Gamified budgeting for managing household finances

The current UK economic climate is leading households into debt. The rising cost of living and inflation are resulting in households struggling with financial management. This has implications on the quality of life and economic mobility. Early motivation for and the utilisation of financial management tools can alleviate the risk of spiralling debt. In this paper, we present the case for a gamified collaborative financial management tool. We explain how current research has focused on individuals yet households often have shared and interweaving finances which would benefit from collaborative tools. We articulate the importance of motivation in financial administration and discuss the potential of gamification to motivate households in the proactive management of finances. In this regard, we describe the results of conducting a survey to investigate the case for gamification in household financial management. Our findings suggest that gamification may offer new ways to motivate household financial management and can help households manage their exposure to debt

Gamified budgeting for managing household finances

The current UK economic climate is leading households into debt. The rising cost of living and inflation are resulting in households struggling with financial management. This has implications on the quality of life and economic mobility. Early motivation for and the utilisation of financial management tools can alleviate the risk of spiralling debt. In this paper, we present the case for a gamified collaborative financial management tool. We explain how current research has focused on individuals yet households often have shared and interweaving finances which would benefit from collaborative tools. We articulate the importance of motivation in financial administration and discuss the potential of gamification to motivate households in the proactive management of finances. In this regard, we describe the results of conducting a survey to investigate the case for gamification in household financial management. Our findings suggest that gamification may offer new ways to motivate household financial management and can help households manage their exposure to debt

Roadmap on metasurfaces

ABSTRACT: Metasurfaces are thin two-dimensional metamaterial layers that allow or inhibit the propagation of electromagnetic waves in desired directions. For example, metasurfaces have been demonstrated to produce unusual scattering properties of incident plane waves or to guide and modulate surface waves to obtain desired radiation properties. These properties have been employed, for example, to create innovative wireless receivers and transmitters. In addition, metasurfaces have recently been proposed to confine electromagnetic waves, thereby avoiding undesired leakage of energy and increasing the overall efficiency of electromagnetic instruments and devices. The main advantages of metasurfaces with respect to the existing conventional technology include their low cost, low level of absorption in comparison with bulky metamaterials, and easy integration due to their thin profile. Due to these advantages, they are promising candidates for real-world solutions to overcome the challenges posed by the next generation of transmitters and receivers of future high-rate communication systems that require highly precise and efficient antennas, sensors, active components, filters, and integrated technologies. This Roadmap is aimed at binding together the experiences of prominent researchers in the field of metasurfaces, from which explanations for the physics behind the extraordinary properties of these structures shall be provided from viewpoints of diverse theoretical backgrounds. Other goals of this endeavour are to underline the advantages and limitations of metasurfaces, as well as to lay out guidelines for their use in present and future electromagnetic devices. This Roadmap is divided into five sections: 1. Metasurface based antennas. In the last few years, metasurfaces have shown possibilities for advanced manipulations of electromagnetic waves, opening new frontiers in the design of antennas. In this section, the authors explain how metasurfaces can be employed to tailor the radiation properties of antennas, their remarkable advantages in comparison with conventional antennas, and the future challenges to be solved. 2. Optical metasurfaces. Although many of the present demonstrators operate in the microwave regime, due either to the reduced cost of manufacturing and testing or to satisfy the interest of the communications or aerospace industries, part of the potential use of metasurfaces is found in the optical regime. In this section, the authors summarize the classical applications and explain new possibilities for optical metasurfaces, such as the generation of superoscillatory fields and energy harvesters. 3. Reconfigurable and active metasurfaces. Dynamic metasurfaces are promising new platforms for 5G communications, remote sensing and radar applications. By the insertion of active elements, metasurfaces can break the fundamental limitations of passive and static systems. In this section, we have contributions that describe the challenges and potential uses of active components in metasurfaces, including new studies on non-Foster, parity-time symmetric, and non-reciprocal metasurfaces. 4. Metasurfaces with higher symmetries. Recent studies have demonstrated that the properties of metasurfaces are influenced by the symmetries of their constituent elements. Therefore, by controlling the properties of these constitutive elements and their arrangement, one can control the way in which the waves interact with the metasurface. In this section, the authors analyze the possibilities of combining more than one layer of metasurface, creating a higher symmetry, increasing the operational bandwidth of flat lenses, or producing cost-effective electromagnetic bandgaps. 5. Numerical and analytical modelling of metasurfaces. In most occasions, metasurfaces are electrically large objects, which cannot be simulated with conventional software. Modelling tools that allow the engineering of the metasurface properties to get the desired response are essential in the design of practical electromagnetic devices. This section includes the recent advances and future challenges in three groups of techniques that are broadly used to analyze and synthesize metasurfaces: circuit models, analytical solutions and computational methods

