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The main emphasis of this study is the difference in behaviour between low molar mass (LMM) acids and bulk natural organics such as humic substances and natural organic matter. Stirred cell experiments were used to investigate charge and size effects in the rejection behaviour of bulk natural organics as well as LMM acids by nanofiltration membranes.To distinguish between size and charge effects thorough characterisation of membrane, natural organics and ionic environment was carried out. Membrane zeta potential was determined as a function of the ionic environment and the intrinsic membrane rejection was measured with dextran, ionic solutions and synthetic surface water.The behaviour of three thin film composite (TFC), and one cellulose acetate (CA) membranes was studied as a function of solution chemistry (pH, ionic composition and strength, calcium concentration, and organic type). Rejections of DOC, UV254 nm, as well as the cations calcium and sodium were measured. Natural organics in selected feed and permeate samples were also characterised using liquid chromatography organic carbon detection (LC-OCD) which allows the characterisation of the organic fractions in the low concentration permeates and hence give insight into the rejection of low molar mass (LMM) organics. The retention of such LMM compounds is important due to their impact on the microbiological regrowth potential of the product water.The results emphasised that charge and size are both important for cations and low molar mass acids. While the bulk of the natural organics are retained due to size exclusion that is independent on solution chemistry for the membranes investigated, the retention of LMM acids follows different mechanisms. The analysis of organic fraction in the permeates showed that the rejection of low molar mass acids is strongly pH, and thus charge, dependent while this effect of solution chemistry on the LMM acids was masked when only bulk organic rejection was measured. [Copyright &y& Elsevier]

Nanofiltration membranes used for treating wastewater streams can be modified to change their adsorption and solute rejection properties and their susceptibility to fouling. NF200 membranes modified by hydrophilic monomer such as PEGMA showed greatly reduced adsorption of certain organic compounds typical of paper mill streams. Further testing of these membranes and NF270 in flat sheet and spiral element form showed indications that the modification gave modest increases in resistance to fouling by acid clear filtrate from paper mills. In tests on tertiary effluent from wastewater treatment plants, modification of NF membranes (NF70, NF270) by HEMA lead to significantly reduced salt passage, especially of monovalent anions (chloride). The effects of modification on solute retention were much more pronounced on the tertiary effluent. These effects can be partly explained in terms of the relative role of ordered water and secondary membranes formed by deposits on the membrane. [Copyright &y& Elsevier]

The diversity, frequency, and scale of human impacts on coral reefs are increasing to the extent that reefs are threatened globally. Projected increases in carbon dioxide and temperature over the next 50 years exceed the conditions under which coral reefs have flourished over the past half-million years. However, reefs will change rather than disappear entirely, with some species already showing far greater tolerance to climate change and coral bleaching than others. International integration of management strategies that support reef resilience need to be vigorously implemented, and complemented by strong policy decisions to reduce the rate of global warming. [ABSTRACT FROM AUTHOR]

Membrane separation is one potential technique to further unite industrial production and wastewater treatment. This is due to the low and constant level of solids in permeate thus facilitating specific water reuse. Membranes can be applied in primary, secondary and tertiary treatment. In this study microfiltration with ceramic membranes (0.1–1.7 μm pore size) was tried out for the activated sludge of a chemi-thermomechanical pulp (CTMP) mill. In the two different types of laboratory-scale pilots, flat-plate and cylindrical membranes were utilized. Transmembrane pressure, crossflow velocity, temperature and backflushing were variables in experiments of 3 to 23 h duration. Results were compared to the final effluent quality of the activated sludge clarifier of the mill. With optimum transmembrane pressure and crossflow velocity, a flux of more than 140 1/(m2h) could be achieved for 23 h with plate membrane (0.1 μm). Elevated temperature and backflushing (1 s/120 s) improved the performance. Concentrations of permeate suspended solids and turbidity were dramatically lower than those of activated sludge clarifier effluent. Improvement in CODCr and in long-term experiments, also in BOD7, was considerable. Total phosphorus was the only parameter showing opposite behaviour. A plate membrane with a larger pore size without backflushing as well as cake filtration with cylindrical membranes resulted in dramatically reduced flux but better permeate quality. Ultrasound and nitric acid were found as effective cleaning methods in the cases studied. [Copyright &y& Elsevier]

The surfaces of three commercial urea formaldehyde polysulfone membranes from Dow Denmark[sup TM] (GR51, GR61 and GR81) are characterised both topographically and chemically. Their topography is studied by scanning force microscopy to obtain the corresponding pore-size distributions, which are in fair agreement with nominal molecular weight cut-offs.The composition of the surfaces of the membranes is analysed by X-ray photoelectron spectroscopy. The resulting percentage content of nitrogen, which could be attributed probably to an additive used in the manufacturing process, is shown to correlate with the portion of the total surface with different viscoelastic properties as investigated by using phase-contrast scanning force microscopy. Both parameters are increasing for membranes with decreasing molecular weight cut-off. Also, the additive seems to be more sparsely distributed for the membranes with bigger pores, according to fractal analysis. Finally, all the membranes are very similarly wettable. [ABSTRACT FROM AUTHOR]

Marine resource exploitation can deplete stocks faster than regulatory agencies can respond. Institutions with broad authority and a global perspective are needed to create a system with incentives for conservation. [ABSTRACT FROM AUTHOR]

A response by F. Berkes and colleagues to a letter to the editor about their article "Globalization, roving bandits, and marine resources," in the March 17, 2006 issue is presented.

When lab resources are shared among multiple research projects, issues such as experimental integrity, replicability, and data safety become important. Different research projects often need different software and settings that may well conflict with one another, and data collected for one project may not be safeguarded from exposure to researchers from other projects. In this paper we provide an infrastructure design and an open-source tool, labManager, that render multi-user lab facilities in the behavioral sciences accessible to research projects with widely varying needs. The solutions proposed ensure ease of management while simultaneously offering maximum flexibility by providing research projects with fully separated bare metal environments. This solution also ensures that collected data is kept separate, and compliant with relevant ethical standards and regulations such as General Data Protection Regulation (GDPR) legislation. Furthermore, we discuss preconditions for running shared lab facilities and provide practical advice., (© 2024. The Author(s).)

