Integration of Human Factors in Surgery: Interdisciplinary Collaboration in Design, Development, and Evaluation of Surgical Technologies

Research in surgical intervention and technology development is increasingly interdisciplinary. Despite the great potential of working in this way, recent research suggests that interdisciplinary collaborations and competing stakeholder interests can be challenging to initiate and manage, with the result that knowledge and expertise from different fields are not always well integrated. The aim of this workshop is to bring together stakeholders from HCI, surgical science, and surgical practice and technology to investigate the potential of interdisciplinary collaboration, specifically identifying actionable strategies to coordinate and improve efforts towards designing, developing, evaluating, and iterating on the next generation of surgical solutions. The workshop will address current limitations in interdisciplinary collaboration, and identify opportunities for surgical technology stakeholders to make contributions across the entire development life cycle. In the longer term, the workshop will contribute towards the development of a pragmatic collaboration framework encompassing diverse research paradigms, compatible with surgical practice, and supportive of longitudinal evaluation

Identification of factors associated with potential doping behavior in sports: A cross-sectional analysis in high-level competitive swimmers

Background: Doping behavior, including the misuse of performance-enhancing drugs, is currently a serious problem in sports, and the efficacy of preventive efforts directly depends on information regarding the associations among different precipitating factors (PF) and doping behavior. This study aimed to establish the PF of potential doping behavior (PDB) in competitive swimmers. Methods: The study included 301 swimmers from Slovenia (153 females, 16.4 \ub1 2.4 years), tested during the 2017 National Championship. Variables were collected by previously validated questionnaires, which included questions on sociodemographics, sports-related factors, consumption of dietary supplements, knowledge of doping, factors of hesitation, and doping-related factors (i.e., number of doping tests, opinion about the presence of doping in sport). The PDB (positive, neutral, or negative intention toward doping) was observed as a criterion, while other variables were included as predictors in multinomial regression analyses (with \u201cnegative\u201d as reference value), which additionally controlled for gender and age category (cadet-, junior-, and senior-level) as confounders. Results: The results confirmed higher susceptibility to doping in males (positive: odds ratio (OR): 2.77, 95% confidence interval (CI): 1.27\u20136.04), those swimmers who reported higher alcohol consumption (neutral: OR: 2.18, 95%CI: 1.06\u20134.16, positive: OR: 2.14, 95%CI: 1.05\u20134.37), and those regularly used dietary supplements (positive: OR: 3.62, 95%CI: 1.25\u201310.52). Competitive achievement in Olympic-(neutral: OR: 0.57, 95%CI: 0.41\u20130.81, positive: OR: 0.59, 95%CI: 0.39\u20130.88), and non-Olympic disciplines (positive: OR: 0.54, 95%CI: 0.35\u20130.83) was protective against PDB. Swimmers who were more concerned about the negative social consequences of doping behavior (i.e., condemnation by family and friends) were less likely to declare a positive intention toward the PDB (family condemnation: OR: 0.69, 95%CI: 0.56\u20130.86, friends\u2019 condemnation: OR: 0.65, 95%CI: 0.52\u20130.80). Conclusions: The results of the study provide more precise insight into the specific factors associated with PDB in swimming. The established precipitating factors should be incorporated into targeted anti-doping campaigns in this sport

Lightfastness assessment of Levantine rock art by means of microfading spectrometry