Evidence-based European recommendations for the dietary management of diabetes

Diabetes management relies on effective evidence-based advice that informs and empowers individuals to manage their health. Alongside other cornerstones of diabetes management, dietary advice has the potential to improve glycaemic levels, reduce risk of diabetes complications and improve health-related quality of life. We have updated the 2004 recommendations for the nutritional management of diabetes to provide health professionals with evidence-based guidelines to inform discussions with patients on diabetes management, including type 2 diabetes prevention and remission. To provide this update we commissioned new systematic reviews and meta-analyses on key topics, and drew on the broader evidence available. We have strengthened and expanded on the previous recommendations to include advice relating to dietary patterns, environmental sustainability, food processing, patient support and remission of type 2 diabetes. We have used the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) approach to determine the certainty of evidence for each recommendation based on findings from the commissioned and identified systematic reviews. Our findings indicate that a range of foods and dietary patterns are suitable for diabetes management, with key recommendations for people with diabetes being largely similar for those for the general population. Important messages are to consume minimally processed plant foods, such as whole grains, vegetables, whole fruit, legumes, nuts, seeds and non-hydrogenated non-tropical vegetable oils, while minimising the consumption of red and processed meats, sodium, sugar-sweetened beverages and refined grains. The updated recommendations reflect the current evidence base and, if adhered to, will improve patient outcomes

A Web-Based Health Application to Translate Nutrition Therapy for Cardiovascular Risk Reduction in Primary Care (PortfolioDiet.app): Quality Improvement and Usability Testing Study

BackgroundThe Portfolio Diet, or Dietary Portfolio, is a therapeutic dietary pattern that combines cholesterol-lowering foods to manage dyslipidemia for the prevention of cardiovascular disease. To translate the Portfolio Diet for primary care, we developed the PortfolioDiet.app as a patient and physician educational and engagement tool for PCs and smartphones. The PortfolioDiet.app is currently being used as an add-on therapy to the standard of care (usual care) for the prevention of cardiovascular disease in primary care. To enhance the adoption of this tool, it is important to ensure that the PortfolioDiet.app meets the needs of its target end users. ObjectiveThe main objective of this project is to undertake user testing to inform modifications to the PortfolioDiet.app as part of ongoing engagement in quality improvement (QI). MethodsWe undertook a 2-phase QI project from February 2021 to September 2021. We recruited users by convenience sampling. Users included patients, family physicians, and dietitians, as well as nutrition and medical students. For both phases, users were asked to use the PortfolioDiet.app daily for 7 days. In phase 1, a mixed-form questionnaire was administered to evaluate the users’ perceived acceptability, knowledge acquisition, and engagement with the PortfolioDiet.app. The questionnaire collected both quantitative and qualitative data, including 2 open-ended questions. The responses were used to inform modifications to the PortfolioDiet.app. In phase 2, the System Usability Scale was used to assess the usability of the updated PortfolioDiet.app, with a score higher than 70 being considered acceptable. ResultsA total of 30 and 19 users were recruited for phase 1 and phase 2, respectively. In phase 1, the PortfolioDiet.app increased users’ perceived knowledge of the Portfolio Diet and influenced their perceived food choices. Limitations identified by users included challenges navigating to resources and profile settings, limited information on plant sterols, inaccuracies in points, timed-logout frustration, request for step-by-step pop-up windows, and request for a mobile app version; when looking at positive feedback, the recipe section was the most commonly praised feature. Between the project phases, 6 modifications were made to the PortfolioDiet.app to incorporate and address user feedback. At phase 2, the average System Usability Scale score was 85.39 (SD 11.47), with 100 being the best possible. ConclusionsBy undertaking user testing of the PortfolioDiet.app, its limitations and strengths were able to be identified, informing modifications to the application, which resulted in a clinical tool that better meets users’ needs. The PortfolioDiet.app educates users on the Portfolio Diet and is considered acceptable by users. Although further refinements to the PortfolioDiet.app will continue to be made before its evaluation in a clinical trial, the result of this QI project is an improved clinical tool

Effects of posture on gastric emptying, transpyloric flow, and hunger after a glucose drink in healthy humans

