Visualization of spirography-based objective measures in Parkinson's disease

Objective: To investigate whether advanced visualizations of spirography-based objective measures are useful in differentiating drug-related motor dysfunctions between Off and dyskinesia in Parkinson’s disease (PD). Background: During the course of a 3 year longitudinal clinical study, in total 65 patients (43 males and 22 females with mean age of 65) with advanced PD and 10 healthy elderly (HE) subjects (5 males and 5 females with mean age of 61) were assessed. Both patients and HE subjects performed repeated and time-stamped assessments of their objective health indicators using a test battery implemented on a telemetry touch screen handheld computer, in their home environment settings. Among other tasks, the subjects were asked to trace a pre-drawn Archimedes spiral using the dominant hand and repeat the test three times per test occasion. Methods: A web-based framework was developed to enable a visual exploration of relevant spirography-based kinematic features by clinicians so they can in turn evaluate the motor states of the patients i.e. Off and dyskinesia. The system uses different visualization techniques such as time series plots, animation, and interaction and organizes them into different views to aid clinicians in measuring spatial and time-dependent irregularities that could be associated with the motor states. Along with the animation view, the system displays two time series plots for representing drawing speed (blue line) and displacement from ideal trajectory (orange line). The views are coordinated and linked i.e. user interactions in one of the views will be reflected in other views. For instance, when the user points in one of the pixels in the spiral view, the circle size of the underlying pixel increases and a vertical line appears in the time series views to depict the corresponding position. In addition, in order to enable clinicians to observe erratic movements more clearly and thus improve the detection of irregularities, the system displays a color-map which gives an idea of the longevity of the spirography task. Figure 2 shows single randomly selected spirals drawn by a: A) patient who experienced dyskinesias, B) HE subject, and C) patient in Off state. Results: According to a domain expert (DN), the spirals drawn in the Off and dyskinesia motor states are characterized by different spatial and time features. For instance, the spiral shown in Fig. 2A was drawn by a patient who showed symptoms of dyskinesia; the drawing speed was relatively high (cf. blue-colored time series plot and the short timestamp scale in the x axis) and the spatial displacement was high (cf. orange-colored time series plot) associated with smooth deviations as a result of uncontrollable movements. The patient also exhibited low amount of hesitation which could be reflected both in the animation of the spiral as well as time series plots. In contrast, the patient who was in the Off state exhibited different kinematic features, as shown in Fig. 2C. In the case of spirals drawn by a HE subject, there was a great precision during the drawing process as well as unchanging levels of time-dependent features over the test trial, as seen in Fig. 2B. Conclusions: Visualizing spirography-based objective measures enables identification of trends and patterns of drug-related motor dysfunctions at the patient’s individual level. Dynamic access of visualized motor tests may be useful during the evaluation of drug-related complications such as under- and over-medications, providing decision support to clinicians during evaluation of treatment effects as well as improve the quality of life of patients and their caregivers. In future, we plan to evaluate the proposed approach by assessing within- and between-clinician variability in ratings in order to determine its actual usefulness and then use these ratings as target outcomes in supervised machine learning, similarly as it was previously done in the study performed by Memedi et al. (2013).

