Understanding changes and stability in the long-term use of technologies by seniors who are aging in place: a dynamical framework.

BACKGROUND: If technologies are to support aging in place, then it is important to develop fundamental knowledge on what causes stability and changes in the use of technologies by seniors. However, longitudinal studies on the long-term use of technologies that have been accepted into the home (i.e., post-implementation use) are very scarce. Many factors potentially could influence post-implementation use, including life events, age-related decline, changes in personal goal orientation, and various types of social influences. The aforementioned factors are likely to be interrelated, adding to the complexity. The goal of this study is to better understand changes and stability in the use of technologies by independent-living seniors, by using a dynamical systems theory approach. METHODS: A longitudinal qualitative field study was conducted involving home visits to 33 community-dwelling seniors in the Netherlands, on three occasions (2012-2014). Interviews were held on technology usage patterns, including reasons for stable, increased, declined and stopped use. Technologies were included if they required electric power in order to function, were intended to be used in or around the home, and could support activities of daily living, personal health or safety, mobility, communication, and physical activity. Thematic analysis was employed, using constant case comparison to better understand dynamics and interplay between factors. In total, 148 technology use patterns by 33 participants were analyzed. RESULTS: A core of six interrelated factors was closely linked to the frequency of technology use: emotional attachment, need compatibility, cues to use, proficiency to use, input of resources, and support. Additionally, disruptive forces (e.g., social influences, competition with alternative means, changes of personal needs) could induce change by affecting these six factors. Furthermore, long-term technology use was in some cases more resilient to disruption than in other cases. Findings were accumulated in a new framework: Dynamics In Technology Use by Seniors (DITUS). CONCLUSIONS: Similar to aging, the use of technologies by older people is complex, dynamic and personal. Periods of stability and change both occur naturally. The DITUS framework can aid in understanding stability and instability of technology use, and in developing and implementing sustainable technological solutions for aging in place.

Microprocessor Recruitment to Elongating RNA Polymerase II Is Required for Differential Expression of MicroRNAs.

The cellular abundance of mature microRNAs (miRNAs) is dictated by the efficiency of nuclear processing of primary miRNA transcripts (pri-miRNAs) into pre-miRNA intermediates. The Microprocessor complex of Drosha and DGCR8 carries this out, but it has been unclear what controls Microprocessor's differential processing of various pri-miRNAs. Here, we show that Drosophila DGCR8 (Pasha) directly associates with the C-terminal domain of the RNA polymerase II elongation complex when it is phosphorylated by the Cdk9 kinase (pTEFb). When association is blocked by loss of Cdk9 activity, a global change in pri-miRNA processing is detected. Processing of pri-miRNAs with a UGU sequence motif in their apical junction domain increases, while processing of pri-miRNAs lacking this motif decreases. Therefore, phosphorylation of RNA polymerase II recruits Microprocessor for co-transcriptional processing of non-UGU pri-miRNAs that would otherwise be poorly processed. In contrast, UGU-positive pri-miRNAs are robustly processed by Microprocessor independent of RNA polymerase association.

Smart-Glasses: Exposing and Elucidating the Ethical Issues.

The objective of this study is to provide an overview over the ethical issues relevant to the assessment, implementation, and use of smart-glasses. The purpose of the overview is to facilitate deliberation, decision making, and the formation of knowledge and norms for this emerging technology. An axiological question-based method for human cognitive enhancement including an extensive literature search on smart-glasses is used to identify relevant ethical issues. The search is supplemented with relevant ethical issues identified in the literature on human cognitive enhancement (in general) and in the study of the technical aspects of smart-glasses. Identified papers were subject to traditional content analysis: 739 references were identified of which 247 were regarded as relevant for full text examinations, and 155 were included in the study. A wide variety of ethical issues with smart-glasses have been identified, such as issues related to privacy, safety, justice, change in human agency, accountability, responsibility, social interaction, power and ideology. Smart-glasses are envisioned to change individual human identity and behavior as well as social interaction. Taking these issues into account appears to be relevant when developing, deliberating, deciding on, implementing, and using smart-glasses.