In human interactions, gaze may be used to acquire information for goal-directed actions, to acquire information related to the interacting partner's actions, and in the context of multimodal communication. At present, there are no models of gaze behavior in the context of vision that adequately incorporate these three components. In this study, we aimed to uncover and quantify patterns of within-person gaze-action coupling, gaze-gesture and gaze-speech coupling, and coupling between one person's gaze and another person's manual actions, gestures, or speech (or exogenous attraction of gaze) during dyadic collaboration. We showed that in the context of a collaborative Lego Duplo-model copying task, within-person gaze-action coupling is strongest, followed by within-person gaze-gesture coupling, and coupling between gaze and another person's actions. When trying to infer gaze location from one's own manual actions, gestures, or speech or that of the other person, only one's own manual actions were found to lead to better inference compared to a baseline model. The improvement in inferring gaze location was limited, contrary to what might be expected based on previous research. We suggest that inferring gaze location may be most effective for constrained tasks in which different manual actions follow in a quick sequence, while gaze-gesture and gaze-speech coupling may be stronger in unconstrained conversational settings or when the collaboration requires more negotiation. Our findings may serve as an empirical foundation for future theory and model development, and may further be relevant in the context of action/intention prediction for (social) robotics and effective human-robot interaction., Competing Interests: Declarations Competing Interests The authors report that there are no competing interests to declare. Ethics Approval This study was performed in line with the principles of the Declaration of Helsinki. The study was approved by the Ethics Committee of the Faculty of Social and Behavioural Sciences of Utrecht University (protocol number 22-0206) Consent to Participate All participants gave written informed consent. Consent for Publication The authors affirm that human research participants provided informed consent for publication of the videos available at https://osf.io/2q6f4/. Open Practices Statement Data files and example videos are available at https://osf.io/2q6f4/. The experiment and analyses were not preregistered., (© 2024. The Author(s).)

Background: White noise stimulation has demonstrated efficacy in enhancing working memory in children with ADHD. However, its impact on other executive functions commonly affected by ADHD, such as inhibitory control, remains largely unexplored. This research aims to explore the effects of two types of white noise stimulation on oculomotor inhibitory control in children with ADHD., Method: Memory guided saccade (MGS) and prolonged fixation (PF) performance was compared between children with ADHD ( N  = 52) and typically developing controls (TDC, N  = 45), during auditory and visual white noise stimulation as well as in a no noise condition., Results: Neither the auditory nor the visual white noise had any beneficial effects on performance for either group., Conclusions: White noise stimulation does not appear to be beneficial for children with ADHD in tasks that target oculomotor inhibitory control. Potential explanations for this lack of noise benefit will be discussed., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

We built a novel setup to record large gaze shifts (up to 140 ∘ ). The setup consists of a wearable eye tracker and a high-speed camera with fiducial marker technology to track the head. We tested our setup by replicating findings from the classic eye-head gaze shift literature. We conclude that our new inexpensive setup is good enough to investigate the dynamics of large eye-head gaze shifts. This novel setup could be used for future research on large eye-head gaze shifts, but also for research on gaze during e.g., human interaction. We further discuss reference frames and terminology in head-free eye tracking. Despite a transition from head-fixed eye tracking to head-free gaze tracking, researchers still use head-fixed eye movement terminology when discussing world-fixed gaze phenomena. We propose to use more specific terminology for world-fixed phenomena, including gaze fixation, gaze pursuit, and gaze saccade., (© 2024. The Author(s).)

Background: In attention-deficit/hyperactivity disorder (ADHD), poor inhibitory control is one of the main characteristics, with oculomotor inhibition impairments being considered a potential biomarker of the disorder. While auditory white noise has demonstrated the ability to enhance working memory in this group, visual white noise is still unexplored and so are the effects of both types of white noise stimulation on oculomotor inhibition., Objective: This crossover study aims to explore the impact of auditory and visual white noise on oculomotor inhibition in children with ADHD and typically developing (TD) children. The study will investigate the impact of different noise levels (25% and 50% visual, 78 dB auditory), and performance will be evaluated both with and without noise stimulation. We hypothesize that exposure to white noise will improve performance in children with ADHD and impair the performance for TD children., Methods: Memory-guided saccades and prolonged fixations, known for their sensitivity in detecting oculomotor disinhibition in ADHD, will be used to assess performance. Children diagnosed with ADHD, withdrawing from medication for 24 hours, and TD children without psychiatric disorders were recruited for the study., Results: Data collection was initiated in October 2023 and ended in February 2024. A total of 97 participants were enrolled, and the first results are expected between September and November 2024., Conclusions: This study will examine whether cross-modal sensory stimulation can enhance executive function, specifically eye movement control, in children with ADHD. In addition, the study will explore potential differences between auditory and visual noise effects in both groups. Our goal is to identify implications for understanding how noise can be used to improve cognitive performance., Trial Registration: ClinicalTrials.gov NCT06057441; https://clinicaltrials.gov/study/NCT06057441., International Registered Report Identifier (irrid): DERR1-10.2196/56388., (©Erica Jostrup, Marcus Nyström, Pia Tallberg, Göran Söderlund, Peik Gustafsson, Emma Claesdotter-Knutsson. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 15.08.2024.)

A guideline is proposed that comprises the minimum items to be reported in research studies involving an eye tracker and human or non-human primate participant(s). This guideline was developed over a 3-year period using a consensus-based process via an open invitation to the international eye tracking community. This guideline will be reviewed at maximum intervals of 4 years., (© 2023. The Author(s).)