Mobile systems for monitoring Parkinson's disease

A challenge for the clinical management of Parkinson's disease (PD) is the large within- and between-patient variability in symptom profiles as well as the emergence of motor complications which represent a significant source of disability in patients. This thesis deals with the development and evaluation of methods and systems for supporting the management of PD by using repeated measures, consisting of subjective assessments of symptoms and objective assessments of motor function through fine motor tests (spirography and tapping), collected by means of a telemetry touch screen device. One aim of the thesis was to develop methods for objective quantification and analysis of the severity of motor impairments being represented in spiral drawings and tapping results. This was accomplished by first quantifying the digitized movement data with time series analysis and then using them in data-driven modelling for automating the process of assessment of symptom severity. The objective measures were then analysed with respect to subjective assessments of motor conditions. Another aim was to develop a method for providing comparable information content as clinical rating scales by combining subjective and objective measures into composite scores, using time series analysis and data-driven methods. The scores represent six symptom dimensions and an overall test score for reflecting the global health condition of the patient. In addition, the thesis presents the development of a web-based system for providing a visual representation of symptoms over time allowing clinicians to remotely monitor the symptom profiles of their patients. The quality of the methods was assessed by reporting different metrics of validity, reliability and sensitivity to treatment interventions and natural PD progression over time. Results from two studies demonstrated that the methods developed for the fine motor tests had good metrics indicating that they are appropriate to quantitatively and objectively assess the severity of motor impairments of PD patients. The fine motor tests captured different symptoms; spiral drawing impairment and tapping accuracy related to dyskinesias (involuntary movements) whereas tapping speed related to bradykinesia (slowness of movements). A longitudinal data analysis indicated that the six symptom dimensions and the overall test score contained important elements of information of the clinical scales and can be used to measure effects of PD treatment interventions and disease progression. A usability evaluation of the web-based system showed that the information presented in the system was comparable to qualitative clinical observations and the system was recognized as a tool that will assist in the management of patients.

Automatic and objective assessment of alternating tapping performance in Parkinson’s disease

This paper presents the development and evaluation of a method for enabling quantitative and automatic scoring of alternating tapping performance of patients with Parkinson’s disease (PD). Ten healthy elderly subjects and 95 patients in different clinical stages of PD have utilized a touch-pad handheld computer to perform alternate tapping tests in their home environments. First, a neurologist used a web-based system to visually assess impairments in four tapping dimensions (‘speed’, ‘accuracy’, ‘fatigue’ and ‘arrhythmia’) and a global tapping severity (GTS). Second, tapping signals were processed with time series analysis and statistical methods to derive 24 quantitative parameters. Third, principal component analysis was used to reduce the dimensions of these parameters and to obtain scores for the four dimensions. Finally, a logistic regression classifier was trained using a 10-fold stratified cross-validation to map the reduced parameters to the corresponding visually assessed GTS scores. Results showed that the computed scores correlated well to visually assessed scores and were significantly different across Unified Parkinson’s Disease Rating Scale scores of upper limb motor performance. In addition, they had good internal consistency, had good ability to discriminate between healthy elderly and patients in different disease stages, had good sensitivity to treatment interventions and could reflect the natural disease progression over time. In conclusion, the automatic method can be useful to objectively assess the tapping performance of PD patients and can be included in telemedicine tools for remote monitoring of tapping.

AvalWeb : sistema interativo para gerência de questões e aplicação de avaliações na web

Neste trabalho, é realizado um estudo dos processos de avaliação de alunos em ambiente WBT (Web Based Training). Para tanto, foram analisadas várias ferramentas de avaliação disponíveis no mercado. Com base nestas análises, foi proposto um sistema de gerência de questões e aplicação de avaliações, onde o termo “gerência” é utilizado com o objetivo de (i) atender requisições dos professores para elaboração de avaliações, (ii) escolher o nível de dificuldade das questões que comporão a avaliação e (iii) usar estratégias interativas para aplicação de provas, como por exemplo, a utilização de níveis de dificuldade progressivos das questões submetidas aos alunos, dependendo de suas respostas anteriores. Integrando o sistema de gerência de questões foi proposto um módulo de auto-avaliações, com retorno imediato para o aluno sobre qual é a resposta correta juntamente com uma explicação do professor, auxiliando no entendimento do estudante sobre a matéria ao invés de simplesmente atribuir determinada nota. Enfim, foi implementado um protótipo demonstrando a viabilidade das idéias presentes no modelo de avaliação aqui proposto. A proposta conceitual estabelecida para o modelo é bem mais ampla e flexível do que a atual versão da implementação realizada.

