AMELIE: Authoring Multimedia-Enhanced Learning Interactive Environment for e-Health Contents

This paper presents the AMELIE Authoring Tool for e-health applications. AMELIE provides the means for creating video-based contents with a focus on e-learning and telerehabilitation processes. The main core of AMELIE lies in the efficient exploitation of raw multimedia resources, which may be already available at clinical centers or recorded ad hoc for learning purposes by health professionals. Three real use cases scenarios involving different target users are presented: (1) cognitive skills? training of surgeons in minimally invasive surgery (medical professionals), (2) training of informal carers for elderly home assistance and (3) cognitive rehabilitation of patients with acquired brain injury. Preliminary validation in the field of surgery hints at the potential of AMELIE; and its versatility in different medical applications is patent from the use cases described. Regardless, new validation studies are planned in the three main application areas identified in this work

Large scale and information effects on cooperation in public good games

The problem of public good provision is central in economics and touches upon many challenging societal issues, ranging from climate change mitigation to vaccination schemes. However, results which are supposed to be applied to a societal scale have only been obtained with small groups of people, with a maximum group size of 100 being reported in the literature. This work takes this research to a new level by carrying out and analysing experiments on public good games with up to 1000 simultaneous players. The experiments are carried out via an online protocol involving daily decisions for extended periods. Our results show that within those limits, participants' behaviour and collective outcomes in very large groups are qualitatively like those in smaller ones. On the other hand, large groups imply the difficulty of conveying information on others' choices to the participants. We thus consider different information conditions and show that they have a drastic effect on subjects' contributions. We also classify the individual decisions and find that they can be described by a moderate number of types. Our findings allow to extend the conclusions of smaller experiments to larger settings and are therefore a relevant step forward towards the understanding of human behaviour and the organisation of our society.A.A. gratefully acknowledges the financial support of the Ministerio de Economía y Competitividad of Spain under grant no. FJCI-2016-28276. This work was also supported by the EU through FET-Proactive Project DOLFINS (contract no. 640772, A.S.) and FET-Open Project IBSEN (contract no. 662725, A.S.), and by the Ministerio de Economía y Competitividad of Spain (grant no. FIS2015-64349-P, J.C. and A.S.) (MINECO/FEDER, UE), and by Ministerio de Ciencia, Innovación y Universidades/FEDER (Spain/UE) through grant PGC2018-098186-B-I00 (BASIC)

Adaptación de la usabilidad del entorno de formación TELMA a las necesidades de los cirujanos expertos

Uno de los principales inconvenientes manifestados por los cirujanos a la hora de llevar a cabo su formación continuada es la elevada carga asistencial que les limita la posibilidad de asistir a cursos y estancias presenciales. Por tanto, los cirujanos necesitan otros métodos formativos distintos a la formación in situ y para ello son de gran utilidad las tecnologías web, como es el caso de la plataforma de e-Learning TELMA, que ofrezcan contenidos didácticos adaptados a cada usuario para que puedan complementar su formación con contenidos multimedia online. Estudios previos de validación de TELMA detectaron diferentes problemas respecto a su diseño y usabilidad, propiciando mayores dificultades de accesibilidad para los cirujanos expertos en relación a los cirujanos noveles. Para corregirlos, en este trabajo se han analizado las deficiencias encontradas y se han propuesto una serie de medidas fundamentadas en un conjunto de directivas de diseño web que se deberían adoptar en futuras versiones de la plataforma TELMA para tratar de solventar estas desigualdades, ofreciendo a todos los usuarios tanto expertos como noveles, las mismas facilidades de accesibilidad

The relationship between consumption of tobacco and alcohol and self-concept in Spanish adolescents