This is the peer reviewed version of the following article: del Hoyo-Meléndez JM, Carrión-Ruiz B, Riutort-Mayol G, Lerma JL. Lightfastness assessment of Levantine rock art by means of microfading spectrometry. Color Res Appl. 2019;44:547 555, which has been published in final form at https://doi.org/10.1002/col.22372. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.[EN] The documentation of archeological sites requires the adoption of non-destructive techniques to safeguard the unique legacy coming from prehistoric periods. This article tackles the assessment of lightfastness properties on a rock art site to deter- mine the behavior of motif's color deterioration over time in Remi¿gia Cave, Castello¿n (Spain), which is considered part of a UNESCO World Heritage Site. The measurements were performed using a microfade testing device to analyze the spectral characteristics and the aging properties of the colorant system and various substrates on site. Two scenarios have been identified depending on whether the lightness (L*) parameter of the rocky substrate changes or not in relation with the painted motifs. If the substrate remains stable without any change, red motifs con- taining iron oxide pigments will become more visible. If the substrate becomes lighter, the pigments will experience similar changes. Therefore, the contrast between paintings and support will be considerably enhanced.The authors also would like to thank the Generalitat Valenciana for providing access to the site during the measurement campaigns. Fruitful comments from the Spanish archeologists Prof. Valentín Villaverde and Dra. Esther López-Montalvo are also gratefully acknowledged. The authors acknowledge the research project HAR2014-59873-R from the Spanish Ministerio de Economía y Competitividad for providing financial support.Del Hoyo-Meléndez, JM.; Carrión-Ruiz, B.; Riutort-Mayol, G.; Lerma, JL. (2019). Lightfastness assessment of Levantine rock art by means of microfading spectrometry. Color Research & Application. 44(4):547-555. https://doi.org/10.1002/col.22372S547555444Vileikis, O., Cesaro, G., Santana Quintero, M., van Balen, K., Paolini, A., & Vafadari, A. (2012). Documentation in World Heritage conservation. Journal of Cultural Heritage Management and Sustainable Development, 2(2), 130-152. doi:10.1108/20441261211273635Management Planning for Archaelogical Sites 2002 The Getty Conservation Institute Los Angeles G Palumbo Threats and challenges to the archaeological heritage in the Mediterranean 3 12ICOMOS. ICOMOS World Report 2000 on Monuments and Sites in Danger; 2000.https://www.icomos.org/risk/world_report/2000/risk2000.htm. 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M., Martin, S., & Gavrilenko, E. (2010). Raman microscopy of prehistoric rock paintings from the Hoz de Vicente, Minglanilla, Cuenca, Spain. Journal of Raman Spectroscopy, 41(11), 1394-1399. doi:10.1002/jrs.2582Domingo, I., Villaverde, V., López-Montalvo, E., Lerma, J. L., & Cabrelles, M. (2013). Latest developments in rock art recording: towards an integral documentation of Levantine rock art sites combining 2D and 3D recording techniques. Journal of Archaeological Science, 40(4), 1879-1889. doi:10.1016/j.jas.2012.11.024Iturbe, A., Cachero, R., Cañal, D., & Martos, A. (2018). Digitalización de cuevas con arte paleolítico parietal de Bizkaia. Análisis científico y divulgación mediante nuevas técnicas de visualización. Virtual Archaeology Review, 9(18), 57. doi:10.4995/var.2018.7579Carrión-Ruiz, B., Blanco-Pons, S., & Lerma, J. L. (2016). DIGITAL IMAGE ANALYSIS OF THE VISIBLE REGION THROUGH SIMULATION OF ROCK ART PAINTINGS. 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Uso combinado de la fotografía digital nocturna y de la fotogrametría en los procesos de documentación de petroglifos: el caso de Alcázar de San Juan (Ciudad Real, España). Virtual Archaeology Review, 8(17), 64. doi:10.4995/var.2017.6820Molada-Tebar, A., Lerma, J. L., & Marqués-Mateu, Á. (2017). Camera characterization for improving color archaeological documentation. Color Research & Application, 43(1), 47-57. doi:10.1002/col.22152Del Hoyo-Meléndez, J. M., Lerma, J. L., López-Montalvo, E., & Villaverde, V. (2015). Documenting the light sensitivity of Spanish Levantine rock art paintings. ISPRS Annals of Photogrammetry, Remote Sensing and Spatial Information Sciences, II-5/W3, 53-59. doi:10.5194/isprsannals-ii-5-w3-53-2015Whitmore, P. M., Bailie, C., & Connors, S. A. (2000). Micro-fading tests to predict the result of exhibition: progress and prospects. Studies in Conservation, 45(sup1), 200-205. doi:10.1179/sic.2000.45.supplement-1.200Whitmore, P. M., Pan, X., & Bailie, C. (1999). 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Deep Eyedentification: Biometric Identification using Micro-Movements of the Eye

We study involuntary micro-movements of the eye for biometric identification. While prior studies extract lower-frequency macro-movements from the output of video-based eye-tracking systems and engineer explicit features of these macro-movements, we develop a deep convolutional architecture that processes the raw eye-tracking signal. Compared to prior work, the network attains a lower error rate by one order of magnitude and is faster by two orders of magnitude: it identifies users accurately within seconds

Impact of discontinuity in health insurance on resource utilization

<p>Abstract</p> <p>Background</p> <p>This study sought to describe the incidence of transitions into and out of Medicaid, characterize the populations that transition and determine if health insurance instability is associated with changes in healthcare utilization.</p> <p>Methods</p> <p>2000-2004 Medical Expenditure Panel Survey (MEPS) was used to identify adults enrolled in Medicaid at any time during the survey period (n = 6,247). We estimate both static and dynamic panel data models to examine the effect of health insurance instability on health care resource utilization.</p> <p>Results</p> <p>We find that, after controlling for observed factors like employment and health status, and after specifying a dynamic model that attempts to capture time-dependent unobserved effects, individuals who have multiple transitions into and out of Medicaid have higher emergency room utilization, more office visits, more hospitalizations, and refill their prescriptions less often.</p> <p>Conclusions</p> <p>Individuals with more than one transition in health insurance status over the study period were likely to have higher health care utilization than individuals with one or fewer transitions. If these effects are causal, in addition to individual benefits, there are potentially large benefits for Medicaid programs from reducing avoidable insurance instability. These results suggest the importance of including provisions to facilitate continuous enrollment in public programs as the United States pursues health reform.</p