Utilizing cross-domain SOAP Web services using client-side languages in an enterprise mashup platform

Service oriented architectures (SOA) based on Simple Object Access Protocol (SOAP) Web services have attracted the attention of enterprises mainly for business-to-business integration and to create composite applications that execute business processes. An existing problem is the lack of preoccupation with non technical users due to the fact that to create a composite application to fulfill users needs, it is necessary to be in contact with IT staff. To overcome this issue, enterprises can take advantage of web 2.0, 'introducing in the development stage some technologies like mashups and some concepts like user empowerment, collaborative work and collective intelligence. Some results [3] [13] have shown how web 2.0 concepts can help non technical users to produce relative complex business processes. However, traditional enterprise requirements goes beyond typical web 2.0 solutions in several aspects: (1) traditional enterprise systems are based on heterogeneous stack of technologies that are not directly exploitable from a web-based client (where SOAP web services play an important role); (2) web browsers set some cross-domain security constraints making difficult to integrate services from diverse domains. In this paper, a contribution to two web 2.0 research projects [14] [15] partially solves the problems described: provide a way to invoke cross-domain backend services (based on SOAP technologies) directly only using clientside languages, without a need for any adaptation layer. © 2010 ACM.

Web system to aid project management

This work describes a new web system to aid project management that was created to correct the principal deficiencies identified in systems having a common purpose which are at present available, as well as to follow the guidelines that are proposed in the Project Management Body of Knowledge (PMBoK) and the quality characteristics described in the ISO/IEC 9126 norm. As from the adopted methodology, the system was structured to attend the real necessities of project managers and also to contribute towards obtaining quality results from the projects. The validation of the proposed solution was done with the collaboration of professionals that used the functions available in it for a period of 15 days. Results attested to the quality and adequacy of the developed system.

Four year multitrophic food web: source food web description, methodology accuracy and species diversity

Food webs have been used in order to understand the trophic relationship among organisms within an ecosystem, however the extension by which sampling efficiency could affect food web responses remain poorly understood. Still, there is a lack of long-term sampling data for many insect groups, mainly related to the interactions between herbivores and their host plants. In the first chapter, I describe a source food web based on the Senegalia tenuifolia plant by identifying the associated insect species and the interactions among them and with this host plant. Furthermore, I check for the data robustness from each trophic level and propose a cost-efficiently methodology. The results from this chapter show that the collected dataset and the methodology presented are a good tool for sample most insect richness of a source food web. In total the food web comprises 27 species belonging to four trophic levels. In the second chapter, I demonstrate the temporal variation in the species richness and abundance from each trophic level, as well as the relationship among distinct trophic levels. Moreover, I investigate the diversity patterns of the second and third trophic level by assessing the contribution of alfa and beta-diversity components along the years. This chapter shows that in our system the parasitoid abundance is regulated by the herbivore abundances. Besides, the species richness and abundances of the trophic levels vary temporally. It also shows that alfa-diversity was the diversity component that most contribute to the herbivore species diversity (2nd trophic level), while the contribution of alfa- and beta-diversity changed along the years for parasitoid diversity (3rd level). Overall, this dissertation describes a source food web and bring insights into some food web challenges related to the sampling effort to gather enough species from all trophic levels. It also discuss the relation among communities associated with distinct trophic levels and their temporal variation and diversity patterns. Finally, this dissertation contributes for the world food web database and in understanding the interactions among its trophic levels and each trophic level pattern along time and space