La etapa adolescente constituye una fase esencial en el desarrollo de la persona; en estas edades las relaciones sociales y la adquisición de la personalidad son elementos claves, por tanto se planteó el siguiente estudio con los objetivos de determinar el autoconcepto de los adolescentes y cada una de sus dimensiones, así como describir el consumo habitual de alcohol y tabaco en la población adolescente y analizar las relaciones existentes entre el autoconcepto y las sustancias nocivas (alcohol y tabaco). Participaron un total de 2.134 adolescentes que permitió el registro y evaluación de las variables Autoconcepto (AF5), Consumo de Tabaco (FTND) y Consumo de Alcohol (AUDIT). Los resultados mostraron que el autoconcepto global era alto en los adolescentes, que en su mayoría eran no fumadores y el consumo de alcohol era perceptible únicamente en tres de cada diez jóvenes; y entre las dimensiones las más puntuadas eran la familiar y la social. Se encontró asociación en el caso de las dimensiones de autoconcepto familiar, académico y social con el consumo de alcohol, sin embargo debe señalarse que el número de adolescentes que ingerían alcohol era bastante escueto por lo que debemos ser cautos con dicha afirmación.The adolescent stage is an essential phase in the development of the individual; at this age social relations and the acquisition of personality are key elements, therefore the following study was proposed with the objectives of determining the self-concept of adolescents and each of its dimensions, as well as describing the habitual consumption of alcohol and tobacco in the adolescent population and to analyze the relationships between self-concept and harmful substances (alcohol and tobacco). A total of 2,134 adolescents from the province of Granada (Spain) participated in the study, which allowed the registration and evaluation of variables such as self-concept (AF5), tobacco consumption (FTND) and alcohol consumption (AUDIT). The results showed that global self-concept was high in those adolescents who in their majority were non-smokers, and alcohol consumption was only perceptible in three out of ten young people. Among the highest ranked dimensions were the family and social ones. An association was found between the dimensions of familial, academic and social self-concept and alcohol consumption; however it should be noted that the number of adolescents who drank alcohol was quite short so we must be cautious with this statement

Comparative study of two laparoscopic instrument tracker designs for motion analysis and image-guided surgery: a technical evaluation

Laparoscopic instrument tracking systems are a key element in image-guided interventions, which requires high accuracy to be used in a real surgical scenario. In addition, these systems are a suitable option for objective assessment of laparoscopic technical skills based on instrument motion analysis. This study presents a new approach that improves the accuracy of a previously presented system, which applies an optical pose tracking system to laparoscopic practice. A design enhancement of the artificial markers placed on the laparoscopic instrument as well as an improvement of the calibration process are presented as a means to achieve more accurate results. A technical evaluation has been performed in order to compare the accuracy between the previous design and the new approach. Results show a remarkable improvement in the fluctuation error throughout the measurement platform. Moreover, the accumulated distance error and the inclination error have been improved. The tilt range covered by the system is the same for both approaches, from 90º to 7.5º. The relative position error is better for the new approach mainly at close distances to the camera syste

Sistema de seguimiento del instrumental laparoscópico basado en marcas artificiales: pruebas iniciales

Sistema de seguimiento del instrumental laparoscópico basado en marcas artificiales: pruebas iniciale

Technical evaluation of a third generation optical pose tracker for motion analysis and image-guided surgery

Laparoscopic instrument tracking systems are an essential component in image-guided interventions and offer new possibilities to improve and automate objective assessment methods of surgical skills. In this study we present our system design to apply a third generation optical pose tracker (Micron- Tracker®) to laparoscopic practice. A technical evaluation of this design is performed in order to analyze its accuracy in computing the laparoscopic instrument tip position. Results show a stable fluctuation error over the entire analyzed workspace. The relative position errors are 1.776±1.675 mm, 1.817±1.762 mm, 1.854±1.740 mm, 2.455±2.164 mm, 2.545±2.496 mm, 2.764±2.342 mm, 2.512±2.493 mm for distances of 50, 100, 150, 200, 250, 300, and 350 mm, respectively. The accumulated distance error increases with the measured distance. The instrument inclination covered by the system is high, from 90 to 7.5 degrees. The system reports a low positional accuracy for the instrument tip

Long-Term Effectiveness of a Smartphone App and a Smart Band on Arterial Stiffness and Central Hemodynamic Parameters in a Population with Overweight and Obesity (Evident 3 Study): Randomised Controlled Trial