Out with the old, out with the new--The effect of transitions in TVs and monitors technology on consumption and WEEE generation in Sweden 1996-2014.

The recycling of Waste Electrical and Electronic Equipment (WEEE) is important due to its content of valuable and hazardous compounds. This study investigates the case of the recent technology change within television sets (TVs) and monitors, its impact on the generation of WEEE, and the implications for the recycling industry. In particular, material flow analysis for the time series of 1996-2014 for TVs and monitors by type of technology (CRT, Plasma and LCD) in physical units is combined with empirical data on product lifespans. The number of consumed TVs and monitors has grown exponentially. As a result, despite a 3-fold reduction in the weight of the products, the weight of the corresponding WEEE is also growing exponentially. Out with the old, out with the new - a peak in WEEE from both CRT and flat-screen displays is expected during 2014-2020, due to the simultaneous obsolesce of the last wave of CRT products and the short-lived flat-screen products that substituted the CRTs. The lifespans of LCD and LED TVs were found to be three times shorter than of the CRT TVs, with many TVs discarded while still functional. This is the consequence of two events - replacement of the CRT TVs in combination with lifestyle purchases of TVs, i.e. the premature replacement of flat-screen displays with new sets with extra-large screens and/or new features. The throughput of TVs and monitors consumed has been estimated annually from 2014 until 2040, by quantity and type of device, as well as by component and material type. The annual economic value of the corresponding secondary materials, by material type, has also been estimated. The point in time when the final disposal of CRT products is likely to take place has been identified and should be noted by the recycling industry. Among the important contributions of this study to the accounting and predicting of amounts and types of WEEE are the lifespan distributions, size and weight distributions, and material composition for TVs and monitors of different technology. Directions for method application in other countries are given.

Gaddum Memorial Lecture 2014: receptors as an evolving concept: from switches to biased microprocessors.

This review is based on the JR Vane Medal Lecture presented at the BPS Winter Meeting in December 2014 by T. Kenakin. A recording of the lecture is included as supporting information and can also be viewed online here: https://www.youtube.com/watch?v=xrP81AQ8l-8. Pharmacological models used to describe drug agonism and antagonism have evolved over the past 20 years from a parsimonious model describing single active and inactive receptor states to models of multiconformational receptor systems modified by ligand conformational selection. These latter models describe the observed, presently underexploited, pharmacological mechanism of ligand-directed biased signalling. Biased signals can be quantified with transduction coefficients (ΔΔLog(τ/KA) values), a scale grounded in the Black/Leff operational model; this enables the optimization of biased profiles through medicinal chemistry. The past decades have also brought the availability of new technologies to measure multiple functional effects mediated by seven transmembrane receptors. These have confirmed that drugs can have many efficacies, which may be collaterally linked, that is there is no linear sequence of activities required. In addition, new functional screening assays have introduced increasing numbers of allosteric ligands into drug discovery. These molecules are permissive (they do not necessarily preclude endogenous signalling in vivo); therefore, they may allow better fine tuning of pathological physiology. The permissive quality of allosteric ligands can also change the quality of endogenous signalling efficacy ('induced bias') as well as the quantity of signal; in this regard, indices related to ΔΔLog(τ/KA) values (namely ΔLog(αß) values) can be used to quantify these effects for optimization in the drug discovery process. All of these added scales of drug activity will, hopefully, allow better targeting of candidate molecules towards therapies.

Implications of smart wear technology for family caregiving relationships: focus group perceptions.

Technological advances in monitoring vulnerable care-recipients are on the rise. Recent and future development of Smart Wear technology (devices integrated into clothing that monitor care-recipients) might assist family caregivers with tasks related to caring for young children, relatives with disabilities, and frail spouses or parents. However, the development and use of this technology in family caregiving contexts is in its infancy. Focus group interviews of family caregivers were conducted to explore perspectives regarding the potential integration of Smart Wear technology into their family caregiving. Responses were analyzed qualitatively for themes related to perceptions of how Smart Wear could impact relationships between caregivers and care-recipients. Three major themes emerged: quality and quantity of interaction, boundary issues, and implications for anxiety. Implications and recommendations are discussed regarding maximizing the potential benefits of Smart Wear technology in ways that promote and protect healthy relationships among caregivers and care-recipients.

