Search

BackgroundPlayMancer is a video game designed to increase emotional regulation and reduce general impulsive behaviors, by training to decrease arousal and improve decision-making and planning. We have previously demonstrated the usefulness of PlayMancer in reducing impulsivity and improving emotional regulation in bulimia nervosa (BN) patients. However, whether these improvements are actually translated into brain changes remains unclear. ObjectiveThe aim of this case study was to report on a 28-year-old Spanish woman with BN, and to examine changes in physiological variables and brain activity after a combined treatment of video game therapy (VGT) and cognitive behavioral therapy (CBT). MethodsTen VGT sessions were carried out on a weekly basis. Anxiety, physiological, and impulsivity measurements were recorded. The patient was scanned in a 1.5-T magnetic resonance scanner, prior to and after the 10-week VGT/CBT combined treatment, using two paradigms: (1) an emotional face-matching task, and (2) a multi-source interference task (MSIT). ResultsUpon completing the treatment, a decrease in average heart rate was observed. The functional magnetic resonance imaging (fMRI) results indicated a post-treatment reduction in reaction time along with high accuracy. The patient engaged areas typically active in healthy controls, although the cluster extension of the active areas decreased after the combined treatment. ConclusionsThese results suggest a global improvement in emotional regulation and impulsivity control after the VGT therapy in BN, demonstrated by both physiological and neural changes. These promising results suggest that a combined treatment of CBT and VGT might lead to functional cerebral changes that ultimately translate into better cognitive and emotional performances.

Subjective weighting methods are widely employed to determine criteria weights in multi-criteria decision-making (MCDM) environment. Inputs from decision-makers, including opinions, assessments, assumptions, evaluations, interpretations, expectations, and judgments, are primarily relied upon in these methods. Significant challenges are faced due to two primary factors: the inherent uncertainty in inputs and the process of pairwise comparisons. These challenges increase the uncertainty regarding the derived weights, raising concerns about the reliability of such approaches. This paper introduces a novel MCDM method called Soft Clusters-Rectangles (SCR) to overcome such limitations. This method distinguishes itself by avoiding pairwise comparisons and adopting a fuzzy approach to address uncertainty. Weights are calculated based on criteria membership values across three defined clusters, namely immaterial, mediocre, and vital. Each cluster represents a distinct range of importance. Analytic geometry is also used by computing the areas of multiple rectangles to determine the final weights. The application of SCR method is demonstrated through a case study on autonomous vehicle route selection problem. The results are thoroughly examined through comprehensive analysis. The findings reveal that this method not only avoids the challenges posed by pairwise comparison-based methodologies but also exhibits similarities with objective weighting techniques, often yielding results more comparable to those produced by hybrid methods. [ABSTRACT FROM AUTHOR]

Co-innovation between digital platforms and complementors is motivated by their interactions, especially on content creation platforms that emphasise creativity. With the platform monopoly, creators are increasingly dependent on the platform thus making the interaction directional. As the long-term effect of the dependency effect on co-innovation under multi-agent networks is currently under-researched, a novel asymmetric NK model is proposed in this paper to evaluate creators' dependence on the platform through agent-based simulation. The results show that the internal interaction of creators has an inverted U-shaped effect on co-innovation, and the external dependency effect has a negative effect on co-innovation. Further results considering global complexity constraints show that there is a substitution effect between internal interaction and external dependency and that relying on a platform can facilitate co-innovation by reducing potential external risks under high environmental complexity. Moreover, exploratory innovation is equally conducive to co-innovation and enables creators to be less dependent. This study extends a new model for digital platform research and responds to discussions between interaction, exploration, and innovation in the literature. [ABSTRACT FROM AUTHOR]

