Lung Cancer Assistant: a hybrid clinical decision support application for lung cancer care

Multidisciplinary team (MDT) meetings are becoming the model of care for cancer patients worldwide. While MDTs have improved the quality of cancer care, the meetings impose substantial time pressure on the members, who generally attend several such MDTs. We describe Lung Cancer Assistant (LCA), a clinical decision support (CDS) prototype designed to assist the experts in the treatment selection decisions in the lung cancer MDTs. A novel feature of LCA is its ability to provide rule-based and probabilistic decision support within a single platform. The guideline-based CDS is based on clinical guideline rules, while the probabilistic CDS is based on a Bayesian network trained on the English Lung Cancer Audit Database (LUCADA). We assess rule-based and probabilistic recommendations based on their concordances with the treatments recorded in LUCADA. Our results reveal that the guideline rule-based recommendations perform well in simulating the recorded treatments with exact and partial concordance rates of 0.57 and 0.79, respectively. On the other hand, the exact and partial concordance rates achieved with probabilistic results are relatively poorer with 0.27 and 0.76. However, probabilistic decision support fulfils a complementary role in providing accurate survival estimations. Compared to recorded treatments, both CDS approaches promote higher resection rates and multimodality treatments.     

Software and hardware architecture of advanced mobile robots for manufacturing

Modern manufacturing requires flexible and autonomous systems for materials handling and transportation. For such applications, a succession of implemented mobile robots has been developed over the past seven years. In this paper, the questions of software and hardware architecture are discussed in light of experience gained so far. Also discussed are mobile robot projects that seem realistic over the next five to ten years.     

Presentation of a mixed reality software with a HoloLens headset for a nutrition workshop

Multimedia Tools and Applications - Microsoft has recently released a mixed reality headset called HoloLens. This semi-transparent visor headset allows the user who wears it to view the projection...     

Living Materials Herald a New Era in Soft Robotics

Living beings have an unsurpassed range of ways to manipulate objects and interact with them. They can make autonomous decisions and can heal themselves. So far, a conventional robot cannot mimic this complexity even remotely. Classical robots are often used to help with lifting and gripping and thus to alleviate the effects of menial tasks. Sensors can render robots responsive, and artificial intelligence aims at enabling autonomous responses. Inanimate soft robots are a step in this direction, but it will only be in combination with living systems that full complexity will be achievable. The field of biohybrid soft robotics provides entirely new concepts to address current challenges, for example the ability to self‐heal, enable a soft touch, or to show situational versatility. Therefore, “living materials” are at the heart of this review. Similarly to biological taxonomy, there is a recent effort for taxonomy of biohybrid soft robotics. Here, an expansion is proposed to take into account not only function and origin of biohybrid soft robotic components, but also the materials. This materials taxonomy key demonstrates visually that materials science will drive the development of the field of soft biohybrid robotics.     

Idiosyncratic Drug-Induced Liver Injury: Mechanistic and Clinical Challenges

Idiosyncratic drug-induced liver injury (IDILI) remains a significant problem for patients and drug development. The idiosyncratic nature of IDILI makes mechanistic studies difficult, and little is known of its pathogenesis for certain. Circumstantial evidence suggests that most, but not all, IDILI is caused by reactive metabolites of drugs that are bioactivated by cytochromes P450 and other enzymes in the liver. Additionally, there is overwhelming evidence that most IDILI is mediated by the adaptive immune system; one example being the association of IDILI caused by specific drugs with specific human leukocyte antigen (HLA) haplotypes, and this may in part explain the idiosyncratic nature of these reactions. The T cell receptor repertoire likely also contributes to the idiosyncratic nature. Although most of the liver injury is likely mediated by the adaptive immune system, specifically cytotoxic CD8+ T cells, adaptive immune activation first requires an innate immune response to activate antigen presenting cells and produce cytokines required for T cell proliferation. This innate response is likely caused by either a reactive metabolite or some form of cell stress that is clinically silent but not idiosyncratic. If this is true it would make it possible to study the early steps in the immune response that in some patients can lead to IDILI. Other hypotheses have been proposed, such as mitochondrial injury, inhibition of the bile salt export pump, unfolded protein response, and oxidative stress although, in most cases, it is likely that they are also involved in the initiation of an immune response rather than representing a completely separate mechanism. Using the clinical manifestations of liver injury from a number of examples of IDILI-associated drugs, this review aims to summarize and illustrate these mechanistic hypotheses.     

