Journal articles on the topic 'RASS (Computer program)'

Abstract: Introduce computer technology as a medium of learning the child wisely early on the potential to improve learning ability in children and child develop self-confidence about the future. The reality of child loved the games and television entertainment programs not only viewed negatively, but rather as learning modalities. Provide educational type programs that can be done with a computer as a device supporting a new power of learning media. Children not only learn computer skills, but also utilize the computer as a means or medium for learning. To get optimum benefit Teachers can integrate the use of computers as a medium in the learning process and focus on high-order thingking skill. Fantasy Drafting module aims to develop the potential and effectiveness of learning in early childhood or playgroup, where the module is designed as an education module to read and write the material fauna and flora, coloring and coloring as well. Module proram also implemented into the Local Area Network networking technology to be applied easily and efficiently. Keywords: education module application, tool, fantasy Abstrak: Mengenalkan teknologi komputer sebagai media pembelajaran kepada anak sejak dini secara bijaksana berpotensi untuk meningkatkan kemampuan belajar pada anak dan mengembangkan rasa percaya diri anak akan masa depannya. Realitas anak sangat menyukai games dan program-program hiburan televisi tidak seharusya hanya dipandang negatif, namun lebih sebagai modalitas belajar. Menyediakan program sejenis yang edukatif bisa dilakukan dengan komputer sebagai perangkat pendukungnya menjadi kekuatan baru media pembelajaran. Anak bukan saja belajar ketrampilan komputer, namun juga memanfaatkan komputer sebagai sarana atau media untuk belajar. Guna mendapatkan manfaat optimal Guru bisa mengintegrasikan penggunaan komputer sebagai media di dalam proses pembelajaran dan fokus kepada high order thingking skill. Perancangan modul fantasy bertujuan untuk mengembangkan potensi dan keefektifan cara belajar pada anak usia dini atau playgroup, dimana modul dirancang sebagai education module dengan materi baca dan tulis fauna serta flora, mewarnai dan juga mewarnai. Modul proram diimplementasikan pula ke dalam teknologi jaringan Local Area Network agar dapat di aplikasikan dengan mudah dan efisien. Kata Kunci : aplikasi education module, alat bantu, fantasy

Background:Depressive disorder is common in adolescents and largely untreated. Computers offer a way of increasing access to care. Computerized therapy is effective for depressed adults but to date little has been done for depressed adolescents.Aims:The objective of this study was to examine the feasibility, acceptability, and effects of The Journey, a computerized cognitive behavioural therapy (cCBT) program for depressed adolescents.Method:Thirty-four adolescents (mean age 15.2 years,SD= 1.5) referred by school counsellors were randomly assigned to either cCBT or a computer-administered attention placebo program with psychoeducational content (CPE). Participants completed the intervention at school. Data were collected at baseline, post-intervention and at a 1-month follow-up. The primary outcome measure was the Child Depression Rating Scale Revised (CDRS-R); secondary outcome measures were: RADS-2; Pediatric Quality of Life Inventory; Adolescent Coping Scale (short form); response and remission rates on CDRS-R. Completion rates and self-reported satisfaction ratings were used to assess feasibility and acceptabililty of the intervention.Results:Ninety-four percent of cCBT and 82% of CPE participants completed the intervention. Eighty-nine percent liked The Journey a lot or thought it was “okay” and 89% of them would recommend it for use with others as is or after some improvement. Adolescents treated with cCBT showed greater symptom improvement on CDRS-R than those treated with CPE program (mean change on cCBT = 17.6, CI = 14.13–21.00; CPE = 6.06, CI = 2.01–10.02;p< .001).Conclusions:It is feasible, acceptable and efficacious to deliver computerized CBT to depressed adolescents in a school setting. Generalizability is limited by the size of the study.

Summary Objectives: To assist general practitioners in evaluating patients’ genetic risk of cancer on the basis of family history data. Methods: A new computer application, RAGs (Risk Assessment in Genetics), has been developed to help doctors create graphical family trees and assess the genetic risk of breast and colorectal cancer. RAGs possesses two features that distinguish it from similar software: (i) a user-centred design, which takes into account the requirements of the doctor-patient encounter; (ii) effective and accessible risk reporting by employing qualitative evidence for or against increased risk, which is more easily understood than numerical probabilities. The system allows any rule-based genetic risk guideline to be implemented, and may be readily modified to cater for the varying degrees of information required by different specialists. Results: RAGs permits fast, accurate data entry, and results in more appropriate management decisions than those made via other techniques. In addition, RAGs enables both the clinician and the patient to understand how it arrives at its conclusions, since the use of qualitative evidence allows the program to provide explanations for its reasoning. Conclusions: The RAGs system promises to help practitioners be more effective gatekeepers to genetic services. It may empower doctors both to make an informed choice when deciding to refer patients who are at increased genetic risk of breast or colorectal cancer, and to reassure those who are at low risk.

Ketidakpahaman guru dalam menggunakan aplikasi pemodelan komputer sebagai media pengolahan skor mentah pada hasil ujian penilaian pendidikan menjadi salah satu faktor yang menyebabkan guru menjadi tidak melakukan analisis tes yang digunakan. Sedangkan analisis soal diperlukan untuk memberikan informasi yang sangat lengkap dari abilitas yang dimiliki peserta didik dan pada saat yang sama juga dapat menentukan kualitas soal yang diberikan. Tujuan dari pelatihan ini adalah untuk (1) Memberikan pelatihanaplikasi pemodelan komputer yang dapat membantu guru menganalisis skor mentah dalam kegiatan penilaian pendidikan sehingga dapat memberikan informasi yang akurat tentang abilitas peserta didik maupun kualitas soal yang dikerjakan. (2) Meningkatkan kemampuan guru dalam mengikuti perkembangansoftware simulasi yang ada saat ini. Subyek penelitian ini adalah guru PONPES Nurul Haramaian Putra Narmada Lombok Barat NTB. Dengan objek analsis pelatihan menggunakan aplikasi permodelan computer berbasis Rash Model (software Winsteps). Hasil dari pelatihan pelatihan secara teknis berjalan cukup lancar tanpa ada hambatan yang cukup berarti. Namun ada beberapa permasalahan yang timbul yakni masih ada peserta yang masih kurang mampu dalam menjalankan program computer (Excel) dan software Winsteps karena factor waktu, usia dan usaha.

Despite the positive outcome of the recent randomized trial of computed tomography (CT) screening for lung cancer, substantial implementation challenges remain, including the clear reporting of relative risk and suggested workup of screen-detected nodules. Based on current literature, we propose a 6-level Lung-Reporting and Data System (LU-RADS) that classifies screening CTs by the nodule with the highest malignancy risk. As the LU-RADS level increases, the risk of malignancy increases. The LU-RADS level is linked directly to suggested follow-up pathways. Compared with current narrative reporting, this structure should improve communication with patients and clinicians, and provide a data collection framework to facilitate screening program evaluation and radiologist training. In overview, category 1 includes CTs with no nodules and returns the subject to routine screening. Category 2 scans harbor minimal risk, including <5 mm, perifissural, or long-term stable nodules that require no further workup before the next routine screening CT. Category 3 scans contain indeterminate nodules and require CT follow up with the interval dependent on nodule size (small [5-9 mm] or large [≥10 mm] and possibly transient). Category 4 scans are suspicious and are subdivided into 4A, low risk of malignancy; 4B, likely low-grade adenocarcinoma; and 4C, likely malignant. The 4B and 4C nodules have a high likelihood of neoplasm simply based on screening CT features, even if positron emission tomography, needle biopsy, and/or bronchoscopy are negative. Category 5 nodules demonstrate frankly malignant behavior on screening CT, and category 6 scans contain tissue-proven malignancies.

OBJETIVO: Foi desenvolvido um software denominado QualIM® - Qualificação de Imagens Médicas para treinamento de profissionais na interpretação de exames digitais de mamografias utilizando ferramentas de manipulação de imagens, em monitores específicos, classificadas em BI-RADS®. MATERIAIS E MÉTODOS: O sistema, desenvolvido em Delphi 7, armazena as respostas da interpretação de imagens mamográficas durante o treinamento e compara aos dados inseridos denominados "padrão-ouro". O sistema contém imagens de computed radiography, direct radiography e digitalizadas. O software converte as imagens do computed radiography e direct radiography para o formato TIFF, mantendo as resoluções espacial e de contraste originais. Profissionais em treinamento manipulam o realce da imagem utilizando ferramentas de software (zoom, inversão, réguas digitais, outras). Dependendo da complexidade, são apresentadas até oito incidências mamográficas, seis imagens de ultra-som e duas de anatomopatológico. RESULTADOS: O treinamento iniciou em 2007 e atualmente faz parte do programa de residência em radiologia. O software compõe o texto, de forma automática, das informações inseridas pelo profissional, baseado nas categorias BI-RADS, e compara com a base de dados. CONCLUSÃO: O software QualIM é uma ferramenta digital de ensino que auxilia profissionais no reconhecimento de padrões visuais de uma imagem mamográfica, bem como na interpretação de exames mamográficos, utilizando a classificação BI-RADS.

In this paper, an automatic technique for test timing assignment is proposed which is comprehensive enough to take the test objective (e.g., strictness of selected AC timing parameters) and the constraints from both RAM specification and tester into consideration. Since test timing assignment problem could only be solved manually before, therefore, our work can significantly reduce the efforts and costs on developing and maintaining timing modules of RAM test programs. In the proposed technique, the test timing assignment problem is transformed into a linear programming (LP) model, which can be automatically solved. Examples of building LP models for an asynchronous DRAM are given to show feasibility of the proposed technique.