Supply chain management (SCM) has gradually evolved beyond the straightforward logic of benefits and economic viewpoints. Supplier selection and performance evaluation are the crucial strategic components of any SCM system with a substantial economic impact and risk reduction. Several conflicting factors make supplier selection a challenging multi-criteria decision-making problem. This paper introduces a method called alternative ranking with the elected nominee (ARWEN) to select suppliers in Iran's dairy product chain store. The primary principle of ARWEN is to choose the best alternative based on the lowest change rate rather than the elected nominee. Four extensions of the ARWEN method are proposed depending upon the nature and level of information available to the decision-makers. A fifth extended version termed E-ARWEN is also recommended to consider the negative form of the elected nominee. Two novel statistical tools, the ranking performance index and the Zakeri-Konstantas distance product correlation coefficient, are also put forth to validate the ARWEN extensions' outcomes. The results and verification of this new method are carried out through two supplier selection case examples. Comprehensive comparisons were carried out to explore the new methods' behaviors, indicating ARWEN III and E-ARWEN have similar behavior to VIKOR, SAW, and EDAS in generating rankings. [ABSTRACT FROM AUTHOR]

Supply chain management begins with supplier evaluation and selection. The supplier selection deals with various criteria with different contexts which makes it a complex multi-criteria decision-making (MCDM) method. In this paper, a novel MCDM method, called the alternative ranking process by alternatives' stability scores (ARPASS), is proposed to solve supplier selection problems. ARPASS considers each alternative as a system that is constructed on integrated components. To perform properly, a system requires high integrity and stability. ARPASS utilizes the stability of alternatives as an effective element for ranking the alternatives. The ARPASS is developed in two forms, ARPASS and ARPASS*. The new method utilizes standard deviations and Shannon's entropy to compute the alternatives' stabilities. In this paper, in addition to the new MCDM methods, a new method called the grey equilibrium product (GEP) is introduced to convert grey linguistic variables into crisp values, using decision makers' subjective perceptions and judgments. To highlight and validate the novel methods' performance, they are applied to two sustainable supplier selection problems. For evaluation of the reliability of ARPASS and ARPASS*, their results were compared with the results of the popular MCDM methods. We compared the methods in terms of calculation time, simplicity, transparency, and information type. [ABSTRACT FROM AUTHOR]

Byline: Valerie M. Jones, Aart Van Halteren, Dimitri Konstantas, Ing Widya, Richard Bults Mobile health systems extend the Enterprise Computing System (ECS) of the healthcare provider by bringing services to the patient any time and anywhere. We propose a methodology for the development of such extended ECSs which applies a model-driven design and development approach augmented with formal Validation and Verification (V&V) to address quality and correctness and to support model transformation. At the University of Twente we develop context aware m-health systems based on Body Area Networks (BANs). A set of deployed BANs are supported by a server. We refer to this distributed system as a BAN System. Development of such distributed m-health systems requires a sound software engineering approach and this is what we target with the proposed methodology. The methodology is illustrated with reference to modelling activities targeted at real implementations. BAN implementations are being trialled in a number of clinical settings including epilepsy management and management of chronic pain.

Although cognitive behavioral therapy (CBT) has been demonstrated to be the most effective approach for the treatment of bulimia nervosa (BN), there is lack of studies showing whether a combination with a serious video game (SVG) might be useful to enhance patients' emotional regulation capacities and general outcome. The aims of this study were (a) to analyze whether outpatient CBT + SVG, when compared with outpatient CBT − SVG, shows better short-term outcome; (b) to examine whether the CBT + SVG group is more effective in reducing emotional expression and levels of anxiety than CBT − SVG. Thirty-eight patients diagnosed as having BN according to DSM-5 criteria were consecutively assigned to two outpatient group therapy conditions (that lasted for 16 weekly sessions): 20 CBT + SVG versus 18 CBT − SVG. Patients were assessed before and after treatment using not only a food and binging/purging diary and clinical questionnaires in the field of eating disorders but also additional indexes for measuring anger expression and anxiety. Regarding the post-treatment psychometric measures, most of the mean differences (Eating Disorder Inventory-2, Symptom Checklist-Revised, State-Trait Anxiety Index, and partially State-Trait Anger Expression Inventory) achieved moderate to high effect size ( d > 0.5), in the sense that CBT + SVG obtained the best results compared with the CBT − SVG group. Regarding therapy outcome (dropout, partial remission, and total remission), CBT + SVG showed better results and a moderate effect size emerged for the comparison of the risk of dropout during the treatment, being higher for CBT − SVG compared with CBT + SVG (44.1 percent versus 20.0 percent, d = 0.54). Although the sample size in our study was low, and consequently results should be considered with caution, we have obtained promising findings suggesting that in the short-term CBT + SVG might be a good option not only for improving emotional dysregulation and approaching the current limitations of CBT − SVG in BN but also for enhancing the therapy adherence of patients. [ABSTRACT FROM AUTHOR]

