Workplace Well-being: An Experimental Investigation into Benefits of Consciousness-based Architecture

Consciousness is primary and unbounded and can be accessed through multiple modalities, including the qualities of the workplace environment. This research explored the proposition that a consciousness-based architecture could improve workplace well-being. It experimentally investigated the potential benefits of Maharishi Vastu Architecture® (MVA) in a business setting. MVA buildings deal with wholeness and the establishment of the parts in relation to the whole. They have a strict East-West directional orientation, and strict proportion and placement of its center and rooms, among other features. A technical consulting company relocated their offices from a conventional building into one designed according to the principles of MVA. All the available employees of the company were tested one month before and one month after the move to the MVA building using a Workplace Well-being Index specifically created for this research. Data analysis comparing the pre and post measurements showed a 8% improvement (p<0.05) in subjective well-being upon relocating to the MVA building. Organizations can thus enhance workforce well-being through holistic workplaces designed for development of consciousness.

Finding Our Voice: Highly Flexible ED for the HyFlex World

The COVID-19 pandemic brought about unprecedented changes in our approach to delivering educational development (ED) programming. In this article we discuss how our dual ED centers pivoted during the sudden switch to online learning, highlighting how we overcame challenges such as a small staff, tight timelines, and faculty anxieties. Particularly, we explore how we adapted to the university’s investment in technologically advanced Hybrid-Flexible (HyFlex) classroom spaces and utilized a multi-pronged team approach to provide effective and timely ED to faculty. By identifying key faculty leaders, identifying multiple sources of data, and using multiple modalities, we supported the faculty in their mission to effectively serve their students during this difficult and stressful time. In pivoting from a triage approach to more tactically focused development, the two ED centers discovered that they could more effectively serve faculty (and by extension students) by shattering the structural silos that had previously defined them and instead working as a unified entity.

The Individual Ictal Fingerprint: Combining Movement Measures With Ultra Long-Term Subcutaneous EEG in People With Epilepsy

Background: Epileptic seizures are caused by abnormal brain wave hypersynchronization leading to a range of signs and symptoms. Tools for detecting seizures in everyday life typically focus on cardiac rhythm, electrodermal activity, or movement (EMG, accelerometry); however, these modalities are not very effective for non-motor seizures. Ultra long-term subcutaneous EEG-devices can detect the electrographic changes that do not depend on clinical changes. Nonetheless, this also means that it is not possible to assess whether a seizure is clinical or subclinical based on an EEG signal alone. Therefore, we combine EEG and movement-related modalities in this work. We focus on whether it is possible to define an individual “multimodal ictal fingerprint” which can be exploited in different epilepsy management purposes.Methods: This study used ultra long-term data from an outpatient monitoring trial of persons with temporal lobe epilepsy obtained with a subcutaneous EEG recording system. Subcutaneous EEG, an EMG estimate and chest-mounted accelerometry were extracted from four persons showing more than 10 well-defined electrographic seizures each. Numerous features were computed from all three modalities. Based on these, the Gini impurity measure of a Random Forest classifier was used to select the most discriminative features for the ictal fingerprint. A total of 74 electrographic seizures were analyzed.Results: The optimal individual ictal fingerprints included features extracted from all three tested modalities: an acceleration component; the power of the estimated EMG activity; and the relative power in the delta (0.5–4 Hz), low theta (4–6 Hz), and high theta (6–8 Hz) bands of the subcutaneous EEG. Multimodal ictal fingerprints were established for all persons, clustering seizures within persons, while separating seizures across persons.Conclusion: The existence of multimodal ictal fingerprints illustrates the benefits of combining multiple modalities such as EEG, EMG, and accelerometry in future epilepsy management. Multimodal ictal fingerprints could be used by doctors to get a better understanding of the individual seizure semiology of people with epilepsy. Furthermore, the multimodal ictal fingerprint gives a better understanding of how seizures manifest simultaneously in different modalities. A knowledge that could be used to improve seizure acknowledgment when reviewing EEG without video.

Automated Event Detection and Classification in Soccer: The Potential of Using Multiple Modalities

Detecting events in videos is a complex task, and many different approaches, aimed at a large variety of use-cases, have been proposed in the literature. Most approaches, however, are unimodal and only consider the visual information in the videos. This paper presents and evaluates different approaches based on neural networks where we combine visual features with audio features to detect (spot) and classify events in soccer videos. We employ model fusion to combine different modalities such as video and audio, and test these combinations against different state-of-the-art models on the SoccerNet dataset. The results show that a multimodal approach is beneficial. We also analyze how the tolerance for delays in classification and spotting time, and the tolerance for prediction accuracy, influence the results. Our experiments show that using multiple modalities improves event detection performance for certain types of events.

