Views and considerations on ICT-AT competences development within the ENTELIS project: The Case of Cyprus

This submission presents part of the EU funded project ENTELIS (European Network for Technology Enhanced Learning in an Inclusive Society), which aims to address issues of digital divide and digital equity for people with disabilities of all ages, and to increase participation and social inclusion. This paper presents the main activities and outcomes of the research work package of the project (WP3), from one of the partner countries, Cyprus. The aim of the conducted research was to identify the conceptions and beliefs of end-users, trainers, and service/technology providers and professionals, on the multifaceted relation between ICT/ICT-AT (Information Communication Technology - Assistive Technology) and learning of technology. Data collection involved the development and administration of three semi-structured interview protocols, one for each group of participants, in five different European countries. Results have been compiled to develop a State-of-Art Report on ICT and ICT-AT education and learning, highlighting the main trends, as well the main present barriers, emergent and future needs in terms of analysis, acquisition and reinforcing of digital competences bridging the worlds of education and work.

Cost-effectiveness of powered wheelchairs: findings of a study

This study surveyed a sample of 79 wheelchair users who had obtained powered wheelchairs from the National Health Service in an Italian Region in the period 2008-2013. The wheelchair prescriptions had been done on the basis of an assessment protocol agreed with the Local Health Authority. Follow-up interviews were carried out at the users' homes, in order to collect information about the wheelchair use and its effectiveness, usefulness and economic impact. The instruments used in the interviews included an introductory questionnaire (describing the wheelchair use), the QUEST (measuring the user's satisfaction), the PIADS (measuring the psychosocial impact, in terms of perceived changes in ability, adaptability and self-esteem), the FABS/M (detecting environmental facilitators and barriers) and the SCAI (estimating the economic impact). Overall, positive outcomes were detected for most users, especially in relation to their satisfaction and the psychosocial impact. A number of barriers were identified in various settings (at home, in public places, in natural spaces, in public transportation) that sometimes restrict the user mobility and thus may claim for corrective actions. Several environmental factors acting as facilitators were also identified. In relation to the economic impact, the provision of a powered wheelchair generated remarkable savings in social costs for most of the users, on average about 36.000 Euros per person on a projected 5-years span. This estimate results from the comparison between the social cost of the intervention (sum of the costs of all material and human resources involved in the provision and usage of the wheelchair) and the cost of non-intervention (the presumed social cost incurred in case no powered wheelchair had been provided and the user had to carry on with just a manual wheelchair). The study was also an opportunity to develop and try out a follow-up method that proved applicable within service delivery practice.

Integrating Methods to Evaluate Health Information Systems

There are different methods to evaluate Health Information Systems (HIS), such as Quality Evaluation of software products, human factors, and socio-technical approaches. This work aims to identify the main aspects used to evaluate HIS, and whether there are relationships between issues considered in assessment of software quality and the ones applied specific to the health domain. This was an exploratory study that included a literature search related to HIS evaluation and software quality analyses applying the norms of the International Organization for Standardization (ISO/IEC), to identify aspects and features applied during the assessment process. The result is a proposal of an evaluation method based on the integration of these two evaluative approaches, combining or complementing the considered aspects. The method was applied to an evaluation of a natural language processing system to identify continuity of care in discharge summaries.

Monitoring the Amount of Practical Use of eHealth on National Level by Use of Log Data:Lessons Learned

This paper set out to define the lessons learned from the process of characterizing the amount of practical use of eHealth on national level by collecting and comparing log data harvested from national logs in the Nordic countries. The health systems of the Nordic countries are quite similar in structure and their eHealth strategies include similar elements, however when confronted with the specific context in the different systems it proved challenging to define a common set of indicators for monitoring the practical use of eHealth. A thorough analysis of context leading to the definitions of the indicators is the basis needed due to the complexity of the data in the national logs. A comprehensive knowledge of the structure that underlines these logs is of utmost importance when striving for collecting comparable data. Although challenging, the process of defining indicators for practical use of eHealth by data harvested trough national logs is not an impossible task, but a task that requires in depth discussions of definitions of indicators as well as a substantial insight into the architecture and content of the national databases. There is need for continuous work on these indicators to ensure their quality and thus make sure that the defined indicators can meaningfully inform eHealth policies.

On the Use of User-generated Content in Critiquing Recommendation

Women's experiences of low back pain during pregnancy

This study investigated the self-reported prevalence and impact of low back pain (LBP) during pregnancy in primiparous and multiparous women, and their treatment-seeking rationales and experiences, including their use of physiotherapy.