Background: Lynch syndrome (LS) is one of the most common hereditary cancer syndromes worldwide. Dominantly inherited mutation in one of four DNA mismatch repair genes combined with somatic events leads to mismatch repair deficiency and microsatellite instability (MSI) in tumours. Due to a high lifetime risk of cancer, regular surveillance plays a key role in cancer prevention; yet the observation of frequent interval cancers points to insufficient cancer prevention by colonoscopy-based methods alone. This study aimed to identify precancerous functional changes in colonic mucosa that could facilitate the monitoring and prevention of cancer development in LS., Methods: The study material comprised colon biopsy specimens (n = 71) collected during colonoscopy examinations from LS carriers (tumour-free, or diagnosed with adenoma, or diagnosed with carcinoma) and a control group, which included sporadic cases without LS or neoplasia. The majority (80%) of LS carriers had an inherited genetic MLH1 mutation. The remaining 20% included MSH2 mutation carriers (13%) and MSH6 mutation carriers (7%). The transcriptomes were first analysed with RNA-sequencing and followed up with Gorilla Ontology analysis and Reactome Knowledgebase and Ingenuity Pathway Analyses to detect functional changes that might be associated with the initiation of the neoplastic process in LS individuals., Findings: With pathway and gene ontology analyses combined with measurement of mitotic perimeters from colonic mucosa and tumours, we found an increased tendency to chromosomal instability (CIN), already present in macroscopically normal LS mucosa. Our results suggest that CIN is an earlier aberration than MSI and may be the initial cancer driving aberration, whereas MSI accelerates tumour formation. Furthermore, our results suggest that MLH1 deficiency plays a significant role in the development of CIN., Interpretation: The results validate our previous findings from mice and highlight early mitotic abnormalities as an important contributor and precancerous marker of colorectal tumourigenesis in LS., Funding: This work was supported by grants from the Jane and Aatos Erkko Foundation, the Academy of Finland (330606 and 331284), Cancer Foundation Finland sr, and the Sigrid Jusélius Foundation. Open access is funded by Helsinki University Library., Competing Interests: Declaration of interests Minna Nyström is a member of the board of directors and a shareholder in LS CancerDiag Ltd. No disclosures were reported by the other authors., (Copyright © 2024 The Author(s). Published by Elsevier B.V. All rights reserved.)

We present a deep learning method for accurately localizing the center of a single corneal reflection (CR) in an eye image. Unlike previous approaches, we use a convolutional neural network (CNN) that was trained solely using synthetic data. Using only synthetic data has the benefit of completely sidestepping the time-consuming process of manual annotation that is required for supervised training on real eye images. To systematically evaluate the accuracy of our method, we first tested it on images with synthetic CRs placed on different backgrounds and embedded in varying levels of noise. Second, we tested the method on two datasets consisting of high-quality videos captured from real eyes. Our method outperformed state-of-the-art algorithmic methods on real eye images with a 3-41.5% reduction in terms of spatial precision across data sets, and performed on par with state-of-the-art on synthetic images in terms of spatial accuracy. We conclude that our method provides a precise method for CR center localization and provides a solution to the data availability problem, which is one of the important common roadblocks in the development of deep learning models for gaze estimation. Due to the superior CR center localization and ease of application, our method has the potential to improve the accuracy and precision of CR-based eye trackers., (© 2023. The Author(s).)

Blinks, the closing and opening of the eyelids, are used in a wide array of fields where human function and behavior are studied. In data from video-based eye trackers, blink rate and duration are often estimated from the pupil-size signal. However, blinks and their parameters can be estimated only indirectly from this signal, since it does not explicitly contain information about the eyelid position. We ask whether blinks detected from an eye openness signal that estimates the distance between the eyelids (EO blinks) are comparable to blinks detected with a traditional algorithm using the pupil-size signal (PS blinks) and how robust blink detection is when data quality is low. In terms of rate, there was an almost-perfect overlap between EO and PS blink (F1 score: 0.98) when the head was in the center of the eye tracker's tracking range where data quality was high and a high overlap (F1 score 0.94) when the head was at the edge of the tracking range where data quality was worse. When there was a difference in blink rate between EO and PS blinks, it was mainly due to data loss in the pupil-size signal. Blink durations were about 60 ms longer in EO blinks compared to PS blinks. Moreover, the dynamics of EO blinks was similar to results from previous literature. We conclude that the eye openness signal together with our proposed blink detection algorithm provides an advantageous method to detect and describe blinks in greater detail., (© 2024. The Author(s).)

Introduction: A large body of research has established a consensus that racial discrimination in CV screening occurs and persists. Nevertheless, we still know very little about how recruiters look at the CV and how this is connected to the discriminatory patterns. This article examines the way recruiters view and select CVs and how they reason about their CV selection choices, as a first step in unpacking the patterns of hiring discrimination. Specifically, we explore how race and ethnicity signaled through the CV matter, and how recruiters reason about the choices they make., Methods: We recorded data from 40 respondents (20 pairs) who are real-life recruiters with experiences in recruitment of diverse employees in three large Swedish-based firms in the finance and retail sector in two large cities. The participating firms all value diversity, equity and inclusion in their recruitment. Their task was to individually rate 10 fictious CVs where race (signaled by face image) and ethnicity (signaled by name) were systematically manipulated, select the top three candidates, and then discuss their choices in pairs to decide on a single top candidate. We examined whether respondents' choices were associated with the parts of the CV they looked at, and how they reasoned and justified their choices through dialog., Results: Our results show that non-White CVs were rated higher than White CVs. While we do not observe any statistically significant differences in the ratings between different racial groups, we see a statistically significant preference for Chinese over Iraqi names. There were no significant differences in time spent looking at the CV across different racial groups, but respondents looked longer at Polish names compared to Swedish names when presented next to a White face. The dialog data reveal how respondents assess different CVs by making assumptions about the candidates' job and organizational fit through limited information on the CVs, especially when the qualifications of the candidates are evaluated to be equal., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Osanami Törngren, Schütze, Van Belle and Nyström.)

