On the comparison of a novel serious game and electroencephalography biomarkers for early dementia screening

Patients with amnestic mild cognitive impairment are at high risk for developing Alzheimer's disease. Besides episodic memory dysfunction they show deficits in accessing contextual knowledge that further specifies a general spatial navigation task or an executive function (EF) virtual action planning. Virtual reality (VR) environments have already been successfully used in cognitive rehabilitation and show increased potential for use in neuropsychological evaluation allowing for greater ecological validity while being more engaging and user friendly. In our study we employed the in-house platform of virtual action planning museum (VAP-M) and a sample of 25 MCI and 25 controls, in order to investigate deficits in spatial navigation, prospective memory, and executive function. In addition, we used the morphology of late components in event-related potential (ERP) responses, as a marker for cognitive dysfunction. The related measurements were fed to a common classification scheme facilitating the direct comparison of both approaches. Our results indicate that both the VAP-M and ERP averages were able to differentiate between healthy elders and patients with amnestic mild cognitive impairment and agree with the findings of the virtual action planning supermarket (VAP-S). The sensitivity (specificity) was 100% (98%) for the VAP-M data and 87% (90%) for the ERP responses. Considering that ERPs have proven to advance the early detection and diagnosis of "presymptomatic AD," the suggested VAP-M platform appears as an appealing alternative.

A full pedigree based method for the statistical assessment of genetic anticipation

Genetic anticipation is defined as a decrease in age of onset or increase in severity as the disorder is transmitted through subsequent generations. Anticipation has been noted in the literature for over a century. Recently, anticipation in several diseases including Huntington's Disease, Myotonic Dystrophy and Fragile X Syndrome were shown to be caused by expansion of triplet repeats. Anticipation effects have also been observed in numerous mental disorders (e.g. Schizophrenia, Bipolar Disorder), cancers (Li-Fraumeni Syndrome, Leukemia) and other complex diseases. ^ Several statistical methods have been applied to determine whether anticipation is a true phenomenon in a particular disorder, including standard statistical tests and newly developed affected parent/affected child pair methods. These methods have been shown to be inappropriate for assessing anticipation for a variety of reasons, including familial correlation and low power. Therefore, we have developed family-based likelihood modeling approaches to model the underlying transmission of the disease gene and penetrance function and hence detect anticipation. These methods can be applied in extended families, thus improving the power to detect anticipation compared with existing methods based only upon parents and children. The first method we have proposed is based on the regressive logistic hazard model. This approach models anticipation by a generational covariate. The second method allows alleles to mutate as they are transmitted from parents to offspring and is appropriate for modeling the known triplet repeat diseases in which the disease alleles can become more deleterious as they are transmitted across generations. ^ To evaluate the new methods, we performed extensive simulation studies for data simulated under different conditions to evaluate the effectiveness of the algorithms to detect genetic anticipation. Results from analysis by the first method yielded empirical power greater than 87% based on the 5% type I error critical value identified in each simulation depending on the method of data generation and current age criteria. Analysis by the second method was not possible due to the current formulation of the software. The application of this method to Huntington's Disease and Li-Fraumeni Syndrome data sets revealed evidence for a generation effect in both cases. ^

The meaning of informal BMT caregiving

Objectives. The aims of this qualitative descriptive exploratory study were to (1) describe informal caregiver commitment in informal caregiving; (2) describe caregiver expectations in informal caregiving; (3) describe caregiver role negotiation in informal caregiving, (4) identify other important caregiver energy sources; and (5) refine the conceptual model of Informal Caregiving Dynamics based on the study results. ^ Methods. Participants were 40 informal caregivers of blood and marrow transplant patients being treated at a comprehensive cancer center who told their caregiving stories in an audiotaped dialogue. Patients consented to have their caregivers contacted about the study and to have information collected from their medical records. To address the specific aims, the dialogues were analyzed for major elements and themes with an adaptation of the descriptive exploratory method. ^ Findings. Commitment was redefined as enduring caregiver responsibility that inspires life changes to make the patient a priority. Commitment calls caregivers to supportive presence and self-affirming loving connection with the patient. Expectation management was defined as envisioning the future and yearning to return to normal. Expectation management includes taking one day at a time, gauging behavior from past experiences with the patient, and reconciling anticipated to actual treatment twists and turns. Role negotiation was defined as appropriate pushing by the caregiver toward patient recovery and independence after getting a handle on complex care that demands shared responsibilities. Role negotiation happens as caregivers determine action with attention to patient voice and vigilantly bridge communication between patients and the health care system. Three additional energy sources of caring for self, gaining insight, and connecting with others, were identified and added to the model as underpinnings for commitment, expectation, and role negotiation respectively. ^ Discussion and implications. Methods of supporting informal caregivers that deserve investigation include consistent acknowledgment of caregiver contribution to patient care; provision of clear, present-focused information; opportunities to reconcile expectations with outcomes by developing a coherent caregiving story; and encouragement to maintain good health habits while caregiving. Patient contribution to the dynamics of caregiving warrants future research attention as does change in energy sources over time as a caregiver. ^