Expression of emotional state is considered to be a core facet of an individual's emotional competence. Emotional processing in BN has not been often studied and has not been considered from a broad perspective. This study aimed at examining the implicit and explicit emotional expression in BN patients, in the acute state and after recovery. Sixty-three female participants were included: 22 BN, 22 recovered BN (R-BN), and 19 healthy controls (HC). The clinical cases were drawn from consecutive admissions and diagnosed according to DSM-IV-TR diagnostic criteria. Self reported (explicit) emotional expression was measured with State-Trait Anger Expression Inventory-2, State-Trait Anxiety Inventory, and Symptom Check List-90 items-Revised. Emotional facial expression (implicit) was recorded by means of an integrated camera (by detecting Facial Feature Tracking), during a 20 minutes therapeutic video game. In the acute illness explicit emotional expression [anxiety (p<0.001) and anger (p<0.05)] was increased. In the recovered group this was decreased to an intermediate level between the acute illness and healthy controls [anxiety (p<0.001) and anger (p<0.05)]. In the implicit measurement of emotional expression patients with acute BN expressed more joy (p<0.001) and less anger (p<0.001) than both healthy controls and those in the recovered group. These findings suggest that there are differences in the implicit and explicit emotional processing in BN, which is significantly reduced after recovery, suggesting an improvement in emotional regulation. [ABSTRACT FROM AUTHOR]

Previous review studies have suggested that computer games can serve as an alternative or additional form of treatment in several areas (schizophrenia, asthma or motor rehabilitation). Although several naturalistic studies have been conducted showing the usefulness of serious video games in the treatment of some abnormal behaviours, there is a lack of serious games specially designed for treating mental disorders. The purpose of our project was to develop and evaluate a serious video game designed to remediate attitudinal, behavioural and emotional processes of patients with impulse-related disorders. The video game was created and developed within the European research project PlayMancer. It aims to prove potential capacity to change underlying attitudinal, behavioural and emotional processes of patients with impulse-related disorders. New interaction modes were provided by newly developed components, such as emotion recognition from speech, face and physiological reactions, while specific impulsive reactions were elicited. The video game uses biofeedback for helping patients to learn relaxation skills, acquire better self-control strategies and develop new emotional regulation strategies. In this article, we present a description of the video game used, rationale, user requirements, usability and preliminary data, in several mental disorders. [ABSTRACT FROM AUTHOR]

In this paper, a new strategic analysis method is introduced, called the ten-element analysis (TEA) method to determine the firm's strategic position in the market. The new method is grounded on the computation of the reflections of the external factors on the firm's internal factors through the changes of the values of the internal factors throughout the time when a lack of complete information regarding the environmental factors exists. The TEA method takes ten effective key elements of the firm into account and investigates their changes through a maximum of nine periods and a minimum of two periods. To conduct the model, the paper is mainly focused on four main rubrics, including the detection of the reflection of the firm's environmental factors on the internal factors, deriving the strategic position of the firm from the reflections, the capability of the existing strategic models in determining the strategic position from the reflections in presence of uncertainty and incomplete information of the external factors. The method is applied to a dairy company in order to find its strategic position in the market. The results showed that the output of the TEA method and SWOT analysis is similar which makes the new method reliable to employ. The TEA method is developed under the grey environment to harness the uncertainty where a new grey comparison method is introduced to compare the grey numbers. [ABSTRACT FROM AUTHOR]