According to the proposal for a minimum reporting guideline for an eye tracking study by Holmqvist et al. (2022), the accuracy (in degrees) of eye tracking data should be reported. Currently, there is no easy way to determine accuracy for wearable eye tracking recordings. To enable determining the accuracy quickly and easily, we have produced a simple validation procedure using a printable poster and accompanying Python software. We tested the poster and procedure with 61 participants using one wearable eye tracker. In addition, the software was tested with six different wearable eye trackers. We found that the validation procedure can be administered within a minute per participant and provides measures of accuracy and precision. Calculating the eye-tracking data quality measures can be done offline on a simple computer and requires no advanced computer skills., (© 2023. The Author(s).)

Background and Aim: The aim of the present article was to elaborate on a research approach and method called 'lifeworld hermeneutics'. Significant to lifeworld hermeneutics is that interpretation is the main methodological instrument for explaining and understanding existential research questions and lived experiences. From a caring science perspective, this often refers to research that aims to gain a deeper understanding of existential phenomena and issues, such as existential meaning of health, well-being, homelessness, lostness, suffering and ageing, as well as what it means to experience unhealthiness and illness, the need for care, and caring that responds to such needs., Design: Theoretical paper., Result: The article briefly covers ontology and epistemology that clarifies the meaning and importance of a lifeworld hermeneutic attitude. This is followed by suggestions for how to perform a lifeworld hermeneutic study, expressed in relation to methodological principles for the interpretation, validation and structuring of interpretations. Thereafter, follow reflections on how to use theoretical or philosophical support to develop and deepen existential interpretations. The findings of lifeworld hermeneutic research consist of existential interpretations where the researcher, with an open and pliable attitude towards the phenomenon and the aim of the study, clarifies, explains and suggests new ways of understanding participants' lived experiences; the researcher should maintain such an attitude towards their understanding of the phenomenon as well., Conclusion: The lifeworld hermeneutical approach and method described in this article makes it possible to further deepen the understanding and knowledge about existential issues that is relevant for caring and caring science., (© 2023 The Authors. Scandinavian Journal of Caring Sciences published by John Wiley & Sons Ltd on behalf of Nordic College of Caring Science.)

The Anthropocene is characterized by accelerating change and global challenges of increasing complexity. Inspired by what some have called a polycrisis, we explore whether the human trajectory of increasing complexity and influence on the Earth system could become a form of trap for humanity. Based on an adaptation of the evolutionary traps concept to a global human context, we present results from a participatory mapping. We identify 14 traps and categorize them as either global, technology or structural traps. An assessment reveals that 12 traps (86%) could be in an advanced phase of trapping with high risk of hard-to-reverse lock-ins and growing risks of negative impacts on human well-being. Ten traps (71%) currently see growing trends in their indicators. Revealing the systemic nature of the polycrisis, we assess that Anthropocene traps often interact reinforcingly (45% of pairwise interactions), and rarely in a dampening fashion (3%). We end by discussing capacities that will be important for navigating these systemic challenges in pursuit of global sustainability. Doing so, we introduce evolvability as a unifying concept for such research between the sustainability and evolutionary sciences. This article is part of the theme issue 'Evolution and sustainability: gathering the strands for an Anthropocene synthesis'.

How well can modern wearable eye trackers cope with head and body movement? To investigate this question, we asked four participants to stand still, walk, skip, and jump while fixating a static physical target in space. We did this for six different eye trackers. All the eye trackers were capable of recording gaze during the most dynamic episodes (skipping and jumping). The accuracy became worse as movement got wilder. During skipping and jumping, the biggest error was 5.8 ∘ . However, most errors were smaller than 3 ∘ . We discuss the implications of decreased accuracy in the context of different research scenarios., (© 2022. The Author(s).)

Previous work has shown that exposure to auditory white noise (WN) can improve cognitive performance in children with ADHD, but it is unknown whether this improvement generalizes to other sensory modalities. To address this knowledge gap, we tested the effect of Stochastic Vestibular Stimulation (SVS) on cognitive performance and reaction time (RT) variability in two groups: children with ADHD and typically developing children (TDC). Children with ADHD (N=42) and TDC (N=28) performed three cognitive tasks (Spanboard, Word Recall and N-back tasks) at two different occasions, with and without exposure to SVS, in a double blinded design. The results showed no main effects of SVS on neither performance nor RT variability for children in any of the groups, and no interactions between SVS and group. Based on these results we conclude that, using our stimulation protocol, the positive effects of WN exposure on cognition in children with ADHD do not generalize to Stochastic Vestibular Stimulation., (© 2023. The Author(s).)

Background: Although autologous fat grafting is considered a successful method for the management of contour deformities, the fat graft could potentially induce cancer reappearance by fueling dormant breast cancer cells. Our aim was to characterize the role of adipose-derived stem cells on active and dormant breast cancer cell growth., Methods: Cobalt chloride was used to induce dormancy in MCF-7 cancer cells. Proliferation of active and dormant cancer cells was determined in the presence of adipose-derived stem cells. A proteome array was used to detect cancer-related protein expression in the cell-conditioned medium. The migration of cancer cells was measured in response to conditioned medium from the adipose-derived stem cells., Results: The adipose-derived stem cells showed variable effects on active MCF-7 cells growth and inhibited MCF-7 proliferation after the withdrawal of cobalt chloride. Of the 84 different proteins measured in the conditioned medium, only tenascin-C was differentially expressed in the co-cultures. MCF-7 cells alone did not express tenascin-C, whereas co-cultures between MCF-7 and adipose-derived stem cells expressed more tenascin-C versus adipose-derived stem cells alone. The conditioned medium from co-cultures significantly increased the migration of the cancer cells., Conclusions: Adipose-derived stem cells themselves neither increased the growth or migration of cancer cells, suggesting that autologous fat grafting may be oncologically safe if reconstruction is postponed until there is no evidence of active disease. However, interactions between adipose-derived stem cells and MCF-7 cancer cells could potentially lead to the production of factors, which further promote cancer cell migration., Competing Interests: Declaration of Competing Interest None of the authors has a financial interest in any of the products, devices, or drugs mentioned in this manuscript., (Copyright © 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.)

