Towards a user-centric and multidisciplinary framework for designing context-aware applications

Research into context-aware computing has not sufficiently addressed human and social aspects of design. Existing design frameworks are predominantly software orientated, make little use of cross-disciplinary work, and do not provide an easily transferable structure for cross-application of design principles. To address these problems, this paper proposes a multidisciplinary and user-centred design framework, and two models of context, which derive from conceptualisations within Psychology, Linguistics, and Computer Science. In a study, our framework was found to significantly improve the performance of postgraduate students at identifying the context of the user and application, and the usability issues that arise

Towards a multidisciplinary user-centric design framework for context-aware applications

The primary aim of this article is to review and merge theories of context within linguistics, computer science, and psychology, to propose a multidisciplinary model of context that would facilitate application developers in developing richer descriptions or scenarios of how a context-aware device may be used in various dynamic mobile settings. More specifically, the aim is to:1. Investigate different viewpoints of context within linguistics, computer science, and psychology, to develop summary condensed models for each discipline. 2. Investigate the impact of contrasting viewpoints on the usability of context-aware applications. 3. Investigate the extent to which single-discipline models can be merged and the benefits and insightfulness of a merged model for designing mobile computers. 4. Investigate the extent to which a proposed multidisciplinary modelcan be applied to specific applications of context-aware computing

Investigating design issues of context-aware mobile guides for people with visual impairments

While mobile wayfinding systems for visually impaired people offer huge potential, most insufficiently address the differences between visual impairments and contextual environments, and offer very little context-awareness - usability issues of which are vital in supporting independent mobility. Participants experiencing a loss of central vision, loss of peripheral vision, and total vision loss made up three groups. Our multidisciplinary model of context was used to design a user study, which involved asking participants to walk to pre-determined outdoor and indoor landmarks. Significant differences were found between groups relating to information requirements, and the environmental cues encoded and used to orientate and navigate. The study also found differences between indoor and outdoor contexts. It was concluded that what is meaningful to one form of visual impairment is incidental to another. These issues need to be captured and accounted for if wayfinding systems are to be usable

Investigating context-aware clues to assist navigation for visually impaired people

It is estimated that 7.4 million people in Europe are visually impaired [1]. Limitations of traditional mobility aids (i.e. white canes and guide dogs) coupled with a proliferation of context-aware technologies (e.g. Electronic Travel Aids, Global Positioning Systems and Geographical Information Systems), have stimulated research and development into navigational systems for the visually impaired. However, current research appears very technology focused, which has led to an insufficient appreciation of Human Computer Interaction, in particular task/requirements analysis and notions of contextual interactions. The study reported here involved a smallscale investigation into how visually impaired people interact with their environmental context during micro-navigation (through immediate environment) and/or macro-navigation (through distant environment) on foot. The purpose was to demonstrate the heterogeneous nature of visually impaired people in interaction with their environmental context. Results from a previous study involving sighted participants were used for comparison. Results revealed that when describing a route, visually impaired people vary in their use of different types of navigation clues - both as a group, when compared with sighted participants, and as individuals. Usability implications and areas for further work are identified and discussed

A pathway to independence : wayfinding systems which adapt to a visually impaired person's context

Despite an increased amount of technologies and systems designed to address the navigational requirements of the visually impaired community of approximately 7.4 million in Europe, current research has failed to sufficiently address the human issues associated to their design and use. As more types of sensing technologies are developed to facilitate visually impaired travellers for different navigational purposes (local vs. distant and indoor vs. outdoor), an effective process of synchronisation is required. This synchronisation is represented through context-aware computing, which allows contextual information to not just be sensed (like most current wayfinding systems), but also adapted, discovered and augmented. In this paper, three user studies concerning the suitability of different types of navigational information for visually impaired and sighted people are described. For such systems to be effective, human cognitive maps, models and intentions need to be the focus of further research, in order to provide information that is tailored to a user's task, situation or environment. Methodologies aimed at establishing these issues need to be demonstrated through a multidisciplinary framework

Toward a multidisciplinary model of context to support context-aware computing

Capturing, defining, and modeling the essence of context are challenging, compelling, and prominent issues for interdisciplinary research and discussion. The roots of its emergence lie in the inconsistencies and ambivalent definitions across and within different research specializations (e.g., philosophy, psychology, pragmatics, linguistics, computer science, and artificial intelligence). Within the area of computer science, the advent of mobile context-aware computing has stimulated broad and contrasting interpretations due to the shift from traditional static desktop computing to heterogeneous mobile environments. This transition poses many challenging, complex, and largely unanswered research issues relating to contextual interactions and usability. To address those issues, many researchers strongly encourage a multidisciplinary approach. The primary aim of this article is to review and unify theories of context within linguistics, computer science, and psychology. Summary models within each discipline are used to propose an outline and detailed multidisciplinary model of context involving (a) the differentiation of focal and contextual aspects of the user and application's world, (b) the separation of meaningful and incidental dimensions, and (c) important user and application processes. The models provide an important foundation in which complex mobile scenarios can be conceptualized and key human and social issues can be identified. The models were then applied to different applications of context-aware computing involving user communities and mobile tourist guides. The authors' future work involves developing a user-centered multidisciplinary design framework (based on their proposed models). This will be used to design a large-scale user study investigating the usability issues of a context-aware mobile computing navigation aid for visually impaired people

The relationship between pre-operative psoas and skeletal muscle parameters and survival following endovascular aneurysm repair: a systematic review and meta-analysis