Background: mHealth technologies could help to improve cardiovascular health; however, their effect on arterial stiffness and hemodynamic parameters has not been explored to date. Objective: To evaluate the effect of a mHealth intervention, at 3 and 12 months, on arterial stiffness and central hemodynamic parameters in a sedentary population with overweight and obesity. Methods: Randomised controlled clinical trial (Evident 3 study). 253 subjects were included: 127 in the intervention group (IG) and 126 in the control group (CG). The IG subjects were briefed on the use of the Evident 3 app and a smart band (Mi Band 2, Xiaomi) for 3 months to promote healthy lifestyles. All measurements were recorded in the baseline visit and at 3 and 12 months. The carotid-femoral pulse wave velocity (cfPWV) and the central hemodynamic parameters were measured using a SphigmoCor System® device, whereas the brachial-ankle pulse wave velocity (baPWV) and the Cardio Ankle Vascular Index (CAVI) were measured using a VaSera VS-2000® device. Results: Of the 253 subjects who attended the initial visit, 237 (93.7%) completed the visit at 3 months of the intervention, and 217 (85.3%) completed the visit at 12 months of the intervention. At 12 months, IG showed a decrease in peripheral augmentation index (PAIx) (−3.60; 95% CI −7.22 to −0.00) and ejection duration (ED) (−0.82; 95% CI −1.36 to −0.27), and an increase in subendocardial viability ratio (SEVR) (5.31; 95% CI 1.18 to 9.44). In CG, cfPWV decreased at 3 months (−0.28 m/s; 95% CI −0.54 to −0.02) and at 12 months (−0.30 m/s, 95% CI −0.54 to −0.05), central diastolic pressure (cDBP) decreased at 12 months (−1.64 mm/Hg; 95% CI −3.19 to −0.10). When comparing the groups we found no differences between any variables analyzed. Conclusions: In sedentary adults with overweight or obesity, the multicomponent intervention (Smartphone app and an activity-tracking band) for 3 months did not modify arterial stiffness or the central hemodynamic parameters, with respect to the control group. However, at 12 months, CG presented a decrease of cfPWV and cDBP, whereas IG showed a decrease of PAIx and ED and an increase of SEVR

TELMA: Entorno de formación personalizada online en Cirugía de Mínima Invasión

TELMA es un entorno de formación y aprendizaje online basado en edición de vídeo laparoscópico, la gestión del conocimiento y el trabajo colaborativo con el fin de mejorar la efectividad y eficacia de los procesos de formación (inicial y continuada) de los cirujanos de Cirugía de Mínima Invasión (CMI). TELMA explota el uso del vídeo laparoscópico como el núcleo de los contenidos didácticos y hace uso de tecnologías de formación online y gestión de contenidos digitales multimedia, para mejorar la adaptación, calidad y eficiencia del servicio ofrecido al usuario. TELMA persigue acortar las curvas de aprendizaje, proporcionando a los cirujanos un acceso ubicuo a contenidos educativos y metodologías didácticas, dotando al aprendizaje de mayor interactividad y proporcionando a los alumnos un papel más activo, una mejor adquisición de los conocimientos y habilidades y un mayor uso de las fuentes de información disponibles

Categorization of Mining Materials for Restoration Projects by Means of Pollution Indices and Bioassays

Sulfide mining wastes may lead to severe environmental and human health risks. This study aims to use geochemical and ecotoxicological indicators for the assessment of the ecological risks of potentially toxic elements (PTEs) in the San Quintín mining group to categorize wastes prior to mining restoration. Ecotoxicity was evaluated using crustacean (Dahpnia magna, Thamnocephalus platyurus) and algae (Raphidocelis subcapitata) bioassays. The geochemical and mineralogical results suggested that the mining residues underwent intense weathering processes, with active processes of acidity generation and metal mobility. Total PTEs concentrations indicated that the mining materials were extremely polluted, with Pb, Zn and Cd geoaccumulation index (Igeo) values higher than 5 in more than 90% of the samples. The pollution load index (PLI) showed average values of 18.1, which classifies them as very highly polluted. The toxicity tests showed a higher toxicity for plants than crustaceans, being the highest values of toxicity related to toxic elements (Pb, Cd and Zn), electrical conductivity and to pH. This paper presents for the first time the combination of indices in the categorization of mining waste prior to its restoration. The combination of them has made it possible to categorize the waste and adapt the restoration and remediation procedures.Depto. de Mineralogía y PetrologíaFac. de Ciencias GeológicasTRUEMinisterio de Ciencia e Innovaciónpu