Purpose To assess and develop solutions for an ultrasound-based breast cancer early detection program in rural South Africa 1 year after implementation. Methods A WHO-endorsed RAD-AID Radiology Readiness Assessment was used to evaluate clinic resources. In addition, 5 weeks of observation identified resource deficiencies and reviewed existing documentation methods. On the basis of stakeholders’ input and the BI-RADS, we developed new documentation systems. Training was followed by a survey that assessed feasibility and provider acceptance. Results Resource limitations included lack of computers, unpredictable electrical supply, and inconsistent Internet. The assessment revealed incomplete documentation of breast clinical examinations and history, breast lesions, and follow-up. Furthermore, limitations negatively affected communication among providers. Three solutions were developed: a paper patient history form, a paper clinical findings form, and a computerized patient-tracking data base compliant with BI-RADS. Three nurses, three nursing assistants, and one counselor completed the survey. Seventy-one percent indicated positive general attitudes, and 100% agreed that the documentation system is easy and useful and improves overall quality of care, follow-up, decision making; access to clinical information; and communication between clinicians and patients. Five of the seven providers reported that the system increased visit time, but three of those five believed that the process was valuable. Conclusion Implementation of a breast cancer early detection program in resource-limited regions is challenging, and continual assessment is essential. As a result of identified needs, we developed a documentation system that was broadly accepted. Future steps should focus on increasing efficiency, evaluation of provider attitudes long term, and clinical effect.

The renin-angiotensin-aldosterone system (RAAS) is implicated in hypertension and kidney disease. The developing kidney can be programmed by various early-life insults by so-called renal programming, resulting in hypertension and kidney disease in adulthood. This theory is known as developmental origins of health and disease (DOHaD). Conversely, early RAAS-based interventions could reverse program processes to prevent a disease from occurring by so-called reprogramming. In the current review, we mainly summarize (1) the current knowledge on the RAAS implicated in renal programming; (2) current evidence supporting the connections between the aberrant RAAS and other mechanisms behind renal programming, such as oxidative stress, nitric oxide deficiency, epigenetic regulation, and gut microbiota dysbiosis; and (3) an overview of how RAAS-based reprogramming interventions may prevent hypertension and kidney disease of developmental origins. To accelerate the transition of RAAS-based interventions for prevention of hypertension and kidney disease, an extended comprehension of the RAAS implicated in renal programming is needed, as well as a greater focus on further clinical translation.

AbstractA selection index for overall economic merit and five subindexes for maternal and lamb traits were constructed. For estimation of breeding values, two computer programs were developed. A multiple-trait animal model was programmed for the ewe traits including number of lambs born ofl-, 2- and 3-years-old ewes and ewe fleece weight of yearlings. In order to reduce the memory requirement, the lamb data (growth rate, carcass weight, carcass grade, fat% and lamb fleece iveight) were analysed by a reduced multiple-trait animal model including genetic maternal effect. Experiences with the computer programs in genetic evaluation of approximately 619 000 animals are presented. It is concluded that the models and computing strategy may be used for genetic evaluation in the national sheep breeding programme in Norway.Relative economic values for all traits were derived from a profit equation on a 3-year-old ewe basis. The sensitivity towards changed economic values urns found to be low. Further, the genetic change in the ewe traits of the Norwegian breeds has been estimated, and a significant improvement was found, which was two to four times higher in the ram circles than outside. For breeding rams, the genetic change for number of lambs born was estimated to be approximately 0·01 lambs per ewe and year.

Computational fluid dynamics (CFD) is a valuable tool that complements experimental data in the development of medical devices. The reliability of CFD still presents an issue and for that reason, no standardized approaches are currently available. The United States Food and Drug Administration (FDA) has initiated the development of a program for CFD validation, and has presented an idealized nozzle benchmark model. In this study, a nozzle flow with sudden expansion has been simulated using advanced RANS-LES turbulence models. Such models partially resolve the flow and are cheaper in computer resources and time in comparison to the Large Eddy Simulation (LES). Furthermore, they are more accurate than standard Reynolds-averaged Navier-Stokes (RANS) models. A collection of hybrid turbulence models has been investigated: Detached Eddy Simulation (DES), Stress Blended Eddy Simulation (SBES), and Scale Adaptive Simulation (SAS), and compared to a standard RANS Shear Stress Transport (SST) model. Subsequently, all models were validated by experimental results already published by different research groups. Particle Image Velociometry (PIV) experiments were performed by inter-laboratory study, and the results are available online for numerical validation. The flow conditions in this study are only restricted to a turbulence flow at a Reynolds number of Re =6500. Complementing the turbulence models investigation, two advection schemes were tested: high resolution (HR) and bounded central difference scheme (BCD). Among all advanced models the SBES model with BCD scheme has the best agreement with the experimental values.

Computational Fluid Dynamics (CFD) software is often used to study fluid flow and structures motion in fluids. The CFD normally requires large size of arrays and computer memory and then caused long execution time. However, Innovation of computer hardware such as multi-cores processor provides an alternative solution to improve this programming performance. This paper discussed loop parallelize multi-cores processor for optimization of sequential looping CFD code. This loop parallelize CFD was achieved by applying multi-tasking or multi-threading code into the original CFD code which was developed by one of the authors. The CFD code was developed based on Reynolds Average Navier-Stokes (RANS) method. The new CFD code program was developed using Microsoft Visual Basic (VB) programming language. In the early stage, the whole CFD code was constructed in a sequential flow before it is modified to parallel flow by using VBs multi-threading library. In the comparison, fluid flow around the hull of round-shaped FPSO was selected to compare the performance of both the programming codes. Besides, executed results of this self-developed code such as pressure distribution around the hull were also presented in this paper.

PURPOSE: The National Lung Screening Trial demonstrated a 20% relative reduction in lung cancer mortality with low-dose computed tomography screening, leading to implementation of lung cancer screening across the United States. The Centers for Medicare and Medicaid Services approved coverage, but questions remained about effectiveness of community-based screening. To assess screening implementation during the first full year of CMS coverage, we surveyed a nationwide network of lung cancer screening centers, comparing results from academic and nonacademic centers. METHODS: One hundred sixty-five lung cancer screening centers that have been designated Screening Centers of Excellence responded to a survey about their 2016 program data and practices. The survey included 21 pretested, closed- and open-ended quantitative and qualitative questions covering implementation, workflow, numbers of screening tests completed, and cancers diagnosed. RESULTS: Centers were predominantly community based (62%), with broad geographic distribution. In both community and academic centers, more than half of lung cancers were diagnosed at stage I or limited stage, demonstrating a clear stage shift compared with historical data. Lung-RADS results were also comparable. There are wide variations in the ways centers address Centers for Medicare and Medicaid Services requirements. The most significant barriers to screening implementation were insurance and billing issues, lack of provider referral, lack of patient awareness, and internal workflow challenges. CONCLUSION: These data validate that responsible screening can take place in a community setting and that lung cancers detected by low-dose computed tomography screening are often diagnosed at an early, more treatable stage. Lung cancer screening programs have developed different ways to address requirements, but many implementation challenges remain.

Penelitian ini berjudul.Analisis Susunan Menu Kantin Karyawan Di Kyriad Hotel Bumiminang Padang. Tujuan dari penelitian ini.adalah untuk menganalisis susunan menu di kantin karyawan Hotel Kyriad Hotel Bumiminang Padang. Adapun keluhan yang dapat ditemukan oleh peneliti adalah salah satunya yaitu cita rasa, tekstur,.warna yang kurang bervariasi.terhadap makanan yang dihidangkan di kantin karyawan Hotel Kyriad Bumi Minang Padang. Penelitian ini merupakan penelitian..deskriptif kuantitatif dengan metode survey Jumlah sampel.dalam penelitian ini adalah 66 responden. Cara pengambilan sampel.dengan menggunakan teknik non probability sampling. Jenis non probability sampling yang digunakan adalah sampling..jenuh. Data dikumpulkan menggunakan kuesioner atau angket dengan menggunakan skala.likert. Teknik analisis data dilakukan dengan menggunakan program computer..SPSS versi 20.00. Hasil penelitian ini menunjukkan.bahwa: Susunan menu..kantin karyawan Kyriad Hotel Bumiminang Padang berada padaakategori Baik dengan nilai persentase 27% yang artinya susunan menu di kantin karyawan Kyriad Hotel Bumiminang Padang sudah baik sesuai dengan keinginan danaaharapan dari karyawan Kyriad Hotel Bumiminang Padang.Kata kunci: Analisis,.Susunan.Menu, Kyriad Hotel Bumiminang Padang

Background and context: In Mexico, median time between breast cancer (BC) symptom detection and treatment initiation has been reported to be 7 months. We designed the “Alerta Rosa” navigation program with the intent to break down medical care barriers and reduce delays, as well as improve quality of care, by identifying and prioritizing patients with breast symptoms or abnormal breast imaging studies in Nuevo Leon, Mexico. In the first year, we achieved a median time from alert activation to treatment initiation of 33 days, thus shortening health system intervals and supporting the replication/adaptation for other limited resource settings. This project is supported by Susan G. Komen Foundation. Aim: We seek to increase efficiency and outreach of our navigation process in our region, as well as scale up and replicate the program in other parts of Mexico. Strategy/Tactics: Based on the results obtained and limitations observed during the initial year, we have designed changes that will improve our navigation model and patient outcomes. Patients with a palpable breast mass, bloody nipple discharge, nipple/skin retraction or BI-RADS 4 or 5 results will now be given maximum priority. Additionally, we will develop/adapt a computer software that will help refine logistics and care coordination activities, which will lead to increased operational efficiency and reduced costs. Finally, additional breast referral facilities will be incorporated to the current navigation program. These rearrangements will be implemented and evaluated in 2018. Program/Policy process: The following year, we will expand “Alerta Rosa” to a second city, evaluate sustainability and scalability, and make modifications to the program navigation and logistics as needed. After proving success, we intent to further increase the program reach to other regions across Mexico, to ultimately achieve an efficient referral system that will ease earlier BC care. Outcomes: We aim to keep our current standard of healthcare interval duration, while reaching a larger number of women and eventually expanding the project to other regions of the country. The indicators to measure success include time intervals from alert activation to diagnosis, referral, and treatment initiation. Other variables that are being collected are number of activated alerts, medical assessments, follow-ups, biopsies, and BC diagnoses. What was learned: In low-middle income countries, where BC screening programs do not effectively reach the target population, it is crucial to focus efforts in identifying and prioritizing symptomatic patients or those with abnormal imaging studies, to ultimately downstage BC. “Alerta Rosa” proved to be successful in reducing health system intervals and should be replicated and adapted for other limited resource settings. Therefore, we will work toward promoting the integration of this program to improve the current standard of BC healthcare in Mexico.