Lynch syndrome (LS) is one of the most prevalent hereditary cancer syndromes in humans and accounts for some 3% of unselected patients with colorectal or endometrial cancer and 10%-15% of those with DNA mismatch repair-deficient tumors. Previous studies have established the genetic basis of LS predisposition, but there have been significant advances recently in the understanding of the molecular pathogenesis of LS tumors, which has important implications in clinical management. At the same time, immunotherapy has revolutionized the treatment of advanced cancers with DNA mismatch repair defects. We aim to review the recent progress in the LS field and discuss how the accumulating epidemiologic, clinical, and molecular information has contributed to a more accurate and complete picture of LS, resulting in genotype- and immunologic subtype-specific strategies for surveillance, cancer prevention, and treatment., (Copyright © 2023 The Authors. Published by Elsevier Inc. All rights reserved.)

Lynch syndrome (LS) is the most common hereditary cancer syndrome. Early diagnosis improves prognosis and reduces health care costs, through existing cancer surveillance methods. The problem is finding and diagnosing the cancer predisposing genetic condition. The current workup involves a complex array of tests that combines family cancer history and clinical phenotypes with tumor characteristics and sequencing data, followed by a challenging task to interpret the found variant(s). On the basis of the knowledge that an inherited mismatch repair (MMR) deficiency is a hallmark of LS, we have developed and validated a functional MMR test, DiagMMR, that detects inherited MMR deficiency directly from healthy tissue without need of tumor and variant information. The validation included 119 skin biopsies collected from clinically pathogenic MMR variant carriers ( MSH2 , MSH6 ) and controls, and was followed by a small clinical pilot study. The repair reaction was performed on proteins extracted from primary fibroblasts and the interpretation was based on the MMR capability of the sample in relation to cutoff, which distinguishes MMR proficient (non-LS) from MMR deficient (LS) function. The results were compared with the reference standard (germline NGS). The test was shown to have exceptional specificity (100%) with high sensitivity (89%) and accuracy (97%). The ability to efficiently distinguish LS carriers from controls was further shown with a high area under the receiving operating characteristic (AUROC) value (0.97). This test offers an excellent tool for detecting inherited MMR deficiency linked to MSH2 or MSH6 and can be used alone or with conventional tests to recognize genetically predisposed individuals., Significance: Clinical validation of DiagMMR shows high accuracy in distinguishing individuals with hereditary MSH2 or MSH6 MMR deficiency (i.e., LS). The method presented overcomes challenges faced by the complexity of current methods and can be used alone or with conventional tests to improve the ability to recognize genetically predisposed individuals., (© 2023 The Authors; Published by the American Association for Cancer Research.)

Estimating the gaze direction with a digital video-based pupil and corneal reflection (P-CR) eye tracker is challenging partly since a video camera is limited in terms of spatial and temporal resolution, and because the captured eye images contain noise. Through computer simulation, we evaluated the localization accuracy of pupil-, and CR centers in the eye image for small eye rotations (≪ 1 deg). Results highlight how inaccuracies in center localization are related to 1) how many pixels the pupil and CR span in the eye camera image, 2) the method to compute the center of the pupil and CRs, and 3) the level of image noise. Our results provide a possible explanation to why the amplitude of small saccades may not be accurately estimated by many currently used video-based eye trackers. We conclude that eye movements with arbitrarily small amplitudes can be accurately estimated using the P-CR eye-tracking principle given that the level of image noise is low and the pupil and CR span enough pixels in the eye camera, or if localization of the CR is based on the intensity values in the eye image instead of a binary representation., (© 2022. The Author(s).)

We explored the extent of post-bleaching impacts, caused by the 2014-2016 El Niño Southern Oscillation (ENSO) event, on benthic community structure (BCS) and herbivores (fish and sea urchins) on seven fringing reefs, with differing protection levels, in Zanzibar, Tanzania. Results showed post-bleaching alterations in BCS, with up to 68 % coral mortality and up to 48 % increase in turf algae cover in all reef sites. Herbivorous fish biomass increased after bleaching and was correlated with turf algae increase in some reefs, while the opposite was found for sea urchin densities, with significant declines and complete absence. The severity of the impact varied across individual reefs, with larger impact on the protected reefs, compared to the unprotected reefs. Our study provides a highly relevant reference point to guide future research and contributes to our understanding of post-bleaching impacts, trends, and evaluation of coral reef health and resilience in the region., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 The Authors. Published by Elsevier Ltd.. All rights reserved.)

In this paper, we present a review of how the various aspects of any study using an eye tracker (such as the instrument, methodology, environment, participant, etc.) affect the quality of the recorded eye-tracking data and the obtained eye-movement and gaze measures. We take this review to represent the empirical foundation for reporting guidelines of any study involving an eye tracker. We compare this empirical foundation to five existing reporting guidelines and to a database of 207 published eye-tracking studies. We find that reporting guidelines vary substantially and do not match with actual reporting practices. We end by deriving a minimal, flexible reporting guideline based on empirical research (Section "An empirically based minimal reporting guideline")., (© 2022. The Author(s).)

Eye trackers are applied in many research fields (e.g., cognitive science, medicine, marketing research). To give meaning to the eye-tracking data, researchers have a broad choice of classification methods to extract various behaviors (e.g., saccade, blink, fixation) from the gaze signal. There is extensive literature about the different classification algorithms. Surprisingly, not much is known about the effect of fixation and saccade selection rules that are usually (implicitly) applied. We want to answer the following question: What is the impact of the selection-rule parameters (minimal saccade amplitude and minimal fixation duration) on the distribution of fixation durations? To answer this question, we used eye-tracking data with high and low quality and seven different classification algorithms. We conclude that selection rules play an important role in merging and selecting fixation candidates. For eye-tracking data with good-to-moderate precision (RMSD < 0.5 ∘ ), the classification algorithm of choice does not matter too much as long as it is sensitive enough and is followed by a rule that selects saccades with amplitudes larger than 1.0 ∘ and a rule that selects fixations with duration longer than 60 ms. Because of the importance of selection, researchers should always report whether they performed selection and the values of their parameters., (© 2021. The Author(s).)