Sarcopenia is characterised by chronically reduced skeletal muscle volume and function, and is determined radiologically by psoas and skeletal muscle measurement. The present systematic review and meta-analysis aims to examine the relationship between pre-operative CT-derived psoas and skeletal muscle parameters and outcomes in patients undergoing EVAR and F/B-EVAR for aortic aneurysm. The MEDLINE database was interrogated for studies investigating the effect of pre-operative CT-diagnosed sarcopenia on outcomes following EVAR and F/B-EVAR. The systematic review was carried out in accordance with PRISMA guidelines. The primary outcome was overall mortality. RevMan 5.4.1 was used to perform meta-analysis. PROSPERO Database Registration Number: CRD42021273085. Ten relevant studies were identified, one reporting skeletal muscle parameters, and the remaining nine reporting psoas muscle parameters, which were used for meta-analysis. There were a total of 2563 patients included (2062 EVAR, 501 F/B-EVAR), with mean follow-up ranging from 25 to 101 months. 836 patients (33%) were defined as radiologically sarcopenic. In all studies, the combined HR for all-cause mortality in sarcopenic versus non-sarcopenic patients was 2.61 (1.67–4.08), p < .001. Two studies reported outcomes on patients undergoing F/B-EVAR; the combined HR for all-cause mortality in sarcopenic versus non-sarcopenic patients was 3.08 (1.66–5.71), p = .004. Radiological sarcopenia defined by psoas or skeletal muscle parameters was associated with inferior survival in patients undergoing both EVAR and F/B-EVAR. Current evidence is limited by heterogeneity in assessment of body composition and lack of a consensus definition of radiological sarcopenia

Examining sex differences in knee pain: the Multicenter Osteoarthritis Study

SummaryObjectiveTo determine whether women experience greater knee pain severity than men at equivalent levels of radiographic knee osteoarthritis (OA).Design and methodsA cross-sectional analysis of 2712 individuals (60% women) without knee replacement or a recent steroid injection. Sex differences in pain severity at each Kellgren–Lawrence (KL) grade were assessed by knee using visual analog scale (VAS) scale and Western Ontario and McMaster Universities Arthritis Index (WOMAC) with and without adjustment for age, analgesic use, Body mass index (BMI), clinic site, comorbid conditions, depression score, education, race, and widespread pain (WSP) using generalized estimating equations. Effect sizes (Cohen's d) were also calculated. Analyses were repeated in those with and without patellofemoral OA (PFOA).ResultsWomen reported higher VAS pain at all KL grades in unadjusted analyses (d = 0.21–0.31, P < 0.0001–0.0038) and in analyses adjusted for all covariates except WSP (d = 0.16–0.22, P < 0.0001–0.0472). Pain severity differences further decreased with adjustment for WSP (d = 0.10–0.18) and were significant for KL grade ≤2 (P = 0.0015) and 2 (P = 0.0200). Presence compared with absence of WSP was associated with significantly greater knee pain at all KL grades (d = 0.32–0.52, P < 0.0001–0.0008). In knees with PFOA, VAS pain severity sex differences were greater at each KL grade (d = 0.45–0.62, P = 0.0006–0.0030) and remained significant for all KL grades in adjusted analyses (d = 0.31–0.57, P = 0.0013–0.0361). Results using WOMAC were similar.ConclusionsWomen reported greater knee pain than men regardless of KL grade, though effect sizes were generally small. These differences increased in the presence of PFOA. The strong contribution of WSP to sex differences in knee pain suggests that central sensitivity plays a role in these differences

The relationship between clinical frailty score, CT-derived body composition, systemic inflammation, and survival in patients with chronic limb threatening ischaemia

Introduction: Frailty is a chronic condition with complex aetiology and impaired functional performance, which has been associated altered body composition and chronic inflammation. Chronic Limb Threatening Ischaemia (CLTI) carries significant morbidity and mortality and is associated with poor quality of life. The present study aims to examine these relationships and their prognostic value in patients with CLTI. Methods: Consecutive patients presenting as unscheduled admissions to a single tertiary centre with CLTI were included over a 12-month period. Frailty was diagnosed using the clinical frailty scale (CFS). Body composition was assessed using CT at the L3 vertebral level (CT-BC) to generate visceral and subcutaneous fat indices (VFI, SFI), skeletal muscle index (SMI), and skeletal muscle density (SMD). SMI and SMD were combined to form the CT-sarcopenia score (CT-SS). Systemic inflammation was assessed by the modified Glasgow Prognostic Score (mGPS). The primary outcome was overall mortality. Results: There were 190 patients included with a median (IQR) follow-up of 22 (6) months (range 15-32 months), and 79 deaths during the follow-up period. 100 patients (53%) had a CFS &gt; 4. CFS &gt; 4 (HR 2.14, 95% CI 1.25 – 3.66, p &lt;0.01), CT-SS (HR 1.47, 95% CI 1.03 – 2.09, p &lt;0.05), and mGPS (HR 1.54, 95% CI 1.11 – 2.13, p &lt;0.01) were independently associated with increased mortality. CT-SS (OR 1.88, 95% CI 1.09 – 3.24, p &lt; 0.01) was independently associated with CFS &gt; 4. Patients with CT-SS 0 &amp; CFS ≤4 had 90% (SE 5%) 1-year survival, compared with 35% (SE 9%) in patients with CT-SS 2 &amp; CFS &gt;4 (p &lt;0.001). Patients with mGPS 0 &amp; CFS ≤ 4 had 94% (SE 4%) 1-year survival compared with 44% (SE 6%) in the mGPS 2 &amp; CFS &gt; 4 subgroup (p &lt;0.001). Conclusions: Frailty assessed by CFS was associated with CT-BC. CFS, CT-SS and mGPS were associated with poorer survival in patients presenting as unscheduled admissions with CLTI. CT-SS and mGPS may contribute to part of frailty and prognostic assessment in this patient cohort