Endothelial damage after planned extracapsular cataract extraction and phacoemulsification of hard cataracts

PURPOSE: To evaluate and compare the endothelial damage after planned extracapsular cataract extraction (ECCE) and phacoemulsification of very hard cataracts. METHODS: In this prospective, randomized study, 41 patients with age-related and very hard cataract were divided into two groups: in group 1 (21 patients) an extracapsular cataract extraction was performed and in group 2 (20 patients), phacoemulsification. In both groups, intraocular lenses were implanted in the capsular bag. Preoperatively and 1, 3 and 6 months postoperatively, a complete ophthalmological examination, endothelial specular microscopy, and ultrasonic pachymetry were done. Endothelial cell loss, pleomorphism, polymegathism and corneal thickness were studied. RESULTS: Both groups presented an endothelial cell loss in the postoperative time, as compared with the preoperative values, but there were no significant differences among the postoperative values (1, 3 and 6 months). Six months after surgery, mean cell loss was 28.50% in group 1 and 34.77% in group 2. There were no differences among the indexes of pachymetry, polymegathism and pleomorphism between the two groups. CONCLUSIONS: Endothelial response was not statistically different between the two studied groups.OBJETIVO: Avaliar o dano endotelial em cirurgias de catarata com núcleo duro, comparando as técnicas da extração extracapsular planejada da catarata e a facoemulsificação. MÉTODOS: Estudo prospectivo, incluindo 41 pacientes com catarata senil e núcleo muito duro, que foram divididos aleatoriamente em dois grupos: grupo 1 (21 pacientes) foi submetido à extração extracapsular da catarata (EECC) e grupo 2 (20 pacientes) à facoemulsificação (FACO); em todos casos foram implantadas lentes intra-oculares no saco capsular. Exame oftalmológico completo, microscopia especular e paquimetria foram realizados no pré-operatório e com um, três e seis meses de pós-operatório. Perda endotelial, pleomorfismo, polimegatismo e paquimetria foram aspectos estudados. RESULTADOS: Nos dois grupos, ocorreu perda endotelial significativa, comparando os valores pré e pós-operatórios, mas não houve diferença entre os tempos pós-operatórios (um, três e seis meses). Não houve diferença estatística da perda endotelial entre os grupos da extração extracapsular da catarata e facoemulsificação, em todos tempos estudados. A média de perda endotelial com seis meses de cirurgia no grupo 1 (EECC) foi de 28,50% e no grupo 2 (FACO), de 34,77%. Não houve diferença significativa nas medidas da paquimetria, polimegatismo e pleomorfismo, entre os dois grupos. CONCLUSÕES: As diferenças percentuais da densidade endotelial, polimegatismo, pleomorfismo e paquimetria não foram estatisticamente significantes entre o grupo da extração extracapsular da catarata e da facoemulsificação, em todos tempos estudados.Universidade Federal de São Paulo (UNIFESP) Departamento de OftalmologiaUNIFESP Departamento de OftalmologiaUniversidade Metropolitana de Santos Departamento de OftalmologiaEye Clinic Day HospitalUNIFESP, Depto. de OftalmologiaUNIFESP, Depto. de OftalmologiaSciEL

Monitoring Quality of Life Indicators at Home from Sparse and Low-Cost Sensor Data.

Supporting older people, many of whom live with chronic conditions or cognitive and physical impairments, to live independently at home is of increasing importance due to ageing demographics. To aid independent living at home, much effort is being directed at reliably detecting activities from sensor data to monitor people’s quality of life or to enhance self-management of their own health. Current efforts typically leverage smart homes which have large numbers of sensors installed to overcome challenges in the accurate detection of activities. In this work, we report on the results of machine learning models based on data collected with a small number of low-cost, off-the-shelf passive sensors that were retrofitted in real homes, some with more than a single occupant. Models were developed from the sensor data collected to recognize activities of daily living, such as eating and dressing as well as meaningful activities, such as reading a book and socializing. We evaluated five algorithms and found that a Recurrent Neural Network was most accurate in recognizing activities. However, many activities remain difficult to detect, in particular meaningful activities, which are characterized by high levels of individual personalization. Our work contributes to applying smart healthcare technology in real-world home settings

User Characteristics in Explainable AI: The Rabbit Hole of Personalization?

As Artificial Intelligence (AI) becomes ubiquitous, the need for Explainable AI (XAI) has become critical for transparency and trust among users. A significant challenge in XAI is catering to diverse users, such as data scientists, domain experts, and end-users. Recent research has started to investigate how users' characteristics impact interactions with and user experience of explanations, with a view to personalizing XAI. However, are we heading down a rabbit hole by focusing on unimportant details? Our research aimed to investigate how user characteristics are related to using, understanding, and trusting an AI system that provides explanations. Our empirical study with 149 participants who interacted with an XAI system that flagged inappropriate comments showed that very few user characteristics mattered; only age and the personality trait openness influenced actual understanding. Our work provides evidence to reorient user-focused XAI research and question the pursuit of personalized XAI based on fine-grained user characteristics.Comment: 20 pages, 4 tables, 2 figure