To a great extent, older people in Sweden, often with extensive care needs, are cared for in their own home. Support is often needed from both family and professional caregivers. This study aimed to describe and analyse different aspects of health, functioning and social networks, and how they relate to formal and informal care in the home among older adults. Analyses were performed utilising data from the OCTO-2 study, with a sample of 317 people living in Jönköping County, aged 75, 80, 85 or 90 years, living in their own homes. Data were collected with in-person-testing. Based on receipt of care, the participants were divided into three groups: no care, informal care only, and formal care with or without informal care. Descriptive statistics and multinomial regression analysis were performed to explore the associations between received care and different aspects of health (such as multimorbidity, polypharmacy), social networks (such as loneliness, number of confidants) and functioning (such as managing daily life). The findings demonstrate that the majority of the participants received no care at home (61%). Multimorbidity and polypharmacy were more common among those receiving some kind of care in comparison to those who received no care; moreover, those receiving some kind of care also had difficulties managing daily life and less satisfaction with their social networks. The multinomial logistic regression analyses demonstrated that age, functioning in daily life, perceived general health and satisfaction with the number of confidants were related to receipt of care, but the associations among these factors differed depending on the type of care that was received. The results show the importance of a holistic perspective that includes the older person's experiences when planning home care. The results also highlight the importance of considering social perspectives and relationships in home care rather than focusing only on health factors., (© 2022 The Authors. Health and Social Care in the Community published by John Wiley & Sons Ltd.)

When we bring to mind something we have seen before, our eyes spontaneously unfold in a sequential pattern strikingly similar to that made during the original encounter, even in the absence of supporting visual input. Oculomotor movements of the eye may then serve the opposite purpose of acquiring new visual information; they may serve as self-generated cues, pointing to stored memories. Over 50 years ago Donald Hebb, the forefather of cognitive neuroscience, posited that such a sequential replay of eye movements supports our ability to mentally recreate visuospatial relations during episodic remembering. However, direct evidence for this influential claim is lacking. Here we isolate the sequential properties of spontaneous eye movements during encoding and retrieval in a pure recall memory task and capture their encoding-retrieval overlap. Critically, we show that the fidelity with which a series of consecutive eye movements from initial encoding is sequentially retained during subsequent retrieval predicts the quality of the recalled memory. Our findings provide direct evidence that such scanpaths are replayed to assemble and reconstruct spatio-temporal relations as we remember and further suggest that distinct scanpath properties differentially contribute depending on the nature of the goal-relevant memory.

Background: Migration has increased the number of immigrant women in western countries, which has led to a need to adapt sexual and reproductive health (SRH) care to a larger variety of experiences. Examples of problems are poor access/utilization of SRH services among migrants and a comparatively higher rate of mortality and morbidity in relation to pregnancy, especially among those from low- and middle-income settings. Attempts to improve SHR care must consider the complexity of both the problem and the system. A national program to improve women's health in Sweden provided opportunities to study interventions aimed at immigrant women, using a complexity theory lens. The purpose was to explore the characteristics and complexity of regional interventions aiming to improve care and health of immigrant women before, during and after childbirth, and provide knowledge on how regional healthcare actors perceive and address problems in these areas., Methods: This archival research study is based on qualitative data from detailed yearly reports of all regional program interventions (n = 21 regions) performed between January 2017 and January 2019. The archival data consists of the regional actors' answers to an extensive questionnaire-like template, where the same questions were to be filled in for each reported intervention. Data analyses were performed in several steps, combining classic and directive content analysis., Results: Six problem categories were addressed by 54 regional interventions, 26 directed at immigrant women and their families, 11 at healthcare staff, and 17 at the organizational system. The simple level interventions (n = 23) were more unilateral and contained information campaigns, information material and translation, education, mapping e.g., of genital mutilation, and providing staff and/or financial resources. The complicated interventions (n = 10) concerned increasing communication diversity e.g., by adding iPads and out-reach visits. The complex interventions (n = 21), e.g., health schools, integration of care, contained development, adaptions, and flexibility with regards to the immigrant women's situation, and more interaction among a diversity of actors, also from the wider welfare system., Conclusions: It is important that complex problems, such as ensuring equal care and health among a diverse population, are addressed with a mix of simple, complicated, and complex interventions. To enhance intended change, we suggest that pre-requisites e.g., communication channels and knowledge on behalf of immigrant women and staff, are ensured before the launch of complex interventions. Alternatively, that simple level interventions are embedded in complex interventions., (© 2022. The Author(s).)

The Tobii Pro TX300 is a popular eye tracker in developmental eye-tracking research, yet it is no longer manufactured. If a TX300 breaks down, it may have to be replaced. The data quality of the replacement eye tracker may differ from that of the TX300, which may affect the experimental outcome measures. This is problematic for longitudinal and multi-site studies, and for researchers replacing eye trackers between studies. We, therefore, ask how the TX300 and its successor, the Tobii Pro Spectrum, compare in terms of eye-tracking data quality. Data quality-operationalized through precision, accuracy, and data loss-was compared between eye trackers for three age groups (around 5-months, 10-months, and 3-years). Precision was better for all gaze position signals obtained with the Spectrum in comparison to the TX300. Accuracy of the Spectrum was higher for the 5-month-old and 10-month-old children. For the three-year-old children, accuracy was similar across both eye trackers. Gaze position signals from the Spectrum exhibited lower proportions of data loss, and the duration of the data loss periods tended to be shorter. In conclusion, the Spectrum produces gaze position signals with higher data quality, especially for the younger infants. Implications for data analysis are discussed., (© 2021 The Authors. Infancy published by Wiley Periodicals LLC on behalf of International Congress of Infant Studies.)

