Audio Description in Video Games Research in Progress

As video games continue to grow in popularity, accessibility is a key concern which developers must consider to ensure the most people possible can enjoy the games they create (Cairns et al., 2019; Nova et al., 2021). With approximately 500,000 blind and partially sighted people in Canada alone, visual accessibility is a central concern of game accessibility. Visual accessibility has developed for decades with one of the most popular and effective methods of this being audio description (AD) (Fryer, 2016). Audio description comes in different styles depending on its use, with standard and extended AD being 2 of the most common types (Canadian National Institute for the Blind, 2019). Despite the success of this option in film and television, AD has not caught on in the game industry (SightlessKombat, 2020). This research looks to investigate AD as a method for visual accessibility in video games with a focus on determining the advantages and disadvantages of both standard and extended AD in this medium

Impact echo data from bridge deck testing: Visualization and interpretation

Accurate assessment of the condition of bridges leads to their economic management. Ultrasonic seismic methods can be successfully used for this purpose through evaluation of changes in material characteristics and detection of the development of defects and zones of deterioration. The impact echo (IE) method is of special benefit in evaluation of corrosion-induced deck delamination, due to the method's nondestructive nature, speed of evaluation, and ability to detect delaminated zones at various stages of deterioration: from initial to progressed and developed. The traditional approach in condition assessment of bridge decks by IE on the basis of review of individual test point records and a new automated approach based on three-dimensional (3-D) data visualization are presented. The developed 3-D visualization platform allows both the advanced presentation and interpretation of IE data. The data presentation is provided as 3-D translucent visualizations of reflectors in a bridge deck section and horizontal and vertical cross sections through all distinctive zones, including a zone of delamination. The associated interpretation platform allows both (a) the overall assessment of the condition of the deck, through cumulative distributions and histograms of reflection intensity, and (b) identification of deteriorated zones of the deck for repair or rehabilitation in an efficient and intuitive way. The visualization platform effectively enables an IE device to be used as a type of bridge deck sonar device

Bone orthotropic remodeling as a thermodynamically-driven evolution

International audienceIn this contribution we present and discuss a model of bone remodeling set up in the framework of the theory of generalized continuum mechanics and first introduced by DiCarlo et al.[1]. Bone is described as an orthotropic body experiencing remodeling as a rotation of its microstruc-ture. Thus, the complete kinematic description of a material point is provided by its position in space and a rotation tensor describing the orientation of its microstructure. Material motion is driven by energetic considerations , namely by the application of the Clausius-Duhem inequality to the microstructured material. Within this framework of orthotropic re-modeling, some key features of the remodeling equilibrium configurations are deduced in the case of homogeneous strain or stress loading conditions. First, it is shown that remodeling equilibrium configurations correspond to energy extrema. Second, stability of the remodeling equilibrium configurations is assessed in terms of the local convexity of the strain and complementary energy functionals hence recovering some classical energy theorems. Eventually, it is shown that the remodeling equilibrium configurations are not only highly dependent on the loading conditions, but also on the material properties

Finite Element Studies of Transient Wave Propagation

The National Bureau of Standards (NBS) has been working to develop a nondestructive test method for heterogenous solids using transient stress waves [1-5]. The method is referred to as the impact-echo method. The technique involves introducing a transient stress pulse into a test object by mechanical impact at a point and measuring the surface displacement caused by the arrival of reflections of the pulse from internal defects and external boundaries. Successful signal interpretation requires an understanding of the nature of transient stress wave propagation in solids containing defects. A primary focus of the NBS program is on using the finite element method to gain this understanding.</p

Neoangiogenesis and Blood-brain Barrier Dysfunction in Human TSC Brain Lesions

Introduction: Tuberous sclerosis complex (TSC) is a genetic disorder characterized by the presence of multiple benign tumors throughout the body and brain. Patients with TSC experience severe cognitive dysfunction and therapy-resistant seizures, which can be associated with refractory epilepsy and poor developmental outcomes. We hypothesize that neoangiogenesis, disruption of the blood-brain barrier, and leakage of serum proteins into the brain parenchyma play vital roles in the pathogenesis of TSC. Methods: In order to assess blood-brain barrier integrity, cortical tissue samples from TSC patients with intractable seizures, non-TSC patients with therapy-resistant epilepsy, and control subjects were immunolabeled for the serum protein fibrinogen, the adherens junction protein V-cadherin, and the tight junction protein occludin. Lectin was used to visualize blood vessels. Quantification was performed to assess average blood vessel segment length and branching. The fraction of membrane-associated V-cadherin and occludin, relative to the blood vessel surface area represented by lectin, was also analyzed. Results: The average length of blood vessel segments and the average number of branch nodes were significantly increased in TSC compared to epilepsy and control. The average surface area fraction of V-cadherin and occludin was significantly decreased in TSC compared to control. In addition, fibrinogen staining outside of the blood vessels was extensive in both TSC and epilepsy. These results confirm our hypothesis, suggesting blood-brain barrier dysfunction in TSC, with disease-specific neoangiogenic mechanisms in TSC. Discussion: Our results show increased blood-brain barrier permeability and increased vascular proliferation in TSC. These findings are likely due to decreased expression of tight junctions and adherens junctions in TSC cortical tissue. These results suggest that antiangiogenic therapies targeting the blood-brain barrier may offer a novel approach to preventing epileptogenesis in patients with TSC

