A Tele-Health Communication and Information System for Underserved Children in Rural Areas of Nicaragua

Millennium Development Goals point out the necessity of actively promoting maternal-child health care status, especially in underserved areas. This article details the development actions carried out between 2008 and 2011 in some rural communities of Nicaragua with the aim to provide a low-cost tele-health communication service. The service is managed by the health care center of Cusmapa, which leads the program and maintains a communication link between its health staff and the health brigades of 26 distant communities. Local agents can use the system to report urgent maternal-child health care episodes to be assessed through WiMAX-WiFi voice and data communications attended by two physicians and six nurses located at the health care center. The health and nutritional status of the maternal-child population can be monitored to prevent diseases, subnutrition, and deaths. The action approach assumes the fundamentals of appropriate technology and looks for community- based, sustainable, replicable, and scalable solutions to ensure future deployments according to the strategies of the United Nations.

Mutual Information and Perplexity based Clustering of Dialogue Information for Dynamic Adaptation of Language Models

We present two approaches to cluster dialogue-based information obtained by the speech understanding module and the dialogue manager of a spoken dialogue system. The purpose is to estimate a language model related to each cluster, and use them to dynamically modify the model of the speech recognizer at each dialogue turn. In the first approach we build the cluster tree using local decisions based on a Maximum Normalized Mutual Information criterion. In the second one we take global decisions, based on the optimization of the global perplexity of the combination of the cluster-related LMs. Our experiments show a relative reduction of the word error rate of 15.17%, which helps to improve the performance of the understanding and the dialogue manager modules.

Decoding urban landscapes through the analysis of place names and imaginaries at a local scale.

Toponomastics is increasingly interested in the subjective role of place names in quotidian life. In the frame of Urban Geography, the interest in this matter is currently growing, as the recently change in modes of habitation has urged our discipline to find new ways of exploring the cities. In this context, the study of how name's significance is connected to a urban society constitutes a very interesting approach. We believe in the importance of place names as tools for decoding urban areas and societies at a local-scale. This consideration has been frequently taken into account in the analysis of exonyms, although in their case they are not exempt of political and practical implications that prevail over the tool function. The study of toponomastic processes helps us understanding how the city works, by analyzing the liaison between urban landscape, imaginaries and toponyms which is reflected in the scarcity of some names, in the biased creation of new toponyms and in the pressure exercised over every place name by tourists, residents and local government for changing, maintaining or eliminating them. Our study-case, Toledo, is one of the oldest cities in Spain, full of myths, stories and histories that can only be understood combined with processes of internal evolution of the city linked to the arrival of new residents and the more and more notorious change of its historical landscape. At a local scale, we are willing to decode the information which is contained in its toponyms about its landscape and its society.

Auto-localization algorithm for local positioning systems

This paper studies the problem of determining the position of beacon nodes in Local Positioning Systems (LPSs), for which there are no inter-beacon distance measurements available and neither the mobile node nor any of the stationary nodes have positioning or odometry information. The common solution is implemented using a mobile node capable of measuring its distance to the stationary beacon nodes within a sensing radius. Many authors have implemented heuristic methods based on optimization algorithms to solve the problem. However, such methods require a good initial estimation of the node positions in order to find the correct solution. In this paper we present a new method to calculate the inter-beacon distances, and hence the beacons positions, based in the linearization of the trilateration equations into a closed-form solution which does not require any approximate initial estimation. The simulations and field evaluations show a good estimation of the beacon node positions.

Caracterización de la agitación local y la respuesta oscilatoria de un buque mediante el uso de técnicas de visión artificial : aplicación al análisis de los umbrales operativos en líneas de atraque y amarre

