This paper reports on two years of ethnographic observation of the science and politics of flood risk in Colorado, as well as design research that examines citizen interaction with expert knowledge about flooding in t...
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ISBN:
(纸本)9781450346559
This paper reports on two years of ethnographic observation of the science and politics of flood risk in Colorado, as well as design research that examines citizen interaction with expert knowledge about flooding in the region. We argue that the 100-year floodplain standard that inform maps produced by the United States Federal Emergency Management Agency (FEMA)'s National Floodplain Insurance Program (NFIP) represent a problematic form of discursive closure of scientific understanding of flood hazard. We show that in order to meet the requirements of the NFIP, this standard acts as a closure that conveys a certainty that the underlying science does not warrant and foreshortens dialogue on disaster risk and public understanding of flood hazard. Engaging with literature in science and technology studies and human-centered computing, we investigate design opportunities for resisting closure and supporting public formation through encounters with the uncertainty and complexities of risk information.
Background. The incidence of liver and bile duct cancer continues to rise, especially in Thailand. We aimed to project the trends in incidence of this rare but lethal cancer in southern Thailand in order to determine ...
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Background. The incidence of liver and bile duct cancer continues to rise, especially in Thailand. We aimed to project the trends in incidence of this rare but lethal cancer in southern Thailand in order to determine its future disease burden. Methods. Gender-specific trends in age-standardized incidence rates per 100,000 person-years for hepatocellular carcinoma (HCC) and cholangiocarcinoma (CCA) cases in Songkhla province of southern Thailand diagnosed between 1989 and 2013 were estimated and projected up to year 2030 using three different modeling techniques: a joinpoint model, an age-period-cohort model, and a modified age-period-cohort model. Results. Of 2,676 liver and bile duct (LBD) cancer cases identified, 73% were males, 51% were aged between 50 and 69 years, and HCC (44.4%) was slightly more common than CCA (38.1%). The models all predicted an increase in the incidence rate of CCA up to 2025 for both sexes whereas the incidence of HCC is expected to decrease among males and stabilize among females. The incidence rates of HCC and CCA among males in 2030 could reach 6.7 and 9.4 per 100,000 person-years, respectively, whereas the expected rates of HCC and CCA among females are expected to be around 1.5 and 3.9 per 100,000 person-years, respectively. Conclusions. The incidence of cholangiocarcinoma is expected to increase in Songkhla and will contribute a larger proportion of LBD cancers in the future. Future public health efforts and research studies should focus on this increasing trend.
Natural movement and locomotion in Virtual Environments (VE) is constrained by the user's immediate physical space. To overcome this obstacle, researchers have established the use of impossible spaces. This work i...
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ISBN:
(纸本)9781509066476
Natural movement and locomotion in Virtual Environments (VE) is constrained by the user's immediate physical space. To overcome this obstacle, researchers have established the use of impossible spaces. This work illustrates how impossible spaces can be utilized to enhance the aesthetics of, and presence within, an interactive narrative. This is done by creating impossible spaces with a narrative intent. First, locomotion and impossible spaces in VR are surveyed;second, the benefits of using intentional impossible spaces from a narrative design perspective is presented;third, a VR narrative called Ares is put forth as a prototype;and fourth, a user study is explored. Impossible spaces with a narrative intent intertwines narratology with the world's aesthetics to enhance dramatic agency.
Hepatocellular carcinoma (HCC) is the most common primary tumor of the liver and is considered an aggressive tumor with mean survival estimated between 6 and 20 months. Hepatic resection is the treatment of choice in ...
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Hepatocellular carcinoma (HCC) is the most common primary tumor of the liver and is considered an aggressive tumor with mean survival estimated between 6 and 20 months. Hepatic resection is the treatment of choice in patients with HCC in noncirrhotic livers. Some large series demonstrated 5-year survival rates between 30 and 50% after hepatic resection [1]. It is also well known that HCC occurs in chronically diseased livers in about >90% cases. Impairment of liver function and existence of portal hypertension make a safe liver resection impossible in most of the patients, and therefore, the resectability is still very low (5 to 10%). A high tumor recurrence, either as intrahepatic metastases or as development of de novo tumors on remaining cirrhotic liver, is not uncommon. On the other hand, liver transplantation (OLT) appears to be the best treatment for HCC while offering the best oncological resection and also correction of liver function. Early experience with OLT for HCC resulted in poor post-transplant survival and high recurrence rates which believed are due to suboptimal patient selection [2].
Introduction: Hepatocellular carcinoma (HCC) is the sixth most common tumor worldwide [1]. Locoregional treatment choices for HCC include molecular-targeted chemotherapy, yttrium-90 radioembolization, and intervention...
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Introduction: Hepatocellular carcinoma (HCC) is the sixth most common tumor worldwide [1]. Locoregional treatment choices for HCC include molecular-targeted chemotherapy, yttrium-90 radioembolization, and interventional radiological methods including transcatheter arterial chemoembolization (TACE) and radiofrequency ablation (RFA) [2, 3]. Imaging has a very important role in the management of HCC and the efficacy of treatment is usually monitored and evaluated radiologically. Response to therapy has been evaluated by morphologic methods using different criteria such as the World Health Organization (WHO) criteria or the Response Evaluation Criteria in Solid Tumors (RECIST) in treatment (Table 1). However, the development of advanced therapies has required novel methods for evaluating response to treatment. This need has led to development of tumor- or therapy-specific guidelines such as the modified computed tomography (CT) Response Evaluation (Choi) Criteria for gastrointestinal stro-mal tumors, the European Association for Study of the Liver (EASL) criteria, and modified RECIST (mRECIST) (Table 2) for HCC [4-7]. mRECIST based on changes in viable tumor has become the guideline for HCC being treated with targeted treatments. Imaging for tumor response evaluation has evolved over the past few years as a result of advances in imaging techniques and new available imaging parameters including new functional advanced imaging methods, In this review, we discuss radiological response methods to evaluate tumor response in the management of HCC.