The term Serious Games has been used to describe computer and video games used as educational technology or as a vehicle for presenting or promoting a point of view. Serious games can be of any genre and many of them can be considered a kind of edutainment. Serious games are intended to provide an engaging, self-reinforcing context in which to motivate and educate the players towards knowledgeable processes, including business operations, training, marketing and advertisement. Serious games can be compelling, educative, provocative, disruptive and inspirational. The potential of games for entertainment and learning has been demonstrated thoroughly from both research and market. Unfortunately, the investments committed to entertainment dwarf what is committed for more serious purposes. In this feature, we will argue that the motives, incentives and expectations of the computer game industry differ from one cultural and economic environment to another. As the game industry is dominated by US companies, computer game products are targeting user groups mostly informed by the marketing departments of those companies. This process creates marginalised user groups and game types that are not addressed effectively by the computer game market. Accessible games and games for health comprise this underdeveloped niche. Research project PlayMancer is a multi-partner effort to tackle both of those issues in a coherent way. [ABSTRACT FROM AUTHOR]

Reviews and few non-controlled studies showed the effectiveness of several specific designed computer video-games as an additional form of treatment in several areas. However, there is a lack in the literature of specially designed serious-games for treating mental disorders. Playmancer (ICT European initiative) aims to develop and assess a serious videogame that may help to treat underlying processes (e.g. lack of self-control strategies) in Eating and Impulse control disorders. Preliminary data will be shown. [ABSTRACT FROM AUTHOR]

Presents a framework for the commercialization of electronic information. Properties that must be satisfied for software superdistribution; Requirements for the commercialization of electronic information; Overview on the help document distribution model.

The Internet of Things (IoT) makes our lives much easier, more valuable, and less stressful due to the development of many applications around us including smart cities, smart cars, and smart grids, offering endless services and solutions. Protecting IoT data of such applications at rest either on the objects or in the cloud is an indispensable requirement for achieving a symmetry in the handling and protection of the IoT, as we do with data created by persons and applications. This is because unauthorised access to such data may lead to harmful consequences such as linkage attacks, loss of privacy, and data manipulation. Such undesired implications may jeopardise the existence of IoT applications if protection measures are not taken, and they stem from two main factors. One is that IoT objects have limited capabilities in terms of memory capacity, battery life, and computational power that hamper the direct implementation of conventional Internet security solutions without some modifications (e.g., traditional symmetric algorithms). Another factor is the absence of widely accepted IoT security and privacy guidelines for IoT data at rest and their appropriate countermeasures, which would help IoT stakeholders (e.g., developers, manufacturers) to develop secure IoT systems and therefore enhance IoT security and privacy by design. Toward this end, we first briefly describe the main IoT security goals and identify IoT stakeholders. Moreover, we briefly discuss the most well-known data protection frameworks (e.g., General Data Protection Regulation (GDPR), Health Insurance Portability (HIPAA)). Second, we highlight potential attacks and threats against data at rest and show their violated security goals (e.g., confidentiality and integrity). Third, we review a list of protection measures by which our proposed guidelines can be accomplished. Fourth, we propose a framework of security and privacy guidelines for IoT data at rest that can be utilised to enhance IoT security and privacy by design and establish a symmetry with the protection of user-created data. Our framework also presents the link between the suggested guidelines, mitigation techniques, and attacks. Moreover, we state those IoT stakeholders (e.g., manufacturers, developers) who will benefit most from these guidelines. Finally, we suggest several open issues requiring further investigation in the future, and we also discuss the limitations of our suggested framework. [ABSTRACT FROM AUTHOR]