Eye tracking (ET) has been used extensively in driver attention research. Amongst other findings, ET data have increased our knowledge about what drivers look at in different traffic environments and how they distribute their glances when interacting with non-driving related tasks. Eye tracking is also the go-to method when determining driver distraction via glance target classification. At the same time, eye trackers are limited in the sense that they can only objectively measure the gaze direction. To learn more about why drivers look where they do, what information they acquire foveally and peripherally, how the road environment and traffic situation affect their behavior, and how their own expertise influences their actions, it is necessary to go beyond counting the targets that the driver foveates. In this perspective paper, we suggest a glance analysis approach that classifies glances based on their purpose . The main idea is to consider not only the intention behind each glance, but to also account for what is relevant in the surrounding scene, regardless of whether the driver has looked there or not. In essence, the old approaches, unaware as they are of the larger context or motivation behind eye movements, have taken us as far as they can. We propose this more integrative approach to gain a better understanding of the complexity of drivers' informational needs and how they satisfy them in the moment., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Ahlström, Kircher, Nyström and Wolfe.)

Purpose: This study aimed to describe community-dwelling older adults' perceptions of health and well-being in life after retirement., Methods: This study is part of a larger project using a mixed-methods design to address lifestyles' influence on community-dwelling older adults' health. Individual semi-structured interviews were conducted with 18 older adults in age 70 to 95 years. Data were analysed according to a phenomenographic approach., Results: The results encompass four categories describing variations in community-dwelling older adults' perceptions of health and well-being after retirement: feeling well despite illness and disease, interacting with and being useful for oneself and others, independently embracing opportunities and engaging in life , and maintaining a healthy lifestyle., Conclusions: The absence of illness and disease is not a clear prerequisite for a sense of health and well-being. To promote and preserve health and well-being after retirement, older adults strived for-and coached themselves to uphold-a balance in life, focusing on not burdening others. This life orientation after retirement must be acknowledged by society at large, especially from an ageist perspective, and in health and social care to preserve and promote health and well-being.

The gaze behavior in sports and other applied settings has been studied for more than 20 years. A common finding is related to the "quiet eye" (QE), predicting that the duration of the last fixation before a critical event is associated with higher performance. Unlike previous studies conducted in applied settings with mobile eye trackers, we investigate the QE in a context similar to esport, in which participants click the mouse to hit targets presented on a computer screen under different levels of cognitive load. Simultaneously, eye and mouse movements were tracked using a high-end remote eye tracker at 300 Hz. Consistent with previous studies, we found that longer QE fixations were associated with higher performance. Increasing the cognitive load delayed the onset of the QE fixation, but had no significant influence on the QE duration. We discuss the implications of our results in the context of how the QE is defined, the quality of the eye-tracker data, and the type of analysis applied to QE data., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2021 Dahl, Tryding, Heckler and Nyström.)

The pupil size artefact (PSA) is the gaze deviation reported by an eye tracker during pupil size changes if the eye does not rotate. In the present study, we ask three questions: 1) how stable is the PSA over time, 2) does the PSA depend on properties of the eye tracker set up, and 3) does the PSA depend on the participants' viewing direction? We found that the PSA is very stable over time for periods as long as 1 year, but may differ between participants. When comparing the magnitude of the PSA between eye trackers, we found the magnitude of the obtained PSA to be related to the direction of the eye-tracker-camera axis, suggesting that the angle between the participants' viewing direction and the camera axis affects the PSA. We then investigated the PSA as a function of the participants' viewing direction. The PSA was non-zero for viewing direction 0 ∘ and depended on the viewing direction. These findings corroborate the suggestion by Choe et al. (Vision Research 118(6755):48-59, 2016), that the PSA can be described by an idiosyncratic and a viewing direction-dependent component. Based on a simulation, we cannot claim that the viewing direction-dependent component of the PSA is caused by the optics of the cornea., (© 2021. The Author(s).)

Objective: Pathological nystagmus is a symptom of oculomotor disease where the eyes oscillate involuntarily. The underlying cause of the nystagmus and the characteristics of the oscillatory eye movements are patient specific. An important part of clinical assessment in nystagmus patients is therefore to characterise different recorded eye-tracking signals, i.e. waveforms., Approach: A method for characterisation of the nystagmus waveform morphology is proposed. The method extracts local morphologic characteristics based on a sinusoidal model, and clusters these into a description of the complete signal. The clusters are used to characterise and compare recordings within and between patients and tasks. New metrics are proposed that can measure waveform similarity at different scales; from short signal segments up to entire signals, both within and between patients., Main Results: The results show that the proposed method robustly can find the most prominent nystagmus waveforms in a recording. The method accurately identifies different eye movement patterns within and between patients and across different tasks., Significance: In conclusion, by allowing characterisation and comparison of nystagmus waveform patterns, the proposed method opens up for investigation and identification of the underlying condition in the individual patient, and for quantifying eye movements during tasks.

Due to its reported high sampling frequency and precision, the Tobii Pro Spectrum is of potential interest to researchers who want to study small eye movements during fixation. We test how suitable the Tobii Pro Spectrum is for research on microsaccades by computing data-quality measures and common properties of microsaccades and comparing these to the currently most used system in this field: the EyeLink 1000 Plus. Results show that the EyeLink data provide higher RMS precision and microsaccade rates compared with data acquired with the Tobii Pro Spectrum. However, both systems provide microsaccades with similar directions and shapes, as well as rates consistent with previous literature. Data acquired at 1200 Hz with the Tobii Pro Spectrum provide results that are more similar to the EyeLink, compared to data acquired at 600 Hz. We conclude that the Tobii Pro Spectrum is a useful tool for researchers investigating microsaccades.