Risk calculator for prediction of treatment-related urethroplasty failure in patients with penile urethral strictures

Purpose To design a dedicated risk calculator for patients with penile urethra stricture who are scheduled to urethroplasty that might be used to counsel patients according to their pre-operative risk of failure. Methods Patients treated with penile urethroplasty at our center (1994-2018) were included in the study. Patients received 1-stage or staged penile urethroplasty. Patients with failed hypospadias repair, lichen sclerosus or incomplete clinical records were excluded. Treatment failure was defined as any required postoperative instrumentation, including dilation. Univariable Cox regression identified predictors of post-operative treatment failure and Kaplan-Meier analysis plotted the failure-free survival rates according to such predictors. Multivariable Cox regression-based risk calculator was generated to predict the risk of treatment failure at 10 years after surgery. Results 261 patients met the inclusion criteria. Median follow-up was 113 months. Out of 216 patients, 201 (77%) were classified as success and 60 (23%) failures. Former smoker (hazard ratio [HR] 2.12, p = 0.025), instrumentation-derived stricture (HR 2.55, p = 0.006), and use of grafts (HR 1.83, p = 0.037) were predictors of treatment failure. Model-derived probabilities showed that the 10-year risk of treatment failure varied from 5.8 to 41.1% according to patient's characteristics. Conclusions Long-term prognosis in patients who underwent penile urethroplasty is uncertain. To date, our risk-calculator represents the first tool that might help physicians to predict the risk of treatment failure at 10 years. According to our model, such risk is largely influenced by the etiology of the stricture, the use of graft, and patient's smoking habits

Repair of sphincter urethral strictures preserving urinary continence: surgical technique and outcomes

Introduction Repair of post-TURP sphincter urethral strictures represents challenging problem, due to the risk of urinary incontinence after the repair. We described a surgical technique we use to repair these strictures preserving urinary continence in patients with incompetent bladder neck. Materials and methods An observational, retrospective, study was conducted to include patients with post-TURP urethral strictures in the area of distal sphincter. We included only patients with complete clinical data and follow-up who previously underwent TURP or HOLEP or TUIP, and subsequently developed proximal bulbar urethral strictures close to the membranous urethra and the related distal urethral sphincter. Patients were included, if they were fully continent after TURP or other procedures to treat BPH. The primary outcome of the study was treatment failure, defined as the need for any post-operative instrumentation. Secondary outcome was post-urethroplasty urinary continence. Patients showing stricture recurrence or post-operative incontinence were classified as failure. Results Overall, 69 patients were included in the study. Median patient's age was 67 years; median stricture length was 4 cm. Thirty-tree patients (47.8%) underwent previous urethrotomy. Median follow-up was 52 months. Out of 69 patients, 55 (79.7%) were classified as success and 14 (20.3%) as failure. Out of the whole cohort, thus, 11/69 (16%) have a risk of recurrent strictures and 3/69 (4.3%) have incontinence. Conclusions The use of modified ventral onlay graft urethroplasty, using particular non-aggressive steps, is a suitable surgical technique for repair of sphincter urethral stricture in patients who underwent BPH transurethral surgery, using different procedures (TURP, HOLEP, TUIP)

Focus on Internal Urethrotomy as Primary Treatment for Untreated Bulbar Urethral Strictures: Results from a Multivariable Analysis

Background: The use of internal urethrotomy for treatment of urethral stricture remains a controversial topic in urology.Objective: To investigate outcomes and predictors of failure for internal urethrotomy as primary treatment for untreated bulbar urethral strictures.Design, setting, and participants: We performed a retrospective analysis of patients who underwent internal urethrotomy. Patients with bulbar urethral stricture who did not receive any previous treatment were included. Patients with traumatic, penile or posterior urethral strictures, lichen sclerosus, failed hypospadias repair, or stricture length &gt;4 cm were excluded.Outcome measurements and statistical analysis: The primary outcome was treatment failure. Kaplan-Meyer plots were used to depict treatment failure-free survival. Univariate and multivariable Cox regression analyses were used to test the association between predictors (age, body mass index, diabetes, history of smoking, etiology, stenosis type and length, preoperative maximum flow [pQ(max)]) and treatment failure.Results and limitations: Overall, 136 patients were included. The median stricture length was 2 cm. Median follow-up was 55 mo. At 5-yr follow-up the failure-free survival rate was 57%. On univariate analysis, diabetes, nonidiopathic etiology, stricture length of 3-4 cm, and pQ(max) were significantly associated with treatment failure. These predictors were included in a multivariable analysis, in which pQ(max) was the only significant predictor of treatment failure.Conclusions: Failure of internal urethrotomy for untreated bulbar urethral strictures greatly depends on pQ(max) flow at uroflowmetry. Patients with pQ(max &gt;) 8 ml/s have a high probability of success, while patients with pQ(max) &lt;5 ml/s have a low probability of success.Patient summary: The use of internal urethrotomy in patients with an untreated bulbar urethral stricture should only be considered in selected cases. (C) 2018 European Association of Urology. Published by Elsevier B.V. All rights reserved