As Internet of Things (IoT) involvement increases in our daily lives, several security and privacy concerns like linkability, unauthorized conversations, and side-channel attacks are raised. If they are left untouched, such issues may threaten the existence of IoT. They derive from two main reasons. One is that IoT objects are equipped with limited capabilities in terms of computation power, memory, and bandwidth which hamper the direct implementation of traditional Internet security techniques. The other reason is the absence of widely-accepted IoT security and privacy guidelines and their appropriate implementation techniques. Such guidelines and techniques would greatly assist IoT stakeholders like developers and manufacturers, paving the road for building secure IoT systems from the start and, thus, reinforcing IoT security and privacy by design. In order to contribute to such objective, we first briefly discuss the primary IoT security goals and recognize IoT stakeholders. Second, we propose a comprehensive list of IoT security and privacy guidelines for the edge nodes and communication levels of IoT reference architecture. Furthermore, we point out the IoT stakeholders such as customers and manufacturers who will benefit most from these guidelines. Moreover, we identify a set of implementation techniques by which such guidelines can be accomplished, and possible attacks against previously-mentioned levels can be alleviated. Third, we discuss the challenges of IoT security and privacy guidelines, and we briefly discuss digital rights management in IoT. Finally, through this survey, we suggest several open issues that require further investigation in the future. To the best of the authors' knowledge, this work is the first survey that covers the above-mentioned objectives. [ABSTRACT FROM AUTHOR]

The article focuses on hovering information, a decentralized, self-organizing, infrastructure-free, and location-aware information-dissemination service built over a highly dynamic set of mobile devices. This service spreads and disseminates locally produced information among mobile users or applications and it stores individual pieces of hovering information on mobile devices located in the area in which the information was initially produced, even if these devices are unreliable. Current research entails studying the hovering information's absorption limits and the development of a hovering information service for a set of self-organizing robots.

Reviews and few non-controlled studies showed the effectiveness of several specific designed computer video-games as an additional form of treatment in several areas. However, there is a lack in the literature of specially designed serious-games for treating mental disorders. Playmancer (ICT European initiative) aims to develop and assess a serious videogame that may help to treat underlying processes (e.g. lack of self-control strategies) in Eating and Impulse control disorders. Preliminary data will be shown.

The forthcoming wide availability of high bandwidth public wireless networks will give rise to new mobile health care services. Towards this direction the MobiHealth project has developed and trialed a highly customisable vital signals' monitoring system based on a Body Area Network (BAN) and an m-health service platform utilizing next generation public wireless networks. The developed system allows the incorporation of diverse medical sensors via wireless connections, and the live transmission of the measured vital signals over public wireless networks to healthcare providers. Nine trials with different health care cases and patient groups in four different European countries have been conducted to test and verify the system, the service and the network infrastructure for its suitability and the restrictions it imposes to mobile health care applications.

The forthcoming wide availability of high bandwidth public wireless networks will give rise to new mobile health care services. Towards this direction the MobiHealth project has developed and trialed a highly customisable vital signals' monitoring system based on a Body Area Network (BAN) and an m-health service platform utilizing next generation public wireless networks. The developed system allows the incorporation of diverse medical sensors via wireless connections, and the live transmission of the measured vital signals over public wireless networks to healthcare providers. Nine trials with different health care cases and patient groups in four different European countries have been conducted to test and verify the system, the service and the network infrastructure for its suitability and the restrictions it imposes to mobile health care applications.

The wide availability of high bandwidth public wireless networks as well as the miniaturisation of medical sensors and network access hardware allows the development of advanced ambulant patient monitoring systems. The MobiHealth project developed a complete system and service that allows the continuous monitoring of vital signals and their transmission to the health care institutes in real time using GPRS and UMTS networks. The MobiHealth system is based on the concept of a Body Area Network (BAN) allowing high personalization of the monitored signals and thus adaptation to different classes of patients. The system and service has been trialed in four European countries and for different patient cases. First results confirm the usefulness of the system and the advantages it offers to patients and medical personnel.