Living with the user: Design drama for dementia care through responsive scripted experiences in the home

Participation in forms of drama and narrative can provoke empathy and creativity in user-centred design processes. In this paper, we expand upon existing methods to explore the potential for responsive scripted experiences that are delivered through the combination of sensors and output devices placed in a home. The approach is being developed in the context of Dementia care, where the capacity for rich user participation in design activities is limited. In this case, a system can act as a proxy for a person with Dementia, allowing designers to gain experiences and insight as to what it is like to provide care for, and live with, this person. We describe the rationale behind the approach, a prototype system architecture, and our current work to explore the creation of scripted experiences for design, played out though UbiComp technologies.This research is funded by the Arts and Humanities Research Council UK, (AH/K00266X/1) and Horizon Digital Economy Research (RCUK grant EP/G065802/1)

Preparing University Adjunct Faculty to Teach

Colleges and universities employ adjunct faculty to fill personnel needs not met when availability of full time faculty is insufficient; as such, academic leaders should find ways to ensure the success of this vitally important faculty group. This qualitative research inquiry studied adjunct faculty perceptions regarding factors deemed necessary to acquire and hone pedagogical competence in university settings. Using a phenomenological approach, the research team studied how eight college and university adjunct faculty, both pre-service and in-service, perceived teaching preparation. Deliberate Practice Theory undergirded this inquiry. Three themes emerged from the study: preparation to teach, teaching content, and institutional support. The research team recommends the following practices to prepare adjunct faculty for teaching success: construct job embedded professional development, foster a robust system of observation and feedback, and create adjunct faculty mentoring programs. Citation: Parker, D. M., McAuley Brown, L.T., Holmes, B.D. (2018). Preparing University Adjunct Faculty to Teach. Journal of Higher Education Theory and Practice 18(7).https://openriver.winona.edu/educationeddfacultyworks/1008/thumbnail.jp

Inter-social-networking: Accounting for multiple identities

We argue that the current approaches to online social networking give rise to numerous challenges regarding the management of the multiple facets of people’s digital identities within and around social networking sites (SNS). We propose an architecture for enabling people to better manage their SNS identities that is informed by the way the core Internet protocols developed to support interoperation of proprietary network protocols, and based on the idea of Separation of Concerns [1]. This does not require modification of existing services but is predicated on providing a connecting layer over them, both as a mechanism to address problems of privacy and identity, and to create opportunities to open up online social networking to a much richer set of possible interactions and applications.This work is supported by Horizon Digital Economy Research, RCUK grant EP/G065802/1; and by CREATe, the Centre for Copyright and New Business Models, RCUK grant AH/K000179/1. Packages and source are available under open source licenses at github.com/CREATe-centre/.This is the author accepted manuscript. The final version is available from Springer via http://dx.doi.org/10.1007/978-3-319-20367-6_2

Exercise intervention in brain injury: a pilot randomized study of Tai Chi Qigong

Objective: To examine the effects of a brief Tai Chi Chuan Qigong (‘Qigong’) exercise intervention on individuals with traumatic brain injury. Design: A single-centre randomized controlled trial pilot study. Setting: A registered charity day centre in the community. Subjects: Twenty individuals with traumatic brain injury. Intervention: Intervention participants attended a Qigong exercise session for one hour per week over eight weeks. Control participants engaged in non-exercise-based social and leisure activities for the same intervention period. Measures: Outcome was assessed at baseline and post intervention using the General Health Questionnaire-12, the Physical Self-Description Questionnaire and the Social Support for Exercise Habits Scale, to measure perceived mood, self-esteem, flexibility, coordination, physical activity and social support. Results: Groups were comparable at baseline. After the intervention, mood was improved in the exercise group when compared with controls (U ¼ 22.0, P ¼ 0.02). Improvements in self-esteem (Z ¼ 2.397, P ¼ 0.01) and mood (Z ¼ –2.032, P ¼ 0.04) across the study period were also evident in the exercise group only. There were no significant differences in physical functioning between groups. In view of the sample size, these findings are inconclusive. Conclusions: This study provides preliminary evidence that a brief Qigong exercise intervention programme may improve mood and self-esteem for individuals with traumatic brain injury. This needs to be tested in a large-scale randomized trial

Magnetically Focused Proton Irradiation of Small Volume Radiosurgery Targets Using a Triplet of Quadrupole Magnets

Proton therapy is an advantageous choice for the irradiation of tumors in proximity of critical structures due to rapid dose fall off and high dose deposition at target compared to dose at the surface of the patient (ie, peak-to-entrance dose ratio (P/E)). However, with target fields below 1.0 cm, as often encountered in proton radiosurgery, multiple Coulomb scattering (MCS) broadens proton beams leading to diminished P/E advantages and reduced dose delivery efficiency (DDE). Magnetic focusing tends to counteract MCS and is a promising method to reduce these undesirable effects. The purpose of this research is to investigate the advantages of proton magnetic focusing with a triplet of quadrupole rare earth permanent magnets

Levosimendan for the prevention of acute organ dysfunction in sepsis

BACKGROUND Levosimendan is a calcium-sensitizing drug with inotropic and other properties that may improve outcomes in patients with sepsis. METHODS We conducted a double-blind, randomized clinical trial to investigate whether levosimendan reduces the severity of organ dysfunction in adults with sepsis. Patients were randomly assigned to receive a blinded infusion of levosimendan (at a dose of 0.05 to 0.2 μg per kilogram of body weight per minute) for 24 hours or placebo in addition to standard care. The primary outcome was the mean daily Sequential Organ Failure Assessment (SOFA) score in the intensive care unit up to day 28 (scores for each of five systems range from 0 to 4, with higher scores indicating more severe dysfunction; maximum score, 20). Secondary outcomes included 28-day mortality, time to weaning from mechanical ventilation, and adverse events. RESULTS The trial recruited 516 patients; 259 were assigned to receive levosimendan and 257 to receive placebo. There was no significant difference in the mean (±SD) SOFA score between the levosimendan group and the placebo group (6.68±3.96 vs. 6.06±3.89; mean difference, 0.61; 95% confidence interval [CI], −0.07 to 1.29; P=0.053). Mortality at 28 days was 34.5% in the levosimendan group and 30.9% in the placebo group (absolute difference, 3.6 percentage points; 95% CI, −4.5 to 11.7; P=0.43). Among patients requiring ventilation at baseline, those in the levosimendan group were less likely than those in the placebo group to be successfully weaned from mechanical ventilation over the period of 28 days (hazard ratio, 0.77; 95% CI, 0.60 to 0.97; P=0.03). More patients in the levosimendan group than in the placebo group had supraventricular tachyarrhythmia (3.1% vs. 0.4%; absolute difference, 2.7 percentage points; 95% CI, 0.1 to 5.3; P=0.04). CONCLUSIONS The addition of levosimendan to standard treatment in adults with sepsis was not associated with less severe organ dysfunction or lower mortality. Levosimendan was associated with a lower likelihood of successful weaning from mechanical ventilation and a higher risk of supraventricular tachyarrhythmia. (Funded by the NIHR Efficacy and Mechanism Evaluation Programme and others; LeoPARDS Current Controlled Trials number, ISRCTN12776039.