JURNAL AGROTEKNOLOGI
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Participatory design to create a VR therapy for psychosis
No full textThis paper describes how participatory design was employed in the design of an automated Virtual Reality (VR) psychological therapy (gameChange), putting people with lived experience of psychosis at the heart of the process. Solutions to complex challenges invariably need to include the expertise and ideas of specialists from a broad variety of disciplines and experiences. The design of gameChange relied on the insights of clinical psychologists, programmers, animators, designers, product managers, producers, writers, researchers, 3 D artists, mental health advocates, and people with lived experience of psychosis. This involved a considerable diversity of working cultures, professional disciplines, and vocabulary. A transdisciplinary, participatory design process was established during the project. It allowed for rapid iteration, meaningful input from people with lived experience of psychosis, and delivered a VR psychological therapy with robust cognitive therapeutic principles. The structures put in place to support the different disciplines working together on the design, particularly people with lived experience of psychosis, are detailed in this paper, with examples of how decisions were made and their outcomes. The clinical effectiveness of the gameChange VR therapy is now being tested in a randomized controlled trial with several hundred patients with psychosis. https://gamechangevr.com/intro_video
Maps and metrics of insecticide-treated net access, use, and nets-per-capita in Africa from 2000-2020
No full textInsecticide-treated nets (ITNs) are one of the most widespread and impactful malaria interventions in Africa, yet a spatially-resolved time series of ITN coverage has never been published. Using data from multiple sources, we generate high-resolution maps of ITN access, use, and nets-per-capita annually from 2000 to 2020 across the 40 highest-burden African countries. Our findings support several existing hypotheses: that use is high among those with access, that nets are discarded more quickly than official policy presumes, and that effectively distributing nets grows more difficult as coverage increases. The primary driving factors behind these findings are most likely strong cultural and social messaging around the importance of net use, low physical net durability, and a mixture of inherent commodity distribution challenges and less-than-optimal net allocation policies, respectively. These results can inform both policy decisions and downstream malaria analyses
Mutation-specific pathophysiological mechanisms define different neurodevelopmental disorders associated with SATB1 dysfunction
No full textWhereas large-scale statistical analyses can robustly identify disease-gene relationships, they do not accurately capture genotype-phenotype correlations or disease mechanisms. We use multiple lines of independent evidence to show that different variant types in a single gene, SATB1, cause clinically overlapping but distinct neurodevelopmental disorders. Clinical evaluation of 42 individuals carrying SATB1 variants identified overt genotype-phenotype relationships, associated with different pathophysiological mechanisms, established by functional assays. Missense variants in the CUT1 and CUT2 DNA-binding domains result in stronger chromatin binding, increased transcriptional repression, and a severe phenotype. In contrast, variants predicted to result in haploinsufficiency are associated with a milder clinical presentation. A similarly mild phenotype is observed for individuals with premature protein truncating variants that escape nonsense-mediated decay, which are transcriptionally active but mislocalized in the cell. Our results suggest that in-depth mutation-specific genotype-phenotype studies are essential to capture full disease complexity and to explain phenotypic variability
Making sense of mesne profits: causes of action
No full textThe article examines a series of cases spanning a 250-year period in which the
courts have awarded “mesne profits” against defendants who have occupied claimants’ land.
The article argues (a) that various causes of action are disclosed by the facts of cases in which
such awards have been made, (b) that these causes of action have changed as the law of
obligations has evolved, (c) that modern courts often do not consider what causes of action are
disclosed by the facts of “mesne profits cases”, (d) that this is unfortunate because practical
consequences can flow from categorising the cases in one way or another, and (e) that the
resolution of future “mesne profits cases” will become more just and more transparent when it
is understood that their facts may variously disclose causes of action in tort, contract or unjust
enrichment
Tropical and subtropical forcing of future southern hemisphere stationary wave changes
No full textStationary wave changes play a significant role in the regional climate change response in Southern Hemisphere (SH) winter. In particular, almost all CMIP5 models feature a substantial strengthening of the westerlies to the south of Australia and enhancement of the subtropical jet over the eastern Pacific in winter. In this study we investigate the mechanisms behind these changes, finding that the stationary wave response can largely be explained via reductions in the magnitude of the upper level Rossby wave source over the tropical / subtropical East Pacific. The Rossby wave source changes in this region are robust across the model ensemble and are strongly correlated with changes to low latitude circulation patterns, in particular, the projected southward migration of the Hadley cell and weakening of the Walker circulation. To confirm our mechanism of future changes, we employ a series of barotropic model experiments in which the barotropic model is given a background state identical to a particular CMIP5 model and an anomalous Rossby wave source is imposed. This simple approach is able to capture the primary features of the ensemble mean change, including the cyclonic anomaly south of Australia, and is also able to capture many of the inter-model differences. These findings will help to advance our understanding of the mechanisms underpinning SH extratropical circulation changes under climate change
Spin-spin interactions and spin delocalisation in a doped organic semiconductor probed by EPR spectroscopy
