A graph-based framework for multiparadigmatic visual access todatabases

Describes an approach for multiparadigmatic visual access integration of different interaction paradigms. The user is provided with an adaptive interface augmented by a user model, supporting different visual representations of both data and queries. The visual representations are characterized on the basis of the chosen visual formalisms, namely forms, diagrams and icons. To access different databases, a unified data model called the “graph model” is used as a common underlying formalism to which databases, expressed in the most popular data models, can be mapped. Graph model databases are queried through the adaptive interface. The semantics of the query operations is formally defined in terms of graphical primitives. Such a formal approach permits us to define the concept of an “atomic query”, which is the minimal portion of a query that can be transferred from one interaction paradigm to another and processed by the system. Since certain interaction modalities and visual representations are more suitable for certain user classes, the system can suggest to the user the most appropriate interaction modality as well as the visual representation, according to the user model. Some results on user model construction are presented     

Accessible e-learning material: a no-frills avenue for didactical experts

Different organizations adopt accessibility for various and diverse reasons. Interesting and inspiring as such reasons may be, it is important to ensure that the motivation for supporting accessibility is that it is the right thing to do, i.e. a commitment to the provision of equal opportunities for accessing resources for people with special needs. Among the various efforts for supporting the development of accessible e-learning material, most of them propose guidelines that prevalently address technical accessibility issues (such as the format and navigation of learning material) with little or no consideration for the didactical experts, and thus their didactical experience, in developing learning material. Moreover, the aforementioned guidelines tend to provide generic indications on alternative forms of didactical content for equivalent access to it. None the less, the sole provision of equivalent forms does not guarantee the retention of desirable user interface aspects and may therefore have a negative impact on learning effectiveness. While this paper acknowledges the role of such guidelines, it does propose that the didactical experts be provided with a non-technical recourse, improving their development of accessible e-learning content. By tapping into the experience of the didactical experts, this work provides them with an avenue leading to enhance the accessibility of e-learning material.     

Prospective randomized evaluation of preoperative endoscopic vital staining using CH-40 for lymph node dissection in gastric cancer

BACKGROUND: CH-40 is a suspension of activated carbon particles that was developed in Japan to carry anticancer drugs to regional nodes and peritoneal seedings of gastric cancer. METHODS: Forty-five consecutive patients who had surgical resection and D2 lymph node dissection for gastric cancer over a 2-year period were randomly assigned to preoperative endoscopic submucosal injection of CH-40 (group A) or no staining (group B). A total of 21 patients in group A and 24 in group B were available for analysis. RESULTS: The number of resected nodes per patient was significantly higher (t = 6.06; 40 df; P < .0001) in group A (mean+/-S.E. = 35.3+/-1.24) than in group B (mean+/-S.E. = 25.5+/-1.02). The rate of metastatic nodes resected was significantly higher (chi2 = 6.903 ; 1 df; P = .009) in stained (22.5%) than in non-stained (14.7%) nodes of group A and also (chi2 = 6.906; 1 df; P = .009) in stained nodes of group A than in group B (15.8%). CONCLUSIONS: Preoperative endoscopic vital staining with CH-40 proved to be rapid, safe, and effective in all cases in this series. Its use allowed surgeons to resect a higher number of lymph nodes. and to identify and examine more metastatic nodes. It also permitted identification of nodal micrometastases on routine histopathologic examination.     

A proposal toward the development of accessible e-learning content by human involvement

Most of the existing efforts for supporting the design, preparation, and deployment of accessible e-learning applications propose guidelines that primarily address technical accessibility issues. Little, if any, consideration is given to the real actors involved in the learning experience, such as didactical experts and disabled learners. Moreover, implementing artifacts addressed to the e-learning world requires a wide range of particular skills which are related not only to technical but also to didactical, pedagogical, usability, and accessibility aspects of the produced material. This paper argues that the know-how of a number of stakeholders should be blended into a joint design activity, and that it should be possible to determine the role of each participant in the successive phases of the development lifecycle of e-learning applications. The paper sketches the methodological guidelines of a design framework based on involving the users with disabilities, as well as pedagogical experts, in the development process. The novelty of this proposal mainly stems from being built up around the core of strategies and choices specifically bound to accessibility requirements. Characteristic elements of learner-centered design are then further integrated into processes and methodologies which are typical of participatory and contextual design approaches. Following such guidelines, it will be possible to gain a deeper understanding of the requirements and of the operational context of people needing accessible material, either as learners or educators. The underlying objective is to increase the potential to realize learning systems that better meet different user needs and that provide a more satisfying learning experience. Moreover, when people get involved in the development process, they gain a sense of ownership of the system and are therefore more likely to accept and “promote” it.     

Quality of service specification in video databases

Multimedia database systems require not only that correct results are delivered with acceptable delay, but also that they're delivered in real time with acceptable quality. A constraint-based rule language can serve as the foundation for providing this level of quality of service in video databases.     

BilVideo: a video database management system

The BilVideo video database management system provides integrated support for spatiotemporal and semantic queries for video. A knowledge base, consisting of a fact base and a comprehensive rule set implemented in Prolog, handles spatio-temporal queries. These queries contain any combination of conditions related to direction, topology, 3D relationships, object appearance, trajectory projection, and similarity-based object trajectories. The rules in the knowledge base significantly reduce the number of facts representing the spatio-temporal relations that the system needs to store. A feature database stored in an object-relational database management system handles semantic queries. To respond to user queries containing both spatio-temporal and semantic conditions, a query processor interacts with the knowledge base and object-relational database and integrates the results returned from these two system components. Because of space limitations, we only discuss the Web-based visual query interface and its fact-extractor and video-annotator tools. These tools populate the system's fact base and feature database to support both query types.     

Prolonged muscular flaccidity: frequency and association with unilateral spatial neglect after stroke

A 21-month-old infant developed coma with hypotonia during a viral infection. Acyl CoA dehydrogenase deficiency was diagnosed on the basis of results of the chromatographic study of organic acids performed on a urine specimen collected during the acute episode. However, other disorders of mitochondrial and fatty acid oxygenation can generate similar symptoms. Emphasis is put on the need for collecting urine specimens in patients who develop alterations in consciousness and hypoglycemia without ketonuria during prolonged fasting or repeated vomiting due to a viral infection. Urine chromatography can suggest which enzyme is defective, although the diagnosis should always be confirmed by a study of fatty acid oxygenation in lymphocytes or fibroblasts.     

The ESTEEM platform: enabling P2P semantic collaboration through emerging collective knowledge

In this paper, we present Esteem (Emergent Semantics and cooperaTion in multi-knowledgE EnvironMents), a community-based P2P platform for supporting semantic collaboration among a set of independent peers, without prior reciprocal knowledge and no predefined relationships. Goal of Esteem is to go beyond the existing state-of-the-art solutions for P2P knowledge sharing and to provide an integrated platform for both data and service discovery. A distinguishing feature of Esteem is the use of semantic communities to explicitly give shape to the collective knowledge and expertise of peer groups with similar interests. Key techniques of Esteem will be presented in the paper and concern: shuffling-based communication, ontology and service matchmaking, context management, and quality-aware data integration. An application example of data and service discovery in the health-care domain will be presented, by also discussing results of system and user evaluation.