58 Background: Lung cancer screening (LCS) with Low dose computed-tomography (LDCT) has been recommended by USPSTF for high-risk population since 2013 largely based on 20% relative reduction in lung cancer mortality shown in National Lung Screening Trial (NLST). The success of NLST was related to its high adherence rate and thorough ascertainment of lung cancers and deaths. This study evaluated performance of lung cancer screening program in Histoplasmosis endemic community. Methods: Demographic and clinical information was collected through retrospective review on all patients in the lung cancer screening program of a Kentucky health system comprising 21 centers from 2016 and 2017. A positive LDCT screen is defined as Lung-RADS version 1.0 assessment categories 3 or 4. Results: A total of 4500 LDCT screens were performed in 2016 (39%) and 2017 (61%) with 49% adherence rate to repeat annual screen in 2017. Mean age of patients was 64 years, majority being females (54%) and current smokers (69%) with average 52-pack year smoking history. The rate of positive LDCT was 13.3% (600) varying based on initial (14.6%) vs annual (9.5%) screen. A total of 70 lung cancers were diagnosed among all positive LDCT screens (11.7%) with a false positive rate of 12%. Conclusions: Comparing to NLST results updated with Lung-RADS categories, baseline positive screens in our community are similar (14.6% vs 13.6%, p = 0.15) despite being a Histoplasmosis endemic region. Our higher rate of annual positive screens (9.5% vs 6%, p < 0.001) and false positive rate (12% vs 8%, p < 0.001) may be explained by poor adherence to annual screens and an inability to thoroughly ascertain lung cancer diagnosis in all patients due to lost to follow up. In community setting with < 50% adherence to annual screens compared to 95% adherence in NLST, it is unclear if LCS mortality benefit still holds and needs intervention to increase adherence to LCS.

e19011 Background: The National Lung Screening Trial (NLST) revealed a 20% reduction in lung cancer (LC) mortality when low-dose computed tomography (LDCT) was utilized for LC screening vs chest radiography. NLST participants were predominantly Non-Hispanic Whites, with only 1.8% Hispanics. The goal of our study was to investigate the attributes of a LC screening program in a largely Hispanic urban population and compare with NLST. Methods: We performed a retrospective analysis of 421 consecutive cases who underwent LDCT screening from 2016-2019 at University of Miami (UM), with similar inclusion criteria as the NLST. Demographic characteristics, smoking status, lung RADS, LC detection and compliance were examined & compared with NLST cohort using summary statistics and χ2 tests for categorical variables. Results: Demographic and smoking characteristics of the UM cohort didn’t resemble those of NLST LDCT cohort. UM cohort had a different racial and ethnic profile, with a higher percentage of Hispanics (47.3% vs 1.8%) and African Americans (15% vs 4.5%) in the UM cohort vs NLST cohort respectively (p < 0.001). UM cohort generally had lesser smoking intensity, and significantly fewer active smokers when compared to the NSLT cohort; 38.5% vs 48.1% respectively. The proportion of positive LDCT screens (Lung-RADS Class 3 or 4) in the UM cohort (14.1%) was almost similar to the NLST cohort (13.7%) (p = 0.81). The UM cohort had a higher LC detection rate (3.3%) than the NLST cohort (1.1%) (p < 0.001). In keeping with goals of screening, both cohorts had 50% or more LC cases detected at an early curable stage. Overall patient adherence to screening guidelines was more than 90% in NLST cohort; whereas almost a quarter of referred patients in UM cohort didn’t show for their initial decision-making visit and only 45% completed two or more scans. Conclusions: Our LDCT screening program was based in a Hispanic urban location (UM) with 47.3% Hispanics. Compared to NLST LDCT arm, the UM cohort had fewer active smokers, lighter smoking history, a more diverse population, somewhat higher LC detection rate, weaker adherence to screening related visits. More data is needed to understand obstacles to compliance with screening in minority populations.

A new aerodynamic force of drag prediction approach was developed to compute the airfoil drag via entropy generation rate in the flow field. According to the momentum balance, entropy generation and its relationship to drag were derived for viscous flow. Model equations for the calculation of the local entropy generation in turbulent flows were presented by extending the RANS procedure to the entropy balance equation. The accuracy of algorithm and programs was assessed by simulating the pressure coefficient distribution and dragging coefficient of different airfoils under different Reynolds number at different attack angle. Numerical data shows that the total entropy generation rate in the flow field and the drag coefficient of the airfoil can be related by linear equation, which indicates that the total drag could be resolved into entropy generation based on its physical mechanism of energy loss.

This study presents a new concept design combining multiple megawatt (MW) vertical-axis wind turbines (VAWTs) and a solar array with a floating steel fish-farming cage. This combined wind–solar–aquaculture (WSA) system is intended to utilize the ocean space and water resources more effectively and more economically, while greatly shortening the payback period of investment in offshore power generation. The details of this WSA design are described, showing that a square-shaped fishing cage serves as a floating foundation for the 7600 m2 solar array and four multi MW VAWTs. The WAMIT program based on potential-flow theory is employed to obtain the WSA’s motion response amplitude operators (RAOs) in sinusoidal waves of varying periods. The motion RAOs indicated that the proposed concept possesses better hydrodynamic seakeeping performances than its OC3Hywind spar and OC4DeepCwind semi-submersible counterparts. A potential site located in the northwest South China Sea is selected to deploy the WSA. Its feasibility is then examined in terms of the hydrodynamic motions and structural dynamic response driven by wind, waves, and current. Fully coupled time-domain simulations are carried out for 50-year survival conditions. The whole structure exhibits outstanding performance for its small motions in random wind and seas. Moreover, under these survival conditions, the top accelerations and tower base stresses of the VAWTs and mooring line tensions readily meet the design requirements. Technically, the WSA has strong competitiveness and wide prospects in the offshore industry for both power exploitation and marine aquaculture in intermediate and deep waters.

1523 Background: According to the World Health Organization,the number of breast cancercases in developing countries will increase dramatically by the year 2050. Egypt is likely to see an increase in this disease burden unless effective programs for early detection and control are implemented. Many women, especially those who are medically underserved, still do not understand the importance of regular mammograms, or how and where to get one. Methods: Four mobile mammography vans were launched in October 2007, to screen women over 45 years old in the underserved areas of Cairo. Each van was equipped with a full field digital mammography (FFDM) machine, dedicated computer system linked to the National Breast Screening Center via video SAT & ADSL, sphygmomanometer, blood glucose measuring kit, and spring scale and meter to measure weight and height. Based on positive findings, patients were directed to Cairo University Hospital to receive appropriate treatment. Mobile units continued to operate through October, 2008. Results: From October 2007 through October 2008, 11,414 women were screened for breast cancer, hypertension, diabetes, and obesity. Two hundred forty four (2.13%) women were radiologically positive for cancer; of these, only 112 (45.9%) women agreed to be recalled for assessment; of these, 49.1% were confirmed to be true positive with BI-RADS 4,5 (61% cases were mass, with 27.9 % 1–2 cm in size; 16.4% cases were microcalcifications alone; multicentricity in 6.6 %; bilaterality in 2.5% of cases). 36.6% were false positive, and 14.2% are under further investigation. Conclusions: Although Cairo is the most developed city in Egypt, there is lack of breast cancer awareness, especially in the underserved areas. Breast cancer is now a priority for the Ministry of Health, with four more vans and 10 fixed FFDM units to be implemented during the next year. A 5-year plan has been established to cover all 29 Egyptian Governorates. No significant financial relationships to disclose.

The aim of the study: to research the prevalence of overweight and obesity, the features of physical development, the type of physique, the component composition of the body of students, their dependence on the energy balance and the actual nutrition of students with overweight syndrome. Material and methods: we carried out the study on the basis of Derzhavin Tambov State University. We examined 128 young men aged 18–22 years. The anthropometric program included the determination of 25 features, measured according to the standard methodology using the automated complex of CMD “Healthy Child.” Diagnosis of overweight syndrome and obesity was by body mass index. We carried out an estimation of actual power supply and power consumption by frequency method with subsequent application of computer program ”Analysis of human power supply state” (version 1.2.4) of the Main Research Institute of RAMS Power Supply. The results: we noted a high frequency of overweight (41,4 %) and obesity (23,4 %) among the examined young men, with hyperstenic physique type, excess body weight was among 58,5 %, and obesity among 73,3 % of students. An excess of the energy value of the diet over daily energy consumption, which was due to an increased number of fats due to saturated fatty acids, proteins and easily digestible carbohydrates characterizes nutrition in overweight syndrome. A decrease in the proportion of skinny body weight and muscle mass contributed to a decrease in daily energy consumption in overweight syndrome. We established an imbalance of macronutrients, leading to the development of abdominal obesity. The energy value and chemical composition of the diet did not affect the incidence of overweight and obesity in students with different types of physique.