The original publication can be found at www.springerlink.comPrevious studies suggest that posture has relatively little effect on gastric emptying of high-nutrient liquids; these studies have, however, only assessed overall rates of gastric emptying, whereas gastric emptying is known to be predominantly a pulsatile phenomenon. In healthy subjects perceptions of appetite, such as hunger, are inversely related to antral area and content; hence, changes in intragastric meal distribution induced by posture may affect appetite. Gastric emptying is a major determinant of postprandial glycemia. The aims of this study were to evaluate the effects of posture on patterns of transpyloric flow (TF), gastric emptying (GE), antral area (AA), hunger, and the glycemic response to oral glucose. Eight healthy young subjects (five males, three females; mean age, 24.0 ± 2.4 years; BMI, 21.2 ± 0.6 kg/m2) were studied twice in random order, once in the sitting position and once in the lying (supine) position. After consuming 600 ml water with 75 g glucose, labeled with 20 MBq 99mTc-sulfur colloid, subjects had simultaneous measurements of (i) TF during consumption of the drink by Doppler ultrasonography, (ii) GE with scintigraphy, (iii) AA at t = −5 and t = 30 min by ultrasonography, and (iv) perceptions of appetite with a visual analogue scale. During drink ingestion TF was greater in the sitting, compared with the lying, position (586 ± 170 vs. 177 ± 65 [cm/sec]×sec; P < 0.05). Posture affected intragastric distribution; more of the drink was retained in the distal stomach in the sitting position (e.g., at 30 min: sitting, 29 ± 3%, vs. lying, 12 ± 3%; P < 0.0001) but had no effect on the overall rate of GE or the blood glucose response. AA at t = 30 min (P<0.005) was greater in the sitting position; there was an inverse relationship between hunger and AA at 30 min (r = −0.53, P < 0.05). We conclude that posture influences initial TF and intragastric distribution, but not the overall rate of GE of, or the glycemic response to, a large-volume nutrient liquid. The increases in AA and content in the sitting position are associated with a reduction in hunger.Karen L. Jones, Deirdre O’Donovan, Michael Horowitz, Antonietta Russo, Yong Lei, Trygve Hauske

Roadmap on metasurfaces

Metasurfaces are thin two-dimensional metamaterial layers that allow or inhibit the propagation of electromagnetic waves in desired directions. For example, metasurfaces have been demonstrated to produce unusual scattering properties of incident plane waves or to guide and modulate surface waves to obtain desired radiation properties. These properties have been employed, for example, to create innovative wireless receivers and transmitters. In addition, metasurfaces have recently been proposed to confine electromagnetic waves, thereby avoiding undesired leakage of energy and increasing the overall efficiency of electromagnetic instruments and devices. The main advantages of metasurfaces with respect to the existing conventional technology include their low cost, low level of absorption in comparison with bulky metamaterials, and easy integration due to their thin profile. Due to these advantages, they are promising candidates for real-world solutions to overcome the challenges posed by the next generation of transmitters and receivers of future high-rate communication systems that require highly precise and efficient antennas, sensors, active components, filters, and integrated technologies. This Roadmap is aimed at binding together the experiences of prominent researchers in the field of metasurfaces, from which explanations for the physics behind the extraordinary properties of these structures shall be provided from viewpoints of diverse theoretical backgrounds. Other goals of this endeavour are to underline the advantages and limitations of metasurfaces, as well as to lay out guidelines for their use in present and future electromagnetic devices. This Roadmap is divided into five sections: 1. Metasurface based antennas. In the last few years, metasurfaces have shown possibilities for advanced manipulations of electromagnetic waves, opening new frontiers in the design of antennas. In this section, the authors explain how metasurfaces can be employed to tailor the radiation properties of antennas, their remarkable advantages in comparison with conventional antennas, and the future challenges to be solved. 2. Optical metasurfaces. Although many of the present demonstrators operate in the microwave regime, due either to the reduced cost of manufacturing and testing or to satisfy the interest of the communications or aerospace industries, part of the potential use of metasurfaces is found in the optical regime. In this section, the authors summarize the classical applications and explain new possibilities for optical metasurfaces, such as the generation of superoscillatory fields and energy harvesters. 3. Reconfigurable and active metasurfaces. Dynamic metasurfaces are promising new platforms for 5G communications, remote sensing and radar applications. By the insertion of active elements, metasurfaces can break the fundamental limitations of passive and static systems. In this section, we have contributions that describe the challenges and potential uses of active components in metasurfaces, including new studies on non-Foster, parity-time symmetric, and non-reciprocal metasurfaces. 4. Metasurfaces with higher symmetries. Recent studies have demonstrated that the properties of metasurfaces are influenced by the symmetries of their constituent elements. Therefore, by controlling the properties of these constitutive elements and their arrangement, one can control the way in which the waves interact with the metasurface. In this section, the authors analyze the possibilities of combining more than one layer of metasurface, creating a higher symmetry, increasing the operational bandwidth of flat lenses, or producing cost-effective electromagnetic bandgaps. 5. Numerical and analytical modelling of metasurfaces. In most occasions, metasurfaces are electrically large objects, which cannot be simulated with conventional software. Modelling tools that allow the engineering of the metasurface properties to get the desired response are essential in the design of practical electromagnetic devices. This section includes the recent advances and future challenges in three groups of techniques that are broadly used to analyze and synthesize metasurfaces: circuit models, analytical solutions and computational methods.</p