"Without libraries what have we?" Public libraries as nodes for technological empowerment in the era of smart cities, AI and big data

Since 2014, a growing body of critical research has pointed out flaws in smart city development. It has been described as too technology-led and business-oriented, diminishing citizens' agency and causing digital divides. As the agenda keeps spreading, there is an urgent need to develop more participatory, inclusive and bottom-up approaches to balance interests of those currently in strong power positions, such as large corporations. Participatory design (PD) and participatory approaches in general have been suggested as a remedy, but they often tend to be local, small-scale and short-term. Therefore, their impacts are often modest as well. We suggest that we need to start thinking about ways to create scalable approaches that would grow the temporal and spatial impact of actions and practices that intend to increase citizens' understanding and control over new technologies, i.e. their technological agency. Without making sure that more people have adequate knowledge and sufficient control and mastery of technologies, societal discussion and ultimately, political decisions, are left to few experts. We explore the potential of public libraries to act as an ally and cooperation partner in participatory design and technology education in general, with a significant potential to broaden micro-level actions' impact. The paper consists of a broad literature review mapping the central challenges of current smart city development; this is followed with an introduction to the Finnish library system as a democratic project; finally, we present three examples of how libraries are carrying out technological education connected to emerging technologies, particularly to 3D printing, robotics and virtual reality. Our central argument is that there is a need to bridge micro-level actions, such as those connected to participatory design projects, with the macro-level technopolitical development by collaborating with meso-level actors and networks.Peer reviewe

Gender differences in the use of cardiovascular interventions in HIV-positive persons; the D:A:D Study

Peer reviewe

Development and Validation of a Risk Score for Chronic Kidney Disease in HIV Infection Using Prospective Cohort Data from the D:A:D Study

Ristola M. on työryhmien DAD Study Grp ; Royal Free Hosp Clin Cohort ; INSIGHT Study Grp ; SMART Study Grp ; ESPRIT Study Grp jäsen.Background Chronic kidney disease (CKD) is a major health issue for HIV-positive individuals, associated with increased morbidity and mortality. Development and implementation of a risk score model for CKD would allow comparison of the risks and benefits of adding potentially nephrotoxic antiretrovirals to a treatment regimen and would identify those at greatest risk of CKD. The aims of this study were to develop a simple, externally validated, and widely applicable long-term risk score model for CKD in HIV-positive individuals that can guide decision making in clinical practice. Methods and Findings A total of 17,954 HIV-positive individuals from the Data Collection on Adverse Events of Anti-HIV Drugs (D:A:D) study with >= 3 estimated glomerular filtration rate (eGFR) values after 1 January 2004 were included. Baseline was defined as the first eGFR > 60 ml/min/1.73 m2 after 1 January 2004; individuals with exposure to tenofovir, atazanavir, atazanavir/ritonavir, lopinavir/ritonavir, other boosted protease inhibitors before baseline were excluded. CKD was defined as confirmed (>3 mo apart) eGFR In the D:A:D study, 641 individuals developed CKD during 103,185 person-years of follow-up (PYFU; incidence 6.2/1,000 PYFU, 95% CI 5.7-6.7; median follow-up 6.1 y, range 0.3-9.1 y). Older age, intravenous drug use, hepatitis C coinfection, lower baseline eGFR, female gender, lower CD4 count nadir, hypertension, diabetes, and cardiovascular disease (CVD) predicted CKD. The adjusted incidence rate ratios of these nine categorical variables were scaled and summed to create the risk score. The median risk score at baseline was -2 (interquartile range -4 to 2). There was a 1: 393 chance of developing CKD in the next 5 y in the low risk group (risk score = 5, 505 events), respectively. Number needed to harm (NNTH) at 5 y when starting unboosted atazanavir or lopinavir/ritonavir among those with a low risk score was 1,702 (95% CI 1,166-3,367); NNTH was 202 (95% CI 159-278) and 21 (95% CI 19-23), respectively, for those with a medium and high risk score. NNTH was 739 (95% CI 506-1462), 88 (95% CI 69-121), and 9 (95% CI 8-10) for those with a low, medium, and high risk score, respectively, starting tenofovir, atazanavir/ritonavir, or another boosted protease inhibitor. The Royal Free Hospital Clinic Cohort included 2,548 individuals, of whom 94 individuals developed CKD (3.7%) during 18,376 PYFU (median follow-up 7.4 y, range 0.3-12.7 y). Of 2,013 individuals included from the SMART/ESPRIT control arms, 32 individuals developed CKD (1.6%) during 8,452 PYFU (median follow-up 4.1 y, range 0.6-8.1 y). External validation showed that the risk score predicted well in these cohorts. Limitations of this study included limited data on race and no information on proteinuria. Conclusions Both traditional and HIV-related risk factors were predictive of CKD. These factors were used to develop a risk score for CKD in HIV infection, externally validated, that has direct clinical relevance for patients and clinicians to weigh the benefits of certain antiretrovirals against the risk of CKD and to identify those at greatest risk of CKD.Peer reviewe

Phantom Cell Phone Signals/Ringxiety

status: Published onlin

Internet, the great radicalizer?:Exploring relationships between seeking for online extremist materials and cognitive radicalization in young adults

Anecdotal evidence asserts that extremist materials on the internet play a decisive role in radicalization processes. However, due to a structural absence of empirical data in the current literature, it remains uncertain if—and to what extent—online extremist materials radicalize. Therefore, the approach of the current study was two-fold. First, we explored what types of online jihadist media are pro-actively sought and consumed by young adults. Second, we investigated if and how active exposure to online jihadist media is related to cognitive radicalization, whilst taking into account one's moral disengagement, prior involvement in petty crime, and socio-demographics. Cross-sectional data analyses within a sample of Belgian young adults (n = 1,872) show that beheading videos—the most violent and radical form of any of the jihadist materials under scrutiny—were most sought online (36%), but were, paradoxically, the least predictive for radicalization. On the contrary, the rather static jihadist magazines were sought by a small minority (10–11%) but were the most strongly associated with radicalization. A stepwise linear regression analysis and Structural Equation Model support our hypothesis that the process of cognitive radicalization is a complex, phasic trajectory from actively seeking out extremist materials to sympathies for violent political behaviors

Adolescence and the Media

status: publishe