#Nomoretextbooks? The impact of rapid communications technologies on medical education.

This paper was selected as the 2013 student essay winner by the Canadian Undergraduate Surgical Education Committee. The essay was in response to the question "How does rapid communications technology affect learning?"

Trends in television time, non-gaming PC use and moderate-to-vigorous physical activity among German adolescents 2002-2010.

BACKGROUND: Studies in youth highlight that moderate-to-vigorous physical activity (MVPA) and screen-time behaviours such as television viewing and PC use are associated with a range of health outcomes. However, little is known about recent trends in these behaviours in adolescents. This paper presents time trends in German adolescents' television time, non-gaming PC use as well as MVPA from 2002 to 2010. METHODS: Data were derived from the cross-sectional German Health Behaviour in School-aged Children (HBSC) study in 2002, 2006 and 2010. Analyses were based on 16,918 11-to 15-year olds boys (49.1%) and girls. Outcome variables were time spent in TV viewing and using a PC (weekday and weekend day) as well as the number of days achieving 60 minutes of MVPA. Changes in both screen-time behaviours and MVPA over time were analysed using sex-specific linear regression, controlling for age and family affluence. RESULTS: TV viewing on weekdays, but not at weekends, declined steadily over time with a difference between 2002 and 2010 of 12.4 min/day in girls and 18.3 min/day in boys (p for trend<.01). We found a strong increase in PC use for non-gaming purposes over time for girls only, with a difference between 2002 and 2010 of 54.1 min/weekday and 68.8 min/weekend day (p<.001). For MVPA we found a slight statistically significant increase in terms of meeting PA guidelines as well as days/week in MVPA for boys and girls (p<.001). In 2010 14.0% of girls and 19.9% of boys met PA guideline. CONCLUSION: Although MVPA increased from 2002 to 2010 in German adolescents, the time spent in MVPA was still low. Despite the observed decrease in TV viewing, there was no overall decline in the observed screen-based behaviours, especially for girls. This is mainly due to a marked increase in use of a PC for chatting on-line, internet, emailing, homework etc. among girls during the last ten years which outweighs the corresponding decrease in TV viewing. The findings highlight a need for strategies and interventions aimed at reducing screen-time behaviours and promoting MVPA.

Desktop microsimulation: a tool to improve efficiency in the medical office practice.

Because the economic crisis in the United States continues to have an impact on healthcare organizations, industry leaders must optimize their decision making. Discrete-event computer simulation is a quality tool with a demonstrated track record of improving the precision of analysis for process redesign. However, the use of simulation to consolidate practices and design efficiencies into an unfinished medical office building was a unique task. A discrete-event computer simulation package was used to model the operations and forecast future results for four orthopedic surgery practices. The scenarios were created to allow an evaluation of the impact of process change on the output variables of exam room utilization, patient queue size, and staff utilization. The model helped with decisions regarding space allocation and efficient exam room use by demonstrating the impact of process changes in patient queues at check-in/out, x-ray, and cast room locations when compared to the status quo model. The analysis impacted decisions on facility layout, patient flow, and staff functions in this newly consolidated practice. Simulation was found to be a useful tool for process redesign and decision making even prior to building occupancy.

An infrared range camera-based approach for three-dimensional locomotion tracking and pose reconstruction in a rodent.

