Variations in the Usability of Independent Web-Based Personal Health Records

ABSTRACT

Previous research on personal health records (PHRs) has focused on applications that are “tethered” to a specific electronic health record (EHR). However, there is a gap in research on the usability of unaffiliated, independent PHRs, as well as research on college-aged PHR users. Therefore, we performed a comparative usability study with 18 college-aged participants on three popular, freely available, independent PHRs. Participants completed the same six tasks in three different PHRs. Dependent variables included task time, mouse movement, mouse clicks, keystrokes, errors, and user satisfaction ratings based on the Computer System Usability Questionnaire (CSUQ). Analysis of variance (ANOVA) was used to determine the significance in the difference of the means for each dependent variable. Results showed statistically significant differences in CSUQ survey categories, errors, and keystrokes. Results supported one of the three PHRs (“System A”) as having better usability than its tested counterparts; participants scored best in System A of all categories of the CSUQ, and used System A with less mouse movement, commission errors, and keystrokes than the other PHRs.     

PCL Nanopillars Versus Nanofibers: A Contrast in Progenitor Cell Morphology,Proliferation, and Fate Determination

The role of nanotopography on the long‐term response of progenitor cells is explored using polycaprolactone (PCL) nanopillar and nanofiber surfaces seeded with plastic‐adherent rat multipotent mesenchymal stromal cells (MSCs). After 4 weeks in culture under normal expansion media conditions, MSCs cultured on nanofibers exhibit better adherence, increased proliferation, and maintain increasingly dense fibroblast‐like morphologies. In contrast, MSCs seeded on nanopillar surfaces display lowered adherence, reduced proliferation, and adopt highly elongated cellular morphologies. Immunofluorescent staining of MSCs on PCL nanopillars reveals the presence of two bone marker proteins, osteopontin and osteocalcin, providing evidence for surface induced differentiation into osteoblast‐like cells. Unlike the nanopillar topography, MSCs cultured on nanofiber and smooth PCL surfaces did not appear to undergo osteogenesis. Observed differences in cellular response to the PCL nanotopographies offer strategies to direct progenitor cell populations solely based upon submicron surface modifications. This study provides a foundation for future work exploring variations in PCL nanopillar topography with the goal of optimizing adherence and osteogenic response of MSCs.     

Enhanced performance of counter flow SOFC with partial internal reformation

We study a counter-flow solid oxide fuel cell system and consider the challenges faced in minimizing thermal variations from the nominal operating conditions for a reasonable range of power tracking. Blower dynamics, reformer transport delays, spatial distribution of the heat generated and the resulting thermal response are among the issues considered. A novel approach, relying on partial internal reformation of the feedstock is proposed as a remedy to maintain a strong level of power tracking with minimal thermal stress to the fuel cell.     

Sediment and discharge yields within a minimally disturbed,headwater watershed in North Central Pennsylvania,USA, with an emphasis on Superstorm Sandy

We estimated discharge and suspended sediment (SS) yield in a minimally disturbed watershed in North Central Pennsylvania, USA, and compared a typical storm (September storm, 4.80 cm) to a large storm (Superstorm Sandy, 7.47 cm rainfall). Depending on branch, Sandy contributed 9.7–19.9 times more discharge and 11.5–37.4 times more SS than the September storm. During the September storm, the upper two branches accounted for 60.6% of discharge and 88.8% of SS at Lower Branch; during Sandy these percentages dropped to 36.1% for discharge and 30.1% for SS. The branch with close proximity roads had over two‐three times per area SS yield than the branch without such roads. Hysteresis loops showed typical clockwise patterns for the September storm and more complicated patterns for Sandy, reflecting the multipeak event. Estimates of SS and hysteresis in minimally disturbed watersheds provide useful information that can be compared spatially and temporally to facilitate management.     

Normality evaluations and their relation to personality traits and well-being.

Despite frequent discussions of what it means to be normal in clinical, social, and personality psychology theory, the characteristics of individuals who call themselves normal are little understood. In 5 studies, the authors investigated various hypotheses concerning the nature of normality evaluations. The authors add to recent evidence that normality evaluations represent a distinct dimension of evaluative judgments, showing self-judgments of being normal (versus strange) to be relatively independent from self-judgments of being average (versus unique). Normality evaluations showed positive relations with communal traits such as agreeableness, conscientiousness, and emotional stability, and were negatively related to openness to experience. Supporting a broader hypothesis that normality evaluations may be involved in directing or motivating personality development processes, normality evaluations were positively associated with well-being and a sense of fitting in with one's peers, and individuals who felt abnormal felt a heightened sense that they needed to improve their personality. Finally, the personality correlates of normality evaluations were found to change over the lifespan, largely in parallel with the actual mean-level development of personality traits with age. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Practical and ethical assessment issues in rural, impoverished, and managed care settings.