El desarrollo de actividades de carga y descarga son parte de la esencia de la naturaleza funcional de un puerto, de las cuales derivan en gran medida los ingresos del mismo y la eficiencia de la cadena logística en su conjunto. Las oscilaciones en el interior de una dársena y en un línea de atraque disminuyen la calidad de la estancia de las embarcaciones en puerto, reducen el rendimiento de la estiba de los buques y solicitan y fatigan las estructuras y los cuerpos flotantes amarrados. Si los parámetros que definen la agitación local se aproximan a regiones de fallo 0 parada, el subsistema pierde rendimiento, fiabilidad y finalmente se paralizan las operaciones, produciéndose de este modo tiempos de inactividad. Estas paradas operativas conllevan pérdidas económicas para la terminal y, consecuentemente, para el puerto. Hoy día se dispone vastas redes de monitorización destinadas a la caracterización del medio físico en el entorno de los puertos. Paralelamente, las operaciones de manipulación de cargas en las terminales se están dirigiendo hacia modelos de automatización o semi automatización, que permiten no sólo la sistematización de procesos, sino también un profundo conocimiento del flujo de tareas. En este contexto hay un déficit de información sobre cómo afectan los diferentes forzadores del medio físico al rendimiento, la seguridad funcionalidad del proceso de manipulación de carga y descarga. Esto se debe en gran medida a la falta de registros dilatados en el tiempo que permitan correlacionar todos los aspectos mencionados de un modo particularizado para cada línea de atraque y amarre de un puerto. En esta tesis se desarrolla una metodología de vídeo monitorización no intrusiva y de bajo coste basada en la aplicación de técnicas "pixel tool' y la obtención de los parámetros extrínsecos de una observación monofocal. Con ello pretende poner en valor las infraestructuras de vídeo vigilancia de los puertos y de los laboratorios de experimentación a escala reducida, con el objeto de facilitar el estudio los umbrales operativos de las áreas de atraque y amarre. The development of loading and unloading activities is an essential part of he functional nature of a port, which derive largely from he same income and the efficiency of he supply chain as a whole. The oscillations inside a dock and a mooring line diminish he quality of the stay of vessels in port reducing the performance of the stowage of ship and asking and fatigued structures and moored floating bodies. If the parameters defining the local al agitation regions are close to areas of failure or shutdown, he subsystem looses performance, reliability and eventually paralyzes the operations, thereby producing downtime. These operational stops entail economic 1osses to the terminal and, consequently for the port. Today vast networks of monitoring, aimed at he characterization of the physical environment in the vicinity of he ports, are available. In parallel, the cargo handling operations at terminals are moving towards automation or semi-automation models that allow not only the systematization of processes, but also a deep understanding of he workflow. In this context, there is a lack of information about how the different forcing agents of the physical environment affect the performance and he functional safety of the loading and unloading process. This is due largely to the lack of spread-over-time records which would allow to correlate all aspects mentioned, specifically, for each berthing and mooring of a port. This thesis develops a methodology for non-intrusive and low cost monitoring video based on the application of "pixel tool" techniques and on obtaining the extrinsic parameters of a monofocal observation. It seeks an enhancement of the video monitoring infrastructure at ports and at experimental laboratories of reduced scale, in order to facilitate the study of operational thresholds berthing and mooring areas.

Enhancing Guideline-based decision support with distributed computation through local mobile application

We introduce the need for a distributed guideline-based decision sup-port (DSS) process, describe its characteristics, and explain how we implement-ed this process within the European Union?s MobiGuide project. In particular, we have developed a mechanism of sequential, piecemeal projection, i.e., 'downloading' small portions of the guideline from the central DSS server, to the local DSS in the patient's mobile device, which then applies that portion, us-ing the mobile device's local resources. The mobile device sends a callback to the central DSS when it encounters a triggering pattern predefined in the pro-jected module, which leads to an appropriate predefined action by the central DSS, including sending a new projected module, or directly controlling the rest of the workflow. We suggest that such a distributed architecture that explicitly defines a dialog between a central DSS server and a local DSS module, better balances the computational load and exploits the relative advantages of the cen-tral server and of the local mobile device.

Cartografía local y sistemas de información geográfica participativos como herramientas de consolidación de la identidad local en la planificación urbana y territorial

