Gamified Educational Conversational Agents

Driven by circumstances like the global pandemic many learners and educators realize the importance and value of self-regulated digital learning. To better support self-regulated learning, conversational agents have become more relevant. Conversational agents can act as tutor or as learning mate for learners. Although conversational agents have potential to better support self-regulated learning processes, challenges exist requiring implications about how to make these interactions more engaging and supportive. This study discusses the value of gamified conversational learning chatbots that use game elements to engage learners to guide researchers and practitioners to design conversational agents that effectively motivate learners and provide self-regulated learning at the same time. Therefore, we propose a systematically developed framework for gamifying educational conversational agents and contribute to theory by consolidating several theories about games, digital learning, and conversational agents and support practitioners by providing implications about what to care about when gamifying conversational agents

Micropatterning neuronal networks

Spatially organised neuronal networks have wide reaching applications, including fundamental research, toxicology testing, pharmaceutical screening and the realisation of neuronal implant interfaces. Despite the large number of methods catalogued in the literature there remains the need to identify a method that delivers high pattern compliance, long-term stability and is widely accessible to neuroscientists. In this comparative study, aminated (polylysine/polyornithine and aminosilanes) and cytophobic (poly(ethylene glycol) (PEG) and methylated) material contrasts were evaluated. Backfilling plasma stencilled PEGylated substrates with polylysine does not produce good material contrasts, whereas polylysine patterned on methylated substrates becomes mobilised by agents in the cell culture media which results in rapid pattern decay. Aminosilanes, polylysine substitutes, are prone to hydrolysis and the chemistries prove challenging to master. Instead, the stable coupling between polylysine and PLL-g-PEG can be exploited: Microcontact printing polylysine onto a PLL-g-PEG coated glass substrate provides a simple means to produce microstructured networks of primary neurons that have superior pattern compliance during long term (>1 month) cultur

Contactless recording of sleep apnea and periodic leg movements by nocturnal 3-D-video and subsequent visual perceptive computing

Contactless measurements during the night by a 3-D-camera are less time-consuming in comparison to polysomnography because they do not require sophisticated wiring. However, it is not clear what might be the diagnostic benefit and accuracy of this technology. We investigated 59 persons simultaneously by polysomnography and 3-D-camera and visual perceptive computing (19 patients with restless legs syndrome (RLS), 21 patients with obstructive sleep apnea (OSA), and 19 healthy volunteers). There was a significant correlation between the apnea hypopnea index (AHI) measured by polysomnography and respiratory events measured with the 3-D-camera in OSA patients (r = 0.823; p < 0.001). The receiver operating characteristic curve yielded a sensitivity of 90% for OSA with a specificity of 71.4%. In RLS patients 72.8% of leg movements confirmed by polysomnography could be detected by 3-D-video and a significant moderate correlation was found between PLM measured by polysomnography and by the 3-D-camera (RLS: r = 0.654; p = 0.004). In total, 95.4% of the sleep epochs were correctly classified by the machine learning approach, but only 32.5% of awake epochs. Further studies should investigate, if this technique might be an alternative to home sleep testing in persons with an increased pre-test probability for OSA

Modulations of Heart Rate, ECG, and Cardio-Respiratory Coupling Observed in Polysomnography

The cardiac component of cardio-respiratory polysomnography is covered by ECG and heart rate recordings. However their evaluation is often underrepresented in summarizing reports. As complements to EEG, EOG, and EMG, these signals provide diagnostic information for autonomic nervous activity during sleep. This review presents major methodological developments in sleep research regarding heart rate, ECG and cardio-respiratory couplings in a chronological (historical) sequence. It presents physiological and pathophysiological insights related to sleep medicine obtained by new technical developments. Recorded nocturnal ECG facilitates conventional heart rate variability analysis, studies of cyclical variations of heart rate, and analysis of ECG waveform. In healthy adults, the autonomous nervous system is regulated in totally different ways during wakefulness, slow-wave sleep, and REM sleep. Analysis of beat-to-beat heart-rate variations with statistical methods enables us to estimate sleep stages based on the differences in autonomic nervous system regulation. Furthermore, up to some degree, it is possible to track transitions from wakefulness to sleep by analysis of heart-rate variations. ECG and heart rate analysis allow assessment of selected sleep disorders as well. Sleep disordered breathing can be detected reliably by studying cyclical variation of heart rate combined with respiration-modulated changes in ECG morphology (amplitude of R wave and T wave)