Evaluation of PRESAGE® dosimeters for brachytherapy sources and the 3D dosimetry and characterization of the new AgX100 125I seed model

With continuous new improvements in brachytherapy source designs and techniques, method of 3D dosimetry for treatment dose verifications would better ensure accurate patient radiotherapy treatment. This study was aimed to first evaluate the 3D dose distributions of the low-dose rate (LDR) Amersham 6711 OncoseedTM using PRESAGE® dosimeters to establish PRESAGE® as a suitable brachytherapy dosimeter. The new AgX100 125I seed model (Theragenics Corporation) was then characterized using PRESAGE® following the TG-43 protocol. PRESAGE® dosimeters are solid, polyurethane-based, 3D dosimeters doped with radiochromic leuco dyes that produce a linear optical density response to radiation dose. For this project, the radiochromic response in PRESAGE® was captured using optical-CT scanning (632 nm) and the final 3D dose matrix was reconstructed using the MATLAB software. An Amersham 6711 seed with an air-kerma strength of approximately 9 U was used to irradiate two dosimeters to 2 Gy and 11 Gy at 1 cm to evaluate dose rates in the r=1 cm to r=5 cm region. The dosimetry parameters were compared to the values published in the updated AAPM Report No. 51 (TG-43U1). An AgX100 seed with an air-kerma strength of about 6 U was used to irradiate two dosimeters to 3.6 Gy and 12.5 Gy at 1 cm. The dosimetry parameters for the AgX100 were compared to the values measured from previous Monte-Carlo and experimental studies. In general, the measured dose rate constant, anisotropy function, and radial dose function for the Amersham 6711 showed agreements better than 5% compared to consensus values in the r=1 to r=3 cm region. The dose rates and radial dose functions measured for the AgX100 agreed with the MCNPX and TLD-measured values within 3% in the r=1 to r=3 cm region. The measured anisotropy function in PRESAGE® showed relative differences of up to 9% with the MCNPX calculated values. It was determined that post-irradiation optical density change over several days was non-linear in different dose regions, and therefore the dose values in the r=4 to r=5 cm regions had higher uncertainty due to this effect. This study demonstrated that within the radial distance of 3 cm, brachytherapy dosimetry in PRESAGE® can be accurate within 5% as long as irradiation times are within 48 hours.

Efectos sonoros en el canto IX de Ilíada

Al considerar los procedimientos poéticos que aparecen en los textos homéricos, es fundamental no perder de vista las posibilidades significativas que pueden presentar para la recepción auditiva propia de la performance épica. En la recreación de los acontecimientos míticos, los elementos del lenguaje específicamente poético cumplen una función instauradora esencial, pues al transformar los procedimientos poéticos en creencias perceptivas, realizan la presencia de los hechos narrados. Así es que procedimientos tales como la aliteración conllevan una carga temática que los convierte en un rasgo clave de la poética homérica. Los efectos sonoros en los textos homéricos fueron comentados desde la antigüedad, especialmente la capacidad de reproducir verbalmente sonidos de varios tipos de fenómenos naturales, seres y objetos. En los casos del canto IX de Ilíada, tales elementos cumplen una función relevante para la trama a través del leitmotiv tradicional que contribuyen a instaurar. Este tipo de análisis basado en las recurrencias de efectos sonoros permite recuperar para la lectura actual un rasgo importante de la poesía homérica: la 'creación verbal con motivación onomatopéyica'.