Una de las características de la cartografía y SIG Participativos (SIGP) es incluir en sus métodos a la sociedad civil para aportar contenidos cualitativos a la información de sus territorios. Sin embargo no sólo se trata de datos, sino de los efectos que pueden tener estas prácticas sobre el territorio y su sociedad. El acceso a esa información se ve reducida en contraste con el incremento de información difundida a través de servicios de visualización, geoinformación y cartografía on-line. Todo esto hace que sea necesario el análisis del alcance real de las metodologías participativas en el uso de Información Geográfica (IG) y la comparación desde distintos contextos geográficos. También es importante conocer los beneficios e inconvenientes del acceso a la información para el planeamiento; desde la visibilidad de muchos pueblos desapercibidos en zonas rurales y periféricas, hasta la influencia en programas de gobierno sobre la gestión del territorio pasando por el conocimiento local espacial. El análisis se centró en los niveles de participación de la sociedad civil y sus grados de accesibilidad a la información (acceso y uso), dentro del estudio de los SIGP, Participatory Mapping, además se estudió de los TIG (Tecnologías de Información Geográfica), cartografías on-line (geoweb) y plataformas de geovisualización espacial, como recursos de Neocartografía. En este sentido, se realizó un trabajo de campo de cartografía participativa en Bolivia, se evaluaron distintos proyectos SIGP en países del norte y sur (comparativa de contextos en países en desarrollo) y se analizaron los resultados del cruce de las distintas variables.(validación, accesibilidad, verificación de datos, valor en la planificación e identidad) La tesis considera que ambos factores (niveles de participación y grado de accesibilidad) afectan a la (i) validación, verificación y calidad de los datos, la (ii) valor analítico en la planificación, y al (iii) modelo de identidad de un lugar, y que al ser tratados de forma integral, constituyen el valor añadido que los SIGP pueden aportar para lograr una planificación efectiva. Asimismo se comprueba, que la dimensión participativa en los SIGP varía según el contexto, la centralización de sus actores e intereses sectoriales. La información resultante de las prácticas SIGP tiende a estar restringida por la falta de legislaciones y por la ausencia de formatos estándar, que limitan la difusión e intercambio de la información. Todo esto repercute en la efectividad de una planificación estratégica y en la viabilidad de la implementación de cualquier proyecto sobre el territorio, y en consecuencia sobre los niveles de desarrollo de un país. Se confirma la hipótesis de que todos los elementos citados en los SIGP y mapeo participativo actuarán como herramientas válidas para el fortalecimiento y la eficacia en la planificación sólo si están interconectadas y vinculadas entre sí. Se plantea una propuesta metodológica ante las formas convencionales de planificación (nueva ruta del planeamiento; que incluye el intercambio de recursos y determinación participativa local antes de establecer la implementación), con ello, se logra incorporar los beneficios de las metodologías participativas en el manejo de la IG y los SIG (Sistemas de Información Geográfica) como instrumentos estratégicos para el desarrollo de la identidad local y la optimización en los procesos de planeamiento y estudios del territorio. Por último, se fomenta que en futuras líneas de trabajo los mapas de los SIGP y la cartografía participativa puedan llegar a ser instrumentos visuales representativos que transfieran valores identitarios del territorio y de su sociedad, y de esta manera, ayudar a alcanzar un mayor conocimiento, reconocimiento y valoración de los territorios para sus habitantes y sus planificadores. ABSTRACT A feature of participatory mapping and PGIS is to include the participation of the civil society, to provide qualitative information of their territories. However, focus is not only data, but also the effects that such practices themselves may have on the territory and their society. Access to this information is reduced in contrast to the increase of information disseminated through visualization services, geoinformation, and online cartography. Thus, the analysis of the real scope of participatory methodologies in the use of Geographic Information (GI) is necessary, including the comparison of different geographical contexts. It is also important to know the benefits and disadvantages of access to information needed for planning in different contexts, ranging from unnoticed rural areas and suburbs to influence on government programs on land management through local spatial knowledge. The analysis focused on the participation levels of civil society and the degrees of accessibility of the information (access and use) within the study of Participatory GIS (PGIS). In addition, this work studies GIT (Geographic Information Technologies), online cartographies (Geoweb) and platforms of spatial geovisualization, as resources of Neocartography. A participatory cartographic fieldwork was carried out in Bolivia. Several PGIS projects were evaluated in Northern and Southern countries (comparatively with the context of developing countries), and the results were analyzed for each these different variables. (validation, accessibility, verification,value, identity). The thesis considers that both factors (participation levels and degree of accessibility) affect the (i) validation, verification and quality of the data, (ii) analytical value for planning, and (iii) the identity of a place. The integrated management of all the above cited criteria constitutes an added value that PGISs can contribute to reach an effective planning. Also, it confirms the participatory dimension of PGISs varies according to the context, the centralization of its actors, and to sectorial interests. The resulting information from PGIS practices tends to be restricted by the lack of legislation and by the absence of standard formats, which limits in turn the diffusion and exchange of the information. All of this has repercussions in the effectiveness of a strategic planning and in the viability of the implementation of projects about the territory, and consequentially in the land development levels. The hypothesis is confirmed since all the described elements in PGISs and participatory mapping will act as valid tools in strengthening and improving the effectivity in planning only if they are interconnected and linked amongst themselves. This work, therefore, suggests a methodological proposal when faced with the conventional ways of planning: a new planning route which includes the resources exchange and local participatory determination before any plan is established -. With this, the benefits of participatory methodologies in the management of GI and GIS (Geographic Information Systems) is incorporated as a strategic instrument for development of local identity and optimization in planning processes and territory studies. Finally, the study outlines future work on PGIS maps and Participatory Mapping, such that these could eventually evolve into visual representative instruments that transfer identity values of the territory and its society. In this way, they would contribute to attain a better knowledge, recognition, and appraisement of the territories for their inhabitants and planners.