Multimodal Diagnostic Workup of Primary Pericardial Mesothelioma: A Case Report

Background: Primary pericardial mesothelioma is an extremely rare tumor, and early identification and accurate diagnosis may improve its clinical outcome.Case presentation: In this study, we reported a case of a 70-year-old woman who presented with dyspnea. Conventional transthoracic echocardiography showed massive pericardial effusion. Contrast-enhanced ultrasonography revealed a hyper-enhancing mass in the pericardium. Further imaging methods, including cardiac MRI and positron emission tomography/computed tomography, showed invasion of the pericardial mass into the adjacent tissues and distant metastases. Pathologic examination of a puncture biopsy specimen finally confirmed the diagnosis of PPM.Conclusion: Pericardial masses are difficult to detect when a large amount of pericardial effusion is present and the mass is small. The combination of multiple modalities plays a meaningful role in identifying PPM.

Voice-hearing across the continuum: a phenomenology of spiritual voices

Voice-hearing in clinical and non-clinical groups has previously been compared using standardized assessments of psychotic experiences. Findings from several studies suggest that non-clinical voice-hearing (NCVH) is distinguished by reduced distress and increased control. However, symptom-rating scales developed for clinical populations may be limited in their ability to elucidate subtle and unique aspects of non-clinical voices. Moreover, such experiences often occur within specific contexts and systems of belief, such as spiritualism. This makes direct comparisons difficult to interpret. Here we present findings from a comparative interdisciplinary study which administered a semi-structured interview to NCVH individuals and psychosis patients. The non-clinical group were specifically recruited from spiritualist communities. The findings were consistent with previous results regarding distress and control, but also documented multiple modalities that were often integrated into a single entity, high levels of associated visual imagery, and subtle differences in the location of voices relating to perceptual boundaries. Most spiritual voice-hearers reported voices before encountering spiritualism, suggesting that their onset was not solely due to deliberate practice. Future research should aim to understand how spiritual voice-hearers cultivate and control voice-hearing after its onset, which may inform interventions for people with distressing voices.

The Use of Complementary and Alternative Medicine in Thai Gynecologic Oncology Patients: Influencing Factors

Background. To determine the factors influencing the use of complementary and alternative medicine (CAM) in gynecologic cancer patients and the prevalence and pattern of CAM use. Methods. This was a cross-sectional study of 370 gynecologic cancer patients conducted at the outpatient clinic, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. After obtaining informed consent, participants were asked to complete a standardized questionnaire including sociodemographic and clinical characteristics, detail of CAM use, attitude of CAM use, and quality of life using EORTC-QLQ-C30. Results. The prevalence of CAM use was 25.13%. The most common type was herbal medicine (55.90%). The participants who resided or had a birthplace in rural areas presented with a higher proportion of CAM use than those in urban areas ( P = 0.470 and P = 0.004 , respectively). Participants who received multiple modalities of cancer treatment reported a significantly higher proportion of CAM use ( P = 0.024 ). Most CAM users agreed that the CAM could be used in combination with standard treatment, and some rather disagreed that CAM could interrupt the treatment effect of the conventional treatment. CAM users had significantly higher role functioning in quality-of-life scores. Conclusion. Factors influencing CAM use in gynecologic cancer patients were rural area birthplace or residency, receiving multiple modalities of cancer treatment, having positive attitude toward CAM use. CAM users had better performance in role functioning in the quality-of-life score. Therefore, gynecologic oncologists should pay attention to these factors in order to communicate with gynecologic cancer patients about CAM use.

The social life of mangroves: Neoliberal development and mangrove conservation in the changing landscape of Kutch

This article explores the convergence of neoliberal development and mangrove conservation in marginal environments, which are becoming the new resource frontiers. We focus on Kutch, a border district in western India and highlight how the contested trajectories of accelerated and aggressive industrialisation and its convergence with state and corporate-led conservation programmes are shaping the social life of mangroves on the Kutchi coast. We focus on the discourses, practices and politics of value-making and un-making that constitute the multiple modalities of repair as mangroves are depleted and securitised simultaneously. Although these trends are augmenting capitalist accumulation on the coast, they are also giving rise to new kinds of alliances that seek to challenge the logic and practice of repair by highlighting the synergistic relationship of coastal communities with their mangrove habitats.