Seniors with Diabetes-Investigation of the Impact of Semantic Auditory Distractions on the Usability of a Blood Glucose Tracking Mobile Application

Diabetes is the seventh leading cause of death in the United States. With the population rapidly aging, it is expected that 1 out of 3 Americans will have diabetes by 2050. Mobile devices and mobile applications have the potential to contribute to diabetes self-care by allowing users to manage their diabetes by keeping track of their blood glucose levels. Usability is important for systems that help people self-manage conditions such as diabetes. Age and diabetes-related cognitive decline might intensify the impact of usability issues for the users who need these mobile applications the most. As highlighted by usability researchers, the context of use (i.e. environment, user, task, and technology) has a significant impact on usability. The environment (lighting, temperature, audio and visual distractions, etc.) is of special interest to the mobile usability arena since in the case of mobile devices, is always changing. This dissertation aims to support the claim that context and more specifically environmental distraction such as semantic auditory distractions impact the usability of mobile applications. In doing so, it attempts to answer the following research questions: 1) Does semantic auditory distractions reduce the effectiveness of a blood glucose tracking mobile application? 2) Does semantic auditory distractions reduce the efficiency of a blood glucose tracking mobile application? 3) Does semantic auditory distractions reduce the user satisfaction of a blood glucose tracking mobile application? To answer the study research questions, a true experimental design was performed involving 30 adults with type 2 diabetes. Participants were paired based on their age and experience with smartphones and randomly assigned to the control (no semantic auditory distractions) or experimental (semantic auditory distractions) group. Research questions were tested using the general linear model. The results of this study confirmed that semantic auditory distractions have a significant effect on efficiency and effectiveness, and hence they need to be taken into account when evaluating mobile usability. This study also showed that semantic auditory distractions have no significant effect on user satisfaction. This dissertation enhances the current knowledge about the impact of semantic auditory distractions on the usability of mobile applications within the diabetic senior population

Static and dynamic XY-like short-range order in a frustrated magnet with exchange disorder

A single crystal of the Co2+ based pyrochlore NaCaCo2F7 was studied by inelastic neutron scattering. This frustrated magnet with quenched exchange disorder remains in a strongly correlated paramagnetic state down to one 60th of the Curie-Weiss temperature. Below T_f = 2.4 K, diffuse elastic scattering develops and comprises 30 +/- 10% of the total magnetic scattering, as expected for J_{eff} = 1/2 moments frozen on a time scale that exceeds \hbar/\delta E=3.8 ps. The diffuse scattering is consistent with short range XY antiferromagnetism with a correlation length of 16 \AA. The momentum (Q) dependence of the inelastic intensity indicates relaxing XY-like antiferromagnetic clusters at energies below ~ 5.5 meV, and collinear antiferromagnetic fluctuations above this energy. The relevant XY configurations form a continuous manifold of symmetry-related states. Contrary to well-known models that produce this continuous manifold, order-by-disorder does not select an ordered state in NaCaCo2F7 despite evidence for weak (~12 %) exchange disorder. Instead, NaCaCo2F7 freezes into short range ordered clusters that span this manifold.Comment: 9 pages, 9 figures. This updated version features modified figures and some new discussio

Patent foramen ovale, deep venous thrombosis and stroke; a paradoxical embolism in an 80-year-old male

Background: A patent foramen ovale (PFO) is a congenital cardiac malformation describing a shunt in between the atrial walls. The overall incidence of a PFO is around 27.3% with a progressive decrease to 25.4% in the 4th and 8th decades. Once it has been established that a patient with an ischemic stroke/transient ischemic attack (TIA) has a PFO and other sources of the stroke have been ruled out, it is imperative to consider deep vein thrombosis (DVT) as the source of a paradoxical embolus. Case Presentation: 80-year-old gentleman with a history of right internal carotid occlusion of 80-90% status post right internal carotid endarterectomy. Presented to the emergency department (ED) for sudden left-sided weakness, left facial droop, slurred speech, and dizziness. Upon initial evaluation he was asymptomatic; NIH stroke score 1. Magnetic resonance imaging of the brain showed important watershed infarcts. Cerebral angiogram found 50% concentric stenosis of the right middle cerebral artery (MCA) with minimal lineal filling defect in the stenotic segment. The filling defect cleared after injection of intra-arterial integrillin. Post procedure, patient was started on heparin drip. Cardiology was consulted for suspected paroxysmal atrial fibrillation and a transesophageal echocardiogram (TEE). Two days after the post cerebral angiogram, the patient began to complain of severe right leg pain. He was noted to be tachycardic and hypoxemic. The venous doppler of the leg revealed a DVT and subsequent CT chest angiography revealed bilateral pulmonary embolism (PE). TEE results showed a positive agitative saline test with defect in the intra-atrial wall. The patient was on heparin drip and transitioned after 7 days to oral anticoagulation. Loop recorder was installed with possible PFO correction by cardiology in the outpatient. Patients\u27 symptoms improved and he was discharged to inpatient rehab. Conclusion: Although rare a paradoxical embolus should be considered in patients presenting with a stroke/TIA, PFO, and an unidentified source of embolus. Although this patient did have 50% occlusion of the R MCA, we cannot fully exclude a PFO-related stroke. The discovery of a DVT, and bilateral PEs supports the high suspicion for PFO-related stroke in the form of paradoxical embolus

