Exploring pen and paper interaction with high-resolution wall displays

We introduce HIPerPaper, a novel digital pen and paper inter-face that enables natural interaction with a 31.8 by 7.5 foot tiled wall display of 268,720,000 pixels. HIPerPaper pro-vides a flexible, portable, and inexpensive medium for inter-acting with large high-resolution wall displays. While the size and resolution of such displays allow visualization of data sets of a scale not previously possible, mechanisms for interacting with wall displays remain challenging. HIPerPaper enables multiple concurrent users to select, move, scale, and rotate objects on a high-dimension wall display. ACM Classification: H.5.2 [Information Interfaces and Pre

Kids Telling Fables Through 3D Animation

Creating 3D animations has traditionally been restricted to adult experts. With the advent of easy-to-use software packages like Alice, we can now imagine animations being created by end users with no formal training in this area. Does this work in practice? Supporting real people in the successful use of complex multimedia authoring environments requires not only quality software, but also a supportive social context. What might such a supportive social context look like? In this paper, we report on a workshop in which seventeen children ages 11-12, working in pairs, were asked to make their own animations using Alice. Students were part of a language arts class studying fables, and were asked to retell a fable of their choice in 3D animation. This assignment proved to be an appropriate size and scope for the time available, skills of the students, and affordances of the software. The students found the assignment motivating, and their teacher was pleased with learning outcomes. We discuss social and technical factors that helped students create successful animated fables

HCI and Aging:Beyond Accessibility

Despite improvements in the accessibility of digital technologies and growing numbers of tools designed specifically for older adults, adoption of such tools remains low for this demographic. This workshop aims to explore the contextual factors that contribute to reduced uptake among older adults in order to understand how to design digital technologies that will be appealing to and work for them, fitting with recent calls for more holistic approaches to designing for older adults. Going beyond standard accessibility considerations, and aiming to inform design of technologies for the general population rather than the design of senior-friendly variants of such tools, we will generate a set of principles for developing tools that older adults can and will use

The harm in conflating aging with accessibility

Including older adults as full stakeholders in digital society. </p

The future of care work: towards a radical politics of care in CSCW research and practice

Computer-Supported Cooperative Work (CSCW) and Human- Computer Interaction (HCI) have long studied how technology can support material and relational aspects of care work, typically in clinical healthcare settings. More recently, we see increasing recognition of care work such as informal healthcare provision, child and elderly care, organizing and advocacy, domestic work, and service work. However, the COVID-19 pandemic has underscored long-present tensions between the deep necessity and simultaneous devaluation of our care infrastructures. This highlights the need to attend to the broader social, political, and economic systems that shape care work and the emerging technologies being used in care work. This leads us to ask several critical questions: What counts as care work and why? How is care work (de)valued, (un)supported, or coerced under capitalism and to what end? What narratives drive the push for technology in care work and whom does it benefit? How does care work resist or build resilience against and within oppressive systems? And how can we as researchers advocate for and with care and caregivers? In this one-day workshop, we will bring together researchers from academia, industry, and community-based organizations to reflect on these questions and extend conversations on the future of technology for care work

The impact of immediate breast reconstruction on the time to delivery of adjuvant therapy: the iBRA-2 study

Background: Immediate breast reconstruction (IBR) is routinely offered to improve quality-of-life for women requiring mastectomy, but there are concerns that more complex surgery may delay adjuvant oncological treatments and compromise long-term outcomes. High-quality evidence is lacking. The iBRA-2 study aimed to investigate the impact of IBR on time to adjuvant therapy. Methods: Consecutive women undergoing mastectomy ± IBR for breast cancer July–December, 2016 were included. Patient demographics, operative, oncological and complication data were collected. Time from last definitive cancer surgery to first adjuvant treatment for patients undergoing mastectomy ± IBR were compared and risk factors associated with delays explored. Results: A total of 2540 patients were recruited from 76 centres; 1008 (39.7%) underwent IBR (implant-only [n = 675, 26.6%]; pedicled flaps [n = 105,4.1%] and free-flaps [n = 228, 8.9%]). Complications requiring re-admission or re-operation were significantly more common in patients undergoing IBR than those receiving mastectomy. Adjuvant chemotherapy or radiotherapy was required by 1235 (48.6%) patients. No clinically significant differences were seen in time to adjuvant therapy between patient groups but major complications irrespective of surgery received were significantly associated with treatment delays. Conclusions: IBR does not result in clinically significant delays to adjuvant therapy, but post-operative complications are associated with treatment delays. Strategies to minimise complications, including careful patient selection, are required to improve outcomes for patients

Multiorgan MRI findings after hospitalisation with COVID-19 in the UK (C-MORE): a prospective, multicentre, observational cohort study

