359 research outputs found

    permanence, discreteness and comprehensiveness

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    Most images do not appear."December 2013.""A Thesis Presented to the Faculty of the Graduate School at the University of Missouri--Columbia In Partial Fulfillment of the Requirements for the Degree Master of Fine Arts."Thesis supervisor: Professor J Brett Grill.Seeing-machines have long been used to discover new things about ourselves. We fantasize about devices that will enhance our senses and provide us with 'facts' about our hidden aspects, such as our inner bodies, or our psychology. But these viewing machines tend to obscure just as much as they reveal. By focusing vision they also constrain it and lose the context of that which is viewed. The search for the factual is so pervasive in society that it tends to be taken for granted by the sheer commonality of it. This diffusion of seeing-machines (some mechanical, some text-based) seeking out facts has necessitated my thesis calling upon a range of examples of how we use artificial systems to observe: x-rays, digital libraries, psychological tests etc. This broad approach was taken to emphasize the enormous popularity of mechanistic ways of seeing the world. My art project is a visual critique of the 'visual facts' provided by seeing machines, with a particular emphasis on technology's view of the body. The longevity, objectivity and comprehensiveness of artificial views of the physical body and psychology are scrutinized in my work. My images are created with a body scanner that creates degraded 'digital casts' of a posed model. This 'digital cast' is then lit virtually in a computer program before being printed on translucent paper and finally backlit in a display case. The result is a collection of images that depict ambiguous bodies that vacillate between recalcitrant materials and digital fragmentation. These images are housed in light boxes that resemble computer monitors and x-ray displays as a means of eliciting the technological gaze's view of the body.Includes bibliographical references (pages 71-76)

    Estimating the health impact of air pollution in Scotland, and the resulting benefits of reducing concentrations in city centres

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    Air pollution continues to be a key health issue in Scotland, despite recent improvements in concentrations. The Scottish Government published the Cleaner Air For Scotland strategy in 2015, and will introduce Low Emission Zones (LEZs) in the four major cities (Aberdeen, Dundee, Edinburgh and Glasgow) by 2020. However, there is no epidemiological evidence quantifying the current health impact of air pollution in Scotland, which this paper addresses. Additionally, we estimate the health benefits of reducing concentrations in city centres where most LEZs are located. We focus on cardio-respiratory disease and total non-accidental mortality outcomes, linking them to concentrations of both particulate (PM10 and PM2.5) and gaseous (NO2 and NOx) pollutants. Our two main findings are that: (i) all pollutants exhibit significant associations with respiratory disease but not cardiovascular disease; and (ii) reducing concentrations in city centres with low resident populations only provides a small health benefit

    The use of randomisation-based efficacy estimators in non-inferiority trials

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    Background In a non-inferiority (NI) trial, analysis based on the intention-to-treat (ITT) principle is anti-conservative, so current guidelines recommend analysing on a per-protocol (PP) population in addition. However, PP analysis relies on the often implausible assumption of no confounders. Randomisation-based efficacy estimators (RBEEs) allow for treatment non-adherence while maintaining a comparison of randomised groups. Fischer et al. have developed an approach for estimating RBEEs in randomised trials with two active treatments, a common feature of NI trials. The aim of this paper was to demonstrate the use of RBEEs in NI trials using this approach, and to appraise the feasibility of these estimators as the primary analysis in NI trials. Methods Two NI trials were used. One comparing two different dosing regimens for the maintenance of remission in people with ulcerative colitis (CODA), and the other comparing an orally administered treatment to an intravenously administered treatment in preventing skeletal-related events in patients with bone metastases from breast cancer (ZICE). Variables that predicted adherence in each of the trial arms, and were also independent of outcome, were sought in each of the studies. Structural mean models (SMMs) were fitted that conditioned on these variables, and the point estimates and confidence intervals compared to that found in the corresponding ITT and PP analyses. Results In the CODA study, no variables were found that differentially predicted treatment adherence while remaining independent of outcome. The SMM, using standard methodology, moved the point estimate closer to 0 (no difference between arms) compared to the ITT and PP analyses, but the confidence interval was still within the NI margin, indicating that the conclusions drawn would remain the same. In the ZICE study, cognitive functioning as measured by the corresponding domain of the QLQ-C30, and use of chemotherapy at baseline were both differentially associated with adherence while remaining independent of outcome. However, while the SMM again moved the point estimate closer to 0, the confidence interval was wide, overlapping with any NI margin that could be justified. Conclusion Deriving RBEEs in NI trials with two active treatments can provide a randomisation-respecting estimate of treatment efficacy that accounts for treatment adherence, is straightforward to implement, but requires thorough planning during the design stage of the study to ensure that strong baseline predictors of treatment are captured. Extension of the approach to handle nonlinear outcome variables is also required. Trial registration The CODA study: ClinicalTrials.gov, identifier: NCT00708656. Registered on 8 April 2008. The ZICE study trial: ClinicalTrials.gov, identifier: NCT00326820. Registered on 16 May 2006

    Integrating Summarization and Retrieval for Enhanced Personalization via Large Language Models