Uma arquitetura multiagentes para sistema educacional baseado na web semântica

Pós-graduação em Ciência da Computação - IBILCE

Sistema multiagente web semântico para gestão de conteúdos educacionais

Pós-graduação em Ciência da Computação - IBILCE

Websislapam: sistema de avaliações de pessoas baseado em tecnologias WEB

This work, entitled Websislapam: People Rating System Based on Web Technologies, allows the creation of questionnaires, and the organization of entities and people who participate in evaluations. Entities collect data from people with the help of resources that reduce typing mistakes. The Websislapam maintains a database and provides graphical reporting, which enable the analysis of those tested. Developed using Web technologies such as PHP, Javascript, CSS, and others. Developed with the paradigm of object-oriented programming and the MySQL DBMS. For the theoretical basis, research in the areas of System Database, Web Technologies and Web Engineering were performed. It was determined the evaluation process, systems and Web-based applications, Web and System Engineering Database. Technologies applied in the implementation of Websislapam been described. In a separate chapter presented the main features and artifacts used in the development of Websislapam. A case study demonstrates the practical use of the system

Fidelity and game-based technology in management education

This study explores educational technology and management education by analyzing fidelity in game-based management education interventions. A sample of 31 MBA students was selected to help answer the research question: To what extent do MBA students tend to recognize specific game-based academic experiences, in terms of fidelity, as relevant to their managerial performance? Two distinct game-based interventions (BG1 and BG2) with key differences in fidelity levels were explored: BG1 presented higher physical and functional fidelity levels and lower psychological fidelity levels. Hypotheses were tested with data from the participants, collected shortly after their experiences, related to the overall perceived quality of game-based interventions. The findings reveal a higher overall perception of quality towards BG1: (a) better for testing strategies, (b) offering better business and market models, (c) based on a pace that better stimulates learning, and (d) presenting a fidelity level that better supports real world performance. This study fosters the conclusion that MBA students tend to recognize, to a large extent, that specific game-based academic experiences are relevant and meaningful to their managerial development, mostly with heightened fidelity levels of adopted artifacts. Agents must be ready and motivated to explore the new, to try and err, and to learn collaboratively in order to perform.

Aplicación web para la gestión de tareas siguiendo la metodología GTD

[ES] El Trabajo Final de Grado tiene por finalidad ofrecer una solución que ayude a las personas a gestionar sus tareas tanto personales como empresariales de una manera más productiva. Actualmente este tipo de aplicaciones tienen mucho éxito. Se decidió que el desarrollo de esta aplicación fuera con la metodología Getting Things Done (GTD) ya que es una metodología que aumenta la productividad y reduce el estrés laboral. A día de hoy, no hay muchas aplicaciones que utilice esta metodología y las que la utilizan lo hace de una forma muy básica. Junto a esta metodología y guiándonos de la experiencia del tutor se intentó combinar esta metodología con controles de tiempo para mejorar aún más la productividad de las personas que utiliza dicho software. El resultado obtenido de este trabajo final de grado fue la base de una aplicación web para la gestión de tareas. El software creado es totalmente funcional, muy fácil de usar, muy intuitivo, y usa la filosofía Getting Things Done . Básicamente los objetivos principales conseguidos en este proyecto fueron: la gestión de usuarios. La gestión de tareas y proyectos. Aplicación de la metodología GTD. Control del tiempo productivo, e improductivo, interrupciones, temporizadores. La aplicación ha sido realizada como Trabajo Final de Grado en Ingeniería Informática, cumpliendo con todas las fases del desarrollo del software, para obtener un producto funcional que fuera aprobado por el tutor que haría el rol de potencial cliente. En el presente proyecto se ha seguido la metodología RUP, dirigida por casos de uso, iterativa e incremental. Para completar el proceso se ha realizado la elaboración de una lista de características, la especificación de los casos de uso, una fase de análisis, una de diseño, implementación y prueba. Las tecnologías utilizadas han sido, principalmente, Ruby On Rails, HTML5, CSS , AJAX y JAVASCRIPT. El objetivo a largo plazo es que esta solución pueda ser tomada como base de implementación, donde haciendo las mejoras necesarias se pueda poner en el mercado un gran software de gestión de tareas siguiendo la metodología GTD.