Flora Crockett Stephenson (1914–1979): A life and professional partnership in planning

This article contributes to the growing literature on women's contributions to planning, especially in the UK, the USA, and Australia, and to research into the phenomenon of life partners who work together professionally. The subject is Flora Crockett Stephenson (1914–1979), the first woman to complete the Master in City Planning degree at the Massachusetts Institute of Technology. Presented as a biographical exposé, the discussion introduces Flora's background and reveals her largely unrecorded contributions as the life and professional partner of British architect-planner Gordon Stephenson (1908–1997), already the subject of several academic studies.     

Thermodynamic and Experimental Investigations of High-Temperature Refractory Corrosion by Molten Slags

Corrosion mechanisms between MgO refractory substrates and FeNi slags were investigated. The FeNi slags taken into consideration represent a simple synthetically mixed slag with specific oxides and a real slag from a ferroalloy producer. The MgO refractory substrates with the specimens of FeNi slag were heated in a hot-stage microscope at 10 K/min from room temperature to three different temperatures 1573 K, 1723 K, and 1923 K (1300 °C, 1450 °C, and 1650 °C). The experiments were carried out under a controlled gas atmosphere that simulates the relevant process conditions. The corrosion mechanisms of each system were followed by scanning electron microscope analyses. The results obtained showed that slag corrosion dominates, with a pronounced partial dissolution of refractory fines forming Mg-silicates of type forsterite. It was also observed that iron oxide present in the slag diffused into the coarse refractory grains forming magnesiowustite. Finally, the results obtained were compared with those predicted by FACTSAGE software to understand the corrosion mechanisms and draw implications for improving the refractory performance and lifetime.     

Open Augmented Reality Standards： Current Activities in Standards- Development Organizations

Augmented reality (AR) has emerged from research laboratories and is now being accepted in other domains as an attractive way of visualizing information.Before AR can be used in the mass market,there are a number of obstacles that need to be overcome.Several of these can be overcome by adopting open standards.A global grassroots community seeking open,interoperable AR content and experiences began to take shape in early 2010.This community is working collaboratively to reduce the barriers to the flow of data from content provider to AR end user.Standards development organizations and industry groups that provide open interfaces for AR meet regularly to provide updates,identify complementary work,and seek harmonization.The community also identifies deployer and implementer needs,communicates requirements,and discusses emerging challenges that could be resolved with standards.In this article,we describe current activities in international standards-development organizations.We summarize the AR standards gap analysis and shed light on special considerations for using standards in mobile AR.     

Development of a questionnaire to assay recalled liking for salt,sweet and fat

Liking for a sweet, salty or fatty diet may induce overconsumption of simple carbohydrates, sodium or lipids. Measuring overall liking of the corresponding sensory sensations contributes to understanding the determinants of dietary behaviours. However, no standardized validated questionnaire assaying these sensations is currently available. In the present study, we developed a web-based questionnaire, “PrefQuest”, which measures recalled liking for the following four sensations: salt, fat and salt, sweet, fat and sweet. PrefQuest included four types of items: (1) liking for sweet, fatty-sweet and fatty-salty foods, (2) preferences in the level of seasoning by adding salt, sweeteners, or fat, (3) preferences for types of dishes in a restaurant menu and (4) overall questions about sweet-, salt- and fat-related behaviours. A development study (n = 198) demonstrated that PrefQuest was feasible, well-perceived, only lasted about 20 min and that items were repeatable (overall mean intra-class correlation coefficient: 0.77, SD 0.08). Construct validity was then evaluated on a larger population sample (n = 47 803). The underlying structure within each of the four sensations was determined by exploratory factor analysis and then internally validated by confirmatory factor analysis. After a selection of the most relevant items, the salt, fat-and-salt, sweet, and fat-and-sweet scales exhibited a theoretically meaningful factor structure, unidimensional for the salt scale and with interrelated sub-dimensions for the sweet, fat-and-salt, and fat-and-sweet scales. Based on the fat-and-sweet and fat-and-salt scales, a fat model was also unveiled. For each factor, internal consistency as well as convergent and divergent validities were demonstrated. Overall, PrefQuest is an internally valid and original tool that can be used to assay recalled liking for sweet, salt, and fat considered altogether or separately as fat and salt or fat and sweet, and can be applied to large population surveys.