Monitoring meaningful activities using small low-cost devices in a smart home

A challenge associated with an ageing population is increased demand on health and social care, creating a greater need to enable persons to live independently in their own homes. Ambient assistant living technology aims to address this by monitoring occupants’ ‘activities of daily living’ using smart home sensors to alert caregivers to abnormalities in routine tasks and deteriorations in a person’s ability to care for themselves. However, there has been less focus on using sensing technology to monitor a broader scope of so-called ‘meaningful activities’, which promote a person’s emotional, creative, intellectual, and spiritual needs. In this paper, we describe the development of a toolkit comprised of off-the-shelf, affordable sensors to allow persons with dementia and Parkinson’s disease to monitor meaningful activities as well as activities of daily living in order to self-manage their life and well-being. We describe two evaluations of the toolkit, firstly a lab-based study to test the installation of the system including the acuity and placement of sensors and secondly, an in-the-wild study where subjects who were not target users of the toolkit, but who identified as technology enthusiasts evaluated the feasibility of the toolkit to monitor activities in and around real homes. Subjects from the in-the-wild study reported minimal obstructions to installation and were able to carry out and enjoy activities without obstruction from the sensors, revealing that meaningful activities may be monitored remotely using affordable, passive sensors. We propose that our toolkit may enhance assistive living systems by monitoring a wider range of activities than activities of daily living

Exploring the Impact of Lay User Feedback for Improving AI Fairness

Fairness in AI is a growing concern for high-stakes decision making. Engaging stakeholders, especially lay users, in fair AI development is promising yet overlooked. Recent efforts explore enabling lay users to provide AI fairness-related feedback, but there is still a lack of understanding of how to integrate users' feedback into an AI model and the impacts of doing so. To bridge this gap, we collected feedback from 58 lay users on the fairness of a XGBoost model trained on the Home Credit dataset, and conducted offline experiments to investigate the effects of retraining models on accuracy, and individual and group fairness. Our work contributes baseline results of integrating user fairness feedback in XGBoost, and a dataset and code framework to bootstrap research in engaging stakeholders in AI fairness. Our discussion highlights the challenges of employing user feedback in AI fairness and points the way to a future application area of interactive machine learning

Investigating privacy perceptions and subjective acceptance of eye tracking on handheld mobile devices

Although eye tracking brings many benefits to users of mobile devices and developers of mobile applications, it poses significant privacy risks to both: the users of mobile devices, and the bystanders that surround users, are within the front-facing camera's field of view. Recent research demonstrates that tracking an individual's gaze reveals personal and sensitive information. This paper presents an investigation of the privacy perceptions and the subjective acceptance of users towards eye tracking on handheld mobile devices. In a four-phase user study (N=17), participants used a smartphone eye tracking app, were interviewed before and after viewing a video showing the amount of sensitive and personal data that could be derived from eye movements, and had their privacy concerns measured. Our findings 1) show factors that influence users' and bystanders' attitudes toward eye tracking on mobile devices such as the algorithms' transparency and the developers' credibility and 2) support designing mechanisms to allow for privacy-aware eye tracking solutions on mobile-devices

People with long-term conditions sharing personal health data via digital health technologies:a scoping review to inform design

The use of digital technology amongst people living with a range of long-term health conditions to support self-management has increased dramatically. More recently, digital health technologies to share and exchange personal health data with others have been investigated. Sharing personal health data with others is not without its risks: sharing data creates threats to the privacy and security of personal data and plays a role in trust, adoption and continued use of digital health technology. Our work aims to inform the design of these digital health technologies by investigating the reported intentions of sharing health data with others, the associated user experiences when using these digital health technologies and the trust, identity, privacy and security (TIPS) considerations for designing digital health technologies that support the trusted sharing of personal health data to support the self-management of long-term health conditions. To address these aims, we conducted a scoping review, analysing over 12,000 papers in the area of digital health technologies. We conducted a reflexive thematic analysis of 17 papers that described digital health technologies that support sharing of personal health data, and extracted design implications that could enhance the future development of trusted, private and secure digital health technologies.</p

GenderMag: A Method for Evaluating Software’s Gender Inclusiveness

In recent years, research into gender differences has established that individual differences in how people problem-solve often cluster by gender. Research also shows that these differences have direct implications for software that aims to support users’ problem-solving activities, and that much of this software is more supportive of problem-solving processes favored (statistically) more by males than by females. However, there is almost no work considering how software practitioners—such as User Experience (UX) professionals or software developers—can find gender-inclusiveness issues like these in their software. To address this gap, we devised the GenderMag method for evaluating problem-solving software from a gender-inclusiveness perspective. The method includes a set of faceted personas that bring five facets of gender difference research to life, and embeds use of the personas into a concrete process through a gender-specialized Cognitive Walkthrough. Our empirical results show that a variety of practitioners who design software—without needing any background in gender research—were able to use the GenderMag method to find gender-inclusiveness issues in problem-solving software. Our results also show that the issues the practitioners found were real and fixable. This work is the first systematic method to find gender-inclusiveness issues in software, so that practitioners can design and produce problem-solving software that is more usable by everyone

The Need for User-centred Assessment of AI Fairness and Correctness

AI needs to be fair and robust, especially to meet demands of new regulation. Regular assessments are key but it is unclear how we can involve stakeholders without a background in AI in these efforts. This position paper provides an overview of the problems in this area, discusses the current work and looks ahead to future research needed to make headway in user-centric assessment of AI