Introduction: Hepatocellular carcinoma (HCC) is the fifth most common cancer in men and the second biggest cause of cancer mortality in the world [1]. Its incidence is particularly high in Asia and South Africa. Spont...
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Introduction: Hepatocellular carcinoma (HCC) is the fifth most common cancer in men and the second biggest cause of cancer mortality in the world [1]. Its incidence is particularly high in Asia and South Africa. Spontaneous regression (SR) in cancer has been recognised as a phenomenon for a long time, and documentations exist in medieval texts but formal definition as \"the partial or complete disappearance of a malignant tumour in the absence of treatment or in the presence of therapy considered inadequate to exert a significant influence on the disease\" was composed by Dr. Tilden Everson and Dr. Warren Cole in the 1960s [2]. SR incidence has been variously estimated to be 1 in 60,000 to 140,000 cases of cancer, although it is practically very difficult to derive evidence-based figures [3]. Approximately 50 % of the reported cases are renal cell carcinoma, melanoma and neuroblastoma. Evidence of SR in HCC is much rarer, and less than 90 cases are reported, mainly as case reports or small case series from Far-East particularly from Japan, Korea and China. The exact mechanism underlying SR is unknown, although possible vascular and immunologic phenomenon has been proposed. We report a case of 65-year-old man with HCC whose liver lesion and peri-aortic lymphadenopathy regressed along with normalisation of a significantly raised serum alfa-fetoprotein (AFP) over a period of six months without any medical or surgical intervention followed by resurgence of the lesion and progressive rise in alfa-fetoprotein over the next several months until the death of the patient.
Cuddly User Interfaces employ soft objects as interfaces between people and smart systems. They can contribute to the realization of ubiquitous computing because soft objects are familiar to us and induce a low psycho...
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Cuddly User Interfaces employ soft objects as interfaces between people and smart systems. They can contribute to the realization of ubiquitous computing because soft objects are familiar to us and induce a low psychological burden.
Although transplant benefit appears superior for patients with advanced hepatocellular cancer (HCC), liver transplantation remains limited to selected low-risk HCC patients to keep their outcomes similar to heterogene...
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Although transplant benefit appears superior for patients with advanced hepatocellular cancer (HCC), liver transplantation remains limited to selected low-risk HCC patients to keep their outcomes similar to heterogeneous group of non-HCC patients. The purpose of this study was to assess the rationale for current policy of restricting access to liver transplantation to minority of HCC patients based on utility principle. This retrospective cohort study comprised 1246 liver transplant recipients, including 206 HCC and 1040 non-HCC patients. Patient survival was the primary outcome measure. Patients with HCC and benign diseases were divided into low-, moderate-, and high-risk subgroups basing on independent risk factors for disease-free survival and model for end-stage liver disease (MELD) score (< 30, 30-40, > 40), respectively. MELD (p < 0.001) and presence of HCC (p = 0.008) were independent risk factors for early and late mortality, respectively. Total tumor volume (p = 0.008) and alpha-fetoprotein (p = 0.013) were independent predictors of recurrence and mortality used for division of HCC patients into low-, moderate-, and high-risk subgroups, with disease-free survival rates of 74.9% (5 years), 51.7% (5 years), and 8.0% (3 years), respectively (p < 0.001). There were no differences in 5-year overall survival between low-risk HCC (74.9%) and non-HCC (81.9%) patients (p = 0.210), moderate-risk HCC (63.3%) and non-HCC (68.0%) patients (p = 0.372), and high-risk HCC (55.0%) and non-HCC (56.0%) patients (p = 0.559). The principle of utility is unequally applied for restriction of access to liver transplantation for HCC patients. The results provide rationale for discussion on reinitiation of liver transplantation for advanced HCCs.
Public concern surrounding the effects video games have on players has inspired a large body of research, and policy makers in China and South Korea have even mandated systems that limit the amount of time players spe...
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Public concern surrounding the effects video games have on players has inspired a large body of research, and policy makers in China and South Korea have even mandated systems that limit the amount of time players spend in game. The authors present an experiment that evaluates the effectiveness of such policies. They show that forcibly removing players from the game environment causes distress, potentially removing some of the benefits that games provide and producing a desire for more game time. They also show that, with an understanding of player psychology, playtime can be manipulated without significantly changing the user experience or negating the positive effects of video games.
human-centered methods can help researchers better understand and meet programmers’ needs. Because programming is a human activity, many of these methods can be used without change. However, some programmer needs req...
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human-centered methods can help researchers better understand and meet programmers’ needs. Because programming is a human activity, many of these methods can be used without change. However, some programmer needs require new methods, which can also be applied to domains other than software engineering. This article features five Web extras. The video at https://***/4PH9-qi-yTQ demonstrates Azurite, an Eclipse plug-in with a selective undo feature that lets programmers more easily backtrack their code. The video at https://***/gOSlR62-rd8 describes Graphite, an Eclipse plug-in offering active code completion, a simple but powerful technique that integrates useful code-generation tools directly into the editor. The video at https://***/zyrqcYxqDtI describes HANDS, a new programming system that emphasizes usability by building on children’s and beginning programmers’ natural problem-solving tendencies. The video extra at https://***/80EctbI7PFc describes Whyline, a debugging tool that lets developers ask questions about their program’s output and behavior. The video at https://***/3L4MK2dG_6k demonstrates the prototype for Whyline, a debugging tool that lets developers pose questions about their program’s output.
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