Aplicación web para Ayuntamiento de Las Palmas de Gran Canaria : [Parte A]

[ES] Este Trabajo de Fin de Grado es un servicio basado en tecnologías web (PHP, HTML5, CSS, JQUERY y AJAX). El objetivo principal es ofrecer un servicio de creación y gestión de actas para el Ayuntamiento de Las Palmas de Gran Canaria. Para ello, consta de dos módulos principales, uno para “crear actas” y otro para “editar actas”. La aplicación consta de dos partes. Una primera parte desarrollada por mí, que consiste en primer lugar en todas las reuniones que fueron necesarias con el personal del Ayuntamiento de Las Palmas de Gran Canaria para entender sus necesidades y cómo poder afrontarlas como desarrollador. Y en segundo lugar, me he encargado de la elaboración y la estructura de la página web, mediante la generación de los distintos ficheros con contenido  HTML, en la interconexión de estos ficheros y en el paso de parámetros entre dichos ficheros mediante las distintas herramientas (JQUERY, AJAX), así como también he dotado a la web de todo el contenido JavaScript necesario. En este apartado también se encuentra la tarea de realizar un módulo de búsqueda y un módulo para mostrar las actas ya acabadas. El de búsqueda contiene un formulario con un campo de búsqueda y busca las coincidencias dentro de todos los ficheros que se han generado con la aplicación. También muestra un link para abrir ese fichero desde el navegador. Como aportación adicional también me he encargado de la configuración y generación de las tablas necesarias de la base de datos para el funcionamiento de la aplicación.

Un applicativo Web con tecnologia single-page AJAX, servizi REST e grafica X3D, per la configurazione di modelli CAD tridimensionali

In questa tesi è stato realizzato un sistema web-based, per la configurazione di modelli meccanici tridimensionali. L’intero software è basato su architettura multi-tier. Il back-end espone servizi RESTful che permettono l’interrogazione di una base di dati contenente l’anagrafica dei modelli e l’interazione con il CAD 3D SolidWorks. Il front-end è rappresentato da due pagine HTML ideate come SPA (Single Page Application), una per l’amministratore e l’altra per l’utente finale; esse sono responsabili delle chiamate asincrone verso i servizi, dell’aggiornamento automatico dell’interfaccia e dell’interazione con immagini tridimensionali.

Progettazione di un'applicazione web-oriented per la gestione di un sistema informativo aziendale

L’azienda committente vuole ampliare la possibilità di accedere al suo database, sia dall’esterno che dall’interno, non solamente da parte di un unico utente amministratore, ma anche da tutti gli agenti distribuiti sul territorio nazionale e tutti gli impiegati degli uffici. Si vuole inoltre creare un sistema di notifiche via email che permetta a tutti gli utenti (agenti) registrati di avere in tempo reale informazioni sempre aggiornate riguardo i propri clienti. La ditta si chiama Tropical Lane S.p.A. e vuole realizzare questo progetto per rendere maggiormente accessibili le informazioni per i propri agenti, distribuiti nelle varie regioni italiane, direttamente tramite un loro dispositivo mobile, come smartphone o tablet, senza dover necessariamente telefonare continuamente in ditta dove è presente una segretaria che svolge solamente questa mansione. In questo modo si cerca di velocizzare la procedura di accesso ai dati così da liberare una risorsa utile per lo svolgimento di altre funzioni interne. Si è deciso quindi di creare un sito web, basato su tecnologia Active Server Pages e interfacciato al database aziendale, che sia fruibile dall’esterno della rete aziendale e sul quale vengono mostrati i dati, organizzati in modo da essere facilmente comprensibili e visualizzabili da tutti. La realizzazione del sito è stata effettuata utilizzando notepad++ sia per le pagine ASP che per le poche pagine di HTML statico presenti. Gli script sono stati realizzati in linguaggio Javascript, compatibile con le specifiche dei browser più diffusi. Il sito è supportato da un unico database realizzato in precedenza con Microsoft SQL ed integrato.