Efectos sonoros en el canto IX de Ilíada

Al considerar los procedimientos poéticos que aparecen en los textos homéricos, es fundamental no perder de vista las posibilidades significativas que pueden presentar para la recepción auditiva propia de la performance épica. En la recreación de los acontecimientos míticos, los elementos del lenguaje específicamente poético cumplen una función instauradora esencial, pues al transformar los procedimientos poéticos en creencias perceptivas, realizan la presencia de los hechos narrados. Así es que procedimientos tales como la aliteración conllevan una carga temática que los convierte en un rasgo clave de la poética homérica. Los efectos sonoros en los textos homéricos fueron comentados desde la antigüedad, especialmente la capacidad de reproducir verbalmente sonidos de varios tipos de fenómenos naturales, seres y objetos. En los casos del canto IX de Ilíada, tales elementos cumplen una función relevante para la trama a través del leitmotiv tradicional que contribuyen a instaurar. Este tipo de análisis basado en las recurrencias de efectos sonoros permite recuperar para la lectura actual un rasgo importante de la poesía homérica: la 'creación verbal con motivación onomatopéyica'.

Radiocarbon ages, d13C values and rare earth element content of sediment cores BP00-23/07 and BP00-07/06

Two bottom sediment cores (BP00-23/7 and BP00-7/6) recovered from the Yenisei transect in the southern Kara Sea are described. Data on their grain size composition, clay and heavy mineral assemblages, and distribution of a large group of chemical elements are presented. Radiocarbon dates based on AMS C-14 method suggest the Holocene age of sediments in the cores. Literature data on physical properties and foraminifers have also been analyzed. The facies affiliation of the lithostratigraphic subdivisions has been unraveled. History of the Yenisei River runoff in the Holocene has been reconstructed on the basis of different indicators.

Efectos sonoros en el canto IX de Ilíada

Al considerar los procedimientos poéticos que aparecen en los textos homéricos, es fundamental no perder de vista las posibilidades significativas que pueden presentar para la recepción auditiva propia de la performance épica. En la recreación de los acontecimientos míticos, los elementos del lenguaje específicamente poético cumplen una función instauradora esencial, pues al transformar los procedimientos poéticos en creencias perceptivas, realizan la presencia de los hechos narrados. Así es que procedimientos tales como la aliteración conllevan una carga temática que los convierte en un rasgo clave de la poética homérica. Los efectos sonoros en los textos homéricos fueron comentados desde la antigüedad, especialmente la capacidad de reproducir verbalmente sonidos de varios tipos de fenómenos naturales, seres y objetos. En los casos del canto IX de Ilíada, tales elementos cumplen una función relevante para la trama a través del leitmotiv tradicional que contribuyen a instaurar. Este tipo de análisis basado en las recurrencias de efectos sonoros permite recuperar para la lectura actual un rasgo importante de la poesía homérica: la 'creación verbal con motivación onomatopéyica'.

Primary production within the euphotic layer of the Norwegian Sea in July 1997: measurements by different methods

Results of primary production measurements obtained by different methods are presented. These methods are radiocarbon and oxygen modifications of the flask method, as well as fluorometric procedure with a PrimProd submersible probing fluorometer (produced at the Biological Department, Moscow State University). The research was carried out during a complex expedition aboard R/V Akademik Boris Petrov to the Norwegian Sea in July, 1977. Distributions of primary production values measured by different methods were correlated with other oceanographic data. Then a comparison of obtained values by the above-mentioned methods was performed.

(Table 2) Concentrations of natural radioactive elements in Black Sea sediments from DSDP Hole 42-381

A description is given of a gamma-ray spectrometer complex consisting of four interchangeable, low-background NaI(Tl) crystals that operate simultaneously. The system is used in determination of concentrations of natural radioactive elements and sedimentation rates of bottom sediments by the ionium method. Three detector sizes are used, depending on amount of material available: 80x80; 100x100, and 150x150. The system is operated clockwise and data are brought out on a punch tape; results are computer-processed. Examples are shown of the complex use in determining sedimentation rates of bottom sediments in the Southeast Pacific and concentrations of natural radioactive elements in DSDP Hole 381.