Purpose The following paper is a “Q&A interview” conducted by Joanne Pransky of Industrial Robot Journal as a method to impart the combined technological, business and personal experience of a prominent, robotic industry PhD and innovator regarding her pioneering efforts and the challenges of bringing a technological invention to market. This paper aims to discuss these issues. Design/methodology/approach The interviewee is Dr Maja Matarić, Chan Soon-Shiong Distinguished Professor in the Computer Science Department, Neuroscience Program, and the Department of Pediatrics at the University of Southern California, founding director of the USC Robotics and Autonomous Systems Center (RASC), co-director of the USC Robotics Research Lab and Vice Dean for Research in the USC Viterbi School of Engineering. In this interview, Matarić shares her personal and business perspectives on socially assistive robotics. Findings Matarić received her PhD in Computer Science and Artificial Intelligence from MIT in 1994, MS in Computer Science from MIT in 1990 and BS in Computer Science from the University of Kansas in 1987. Inspired by the vast potential for affordable human-centered technologies, she went on to found and direct the Interaction Lab, initially at Brandeis University and then at the University of Southern California. Her lab works on developing human–robot non-physical interaction algorithms for supporting desirable behavior change; she has worked with a variety of beneficiary user populations, including children with autism, elderly with Alzheimer’s, stroke survivors and teens at risk for Type 2 diabetes, among others. Originality/value Matarić is a pioneer of the field of socially assistive robotics (SAR) with the goal of improving user health and wellness, communication, learning and autonomy. SAR uses interdisciplinary methods from computer science and engineering as well as cognitive science, social science and human studies evaluation, to endow robots with the ability to assist in mitigating critical societal problems that require sustained personalized support to supplement the efforts of parents, caregivers, clinicians and educators. Matarić is a Fellow of the American Association for the Advancement of Science (AAAS), Fellow of the IEEE and AAAI, recipient of the Presidential Awards for Excellence in Science, Mathematics & Engineering Mentoring (PAESMEM), the Anita Borg Institute Women of Vision Award for Innovation, Okawa Foundation Award, NSF Career Award, the MIT TR35 Innovation Award, the IEEE Robotics and Automation Society Early Career Award and has received many other awards and honors. She was featured in the science documentary movie “Me & Isaac Newton”, in The New Yorker (“Robots that Care” by Jerome Groopman, 2009), Popular Science (“The New Face of Autism Therapy”, 2010), the IEEE Spectrum (“Caregiver Robots”, 2010), and is one of the LA Times Magazine 2010 Visionaries. Matarić is the author of a popular introductory robotics textbook, “The Robotics Primer” (MIT Press 2007), an associate editor of three major journals and has published extensively.

The results of this study aim to explain efforts to strengthenteacher competence through the use of simple and modern media. Learningmedia have a strategic role in making it easier for teachers to deliver learningmaterial. To be able to use the media, curiosity, innovative and creativesouls are needed. In the learning process, teachers can use both simple andexpensive learning media. Teachers can make media from used goods orcan also use computer-based media through PowerPoint programs. Thisresearch was conducted at the Daaruttayyibin Islamic Boarding School withthe Participatory Action Research (PAR) model which was carried out with5 stages of activities namely; (1) orientation, socialization and FGD; (2)training in making media from used goods; (3) Training in making mediafrom powerpoint media; (4) assistance; and (5) monitoring evaluation. Theresults showed that the training made learning media from used goods andpower points had a significant impact on knowledge and experience andimproved teacher skills in designing instructional media. Hasil penelitian ini bertujuan untuk menjelaskan upaya penguatankompetensi guru melalui pemanfaatan media sederhana dan modern.Media pembelajaran memiliki peran strategis dalam mempermudahguru menyampaikan materi pembelajaran. Untuk dapat memanfaatkanmedia, dibutuhkan rasa ingin tahu, jiwa inovatif dan kreatif. Dalam prosespembelajaran, guru bisa menggunakan media pembelajaran baik yangsederhana maupun yang mahal. Guru dapat membuat media dari barangbekas atau bisa juga dengan pemanfaatan media berbasis computer melaluiprogram powerpoint. Penelitian ini dilakukan di Ponpes Daaruttayyibindengan model Partisipatory Action Research (PAR) yang dilakukan dengan5 tahapan kegiatan yaitu; (1) orientasi, sosialisasidan FGD; (2) pelatihanpembuatan media dari barang bekas; (3) Pelatihan pembuatan media darimedia powerpoint; (4) pendampingan; dan (5) monitoring evaluasi. Hasilpenelitian menunjukkan bahwa pelatihan membuat media pembelajarandari barang bekas dan power point memberikan dampak signifikan terhadappengetahuan dan pengalaman serta meningkatkan keterampilan guru dalammendesain media pembelajaran.

Abstract Introduction Lung cancer is the leading cause of cancer death among men and women, accounting for more fatalities than colon, breast, and prostate cancers combined. Smoking causes about 85% of all lung cancers in the United States and is the single greatest risk factor. In 2013, the US Preventive Services Task Force (USPSTF) published initial guidelines for low-dose computed tomography lung cancer screening (LCS) among patients 55–80 years old, with a 30-pack-year history, who are current smokers or who quit within the previous 15 years. Smoking prevalence is higher among military personnel compared to the civilian population, demonstrating a need for vigilant screening. Materials and Methods A retrospective review of Naval Medical Center San Diego’s (NMCSD) LCS data was conducted to examine screening numbers, lung cancer rates, and initial analysis of screening results. Patients were referred for screening if they met the USPSTF criteria. Between September 2013 and September 2018, 962 patients underwent LCS. A total of 1758 examinations were performed, including follow-up and annual surveillance examinations. The American College of Radiology’s Lung CT Screening Reporting and Data System (Lung-RADS) was used to classify lung nodules’ risk for malignancy. Results On this initial analysis, 42 enrolled patients received the diagnosis of lung cancer detected by screening. The initial calculated lung cancer rate is 4.4% (42/962) over the 5-year reporting period. The lung cancer rate among those patients with a Lung-RADS score of 3 or 4 was 31% (42/135). Thirty-seven patients were classified as having non-small cell lung cancer (NSCLC), while five were classified as having small cell lung cancer. Of the 37 NSCLC patients, 76% (28/37) were diagnosed at stage I and II, 11% (4/37) were diagnosed at stage III, and 13% (5/37) were diagnosed at stage IV. The total number of years a person smoked was a significant risk factor (P = 0.004), but not pack-years a person smoked (P = 0.052). Conclusions These preliminary results demonstrate the success of a Military Treatment Facility (MTF)-based LCS Program in the detection of early stage lung cancer. Earlier stage detection may result in better health outcomes for affected patients. In the population studied, duration of smoking proved to be more significant than pack-years in predicting lung cancer risk. These results validate the newly dedicated resources and continued efforts to strengthen the LCS program at NMCSD and across MTFs.

e14068 Background: The interpretation of the mammography is challenging, especially in young women, who have dense breasts. Artificial intelligence (AI) promises to improve breast cancer detection; however these systems should be tested on different datasets. Our aim is to evaluate the performance of a publicly available deep convolutional neural network, developed by Wu et al. (IEEE Trans. Med. Imaging, 2019), applied to mammograms of young women. Methods: The test dataset consisted of mammograms obtained on a single occasion from 135 young women (up to 40 years old) on a Siemens mammography system. Each exam consisted of 4 full-field digital mammography images and had two labels (left malignant and right malignant). Mammograms were analyzed by a single mammography trained radiologist, using BI-RADS reporting tool. Among 270 labels, 170 were malignant and 100 were non-malignant. We used the program developed by Wu et al. that, according to the authors, presents AUC of 0.895 for the general population. As a preliminary test, we ran this program in a publicly available dataset named INbreast and obtained AUC of 0.8708, very close to the result reported by the authors. Results: We applied the program to our dataset of young women and obtained AUC of 0.876. We computed its standard error, obtaining 0.0290. At equal error rate point of the ROC curve, specificity and sensitivity are both 0.774. With this result we conclude that, at least for our dataset, cancer detection in young women is not substantially more difficult than in general population for an AI system. We fine-tuned the weights of the original network to the population of young women using transfer learning and obtained a slight improvement in AUC: 0.9018±0.0528, where the mean and the standard error were obtained using 5-fold cross validation. As the improvement was small and the standard errors are large, we would have to test on a larger test set to ensure that the observed improvement is real. Conclusions: We conclude, based on the experimental data, that there is no substantial degradation in accuracy when a mammogram screening program for general population is used for young women. We also conclude that it seems to be possible to obtain a slight improvement in accuracy by fine-tuning the network for the population of young women.