The rising costs of new psychological tests, increased frequency of test revisions, and difficulty receiving authorization and reimbursement from managed care companies make it increasingly difficult for practitioners to provide the best standard of care to clients when conducting psychological and neuropsychological assessments. Practitioners, especially those in low-income and rural areas, may struggle with handling these practical realities while maintaining ethical standards in conducting psychological assessment. Suggestions for how to manage practical challenges faced by practitioners who provide psychological assessments, such as selecting tests when authorization or reimbursement by a third-party payer is restricted or denied, purchasing psychological tests on a budget, and providing assessments with a limited number of qualified staff are discussed. The authors also provide recommendations for the future prevention of these challenges through work with test developers, test publishing corporations, third-party payers, political action groups, and the psychology profession itself. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Computer design of super-orthogonal space-time trellis codes

Super-orthogonal space-time trellis codes (SOSTTCs) designed by hand can significantly improve the performance of space-time trellis codes. This paper introduces a new representation of SOSTTCs based on a generator matrix that allows a systematic and exhaustive search of all possible codes. This will verify that some of the known codes are optimal, and provides a means to easily implement encoders and decoders with a large number of states without relying on a graphical representation. New codes with up to 256 states that outperform previously known codes are presented     

Accuracy assessment of a mobile terrestrial lidar survey at Padre Island National Seashore

The higher point density and mobility of terrestrial laser scanning (light detection and ranging (lidar)) is desired when extremely detailed elevation data are needed for mapping vertically orientated complex features such as levees, dunes, and cliffs, or when highly accurate data are needed for monitoring geomorphic changes. Mobile terrestrial lidar scanners have the capability for rapid data collection on a larger spatial scale compared with tripod-based terrestrial lidar, but few studies have examined the accuracy of this relatively new mapping technology. For this reason, we conducted a field test at Padre Island National Seashore of a mobile lidar scanner mounted on a sport utility vehicle and integrated with a position and orientation system. The purpose of the study was to assess the vertical and horizontal accuracy of data collected by the mobile terrestrial lidar system, which is georeferenced to the Universal Transverse Mercator coordinate system and the North American Vertical Datum of 1988. To accomplish the study objectives, independent elevation data were collected by conducting a high-accuracy global positioning system survey to establish the coordinates and elevations of 12 targets spaced throughout the 12 km transect. These independent ground control data were compared to the lidar scanner-derived elevations to quantify the accuracy of the mobile lidar system. The performance of the mobile lidar system was also tested at various vehicle speeds and scan density settings (e.g. field of view and linear point spacing) to estimate the optimal parameters for desired point density. After adjustment of the lever arm parameters, the final point cloud accuracy was 0.060 m (east), 0.095 m (north), and 0.053 m (height). The very high density of the resulting point cloud was sufficient to map fine-scale topographic features, such as the complex shape of the sand dunes.     

Lidar-based mapping of flood control levees in South Louisiana

Flood protection in south Louisiana is largely dependent on earthen levees, and in the aftermath of Hurricane Katrina the state’s levee system has received intense scrutiny. Accurate elevation data along the levees are critical to local levee district managers responsible for monitoring and maintaining the extensive system of non-federal levees in coastal Louisiana. In 2012, high resolution airborne lidar data were acquired over levees in Lafourche Parish, Louisiana, and a mobile terrestrial lidar survey was conducted for selected levee segments using a terrestrial lidar scanner mounted on a truck. The mobile terrestrial lidar data were collected to test the feasibility of using this relatively new technology to map flood control levees and to compare the accuracy of the terrestrial and airborne lidar. Metrics assessing levee geometry derived from the two lidar surveys are also presented as an efficient, comprehensive method to quantify levee height and stability. The vertical root mean square error values of the terrestrial lidar and airborne lidar digital-derived digital terrain models were 0.038 m and 0.055 m, respectively. The comparison of levee metrics derived from the airborne and terrestrial lidar-based digital terrain models showed that both types of lidar yielded similar results, indicating that either or both surveying techniques could be used to monitor geomorphic change over time. Because airborne lidar is costly, many parts of the USA and other countries have never been mapped with airborne lidar, and repeat surveys are often not available for change detection studies. Terrestrial lidar provides a practical option for conducting repeat surveys of levees and other terrain features that cover a relatively small area, such as eroding cliffs or stream banks, and dunes.