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    Personalization, the ability to tailor a system to individual users, is an essential factor in user experience with natural language processing (NLP) systems. With the emergence of Large Language Models (LLMs), a key question is how to leverage these models to better personalize user experiences. To personalize a language model's output, a straightforward approach is to incorporate past user data into the language model prompt, but this approach can result in lengthy inputs exceeding limitations on input length and incurring latency and cost issues. Existing approaches tackle such challenges by selectively extracting relevant user data (i.e. selective retrieval) to construct a prompt for downstream tasks. However, retrieval-based methods are limited by potential information loss, lack of more profound user understanding, and cold-start challenges. To overcome these limitations, we propose a novel summary-augmented approach by extending retrieval-augmented personalization with task-aware user summaries generated by LLMs. The summaries can be generated and stored offline, enabling real-world systems with runtime constraints like voice assistants to leverage the power of LLMs. Experiments show our method with 75% less of retrieved user data is on-par or outperforms retrieval augmentation on most tasks in the LaMP personalization benchmark. We demonstrate that offline summarization via LLMs and runtime retrieval enables better performance for personalization on a range of tasks under practical constraints.Comment: 4 pages, International Workshop on Personalized Generative AI (@CIKM 2023

    Automated Text Messaging With Patients in Department of Veterans Affairs Specialty Clinics: Cluster Randomized Trial

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    BACKGROUND: Acceptability of mobile phone text messaging as a means of asynchronous communication between health care systems and patients is growing. The US Department of Veterans Affairs (VA) has adopted an automated texting system (aTS) for national rollout. The aTS allows providers to develop clinical texting protocols to promote patient self-management and allows clinical teams to monitor patient progress between in-person visits. Texting-supported hepatitis C virus (HCV) treatment has not been previously tested. OBJECTIVE: Guided by the Practical, Robust Implementation and Sustainability Model (PRISM), we developed an aTS HCV protocol and conducted a mixed methods, hybrid type 2 effectiveness implementation study comparing two programs supporting implementation of the aTS HCV protocol for medication adherence in patients with HCV. METHODS: Seven VA HCV specialty clinics were randomized to usual aTS implementation versus an augmented implementation facilitation program. Implementation process measures included facilitation metrics, usability, and usefulness. Implementation outcomes included provider and patient use of the aTS HCV protocol, and effectiveness outcomes included medication adherence, health perceptions and behaviors, and sustained virologic response (SVR). RESULTS: Across the seven randomized clinics, there were 293 facilitation events using a core set of nine implementation strategies (157 events in augmented implementation facilitation, 136 events in usual implementation). Providers found the aTS appropriate with high potential for scale-up but not without difficulties in startup, patient selection and recruitment, and clinic workflow integration. Patients largely found the aTS easy to use and helpful; however, low perceived need for self-management support contributed to high declination. Reach and use was modest with 197 patients approached, 71 (36%) enrolled, 50 (25%) authenticated, and 32 (16%) using the aTS. In augmented implementation facilitation clinics, more patients actively used the aTS HCV protocol compared with usual clinic patients (20% vs 12%). Patients who texted reported lower distress about failing HCV treatment (13/15, 87%, vs 8/15, 53%; P=.05) and better adherence to HCV medication (11/15, 73%, reporting excellent adherence vs 6/15, 40%; P=.06), although SVR did not differ by group. CONCLUSIONS: The aTS is a promising intervention for improving patient self-management; however, augmented approaches to implementation may be needed to support clinician buy-in and patient engagement. Considering the behavioral, social, organizational, and technical scale-up challenges that we documented, successful and sustained implementation of the aTS may require implementation strategies that operate at the clinic, provider, and patient levels. TRIAL REGISTRATION: Retrospectively registered at ClinicalTrials.gov NCT03898349; https://clinicaltrials.gov/ct2/show/NCT03898349. Jessica Lipschitz, Beth Ann Petrakis, Chris Gillespie, D Keith McInnes

    Modelling the Dynamics of an Aedes albopictus Population

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    We present a methodology for modelling population dynamics with formal means of computer science. This allows unambiguous description of systems and application of analysis tools such as simulators and model checkers. In particular, the dynamics of a population of Aedes albopictus (a species of mosquito) and its modelling with the Stochastic Calculus of Looping Sequences (Stochastic CLS) are considered. The use of Stochastic CLS to model population dynamics requires an extension which allows environmental events (such as changes in the temperature and rainfalls) to be taken into account. A simulator for the constructed model is developed via translation into the specification language Maude, and used to compare the dynamics obtained from the model with real data.Comment: In Proceedings AMCA-POP 2010, arXiv:1008.314

    Haptic guidance improves the visuo-manual tracking of trajectories

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    BACKGROUND: Learning to perform new movements is usually achieved by following visual demonstrations. Haptic guidance by a force feedback device is a recent and original technology which provides additional proprioceptive cues during visuo-motor learning tasks. The effects of two types of haptic guidances-control in position (HGP) or in force (HGF)-on visuo-manual tracking ("following") of trajectories are still under debate. METHODOLOGY/PRINCIPALS FINDINGS: Three training techniques of haptic guidance (HGP, HGF or control condition, NHG, without haptic guidance) were evaluated in two experiments. Movements produced by adults were assessed in terms of shapes (dynamic time warping) and kinematics criteria (number of velocity peaks and mean velocity) before and after the training sessions. CONCLUSION/SIGNIFICANCE: These results show that the addition of haptic information, probably encoded in force coordinates, play a crucial role on the visuo-manual tracking of new trajectories
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