Human-computer interaction based on visual hand-gesture recognition using volumetric spatiograms of local binary patterns

A more natural, intuitive, user-friendly, and less intrusive Human–Computer interface for controlling an application by executing hand gestures is presented. For this purpose, a robust vision-based hand-gesture recognition system has been developed, and a new database has been created to test it. The system is divided into three stages: detection, tracking, and recognition. The detection stage searches in every frame of a video sequence potential hand poses using a binary Support Vector Machine classifier and Local Binary Patterns as feature vectors. These detections are employed as input of a tracker to generate a spatio-temporal trajectory of hand poses. Finally, the recognition stage segments a spatio-temporal volume of data using the obtained trajectories, and compute a video descriptor called Volumetric Spatiograms of Local Binary Patterns (VS-LBP), which is delivered to a bank of SVM classifiers to perform the gesture recognition. The VS-LBP is a novel video descriptor that constitutes one of the most important contributions of the paper, which is able to provide much richer spatio-temporal information than other existing approaches in the state of the art with a manageable computational cost. Excellent results have been obtained outperforming other approaches of the state of the art.

Signals and signs in the nervous system: The dynamic anatomy of electrical activity is probably information-rich

The dichotomy between two groups of workers on neuroelectrical activity is retarding progress. To study the interrelations between neuronal unit spike activity and compound field potentials of cell populations is both unfashionable and technically challenging. Neither of the mutual disparagements is justified: that spikes are to higher functions as the alphabet is to Shakespeare and that slow field potentials are irrelevant epiphenomena. Spikes are not the basis of the neural code but of multiple codes that coexist with nonspike codes. Field potentials are mainly information-rich signs of underlying processes, but sometimes they are also signals for neighboring cells, that is, they exert influence. This paper concerns opportunities for new research with many channels of wide-band (spike and slow wave) recording. A wealth of structure in time and three-dimensional space is different at each scale—micro-, meso-, and macroactivity. The depth of our ignorance is emphasized to underline the opportunities for uncovering new principles. We cannot currently estimate the relative importance of spikes and synaptic communication vs. extrasynaptic graded signals. In spite of a preponderance of literature on the former, we must consider the latter as probably important. We are in a primitive stage of looking at the time series of wide-band voltages in the compound, local field, potentials and of choosing descriptors that discriminate appropriately among brain loci, states (functions), stages (ontogeny, senescence), and taxa (evolution). This is not surprising, since the brains in higher species are surely the most complex systems known. They must be the greatest reservoir of new discoveries in nature. The complexity should not deter us, but a dose of humility can stimulate the flow of imaginative juices.

Local translation of classes of mRNAs that are targeted to neuronal dendrites

The functioning of the neuronal dendrite results from a variety of biological processes including mRNA transport to and protein translation in the dendrite. The complexity of the mRNA population in dendrites suggests that specific biological processes are modulated through the regulation of dendritic biology. There are various classes of mRNAs in dendrites whose translation modulates the ability of the dendrite to receive and integrate presynaptic information. Among these mRNAs are those encoding selective transcription factors that function in the neuronal soma and ionotropic glutamate receptors that function on the neuronal membrane. Conclusive evidence that these mRNAs can be translated is reviewed, and identification of the endogenous sites of translation in living dendrites is presented. These data, as well as those described in the other articles resulting from this colloquium, highlight the complexity of dendritic molecular biology and the exquisitely selective and sensitive modulatory role played by the dendrite in facilitating intracellular and intercellular communication.