Effectively incorporating selected multimedia content into medical publications

Until fairly recently, medical publications have been handicapped by being restricted to non-electronic formats, effectively preventing the dissemination of complex audiovisual and three-dimensional data. However, authors and readers could significantly profit from advances in electronic publishing that permit the inclusion of multimedia content directly into an article. For the first time, the de facto gold standard for scientific publishing, the portable document format (PDF), is used here as a platform to embed a video and an audio sequence of patient data into a publication. Fully interactive three-dimensional models of a face and a schematic representation of a human brain are also part of this publication. We discuss the potential of this approach and its impact on the communication of scientific medical data, particularly with regard to electronic and open access publications. Finally, we emphasise how medical teaching can benefit from this new tool and comment on the future of medical publishing

Service User Involvement - SUI Newsletter - Ausgabe Mai 20221

Der jährlich erscheinende Newsletter berichtet über Aktivitäten rund um Service User Involvement an Hochschulen im deutschsprachigen Raum. Sie finden in dieser Ausgabe folgende Beiträge: Zu Beginn berichten Bärbel Haag, Thomas Heidenreich und Bettina Müller von der Hochschule Esslingen über die neue Zusammenarbeit mit Bildungsfachkräften, die z. B. Input zu Inklusions- und Exklusionserfahrungen von Menschen mit Behinderungen teilgeben. Daran anschließen kann David Dörrer, der uns über das Annelie-Wellensiek-Zentrum für Inklusive Bildung an der Pädagogischen Hochschule Heidelberginformiert, an der Menschen mit und ohne Behinderungserfahrungen gemein-sam zu Querschnittsaufgaben der Inklusion forschen und lehren. Es folgt ein Bericht und Plädoyer aus Berlin von Reinhard Burtscher und Anne Schöbel über Lerner-Expert:innen, die durch ihre Erfahrungsberichte dem Thema „Alphabetisierung und Grundbildung“ ein Gesicht geben. Katharina Lutz und Benjamin Benz machen uns auf den Sozial-Wissenschaftsladen aufmerksam, der das gemeinsame Forschen für zivilgesellschaftliche Vertreter_innen, Praktiker_innen und Hochschulangehörige in Lehrforschungsprojekten und im Rahmen von Bachelor- und Masterarbeiten ermöglicht. Forschend geht es auch weiter mit Katharina Scholz, die sich mit Lehr-Evaluation für Seminare mit Beteiligung von Adressat*innen befasst und von neuen Vorhaben aus der HAW Hamburg berichtet. Kornelia Birkemeyer stellt das Projekt EX-IN vor, berichtet als Genesungsbegleiterin über die Kooperation mit der Hochschule Esslingen und liefert Antworten auf die Frage: „Warum brauchen Studierende von sozialer Arbeit die Hilfe von Service Usern?“. Um Gesungsbegleiter*innen als Teil eines trialogischen Konzeptes geht es auch bei der interaktiven Online-Plattform TriNetz, die von Christel Baatz-Kolbe und Christoph Walther vorgestellt wird. Die Plattform hat eine Lotsenfunktion und vermittelt zwischen Interessierten, Ausbildungsstätten und potentiellen Arbeitgebern. Bei Birgit Mayrhofer und Laura Ressler geht es gleichermaßen um die Peer-Arbeit von Genesungsbegleiter*innen. Sie stellen ihr Masterforschungsprojekt vor, das sich mit der Rollenkonstruktion der Peer-Arbeit befasst. Die Peer-Begleiterin Barbara Kohlmann vom Projekt „Upsides“ verabschiedet uns mit ihren Gedanken zu Peer-Arbeit in Zeiten der Covid-19-Pandemie. Am Ende des Newsletters finden Sie noch Hinweise über aktuelle Publikationen und anstehende Termine zum Thema Service User Involvement.Unknow

Coronavirus-Pandemie: Die Feiertage und den Jahreswechsel für einen harten Lockdown nutzen : 7. Ad-hoc-Stellungnahme zr Coronavirus-Pandemie - 08.Dezember 2020

Die gegenwärtige Situation ist nach wie vor ernst und droht sich weiter zu verschärfen. Trotz des seit Anfang November in Deutschland geltenden Teil-Lockdowns sind die Infektionszahlen auf einem sehr hohen Niveau. Jeden Tag sterben mehrere Hundert Menschen. Die Krankenhäuser und insbesondere das medizinische Personal sind bereits jetzt an ihren Grenzen und die Gesundheitsämter überlastet. Um die Kontrolle über das Infektionsgeschehen zurückzuerlangen, empfiehlt die Nationale Akademie der Wissenschaften Leopoldina in der Ad-hoc-Stellungnahme „Coronavirus-Pandemie: Die Feiertage und den Jahreswechsel für einen harten Lockdown nutzen“ ein zweistufiges Vorgehen. Die Rahmenbedingungen ‒ Weihnachtsferien in Bildungseinrichtungen und eingeschränkter Betrieb in vielen Unternehmen und Behörden – bieten die Chance, in der Eindämmung der Pandemie ein großes Stück voranzukommen