Comparative analysis of meta-analysis methods: when to use which?

Background: Several meta-analysis methods can be used to quantitatively combine the results of a group of experiments, including the weighted mean difference, statistical vote counting, the parametric response ratio and the non-parametric response ratio. The software engineering community has focused on the weighted mean difference method. However, other meta-analysis methods have distinct strengths, such as being able to be used when variances are not reported. There are as yet no guidelines to indicate which method is best for use in each case. Aim: Compile a set of rules that SE researchers can use to ascertain which aggregation method is best for use in the synthesis phase of a systematic review. Method: Monte Carlo simulation varying the number of experiments in the meta analyses, the number of subjects that they include, their variance and effect size. We empirically calculated the reliability and statistical power in each case Results: WMD is generally reliable if the variance is low, whereas its power depends on the effect size and number of subjects per meta-analysis; the reliability of RR is generally unaffected by changes in variance, but it does require more subjects than WMD to be powerful; NPRR is the most reliable method, but it is not very powerful; SVC behaves well when the effect size is moderate, but is less reliable with other effect sizes. Detailed tables of results are annexed. Conclusions: Before undertaking statistical aggregation in software engineering, it is worthwhile checking whether there is any appreciable difference in the reliability and power of the methods. If there is, software engineers should select the method that optimizes both parameters.

Enhancing Interaction With Smart Objects Throught Mobile Devices

Interaction with smart objects can be accomplished with different technologies, such as tangible interfaces or touch computing, among others. Some of them require the object to be especially designed to be 'smart', and some other are limited in the variety and complexity of the possible actions. This paper describes a user-smart object interaction model and prototype based on the well known event-condition-action (ECA) reasoning, which can work, to a degree, independently of the intelligence embedded into the smart object. It has been designed for mobile devices to act as mediators between users and smart objects and provides an intuitive means for personalization of object's behavior. When the user is close to an object, this one publishes its 'event & action' capabilities to the user's device. The user may accept the object's module offering, which will enable him to configure and control that object, but also its actions with respect to other elements of the environment or the virtual world. The modular ECA interaction model facilitates the integration of different types of objects in a smart space, giving the user full control of their capabilities and facilitating creative mash-uping to build customized functionalities that combine physical and virtual actions

Theoretical study of band alignment in nano-porous ZnO interacting with substituted Phthalocyanines

The aim of this work is the theoretical study of the band alignment between the two components of a hybrid organic-inorganic solar-cell. The working organic molecules are metal tetra-sulphonated phthalocyanines (M-Pc) and the inorganic material is nano-porous ZnO growth in the 001 direction. The theoretical calculations are being made using the density functional theory (DFT) using a GGA functional with the SIESTA code, which projects electron wave functions and density onto a real space grid and uses as basis set a linear combination of numerical, finite-range localized atomic orbitals. We also used the DFT+U method included in the code that allows a semi-empirical inclusion of electronic correlations in the description of electronic spectra for systems such as zinc oxide.

Effectiveness of resilient wheels in reducing noise and vibrations

This study focuses on the effectiveness of resilient wheels in reducing railway noise and vibrations, and compares the effectiveness of three types of wheels. The finite elements method has been used to characterise the vibratory behaviour of these wheels. The model has been excited with a realistic spectrum of vertical track irregularities, and a spectral analysis has been carried out. Results have been post-processed in order to estimate the sound power emitted. These calculations have been used to assess the effectiveness of the resilient wheel designs in reducing noise emitted to the environment and in propagating structural vibrations.

MicroRaman Spectroscopy of Si Nanowires: Influence of Size

Si Nanowires (NWs) were studied by Raman microspectroscopy. The Raman spectrum of the NWs reveals important thermal effects, which broaden and shift the one phonon Raman bands. The low thermal conductivity of the NWs and the low thermal dissipation are responsible for the temperature enhancement in the NW under the excitation with the laser beam. We have modeled, using finite element methods, the interaction between the laser beam and the NWs. The Raman spectrum of Si NWs is interpreted in terms of the temperature induced by the laser beam excitation, in correlation with finite element methods (fem) for studying the interaction between the laser beam and the NWs.