Purpose: This study aimed to explain and understand the existential meaning of the finality of life from the perspective of healthy older adults., Method: Participants were recruited from a major project on older adults' life situations. They were interviewed about their thoughts on the end of life, and their responses were interpreted using a lifeworld hermeneutic approach., Results: The findings showed that thinking about the inevitable finality of life involves feelings of liberation, frightening thoughts, a comforting promise of something beyond death, acceptance of the concept of death as a companion in life and a desire to live. Philosopher Simone de Beauvoir's existential ideas about ageing and death were then used to further explain and understand the meaning of the finality of life and to support a comprehensive understanding. de Beauvoir suggests that when the temporal horizon of existence shrinks, one lives closer to the finality of life. For a comprehensive understanding, attributing meaning to the finality of life required the intertwining of reconciliation and displacement. The interpretations were further discussed using ideas from the fields of existential philosophy and caring science in order to develop a basis for caring practice., Conclusions: The conclusions suggested that professional health care for older adults would benefit from a lifeworld-led caring science approach that includes readiness for a caring dialogue that focuses on existential issues.

We present Titta, an open-source toolbox for controlling eye trackers manufactured by Tobii AB from MATLAB and Python. The toolbox provides a wrapper around the Tobii Pro SDK, providing a convenient graphical participant setup, calibration and validation interface implemented using the PsychToolbox and PsychoPy toolboxes. The toolbox furthermore enables MATLAB and Python experiments to communicate with Tobii Pro Lab through the TalkToProLab tool. This enables experiments to be created and run using the freedom of MATLAB and Python, while the recording can be visualized and analyzed in Tobii Pro Lab. All screen-mounted Tobii eye trackers that are supported by the Tobii Pro SDK are also supported by Titta. At the time of writing, these are the Spectrum, Nano, TX300, T60XL, X3-120, X2-60, X2-30, X60, X120, T60 and T120 from Tobii Pro, and the 4C from Tobii Tech.

Mathematical modeling of nystagmus oscillations is a technique with applications in diagnostics, treatment evaluation, and acuity testing. Modeling is a powerful tool for the analysis of nystagmus oscillations but quality assessment of the input data is needed in order to avoid misinterpretation of the modeling results. In this work, we propose a signal quality metric for nystagmus waveforms, the normalized segment error (NSE). The NSE is based on the energy in the error signal between the observed oscillations and a reconstruction from a harmonic sinusoidal model called the normalized waveform model (NWM). A threshold for discrimination between nystagmus oscillations and disturbances is estimated using simulated signals and receiver operator characteristics (ROC). The ROC is optimized to find noisy segments and abrupt waveform and frequency changes in the simulated data that disturb the modeling. The discrimination threshold, 𝜖, obtained from the ROC analysis, is applied to real recordings of nystagmus data in order to determine whether a segment is of high quality or not. The NWM parameters from both the simulated dataset and the nystagmus recordings are analyzed for the two classes suggested by the threshold. The optimized 𝜖 yielded a true-positive rate and a false-positive rate of 0.97 and 0.07, respectively, for the simulated data. The results from the NWM parameter analysis show that they are consistent with the known values of the simulated signals, and that the method estimates similar model parameters when performing analysis of repeated recordings from one subject.

Development of T cell-directed immune checkpoint inhibitors (ICI) has revolutionized metastatic melanoma (MM) therapy, but <50% of treated patients experience durable responses. This phase I trial (NCT01946373) investigates the safety/feasibility of tumor-infiltrating lymphocyte (TIL) adoptive cell therapy (ACT) combined with dendritic cell (DC) vaccination in MM patients progressing on ICI. An initial cohort (5 patients) received TIL therapy alone to evaluate safety and allow for optimization of TIL expansion protocols. A second cohort (first-in-man, 5 patients) received TIL combined with autologous tumor lysate-loaded DC vaccination. All patients received cyclophosphamide/fludarabine preconditioning prior to, and intravenous (i.v.) IL-2 after, TIL transfer. The DC vaccine was given as five intradermal injections after TIL and IL-2 administration. [ 18 F]-FDG PET/CT radiology was performed to evaluate clinical response, according to RECIST 1.1 (on the CT part). Immunological monitoring was performed by flow cytometry and T-cell receptor (TCR) sequencing. In the safety/optimization cohort, all patients had a mixed response or stable disease, but none durable. In the combination cohort, two patients experienced complete responses (CR) that are still ongoing (>36 and >18 months, respectively). In addition, two patients had partial responses (PR), one still ongoing (>42 months) with only a small bone-lesion remaining, and one of short duration (<4 months). One patient died early during treatment and did not receive DC. Long-lasting persistency of the injected TILs was demonstrated in blood. In summary, we report clinical responses by TIL therapy combined with DC vaccination in 4 out of 4 treated MM patients who previously failed ICI., (© 2020 The Author(s). Published with license by Taylor & Francis Group, LLC.)

Mobile head-worn eye trackers allow researchers to record eye-movement data as participants freely move around and interact with their surroundings. However, participant behavior may cause the eye tracker to slip on the participant's head, potentially strongly affecting data quality. To investigate how this eye-tracker slippage affects data quality, we designed experiments in which participants mimic behaviors that can cause a mobile eye tracker to move. Specifically, we investigated data quality when participants speak, make facial expressions, and move the eye tracker. Four head-worn eye-tracking setups were used: (i) Tobii Pro Glasses 2 in 50 Hz mode, (ii) SMI Eye Tracking Glasses 2.0 60 Hz, (iii) Pupil-Labs' Pupil in 3D mode, and (iv) Pupil-Labs' Pupil with the Grip gaze estimation algorithm as implemented in the EyeRecToo software. Our results show that whereas gaze estimates of the Tobii and Grip remained stable when the eye tracker moved, the other systems exhibited significant errors (0.8-3.1 ∘ increase in gaze deviation over baseline) even for the small amounts of glasses movement that occurred during the speech and facial expressions tasks. We conclude that some of the tested eye-tracking setups may not be suitable for investigating gaze behavior when high accuracy is required, such as during face-to-face interaction scenarios. We recommend that users of mobile head-worn eye trackers perform similar tests with their setups to become aware of its characteristics. This will enable researchers to design experiments that are robust to the limitations of their particular eye-tracking setup.