No full textThe enhancement and control of the electrical conductivity of organic semiconductors is fundamental for their use in optoelectronic applications and can be achieved by molecular doping, which introduces additional charge carriers through electron transfer between a dopant molecule and the organic semiconductor. Here, we use Electron Paramagnetic Resonance (EPR) spectroscopy to characterise the unpaired spins associated with the charges generated by molecular doping of the prototypical organic semiconductor poly(3-hexylthiophene) (P3HT) with 2,3,5,6-tetrafluoro-7,7,8,8-tetracyanoquinodimethane (F4TCNQ) and tris(pentafluorophenyl)borane (BCF). The EPR results reveal the P3HT radical cation as the only paramagnetic species in BCF-doped P3HT films and show evidence for increased mobility of the detected spins at high doping concentrations as well as formation of antiferromagnetically coupled spin pairs leading to decreased spin concentrations at low temperatures. The EPR signature for F4TCNQ-doped P3HT is found to be determined by spin exchange between P3HT radical cations and F4TCNQ radical anions. Results from continuous-wave and pulse EPR measurements suggest the presence of the unpaired spin on P3HT in a multitude of environments, ranging from free P3HT radical cations with similar properties to those observed in BCF-doped P3HT, to pairs of dipolar and exchange-coupled spins on P3HT and the dopant anion. Characterisation of the proton hyperfine interactions by ENDOR allowed quantification of the extent of spin delocalisation and revealed reduced delocalisation in the F4TCNQ-doped P3HT films
Demographic analysis of an Israeli Carpobrotus population
No full textCarpobrotus species are harmful invaders to coastal areas throughout the world, particularly in Mediterranean habitats. Demographic models are ideally suited to identify and understand population processes and stages in the life cycle of the species that could be most effectively targeted with management. However, parameterizing these models has been limited by the difficulty in accessing the cliff-side locations where its populations are typically found, as well as accurately measuring the growth and spread of individuals, which form large, dense mats. This study uses small unmanned aerial vehicles (drones) to collect demographic data and parameterize an Integral Projection Model of an Israeli Carpobrotus population. We validated our data set with ground targets of known size. Through the analysis of asymptotic growth rates and population sensitivities and elasticities, we demonstrate that the population at the study site is demographically stable, and that reducing the survival and growth of the largest individuals would have the greatest effect on reducing overall population growth rate. Our results provide a first evaluation of the demography of Carpobrotus, a species of conservation and economic concern, and provide the first structured population model of a representative of the Aizoaceae family, thus contributing to our global knowledge on plant population dynamics. In addition, we demonstrate the advantages of using drones for collecting demographic data in understudied habitats such as coastal ecosystems
PCPATCH: software for the topological construction of multigrid relaxation methods
No full textEffective relaxation methods are necessary for good multigrid convergence. For many equations, standard Jacobi and Gauß–Seidel are inadequate, and more sophisticated space decompositions are required; examples include problems with semidefinite terms or saddle point structure. In this article, we present a unifying software abstraction, PCPATCH, for the topological construction of space decompositions for multigrid relaxation methods. Space decompositions are specified by collecting topological entities in a mesh (such as all vertices or faces) and applying a construction rule (such as taking all degrees of freedom in the cells around each entity). The software is implemented in PETSc and facilitates the elegant expression of a wide range of schemes merely by varying solver options at runtime. In turn, this allows for the very rapid development of fast solvers for difficult problems
Investigating the association between COVID-19 vaccination and care home outbreak frequency and duration
No full textObjectives
At the end of 2020, many countries commenced a vaccination programme against SARS-CoV-2. Public health authorities aim to prevent and interrupt outbreaks of infectious disease in social care settings. We aimed to investigate the association between the introduction of the vaccination programme and the frequency and duration of COVID-19 outbreaks in Northern Ireland (NI).
Study design
We undertook an ecological study using routinely available national data.
Methods
We used Poisson regression to measure the relationship between the number of RT-PCR confirmed COVID-19 outbreaks in care homes, and as a measure of community COVID-19 prevalence, the Office for National Statistics COVID-19 Infection Survey estimated the number of people testing positive for COVID-19 in NI. We estimated the change in this relationship and estimated the expected number of care home outbreaks in the absence of the vaccination programme. A Cox proportional hazards model estimated the hazard ratio of a confirmed COVID-19 care home outbreak closure.
Results
Care home outbreaks reduced by two-thirds compared to expected following the introduction of the vaccination programme, from a projected 1625 COVID-19 outbreaks (95% prediction interval 1553–1694) between 7 December 2020 and 28 October 2021 to an observed 501. We estimated an adjusted hazard ratio of 2.53 of the outbreak closure assuming a 21-day lag for immunity.
Conclusions
These findings describe the association of the vaccination with a reduction in outbreak frequency and duration across NI care homes. This indicates probable reduced harm and disruption from COVID-19 in social care settings following vaccination. Future research using individual level data from care home residents will be needed to investigate the effectiveness of the vaccines and the duration of their effects
Evaluating the presence of software-as-a-medical-device in the Australian Therapeutic Goods Register
No full textIn recent years, medical device regulatory bodies have recognised software-as-a-medical-device (SaMD) as a distinct subgroup of devices. The field of SaMD has been rapidly evolving and encompasses a range of different digital solutions. Many organisations have now started to look into digital healthcare, as a way to solve key global challenges. However, there remains uncertainty regarding how many of these SaMD products are entering the market and to what extent these systems achieve a desired level of general safety once they are in the market. In this study, we utilise data collected from publicly available databases. The data are evaluated for trends and a descriptive analysis is performed of the recall and adverse events associated specifically with SaMD. We find that there is a significant positive trend (p < 0.05) of SaMD registrations, although the number of SaMD registrations remains relative low compared to non-SaMD. This rise in SaMD registrations coincides with increasing levels of recalls and adverse events. More importantly, it becomes apparent that adverse events notification is not yet fit for purpose with regards to SaMD