Background: Countries that have good rubella surveillance, report ∼10,000–20,000 rubella cases annually. In India, not many cases of rubella are reported. The Hebballi Agasi ward of Dharwad district in Karnataka state, India, reported rubella cases on the last week of January 2015. Objective: We investigated the outbreak by time, place, person, and clinical symptoms. Methods: We performed a cross-sectional study. We defined a case as any resident of Heballi Agasi who had fever and rash, with or without lymphadenopathy, arthralgia, conjunctivitis, coryza, and cough, after December 15, 2014. We collected sociodemographic details and clinical symptoms of patients. We collected 5 serum samples and sent them to the National Measles Laboratory, Bangalore. We tested for measles and rubella antibodies. We drew an epidemic curve and a spot map. We computed mean age of cases, and we calculated attack rates by mean age and gender. We calculated proportions to describe clinical symptoms, and we interviewed stakeholders regarding rubella vaccination. We continued surveillance until March 2015. Results: The population of Heballi Agasi was 1,458. We identified 15 rubella cases (9 girls and 6 boys). The outbreak lasted between December 10, 2014, and February 21, 2015, with a peak on January 16, 2015. The overall attack rate was 1% (15 of 1,458). The mean age of the cases was 6 years (range, 1–23). The attack rate was high (7.7%) among those aged 1–6 years (11 of 143). The attack rate among those aged >6 years was 0.3% (4 of 1,315). In addition to fever and rash, 93% of cases (14 of 15) had coryza, 47% had cough (7 of 15), and 40% had conjunctivitis (6 of 15). Lymphadenopathy was present in only 1 case (1 of 15), and arthralgia was absent among all 15 cases. There was no death among the cases. All 5 sera were positive for rubella and negative for measles. Rubella vaccination was not given for any of the cases because no rubella vaccination is provided in the routine immunization program. Conclusions: There was a rubella outbreak in Heballi Agasi ward. Children aged 1–6 years were most affected. We recommend rubella vaccination in the routine immunization.Funding: NoneDisclosures: None

Abstract. The worldwide expansion of wind energy is making the choice of potential wind farm locations more and more difficult. This results in an increased number of wind farms being located in complex terrain, which is characterised by flow separation, turbulence and high shear. Accurate modelling of these flow features is key for wind resource assessment in the planning phase, as the exact positioning of the wind turbines has a large effect on their energy production and lifetime. Wind modelling for wind resource assessments is usually carried out with the linear model Wind Atlas Analysis and Application Program (WAsP), unless the terrain is complex, in which case Reynolds-averaged Navier–Stokes (RANS) solvers such as WindSim and Ansys Fluent are usually applied. Recent research has shown the potential advantages of large-eddy simulation (LES) for modelling the atmospheric boundary layer and thermal effects; however, LES is far too computationally expensive to be applied outside the research environment. Another promising approach is the lattice Boltzmann method (LBM), a computational fluid technique based on the Boltzmann transport equation. It is generally used to study complex phenomena such as turbulence, because it describes motion at the mesoscopic level in contrast to the macroscopic level of conventional computational fluid dynamics (CFD) approaches, which solve the Navier–Stokes (N–S) equations. Other advantages of the LBM include its efficiency; near-ideal scalability on high-performance computers (HPCs); and ability to easily automate the geometry, the mesh generation and the post-processing. However, the LBM has been applied very little to wind modelling in complex terrain for wind energy applications, mainly due to the lack of availability of easy-to-use tools as well as the lack of experience with this technique. In this paper, the capabilities of the LBM to model wind flow around complex terrain are investigated using the Palabos framework and data from a measurement campaign from the Bolund Hill experiment in Denmark. Detached-eddy simulation (DES) and LES in Ansys Fluent are used as a numerical comparison. The results show that there is in general a good agreement between simulation and experimental data, and the LBM performs better than RANS and DES. Some deviations can be observed near the ground, close to the top of the cliff and on the lee side of the hill. The computational costs of the three techniques are compared, and it has been shown that the LBM can perform up to 5 times faster than DES, even though the set-up was not optimised in this initial study. It can be summarised that the LBM has a very high potential for modelling wind flow over complex terrain accurately and at relatively low costs, compared to solving N–S equations conventionally. Further studies on other sites are ongoing.

Purpose The purpose of this paper is to explore physical environmental, medical environmental, and individual factors in a sample of ethnic minority adults with or at-risk for type 2 diabetes (T2D) on the Atlantic Coast of Nicaragua. Design/methodology/approach The study used a cross-sectional descriptive design guided by a community-based participatory research framework. Three coastal communities in the South Atlantic Autonomous Region (RAAS) of Nicaragua were sampled. Inclusion criteria were: lay adult with or at-risk for T2D, ⩾21 years of age, self-identification as Creole or Miskito, and not pregnant. Convenience sampling procedures were followed. Data were collected via objective (A1C, height, and weight) and self-report (Pan American Health Organization surveys, Diabetes Care Profile subscales, and Medical Outcomes Survey Short Form-12 (MOS SF-12) measures. Univariate and bivariate statistics were computed according to level of measurement. Findings The sample (N=112) was predominately comprised of Creoles (72 percent), females (78 percent), and mid-age (M=54.9, SD±16.4) adults with T2D (63 percent). For participants with T2D, A1C levels, on average, tended to be elevated (M=10.6, SD±2.5). Those with or at-risk for T2D tended to be obese with elevated body mass indices (M=31.7, SD±8.1; M=30.2, SD±6.0, respectively). For many participants, fresh vegetables (63 percent) and fruit (65 percent) were reported as ordinarily available but difficult to afford (91 and 90 percent, respectively). A majority reported that prescribed medication(s) were available without difficulty (56 percent), although most indicated difficulty in affording them (73 percent). A minority of participants with T2D reported receipt of diabetes education (46 percent). A1C levels did not significantly vary according to diabetes education received or not (M=10.9, SD±2.9; M=10.4, SD±2.5; t=−0.4, p=0.71). Participants at-risk for T2D were infrequently instructed, by a provider, to follow an exercise program (4.8 percent) or meal plan (4.8 percent) and receive diabetes education (2.38 percent). MOS SF-12 findings revealed participants with T2D (M=41.84, SD=8.9; M=37.8, SD±8.5) had significantly poorer mental and physical health quality of life relative to at-risk participants (M=45.6, SD±8.4; M=48.1, SD±9.5) (t=−2.9, p<0.01; t=−2.5, p=0.01). Research limitations/implications Salient physical environmental, medical environmental, and individual factors were identified in a sample of adults with or at-risk for T2D on Nicaragua’s Atlantic Coast. Practical implications Findings informed the development of community-based clinics to address the problem of T2D locally. Social implications The community-based clinics, housed in trusted church settings, provide culturally competent care for underserved ethnic minority populations with or at-risk for T2D. Originality/value This is the first quantitative assessment of the T2D problem among diverse ethnic groups in Nicaragua’s underserved RAAS.

Abstract. Title of the paper: Alternative selection strategies for the Mutton Merino breed to optimize breedine Systems This paper deals with the investigation of alternative selection strategies for the Mutton Merino breed to improve lamb meat production and fertility. A main topic is the application of ultrasonic scanning to evaluate the meat content on live animals. The aim of model calculations was the optimisation and comparison of five different selection strategies within three different schemes of gene dissimation. First a basic scheme was defined and optimised (selection on field records, one-step selection, no scanning). It was regarded as the reference scheme to which all other breeding Systems were related. The following schemes considered both, selection with and without scanning. A second scheme, also based on field records, includes two-step selection of rams (called improved field test scheme). In a third and fourth scheme a level of uniform environment was assumed for ram progeny testing. These are a central testing Station on the one hand with slaughtering and carcass evaluation on progeny, and one or more contract farms on the other (without slaughtering). For a fifth selection scheme an open nucleus was assumed with ram progeny testing in associated test herds. In a dcterministic approach using the ZPLAN Computer program, the monetary genetic gain for the breeding objeetive (traits lambs weaned, litter weight at weaning, postweaning daily gain and lean meat content) and the profit were calculated for each scheme after optimisation of various biological-technical coefficients. The highest profit was achieved with a nucleus scheme (DM 9,16). Due to low recording costs the basic scheme was second (DM 7,19) and, because of high costs, the Station scheme was last (DM 4,22). The other two schemes were intermediate (DM 6,98 for the scheme with contract farms and DM 6,58 for the improved field test scheme). On an average over all schemes, scanning resulted in a 0,24 DM (i.e. almost 30 per cent) increase of the monetary genetic gain and a threefold higher genetic gain for lean meat percentage. In all schemes scanning lead also to a higher profit because the higher retum of selection based on scanning exceeded the higher costs.