We herein introduce an automated three-dimensional (3D) locomotion tracking and pose reconstruction system for rodents with superior robustness, rapidity, reliability, resolution, simplicity, and cost. An off-the-shelf composite infrared (IR) range camera was adopted to grab high-resolution depth images (640×480×2048 pixels at 20Hz) in our system for automated behavior analysis. For the inherent 3D structure of the depth images, we developed a compact algorithm to reconstruct the locomotion and body behavior with superior temporal and solid spatial resolution. Since the range camera operates in the IR spectrum, interference from the visible light spectrum did not affect the tracking performance. The accuracy of our system was 98.1±3.2%. We also validated the system, which yielded strong correlation with automated and manual tracking. Meanwhile, the system replicates a detailed dynamic rat model in virtual space, which demonstrates the movements of the extremities of the body and locomotion in detail on varied terrain.

A novel device to suppress electrical stimulus artifacts in electrophysiological experiments.

Electrophysiological studies of the effects of electrical brain stimulation have to contend with stimulus artifacts, which complicate both the maintenance of recorded neuron waveforms at recording time, and the post-hoc analysis of the data. The artifacts can be removed by digitally averaging some or all of the (stereotypic) artifact waveforms across artifacts, and then subtracting the resulting template from the recorded waveform at the time of artifact production. Available software-based approaches to this problem are effective but time consuming, and do not help with the problem of maintaining the recording quality at recording time. Alternative hardware-based methods are effective as well, but relatively inflexible and very expensive. We here provide a detailed description of a simple high-performance artifact removal device based on a multi-processor microcontroller as well as analog-to-digital and digital-to-analog converters. This device provides the benefits of self-adapting online-removal of stimulus artifacts for a fraction of the price of the commercially available devices. The device is fully customizable, and can be easily adjusted to various stimulation conditions, as well as AC line noise removal.

The spatial epidemiologic (r)evolution: a look back in time and forward to the future.

Spatial epidemiology enables you to better understand diseases or ill-health processes; investigate relationships between the environment and the presence of disease; conduct disease cluster analyses; predict disease spread; evaluate control alternatives; and basically do things an epidemiologist otherwise would have been unable to do and avoid many errors that otherwise may have been committed. Recently, the discipline of spatial epidemiology has advanced substantially, owing to a combination of reasons. The introduction of the electronic computer has clearly led this advancement. Computers have facilitated the storage, management, display and analysis of data, which are critical to geographic information systems (GIS). Also, because of computers and their increased capabilities and capacities, data collection has greatly expanded and reached a new level owing in large part to the advent of geographic positioning systems (GPS). GPS enables the collection of spatial locations, which in turn present yet another attribute (location) amenable to consideration in epidemiologic studies. At the same time, spatial software has taken advantage of the evolution of computers and data, further enabling epidemiologists to perform spatial analyses that they may not have even conceived of 30 years before. Capitalizing on these now, non-binding technologic constraints, epidemiologists are more able to combine their analytic expertise with computational advances, to develop approaches, which enable them to make spatial epidemiologic methods an integral part of their toolkits. Instead of a novelty, spatial epidemiology is now more of a necessity for outbreak investigations, surveillance, hypothesis testing, and generating follow-up activities necessary to perform a complete and proper epidemiologic analysis.

Microchip technology in mass spectrometry.

Microfabrication of analytical devices is currently of growing interest and many microfabricated instruments have also entered the field of mass spectrometry (MS). Various (atmospheric pressure) ion sources as well as mass analyzers have been developed exploiting microfabrication techniques. The most common approach thus far has been the miniaturization of the electrospray ion source and its integration with various separation and sampling units. Other ionization techniques, mainly atmospheric pressure chemical ionization and photoionization, have also been subject to miniaturization, though they have not attracted as much attention. Likewise, all common types of mass analyzers have been realized by microfabrication and, in most cases, successfully applied to MS analysis in conjunction with on-chip ionization. This review summarizes the latest achievements in the field of microfabricated ion sources and mass analyzers. Representative applications are reviewed focusing on the development of fully microfabricated systems where ion sources or analyzers are integrated with microfluidic separation devices or microfabricated pums and detectors, respectively. Also the main microfabrication methods, with their possibilities and constraints, are briefly discussed together with the most commonly used materials.