Multi-Q mesoscale magnetism in CeAuSb2_2

We report the discovery of a field driven transition from a striped to woven Spin Density Wave (SDW) in the tetragonal heavy fermion compound CeAuSb$_2$. Polarized along $\bf c$, the sinusoidal SDW amplitude is 1.8(2) $\mu_B$/Ce for $T \ll T_N$=6.25(10) K with wavevector ${\bf q}_{1}=( \eta, \eta, \frac{1}{2} )$ ($\eta=0.136(2)$). For ${\bf H}\parallel{\bf c}$, harmonics appearing at $2{\bf q}_{1}$ evidence a striped magnetic texture below $\mu_\circ H_{c1}=2.78(1)$ T. Above $H_{c1}$, these are replaced by woven harmonics at ${\bf q}_{1}+{\bf q}_2=(2\eta, 0, 0)+{\bf c}^*$ until $\mu_\circ H_{c2}=5.42(5)$ T, where satellites vanish and magnetization non-linearly approaches saturation at 1.64(2) $\mu_B$/Ce for $\mu_\circ H\approx 7$ T.Comment: 5 pages, 4 figure

Complete genome sequences of 15 chikungunya virus isolates from Puerto Rico

Here, we report the complete genome sequences of 15 chikungunya virus strains isolated from human plasma from infected patients in Puerto Rico. The results show that currently circulating chikungunya strains in Puerto Rico are closely related

Physical realization of a quantum spin liquid based on a novel frustration mechanism

Unlike conventional magnets where the magnetic moments are partially or completely static in the ground state, in a quantum spin liquid they remain in collective motion down to the lowest temperatures. The importance of this state is that it is coherent and highly entangled without breaking local symmetries. Such phenomena is usually sought in simple lattices where antiferromagnetic interactions and/or anisotropies that favor specific alignments of the magnetic moments are "frustrated" by lattice geometries incompatible with such order e.g. triangular structures. Despite an extensive search among such compounds, experimental realizations remain very few. Here we describe the investigation of a novel, unexplored magnetic system consisting of strong ferromagnetic and weaker antiferromagnetic isotropic interactions as realized by the compound Ca$_{10}$Cr$_7$O$_{28}$. Despite its exotic structure we show both experimentally and theoretically that it displays all the features expected of a quantum spin liquid including coherent spin dynamics in the ground state and the complete absence of static magnetism.Comment: Modified version accepted in Nature Physic

Antioxidant and Anti-Inflammatory Strategies Based on the Potentiation of Glutathione Peroxidase Activity Prevent Endothelial Dysfunction in Chronic Kidney Disease

BACKGROUND/AIMS: Accelerated atherosclerosis in chronic kidney disease (CKD) is preceded by endothelial dysfunction (ED), which exhibits a proinflammatory and prothrombotic phenotype and enhanced oxidative stress. In this study, the effect of several compounds with anti-inflammatory and/or antioxidant properties on uremia-induced endothelial dysfunction has been evaluated in an in vitro model. METHODS: Endothelial cells (ECs) were exposed to sera from uremic patients in the absence and presence of the flavonoids apigenin, genistein and quercetin, the antioxidant enzyme mimetics (AEM) ebselen (glutathione peroxidase mimetic), EUK-134 and EUK-118 (both superoxide dismutase mimetics), and the pharmacological drug N-acetylcysteine (NAC). We explored changes in the expression of adhesion receptors on the cell surface, by immunofluorescence, the production of radical oxygen species (ROS), by fluorescence detection, and the activation of signaling proteins related to inflammation, by both a phosphospecific antibody cell-based ELISA and immunoblotting techniques. RESULTS: Uremic media induced a significantly increased expression of ICAM-1, overproduction of radical oxygen species (ROS) and activation of p38 mitogen activated protein kinase (p38MAPK) and Nuclear Factor kB (NFkB) in ECs. Quercetin, the AEM and NAC showed a significant inhibitory effect on both ICAM-1 expression and ROS generation (p<0.05). All the compounds reduced p38MAPK activation, but only the AEM, especially ebselen, and NAC, both potentiating the glutathione peroxidase pathway, also inhibited NFkB activation. These two compounds were capable of increasing endothelial glutathione levels, especially in response to uremia. CONCLUSION: Our results indicate that the potentiation of the antioxidant pathways can be an effective strategy to improve endothelial dysfunction in uremia and a potential target to reduce the cardiovascular risk in this population