Abstract Introduction Chemoimmunotherapy has markedly improved the outcomes of patients (pts) with CLL. However, pts having deletion of the short arm of chromosome 17 (DEL 17p) have inferior outcomes with current standard treatments (with the possible exception of allogeneic stem cell transplantation), and elderly pts are in need of less toxic regimens. Bruton’s tyrosine kinase (BTK) is essential for B cell receptor (BCR) signaling, which has emerged as a key driver of CLL pathogenesis and progression. Ibrutinib (PCI-32765) is a covalent inhibitor of BTK with significant antitumor activity in CLL (Advani et al, JCO 2013, Byrd et al NEJM 2013). Patients and methods This investigator-initiated phase II, single-center trial of ibrutinib monotherapy prospectively addressed the possible role of ibrutinib in DEL 17p CLL irrespective of the pts’ prior treatment history (NCT01500733). Elderly pts without a chromosomal deletion at 17p (normal (NL) 17p) were concurrently enrolled into a second cohort. The primary endpoint of the study is response after 6 months (mo) assessed by computed tomography (CT), bone marrow (BM) biopsy, and routine clinical and laboratory studies. The spleen volume was calculated from CT scans using a General Electric Advanced Workstation Server. Del 17p was assessed by interphase fluorescence in situ hybridization (FISH). Differences in response rates were calculated by a proportional test. Results We report on the first 53 patients (n=24 (NL 17p); n=29 (DEL 17p)) with a median follow up of 14 months (mo). Median age was 66 yrs (33-85) and 70% had Rai stage III/IV. Most adverse events were grade ≤2, most commonly diarrhea, fatigue, arthralgias/myalgias, and rash. Treatment related non hematologic toxicities grade ≥3 occurred in < 5%, grade ≥3 infections or cytopenias were uncommon and reported in 15% of pts regardless of causality. Four deaths on study were not treatment related. A total of 47 pts were restaged at 6 mo (6 patients did not reach this endpoint; 2 unrelated deaths, 3 unrelated secondary malignancies, and 1 progressive disease due to presumed transformation at 2 weeks in a pt with DEL 17p). The estimated event free survival at 14 mo is 93%. At 6 months, 31(66%) pts had a partial response (PR by IWCLL criteria), and 13 (28%) pts a PR with lymphocytosis (PRL), i.e. pts fulfill criteria of PR except for the absolute lymphocyte count. Responses by treatment cohort (Table 1) were for NL 17p vs DEL 17p: 81% vs 53% PR and 9% vs 43% PRL. The apparent difference in response rates is due to slower clearance of the treatment-induced lymphocytosis in DEL 17p. However, clinical benefit and disease control in all tissue sites was equal for NL 17 and DEL 17p (Table 2): nodal response was 100% in both cohorts (median tumor reduction 75% in NL 17p and 70% on DEL 17p), reduction in spleen volumes of 269 ml (40%, range 30-1079 ml) vs 446 ml (46%, range 44-1716 ml), and reduction in tumor infiltration in the bone marrow by 76% and 84%, respectively. Median ALC decreased from 79 k/µl (0.5–402) to 30 k/µl (0-167) for a median reduction of 71% and 60%, respectively. To obtain a direct measure of the relative impact of ibrutinib on tumor cells carrying a DEL 17p, we repeated FISH testing at 6 mo (n=20). In the individual pts, DEL 17p was present in 12-97% of the tumor cells pre treatment and in 0-92% at 6 months. Interestingly, in 80% of pts the relative size of the DEL 17p subclone decreased (n = 20, median reduction 34%; P< 0.02); 4 pts (20%) had no evidence of 17p after 6 mo. Conclusion Ibrutinib as a single agent appears to be equally effective against CLL with or without DEL 17p. This conclusion is based on a comparison of responses in two concomitantly treated CLL cohorts and supported by the absence of a treatment-related increase in the 17p clone in individual patients. Research supported by the Intramural Research Program of NHLBI. We thank our patients for participation and their willingness to have additional research studies done. We acknowledge Pharmacyclics for providing study drug. Disclosures: Off Label Use: Ibrutinib not FDA approved for CLL.

Abstract INTRODUCTION: Ibrutinib is FDA approved for patients (pts) with CLL who are previously treated or have deletion (del) 17p. Data on depth and durability of response beyond the first 2 years of therapy are limited. Here we compare the response of pts with and without del17p with long follow-up(f/u). PATIENTS AND METHODS: This investigator-initiated phase II trial (NCT01500733) enrolled 86 pts (Cohort 1: no del17p, n=35; Cohort 2: del17p n=51). Both treatment (tx) naïve (TN) and relapsed refractory (R/R) pts with active disease were eligible. Response was assessed by computed tomography (CT), physical exam, bone marrow (BM) biopsy, and routine clinical and laboratory studies. Spleen volume (SV) was calculated from CT scans using a General Electric Advanced Workstation Server. Eight color flow cytometry (FC) on peripheral blood (PB) and BM was performed at yearly intervals. Wilcoxon rank-sum test was used to examine the differences between the two cohorts. RESULTS: Median f/u for all pts currently on study was 36 months (mo). Among pts with no del17p 24 (69%) pts completed 2 years(y) and 12 (34%) pts completed 3y. 33 (65%) pts with del17p completed 2y and 18 (35%) pts completed 3y. Median age was 66y (33-85) and 70% had Rai stage III/IV. Most adverse events were grade ≤2, most commonly (>25%) diarrhea, nail ridging, arthralgias, rash, bruising, and cramps. Tx-related non hematologic toxicities grade ≥3 occurred in <15%, and grade ≥3 infections or cytopenias were reported <25% of pts. The estimated progression free survival and overall survival at 36 mo is 82% and 88%. A total of 81 pts (n=33 (no del17p), n=48 (del17p)) were evaluable for response (2 enrollment deviations, 1 malignancy, 2 deaths before 6 mo). 5 (6%) deaths occurred on study (4 infections not tx-related, 1 possibly tx-related sudden death). 2 (2%) pts were primary refractory and 7 (8%) pts had progressive disease (PD) after initial response (3 CLL, 2 PLL, 2 Richter's transformation). Best response was complete response (CR) in 17 (21%) pts, partial response (PR) in 60 (74%), and stable disease (SD) and progressive disease (PD) each in 2 (2%) pts. Median time to best response was 2y. Responses for TN vs R/R pts were: 20 vs 23% CR, 78% vs 68% PR, 0% vs 6% SD, 2% vs 3% PD, and for no del17p vs del17p: 21% vs 21% CR, 73% vs 75% PR, 3% vs 2% each with SD and PD. There were no statistically significant differences in response rates by prior tx or del17p status. Disease control in all evaluable tissue sites were compared between the two cohorts based on del17p status (no del17p vs del17p) (Table): median reduction in lymphadenopathy 89% (59-100) vs 82% (22-100), median reduction in SV 94% (26-100) vs 98% (37-100), median reduction in tumor infiltration in the BM was 90% (11-99) vs 88% (28-100), and ALC response showed a median reduction of 97% (range: +44% to -99%) and 95% (range: +119% to -99%). Table. Median tumor reduction at best response. Compartment All pts NO DEL17p DEL 17p P Nodal 85% (n=79) 89% (n=32) 82% (n=47) 0.01 Spleen 98% (n=67) 94% (n=28) 98% (n=39) 0.3 BM 89% (n=73) 90% (n=31) 88% (n=42) 0.6 ALC 96% (n=81) 97% (n=33) 95% (n=48) 0.16 We quantified depth of response by measuring the degree of flow cytometric minimal residual disease (MRD) (CLL % of leukocytes). The median MRD at 1y (n=51), 2y (n=46), and 3y (n=24) in PB was 41%, 12%, and 8% respectively. Median MRD values at 1y (n=17), 2y (n=32), and 3y (n=15) in BM was 12%, 8%, and 7%. There was no significant difference in MRD levels in pts by prior tx status. However, pts with no del17p tended to have less residual disease measured by FC than pts with del17p. For example, at 2y MRD levels in PB were 6.4% vs 16% and in BM 4.7% vs 11.1%, respectively (P =0.02). At 3y one patient with no del17p achieved near MRD negativity in PB at 0.018%, and MRD negativity in the BM at 0.007%. CONCLUSION: With continued therapy 95% of pts achieved a response by iwCLL criteria and the depth of response improved with 21% CRs irrespective of the presence of del17p. However, all patients remained MRDpositive. With a median f/u of 36 mo, responses were durable in the majority of pts, with secondary resistance developing in 8% of pts. Research supported by the Intramural Research Program of NHLBI. We thank our patients for participation. We acknowledge Pharmacyclics for providing study drug. Disclosures Off Label Use: Ibrutinib is approved for CLL patients with relapsed refractory disease and patients with deletion 17p CLL. Some of the patients on this abstract from this clinical trial are treatment naive CLL patients without 17p deletion. . Wiestner:Pharmacyclics: Research Funding.

Teacher's abilities to understand the benefits and use of media literacy play an important role in dealing with children as digital natives. Media literacy education can be an instrument through the use of blended-learning websites to address the challenges of education in the 21st century and learning solutions during and after the Covid-19 pandemic. This study aims to figure the teacher's perspective in understanding media literacy as an instrument for implementing blended-learning in early-childhood classes. Using a qualitative approach, this study combines two types of data. Data collection involved kindergarten teachers, six people as informants who attended the interviews and twenty-six participants who filled out questionnaires. Typological data analysis was used for qualitative data as well as simple statistical analysis to calculate the percentage of teacher perspectives on questionnaires collected the pandemic. The findings show five categories from the teacher's perspective. First, about the ability to carry out website-based blended-learning and the use of technology in classrooms and distance learning is still low. It must be transformed into more creative and innovative one. Encouraging teacher awareness of the importance of media literacy education for teachers as a more effective integrated learning approach, especially in rural or remote areas, to be the second finding. Third, national action is needed to change from traditional to blended-learning culture. Fourth, the high need for strong environmental support, such as related-party policies and competency training is the most important finding in this study. Finally, the need for an increase in the ease of access to technology use from all related parties, because the biggest impact of the Covid-19 pandemic is on ECE, which is closely related to the perspective of teachers on technology. The research implication demands increase in technology systems and connections between educators, parents, institutional managers, and education policy holders, for ECE services in urban areas for disadvantaged children, and all children in rural or remote areas. Keywords: Blended Learning, Early Childhood Classroom, Media Literacy Education References Aktay, S. (2009). The ISTE national educational technology standards and prospective primary school teachers in Turkey. International Journal of Learning, 16(9), 127–138. https://doi.org/10.18848/1447-9494/cgp/v16i09/46607 Arke, E. T., & Primack, B. A. (2009). Quantifying media literacy: Development, reliability, and validity of a new measure. Educational Media International, 46(1), 53–65. https://doi.org/10.1080/09523980902780958 Briquet-Duhazé, S. (2019). Websites Consulted by Future Primary Level Schoolteachers in France: Differences between Students and Trainees. 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Abstract Background Screening mammography works better in fatty than in dense breast tissue. Computerized assessment of parenchymal texture is a non-subjective method to obtain a refined description of breast tissue, potentially valuable in addition to breast density scoring for the identification of women in need of supplementary imaging. We studied the sensitivity of screening mammography by a combination of radiologist-assessed Breast Imaging Reporting and Data System (BI-RADS) density score and computer-assessed parenchymal texture marker, mammography texture resemblance (MTR), in a population-based screening program. Methods Breast density was coded according to the fourth edition of the BI-RADS density code, and MTR marker was divided into quartiles from 1 to 4. Screening data were followed up for the identification of screen-detected and interval cancers. We calculated sensitivity and specificity with 95% confidence intervals (CI) by BI-RADS density score, MTR marker, and combination hereof. Results Density and texture were strongly correlated, but the combination led to the identification of subgroups with different sensitivity. Sensitivity was high, about 80%, in women with BI-RADS density score 1 and MTR markers 1 or 2. Sensitivity was low, 67%, in women with BI-RADS density score 2 and MTR marker 4. For women with BI-RADS density scores 3 and 4, the already low sensitivity was further decreased for women with MTR marker 4. Specificity was 97–99% in all subgroups. Conclusion Our study showed that women with low density constituted a heterogenous group. Classifying women for extra imaging based on density only might be a too crude approach. Screening sensitivity was systematically high in women with fatty and homogenous breast tissue.