Public library consumer health information pilot project: results of a National Library of Medicine evaluation

In October 1998, the National Library of Medicine (NLM) launched a pilot project to learn about the role of public libraries in providing health information to the public and to generate information that would assist NLM and the National Network of Libraries of Medicine (NN/LM) in learning how best to work with public libraries in the future. Three regional medical libraries (RMLs), eight resource libraries, and forty-one public libraries or library systems from nine states and the District of Columbia were selected for participation. The pilot project included an evaluation component that was carried out in parallel with project implementation. The evaluation ran through September 1999. The results of the evaluation indicated that participating public librarians were enthusiastic about the training and information materials provided as part of the project and that many public libraries used the materials and conducted their own outreach to local communities and groups. Most libraries applied the modest funds to purchase additional Internet-accessible computers and/or upgrade their health-reference materials. However, few of the participating public libraries had health information centers (although health information was perceived as a top-ten or top-five topic of interest to patrons). Also, the project generated only minimal usage of NLM's consumer health database, known as MEDLINEplus, from the premises of the monitored libraries (patron usage from home or office locations was not tracked). The evaluation results suggested a balanced follow-up by NLM and the NN/LM, with a few carefully selected national activities, complemented by a package of targeted activities that, as of January 2000, are being planned, developed, or implemented. The results also highlighted the importance of building an evaluation component into projects like this one from the outset, to assure that objectives were met and that evaluative information was available on a timely basis, as was the case here.

Health care, information needs, and outreach: reaching Ohio's rural citizens

As a rural state, Ohio has a vital interest in addressing rural health and information needs. NetWellness is a Web-based consumer health information service that focuses on the needs of the residents of Ohio. Health sciences faculty from the state's three Carnegie Research I universities—University of Cincinnati, Case Western Reserve University, and The Ohio State University—create and evaluate content and provide Ask an Expert service to all visitors. Through partnerships at the state and local levels, involving public, private, commercial, and noncommercial organizations, NetWellness has grown from a regional demonstration project in 1995 to a key statewide service. Collaboration with public libraries, complemented by alliances with kindergarten through twelfth grade agencies, makes NetWellness Ohio's essential health information resource.

Local stress, not systemic factors, regulate gene expression of the cardiac renin-angiotensin system in vivo: a comprehensive study of all its components in the dog.

Cardiac hypertrophy is associated with altered expression of the components of the cardiac renin-angiotensin system (RAS). While in vitro data suggest that local mechanical stimuli serve as important regulatory modulators of cardiac RAS activity, no in vivo studies have so far corroborated these observations. The aims of this study were to (i) examine the respective influence of local, mechanical versus systemic, soluble factors on the modulation of cardiac RAS gene expression in vivo; (ii) measure gene expression of all known components of the RAS simultaneously; and (iii) establish sequence information and an assay system for the RAS of the dog, one of the most important model organisms in cardiovascular research. We therefore examined a canine model of right ventricular hypertrophy and failure (RVHF) in which the right ventricle (RV) is hemodynamically loaded, the left ventricle (LV) is hemodynamically unloaded, while both are exposed to the same circulating milieu of soluble factors. Using specific competitive PCR assays, we found that RVHF was associated with significant increases in RV mRNA levels of angiotensin converting enzyme and angiotensin II type 2 receptor, and with significant decreases of RV expression of chymase and the angiotensin II type 1 receptor, while RV angiotensinogen and renin remained unchanged. All components remained unchanged in the LV. We conclude that (i) dissociated regional regulation of RAS components in RV and LV indicates modulation by local, mechanical, not soluble, systemic stimuli; (ii) components of the cardiac RAS are independently and differentially regulated; and (iii) opposite changes in the expression of angiotensin converting enzyme and chymase, and of angiotensin II type I and angiotensin II type 2 receptors, may indicate different physiological roles of these RAS components in RVHF.

Improved solutions to dynamic and stochastic maritime pick-up and delivery problems using local search.

Heuristics for stochastic and dynamic vehicle routing problems are often kept relatively simple, in part due to the high computational burden resulting from having to consider stochastic information in some form. In this work, three existing heuristics are extended by three different local search variations: a first improvement descent using stochastic information, a tabu search using stochastic information when updating the incumbent solution, and a tabu search using stochastic information when selecting moves based on a list of moves determined through a proxy evaluation. In particular, the three local search variations are designed to utilize stochastic information in the form of sampled scenarios. The results indicate that adding local search using stochastic information to the existing heuristics can further reduce operating costs for shipping companies by 0.5–2 %. While the existing heuristics could produce structurally different solutions even when using similar stochastic information in the search, the appended local search methods seem able to make the final solutions more similar in structure.