Selection and Dissemination of Digital Video via the Virtual Video Browser

designed to allow the interactive browsing and content-based query of a video database and to facilitate the subsequent playout of selected titles. The VVB is a manifestation of our mechanisms for the location, identification, and delivery of digital audio and video in a distributed system which can be extended to several application domains including multimedia-based home entertainment, catalog shopping, and distance learning. The VVB employs a two phase retrieval process to serve its users. In the query phase, user queries are sent to a metadata server for processing. In the subsequent playout phase, a connection is established between the client workstation and a video server for the delivery of video data. The VVB incorporates a simple query interface that lets users specify their preferences to the system and retrieve the appropriate video. The application is designed to work in a distributed environment where video sequences are stored in different databases interconnected via a network. It has been shown to be a viable target application useful for investigating research problems related to building interactive multimedia systems. Keywords: Video indexing, Internet-based services, metadata management, client-server architectures, video-on-demand

A randomized clinical trial of an intervention to relieve thirst and dry mouth in intensive care unit patients

PURPOSE: To test an intervention bundle for thirst intensity, thirst distress, and dry mouth, which are among the most pervasive, intense, distressful, unrecognized, and under-treated symptoms in ICU patients, but for which data-based interventions are lacking. METHODS: Single-blinded, randomized clinical trial in three ICUs in a tertiary medical center in urban California. 252 cognitively intact patients reporting thirst intensity (TI) and/or thirst distress (TD) scores ≥ 3 on 0–10 numeric rating scales (NRS) were randomized to Intervention or Usual Care groups. A Research Team Nurse (RTN#1) obtained patients’ pre-procedure TI and TD scores and reports of dry mouth. She then administered a thirst bundle to the Intervention group: oral swab wipes, sterile ice cold water sprays, and a lip moisturizer, or observed patients in the Usual Care group. RTN#2, blinded to group assignment, obtained post-procedure TI and TD scores. Up to 6 sessions per patient were conducted across two days. RESULTS: Multilevel linear regression determined that the average decreases in TI and TD scores from pre-procedure to post-procedure were significantly greater in the Intervention group (2.3 and 1.8 NRS points, respectively) versus the Usual Care group (0.6 and 0.4 points, respectively) (p < 0.05). The Usual Care group was 1.9 times more likely than the Intervention group to report dry mouth for each additional session on Day 1. CONCLUSION: This simple, inexpensive thirst bundle significantly decreased ICU patients’ thirst and dry mouth and can be considered a practice intervention for patients experiencing thirst. Clinical trial registered with www.clinicalTrials.gov (NCT01015755)

White Matter Integrity is Associated with Treatment Outcome Measures in Cocaine Dependence

Cocaine dependence is associated with white matter impairments that may compromise cognitive function and hence drug users' abilities to engage in and benefit from treatment. The main aim of this study was to assess whether white matter integrity correlates with treatment outcome measures in cocaine dependence. Diffusion tensor imaging (DTI) was used to assess the white matter (WM) of 16 treatment-seeking cocaine-dependent patients before 8 weeks of therapy. The measures for treatment outcome were longest self-reported duration of continuous cocaine abstinence, percent of urine screens negative for cocaine, and duration (weeks) of treatment retention. Correlations between treatment outcome measures and DTI parameters (fractional anisotropy (FA), longitudinal eigenvalue (λ1), perpendicular eigenvalue (λT), and mean diffusivity (MD)) were analyzed. Longest self-reported abstinence from cocaine and percent of cocaine-negative urine samples during treatment positively correlated with FA values and negatively correlated with λ1, λT, and MD values across extensive brain regions including the corpus callosum, frontal, parietal, temporal, and occipital lobes, and cerebellum. The findings of an association between better WM integrity at treatment onset and longer abstinence suggest that strategies for improving WM integrity warrant consideration in developing new interventions for cocaine dependence