ABSTRAK Tujuan pada penelitian ini adalah untuk mengetahui pengaruh gaya kepemimpinan dan budaya organisasi terhadap kinerja karyawan di PT Citra Rasa Betawi Outlet Jakarta Selatan.Penelitian ini menggunakan metode yang deskriptif dengan pendekatan asosiatif. Adapun data yang dipergunakan berupa data primer yaitu dengan penyebaran kuisioner yang berisi 10 pernyataan terkait variabel Gaya Kepemimpinan, 10 pernyataan terkait variabel Budaya Organisasi dan 10 pernyataan terkait variabel Kinerja Karyawan. Teknik sample yang digunakan adalah proporsional random sampling dengan sampel sebanyak 75 responden dari 300 populasi yang merupakan karyawan PT. Citra Rasa Betawi Outlet Jakarta Selatan. Analisis data menggunakan analisis regresi, analisis koefisien korelasi, analisis koefisien determinasi dan uji hipotesis.Berdasarkan perhitungan menggunakan program computer SPSS 24 diketahui hasil penelitian ini adalah gaya kepemimpinan berpengaruh positif dan signifikan terhadap kinerja karyawan sebesar 41,8%. Uji hipotesis secara parsial diperoleh thitung 2,159 > ttabel 1.193 sehingga H0 ditolak dan H1 diterima artinya terdapat pengaruh positif dan signifikan antara gaya kepemimpinan terhadap kinerja karyawan pada PT. Citra Rasa Betawi. Budaya Organisasi berpengaruh positif dan signifikan terhadap kinerja karyawan sebesar 31,2%. Uji hipotesis secara parsial diperoleh thitung 5,486 > ttabel 1.193 sehingga H0 ditolak dan H2 diterima artinya terdapat pengaruh positif dan signifikan antara budaya organisasi terhadap kinerja kerja karyawan pada PT. Citra Rasa Betawi. Nilai koefisien korelasi sebesar 0,540 artinya variabel bebas dan variabel terikat memiliki pengaruh yang sedang. Uji hipotesis simultan gaya kepemimpinan dan budaya organisasi berpengaruh positif dan signifikan terhadap kinerja kerja karyawan dengan koefisien determinasi sebesar 39,2%, sedangkan sisanya sebesar 60,8% dipengaruhi faktor lain. Uji hipotesis diperoleh nilai F hitung > F tabel atau (14,853 > 2,730), dengan demikian Ho ditolak dan H3 diterima. Artinya terdapat pengaruh positif dan signifikan secara simultan antara gaya kepemimpinan dan budaya organisasi terhadap kinerja karyawan pada PT. Citra Rasa Betawi Outlet Jakarta Selatan. Kata Kunci : Gaya Kepemimpinan, Budaya Organisasi, Kinerja Karyawan.

Abstract Background Chromatin immunoprecipitation coupled to next generation sequencing (ChIP-Seq) is a widely-used molecular method to investigate the function of chromatin-related proteins by identifying their associated DNA sequences on a genomic scale. ChIP-Seq generates large quantities of data that is difficult to process and analyze, particularly for organisms with a contig-based sequenced genomes that typically have minimal annotation on their associated set of genes other than their associated coordinates primarily predicted by gene finding programs. Poorly annotated genome sequence makes comprehensive analysis of ChIP-Seq data difficult and as such standardized analysis pipelines are lacking. Results We present a one-stop computational pipeline, “Rapid Analysis of ChIP-Seq data” (RACS), that utilizes traditional High-Performance Computing (HPC) techniques in association with open source tools for processing and analyzing raw ChIP-Seq data. RACS is an open source computational pipeline available from any of the following repositories https://bitbucket.org/mjponce/RACS or https://gitrepos.scinet.utoronto.ca/public/?a=summary&p=RACS. RACS is particularly useful for ChIP-Seq in organisms with contig-based genomes that have poor gene annotation to aid protein function discovery.To test the performance and efficiency of RACS, we analyzed ChIP-Seq data previously published in a model organism Tetrahymena thermophila which has a contig-based genome. We assessed the generality of RACS by analyzing a previously published data set generated using the model organism Oxytricha trifallax, whose genome sequence is also contig-based with poor annotation. Conclusions The RACS computational pipeline presented in this report is an efficient and reliable tool to analyze genome-wide raw ChIP-Seq data generated in model organisms with poorly annotated contig-based genome sequence. Because RACS segregates the found read accumulations between genic and intergenic regions, it is particularly efficient for rapid downstream analyses of proteins involved in gene expression.

Penelitian ini bertujuan untuk mendeskripsikan perencanaan, teknik, evaluasi, tindak lanjut, dan implikasinya pengelolaan SDM Di SMA Negeri 5 Mataram. Hasil penelitian yaitu: 1) Perencanaan pengelolaan SDM di SMA Negeri 5 Mataram: a) Mempertimbangan secara demokratis, b) Penempatan guru yang berkompoten dan profesional pertimbangan psikologis, c) Menjaga kualitas dan peningkatan SDM memanfaatkan sumber daya yang ahli di bidang IT, d) Di bentuk tim kecil dengan tugas menemukan permasalahan sekolah, e) Secara bersama melalui rapat kerja tahunan (RAKER), f) Kesejahteraan guru, g) Menyelesaikan masalah secara kekeluargaan. 2) Pengelolaan SDM (Guru) di SMA Negeri 5 Mataram: a) Memperkuat dan memperkokoh atribut Smala, iklim kerja humanis serta kultur (kebersamaan, keteladanan, dan (5 S), b ) Buadaya melek IT, c) Memiliki sasaran mutu, d) Pendekatan individual (supervisi klinis). 3) Teknik evaluasi pengelolaan SDM (Guru) di SMA Negeri 5 Mataram: a) membangun kerja sama tim, b) kesadaran pribadi, reward dan 3) penerpan program unggulan 5S, c) aturan tidak terlalu ketat, d) Program kerja, silabus, RPP sudah terjadwal khusus diawal tahun pelajaran secara serentak di kontrol kepala sekolah, e) menjadikan mereka (guru) mampu bersatu, berkerja sama, memahami, menerima satu sama lain menuju tujuan bersama, f) Guru-guru di Smala bersikap sesuai tuntutan yang tercermin 4 kompetensi, g) pemanfaatan guru produktif untuk kreatif dalam bekerja, kemampuan computer mereka di atas rata-rata, mampu membuat buku pedoman pendidikn SMA Negeri 5 Mataram, dan Guru IN (Instruktur Nasional) dan guru instruktur provinsi, h) Kepemimpinan partisipan, i) Kegiatan menjadi Pembina, panitia/mengawas, pelatihan, seminar, sosialisasi, dan sebagainnya. 4) Tindak lanjut dari hasil pengelolaan SDM(Guru) di SMA Negeri 5 Mataram: a) mempertimbangkan 4 model manajemen pengelolaan SDM, b) Mempertimbangkan kondisi internal dan eksternal, c) Mempersiapkan prioritas melet IT, d) Menyesuaikan perubahan eksternal, e) Menggunakan analisis SWOT d, f) Menyatukan persepsi guru, g) Melakukan koordinasi dengan bawahan atas tupoksi yang telah dibebankan, h) Mempertimbangkan secara professional dan secara psikologis, i) Memperkuat sistem yang sudah berjalan, j) Fokus pada visi misi dan tujuan sekolah. 5) Implikasi pelaksanaan pengelolaan SDM (Guru) di SMA Negeri 5 Mataram: a) Guru-guru dengan rasa kekeluargaan, b) rotasi tugas pertimbangan kualitas kerjanya, c) Pemberian insentif, d) Memiliki tim yang kuat, e) Komitmen dan kerja sama guru. Kata kunci: Pengelolaan Sumber Daya Manusia.