Introduction: The multiorgan impact of moderate to severe coronavirus infections in the post-acute phase is still poorly understood. We aimed to evaluate the excess burden of multiorgan abnormalities after hospitalisation with COVID-19, evaluate their determinants, and explore associations with patient-related outcome measures. Methods: In a prospective, UK-wide, multicentre MRI follow-up study (C-MORE), adults (aged ≥18 years) discharged from hospital following COVID-19 who were included in Tier 2 of the Post-hospitalisation COVID-19 study (PHOSP-COVID) and contemporary controls with no evidence of previous COVID-19 (SARS-CoV-2 nucleocapsid antibody negative) underwent multiorgan MRI (lungs, heart, brain, liver, and kidneys) with quantitative and qualitative assessment of images and clinical adjudication when relevant. Individuals with end-stage renal failure or contraindications to MRI were excluded. Participants also underwent detailed recording of symptoms, and physiological and biochemical tests. The primary outcome was the excess burden of multiorgan abnormalities (two or more organs) relative to controls, with further adjustments for potential confounders. The C-MORE study is ongoing and is registered with ClinicalTrials.gov, NCT04510025. Findings: Of 2710 participants in Tier 2 of PHOSP-COVID, 531 were recruited across 13 UK-wide C-MORE sites. After exclusions, 259 C-MORE patients (mean age 57 years [SD 12]; 158 [61%] male and 101 [39%] female) who were discharged from hospital with PCR-confirmed or clinically diagnosed COVID-19 between March 1, 2020, and Nov 1, 2021, and 52 non-COVID-19 controls from the community (mean age 49 years [SD 14]; 30 [58%] male and 22 [42%] female) were included in the analysis. Patients were assessed at a median of 5·0 months (IQR 4·2–6·3) after hospital discharge. Compared with non-COVID-19 controls, patients were older, living with more obesity, and had more comorbidities. Multiorgan abnormalities on MRI were more frequent in patients than in controls (157 [61%] of 259 vs 14 [27%] of 52; p&lt;0·0001) and independently associated with COVID-19 status (odds ratio [OR] 2·9 [95% CI 1·5–5·8]; padjusted=0·0023) after adjusting for relevant confounders. Compared with controls, patients were more likely to have MRI evidence of lung abnormalities (p=0·0001; parenchymal abnormalities), brain abnormalities (p&lt;0·0001; more white matter hyperintensities and regional brain volume reduction), and kidney abnormalities (p=0·014; lower medullary T1 and loss of corticomedullary differentiation), whereas cardiac and liver MRI abnormalities were similar between patients and controls. Patients with multiorgan abnormalities were older (difference in mean age 7 years [95% CI 4–10]; mean age of 59·8 years [SD 11·7] with multiorgan abnormalities vs mean age of 52·8 years [11·9] without multiorgan abnormalities; p&lt;0·0001), more likely to have three or more comorbidities (OR 2·47 [1·32–4·82]; padjusted=0·0059), and more likely to have a more severe acute infection (acute CRP &gt;5mg/L, OR 3·55 [1·23–11·88]; padjusted=0·025) than those without multiorgan abnormalities. Presence of lung MRI abnormalities was associated with a two-fold higher risk of chest tightness, and multiorgan MRI abnormalities were associated with severe and very severe persistent physical and mental health impairment (PHOSP-COVID symptom clusters) after hospitalisation. Interpretation: After hospitalisation for COVID-19, people are at risk of multiorgan abnormalities in the medium term. Our findings emphasise the need for proactive multidisciplinary care pathways, with the potential for imaging to guide surveillance frequency and therapeutic stratification

Online social connectedness and anxiety among older adults

Prior work suggests that for older adults, using the Internet may reduce loneliness and thereby improve mental health. However, most studies concentrate on the relationship between Internet use and depression. Anxiety as an outcome of interest remains less understood, particularly for older adults. Using data from an online survey of older adults age 60+, we examine the relationship between varying ways of socializing online and general anxiety. Differing from past work, we employ use measures that focus on experiences with online social interaction in general rather than restricting these to particular platforms. We find that belonging to online communities and participating in meaningful online discussions are associated with greater anxiety. Participation in meaningful online discussions specifically about health and aging also relate to greater anxiety. Our results suggest a relationship between greater amounts of online social interaction and diminished mental health among older adults

SIDES: A Cooperative Tabletop Computer Game for Social Skills Development

This paper presents a design case study of SIDES: Shared Interfaces to Develop Effective Social Skills. SIDES is a tool designed to help adolescents with Asperger’s Syndrome practice effective group work skills using a four-player cooperative computer game that runs on tabletop technology. We present the design process and evaluation of SIDES conducted over six months with a middle school social group therapy class. Our findings indicate that cooperative tabletop computer games are a motivating and supportive tool for facilitating effective group work among our target population and reveal several design lessons to inform the development of similar systems. Categories and Subject Descriptors H.5.3 [Information Interfaces and Presentation (e.g., HCI)]