Nitric oxide metabolites and erythrocyte deformability in a group of subjects with obstructive sleep apnea syndrome

Our aim was to evaluate nitric oxide metabolites (nitrite and nitrate), expressed as NOx, and erythrocyte deformability, expressed as elongation index, in a group of subjects with obstructive sleep apnea syndrome (OSAS). We enrolled 48 subjects (36 men and 12 women; mean age 50.3±14.68 yrs) with OSAS diagnosed after a 1-night cardiorespiratory sleep study. OSAS severity was assessed evaluating the apnea/hypopnea index (AHI) and subjects were subdivided in two subgroups: Low (L=AHI<30) and High (H=AHI>30). NOx was examined converting nitrate into nitrite with a nitrate reductase and then assessing nitrite with spectrophotometry after the addition of Griess reagent. The elongation index was obtained using the diffractometer Rheodyn SSD of Myrenne at shear stresses of 30 and 60 Pa and it was expressed as elongation index (EI). We found no difference in NOx among the entire group of OSAS subjects and normal controls, while we observed a NOx decrease in the H subgroup in comparison with L subgroup, but not in comparison with normal controls. We noted a significant decrease in EI at each shear stress in the entire group and also in the two subgroups in comparison with controls. The decrease in NO bioavailability and in erythrocyte deformability might contribute to explain the increased cardiovascular risk in OSAS subjects.

Behaviour of the plasma concentration of gelatinases and their tissue inhibitors in subjects with venous leg ulcers

Venous leg ulcers are common in subjects with chronic venous insufficiency. The increased intraluminal pressure causes alteration of the skin microcirculation, leukocyte activation and release of proteolytic enzymes leading to ulceration. An impaired expression and activity of matrix metalloproteases (MMPs) and their tissue inhibitors (TIMPs) might influence extracellular matrix degradation and deposition in chronic venous ulcers with the failure of the healing process. Our aim was to evaluate plasma concentration of gelatinases (MMP-2 and MMP-9) and their inhibitors (TIMP-1 and TIMP-2) in subjects with venous leg ulcers before and after the compression therapy. We enrolled 36 subjects (12 men and 24 women, mean age 67.38 ± 12.7 yrs) with non-infected venous leg ulcers (CEAP C6), which underwent a color Duplex scan examination of the veins and arteries of the inferior limbs and were treated with a multi-layer bandaging system. The ulcer healing was obtained in 23 subjects only (9 men and 14 women). We evaluated, on fasting venous blood, the plasma levels of MMP-2, MMP-9, TIMP-1 and TIMP-2 using ELISA kit, before and after the treatment. We observed a significant increase in plasma concentration of gelatinases and their inhibitors and in MMP-2/TIMP-2 ratio in subjects with leg ulcers in comparison with normal controls. In subjects with healed ulcers we found a decrease in MMP-9 and TIMP-1 levels and in MMP-2/TIMP-2 ratio compared to the baseline values, although higher levels of all the examined parameters in comparison with normal controls. In conclusion, plasma MMPs profile is impaired in subjects with venous leg ulcers and it improves after the healing, persisting anyway altered in respect to healthy controls.

An experimental and numerical simulation study of an active solar wall enhanced with phase change materials

Solar walls can be used to increase the overall energy efficiency of a building. Phase Change Materials (PCM) are capable of increasing the effective thermal mass of building elements, thus decreasing the overall energy consumption. Recently, the incorporation of PCM in a solar wall has been proposed, aiming to increase the total energy efficiency of the system. The main scope of this work is to investigate the thermal behaviour of a PCM-enhanced solar wall (PCMESW), using experimental and numerical simulation techniques. A prototype PCMESW is installed in a large-scale test facility and is exposed to dynamically changing climate conditions. A broad range of sensors, used to monitor the time-evolution of several important physical parameters, is employed to assess the dynamic response of the PCMESW. In addition, a Computational Fluid Dynamics tool is used to numerically investigate the thermal behaviour of the PCMESW prototype. Predictions of the developing flow- and thermal-field in the PCMESW’s air cavity are validated by means of comparison with the obtained measurements; in general, good levels of agreement are observed. Results of the numerical simulations may support the design optimization process of innovative PCMESW systems.  </div

State of the Art Language Technologies for Italian: The EVALITA 2014 Perspective

Shared task evaluation campaigns represent a well established form of competitive evaluation, an important opportunity to propose and tackle new challenges for a specific research area and a way to foster the development of benchmarks, tools and resources. The advantages of this approach are evident in any experimental field, including the area of Natural Language Processing. An outlook on state–of–the–art language technologies for Italian can be obtained by reflecting on the results of the recently held workshop “Evaluation of NLP and Speech Tools for Italian”, EVALITA 2014. The motivations underlying individual shared tasks, the level of knowledge and development achieved within each of them, the impact on applications, society and economy at large as well as directions for future research will be discussed from this perspective