Characterisation of the GRAF gene promoter and its methylation in patients with acute myeloid leukaemia and myelodysplastic syndrome

We report the isolation of the 5′ flanking region of GRAF (GTPase regulator associated with the focal adhesion kinase), previously described as a putative tumour suppressor gene of acute myelogenous leukaemia and myelodysplastic syndrome, and demonstrate its promoter activity in reporter gene assays. Two putative protein-binding sites are identified of which one was sensitive to CpG methylation. The suppressed GRAF expression could be restored in leukaemia cell lines by treatment with a demethylating agent and an inhibitor of histone deacetylases. In contrast to normal tissues, which tested negative for GRAF promoter methylation, 11 of 29 (38%) bone marrow samples from patients with acute myeloid leukaemia or myelodysplastic syndrome were positive

Landslide susceptibility mapping at VAZ watershed (Iran) using an artificial neural network model: a comparison between multilayer perceptron (MLP) and radial basic function (RBF) algorithms

Landslide susceptibility and hazard assessments are the most important steps in landslide risk mapping. The main objective of this study was to investigate and compare the results of two artificial neural network (ANN) algorithms, i.e., multilayer perceptron (MLP) and radial basic function (RBF) for spatial prediction of landslide susceptibility in Vaz Watershed, Iran. At first, landslide locations were identified by aerial photographs and field surveys, and a total of 136 landside locations were constructed from various sources. Then the landslide inventory map was randomly split into a training dataset 70 % (95 landslide locations) for training the ANN model and the remaining 30 % (41 landslides locations) was used for validation purpose. Nine landslide conditioning factors such as slope, slope aspect, altitude, land use, lithology, distance from rivers, distance from roads, distance from faults, and rainfall were constructed in geographical information system. In this study, both MLP and RBF algorithms were used in artificial neural network model. The results showed that MLP with Broyden–Fletcher–Goldfarb–Shanno learning algorithm is more efficient than RBF in landslide susceptibility mapping for the study area. Finally the landslide susceptibility maps were validated using the validation data (i.e., 30 % landslide location data that was not used during the model construction) using area under the curve (AUC) method. The success rate curve showed that the area under the curve for RBF and MLP was 0.9085 (90.85 %) and 0.9193 (91.93 %) accuracy, respectively. Similarly, the validation result showed that the area under the curve for MLP and RBF models were 0.881 (88.1 %) and 0.8724 (87.24 %), respectively. The results of this study showed that landslide susceptibility mapping in the Vaz Watershed of Iran using the ANN approach is viable and can be used for land use planning

Major Depletion of Plasmacytoid Dendritic Cells in HIV-2 Infection, an Attenuated Form of HIV Disease

Plasmacytoid dendritic cells (pDC) provide an important link between innate and acquired immunity, mediating their action mainly through IFN-α production. pDC suppress HIV-1 replication, but there is increasing evidence suggesting they may also contribute to the increased levels of cell apoptosis and pan-immune activation associated with disease progression. Although having the same clinical spectrum, HIV-2 infection is characterized by a strikingly lower viremia and a much slower rate of CD4 decline and AIDS progression than HIV-1, irrespective of disease stage. We report here a similar marked reduction in circulating pDC levels in untreated HIV-1 and HIV-2 infections in association with CD4 depletion and T cell activation, in spite of the undetectable viremia found in the majority of HIV-2 patients. Moreover, the same overexpression of CD86 and PD-L1 on circulating pDC was found in both infections irrespective of disease stage or viremia status. Our observation that pDC depletion occurs in HIV-2 infected patients with undetectable viremia indicates that mechanisms other than direct viral infection determine the pDC depletion during persistent infections. However, viremia was associated with an impairment of IFN-α production on a per pDC basis upon TLR9 stimulation. These data support the possibility that diminished function in vitro may relate to prior activation by HIV virions in vivo, in agreement with our finding of higher expression levels of the IFN-α inducible gene, MxA, in HIV-1 than in HIV-2 individuals. Importantly, serum IFN-α levels were not elevated in HIV-2 infected individuals. In conclusion, our data in this unique natural model of “attenuated” HIV immunodeficiency contribute to the understanding of pDC biology in HIV/AIDS pathogenesis, showing that in the absence of detectable viremia a major depletion of circulating pDC in association with a relatively preserved IFN-α production does occur