Abstract: Diabetes mellitus (DM) is a serious problem with the incidence rising sharply. DM can affect almost all segments of society throughout the world. The number of people with diabetes continues to grow from year to year due to poor lifestyle. People today are less likely to move and have unhealthy eating patterns. High blood sugar levels are disturb concetration to sleep, due to frequent urge to urinate during the night. Sleep disorder is a common problem that occurs in patients with DM and DM reverse can also cause sleep disturbance due to nocturia and pain complaints. The purpose of this study was to determine the relationship of the DM with the quality of sleep in out patients with DM who in the Pancaran Kasih General Hospital Manado. This research is descriptive analytic with cross-sectional study. The study population was the out patients with DM in Pancaran Kasih General Hospital Manado totaling 456 people. Samples were taken using total sampling technique as much as 78 respondents who met the inclusion criteria. The data were analyzed using Pearson's correlation to determine whether there is a correlation between diabetes mellitus and sleep quality by using the application of computer programs. There is a correlation between Diabetes Mellitus with the quality of sleep in patients of Pancaran Kasih General Hospital Manado.Keywords: diabetes mellitus, sleep quality, people with diabetes mellitus Abstrak: Diabetes Melitus (DM) merupakan masalah serius dengan angka kejadian yang meningkat tajam. DM dapat menyerang hampir semua golongan masyarakat di seluruh dunia. Jumlah penderita DM terus bertambah dari tahun ke tahun karena pola hidup manusia zaman sekarang yang cenderung jarang bergerak dan pola makan yang tidak sehat. Kadar gula darah yang tinggi sangat mengganggu konsentrasi untuk tidur nyenyak, dikarenakan seringnya keinginan untuk buang air kecil pada malam hari. Kadang muncul rasa haus yang berlebihan. Gangguan tidur merupakan masalah umum yang terjadi pada pasien DM dan sebaliknya DM juga dapat menimbulkan gangguan tidur akibat adanya keluhan nocturia dan nyeri. Tujuan penelitian ini adalah untuk mengetahui hubungan DM dengan kualitas tidur pada pasien DM yang melakukan pemeriksaan rawat jalan di poliklinik penyakit dalam Rumah Sakit Umum Pancaran Kasih Manado. Jenis penelitian ini bersifat deskriptif analitik dengan rancangan cross-sectional study. Populasi penelitian adalah semua pasien DM yang melakukan pemeriksaan rawat jalan di Rumah Sakit Umum Pancaran Kasih Manado yang berjumlah 456 orang. Sampel penelitian diambil menggunakan teknik total sampling sebanyak 78 responden yang memenuhi kriteria inklusi. Data-data hasil penelitian dianalisis dengan menggunakan korelasi Pearson untuk mengetahui apakah ada hubungan antara diabetes mellitus dan kualitas tidur dengan menggunakan aplikasi dari program komputer. Terdapat hubungan antara Diabetes Mellitus dengan kualitas tidur pada pasien Rumah Sakit Umum Pancaran Kasih GMIM Manado. Kata kunci: diabetes melitus, kualitas tidur, penderita diabetes melitus

Abstrak:Tujuan penelitian ini adalah untuk: (1) mengetahui dimensi pola asuh orangtua untuk membantu kemampuan membaca permulaan pada anak usia dini, (2) menerapkan perkembangan membaca permulaan melalui pembelajaran tentang alfabet mengenal huruf besar dan huruf kecil, eksplorasi kata, mengenal posisi, membuat cerita sederhana, dan mengenal kata dengan huruf awal yang sama untuk anak usia dini 4-5 tahun, (3) mempraktikkan pembelajaran program Bailey’s Book House untuk anak usia dini melalui komputer tablet. Subjek penelitian ini yaitu 15 anak, berusia 4-5 tahun dan orangtuanya. Penelitian ini adalah penelitian kualitatif model Miles dan Huberman. Temuan-temuan penelitian ini meliputi: (1) dimensi pola asuh responsifitas yaitu orangtua menuntut anak untuk mampu berkomunikasi secara jelas melalui upaya pengasuhan dalam mengenal alfabet mengenal huruf besar dan huruf kecil, eksplorasi kata, mengenal posisi, membuat cerita sederhana, dan mengenal kata dengan huruf awal yang sama; (2) dimensi pola asuh tuntutan (demanding) yaitu orangtua menuntut anak untuk bersikap dewasa untuk mampu mengoptimalkan aspek perkembangan bahasa, kognitif, motorik halus, sosial, dan emosi. Kesimpulan dimensi pola asuh orangtua untuk pengembangan membaca permulaan melalui program Bailey’s Book House ini mampu: (1) mengembangkan rasa percaya diri dan motivasi pada anak, (2) belajar nama huruf, (3) mengenal huruf besar dan huruf kecil, (4) menyusun kalimat, (5) mengembangkan keterampilan mendengarkan, (6) memasangkan kata, dan (7) mengembangkankreativitas menyusun huruf menjadi kata.Kata kunci: dimensi pola asuh orangtua, membaca permulaan, anak usia 4-5 tahun.Abstract:The purpose of this study is to: (1) determine the dimension of parents’ parenting skill to help early reading ability in early childhood, (2) applying the early reading development through learning about the alphabet of recognizing uppercase and lowercase letters, exploring words, knowing the position, making a simple story, and familiarizing words with the same initial letters for young children of 4-5 years old, (3) practice learning Bailey’s Book House program for early childhood through computer’s tablet. The subjects of this study 15 children, aged 4-5 years and their parents. The research was qualitative research model of Miles and Huberman. The findings of this study are: (1) the dimension of parenting, namely parental responsiveness that requires children to be able to communicate clearly through parenting efforts in recognizing that alphabet of uppercase and lowercase letters, exploring words, knowing the position, making a simple story, and recognizing words with the same letter in the beginning; (2) the dimension of parenting demands where a parent requires children to be mature in order to optimize aspects of language development, cognitive, soft motoric, social, and emotional. The conclusion from these dimensions of parenting skills of parents for the development of early reading ability through Bailey’s Book House is that they enable the child to: (1) develop self-confidence and motivation in children, (2) learn the names of letters, (3) recognize uppercase and lowercase letters, ( 4) construct a sentence, (5) develop listening skills, (6) match the word, and (7) develop creativity in arranging letters into words.Keywords: dimensions of parenting skill of parents, early reading ability, children aged 4-5 years.

I sat alone on the beach under the shade of a big umbrella. My husband, Bill, and our three children were in the condo taking a break from the Florida sunshine. Dreamily, I gazed at the vast Gulf of Mexico, the brilliant blue sky stretching endlessly above. I was sitting about 50 feet from the surf, but I couldn't actually see the waves hitting the beach; I was almost blind. It was a windy day in late May and I loved feeling the ocean breeze sweeping over me. I imagined I could hear the waves crashing onto the surf, but the sound was only a memory. I was totally deaf. Although I had a cochlear implant and could hear the waves, the cry of sea gulls, and many other sounds with the technology, I wasn't wearing it at the moment and everything I heard was in my mind. As a child, my understanding of speech was better and my vision was clearer. My diagnosis was optic atrophy at age 5 and my vision gradually degenerated over the years. For unknown reasons, nerve damage caused hearing loss and during my teens, my hearing grew worse and worse until by the time I was ready for college, I was profoundly deaf. I chose to attend Gallaudet University because my high school teachers and my parents felt I would receive better services as a deaf and blind student. I feel it was a very good decision; when I entered Gallaudet, it was like entering a new and exhilarating world. Before attending Gallaudet, while I struggled to cope with hearing loss combined with severely low vision, my world grew smaller and smaller, not being able to communicate efficiently with others. At Gallaudet, I suddenly found I could communicate with almost anybody I met on campus using sign language. Thus, my self-confidence and independence grew as I proceeded to get a college education.It wasn't an easy route to follow. I didn't know Braille at the time and depended on using a CCTV (closed captioned television) electronic aid which magnified text, enabling me to read all my college books. I also relied on the assistance of a class aid who interpreted all my teachers' lectures and class discussions because I was unable to see people's signing unless they signed right in front of my face. It was slow going and often frustrating, trying to keep involved socially and keeping up with my coursework but when I was 13 years old, my vision specialist teacher who had worked with me from 5th grade until I graduated from high school, wrote a note for me saying, "Anything worthwhile seldom comes easy." The phrase stuck in my mind and I tried to follow this philosophy. In 1989 after 7 years of persistence, I graduated with a Bachelor's of Arts degree in psychology. With the B.A. in hand and having developed good communication skills with deaf and deaf-blind people using sign language and ASL (American Sign Language), I was ready to face the world. But I wasn't exactly ready; I knew I wanted a professional job working with deaf-blind people and the way to get there was to earn a master's degree. I applied for admission into Gallaudet's graduate school and was accepted into the vocational rehabilitation counselling program. While I thoroughly enjoyed graduate school experience, I got to work with my class mates one-on-one more often and there were a lot more hands-on activities, it became obvious to me that I wasn't prepared for graduate school. I needed to learn Braille and how to use Braille technology; my vision had worsened a lot since starting college. In addition, I needed a break from school and needed to gain experience in the working world. After completing one and a half years and earning 15 credit hours in the master's program, I left Gallaudet and found a job in Baltimore, Maryland.The job was with a new program for adults who were visually and hearing impaired and mentally disabled. My job was assisting the clients with independent living and work related skills. Most of the other staff were deaf, communicating via ASL. By then, I was skilled using tactile signing, putting my hand on the back of the signer's hand to follow movements by touch, and I made friends with co-workers. I felt grown up and independent working full-time, living in my own apartment, using the subway train and bus to travel to and from work. I didn't have any serious problems living on my own. There was a supermarket up the road to which I could walk or ride a bus. But I needed a taxi ride back to the apartment when I had more groceries than I could carry. I would leave a sign I made out of cardboard and wrote my address in big black numbers, on my apartment door to help the driver find my place. I used a white cane and upon moving to Baltimore, an Orientation and Mobility (O and M) teacher who worked with blind people, showing them how to travel in the city, taught me the route to my work place using the subway and bus. Thus, I was independent and knew my way to work as well as to a nearby shopping mall. One day as I stood on the subway station platform holding my white cane, waiting for my train, the opposite train pulled in. As I stood watching passengers hurrying to board, knowing my train would arrive soon on the other side, a woman ran up to me and started pulling my arm. I handed her my notebook and black marker I used for communicating with people in the public, telling her I couldn't hear and would she please write in large print? She frantically scribbled something, but I couldn't read the note. She then gave me back the pen and pad, grabbed my arm again and started pulling me towards the train. I refused to budge, gesturing towards the opposite tracks, clearly indicating I was waiting for the other train. Finally, she let go, dashed into the train before the doors closed. I watched the train pull away, sadly reflecting that some people who wanted to help, just didn't understand how to approach disabled people. As a deaf-blind traveller, it was my duty to help educate the general public how to assist disabled persons in a humane way. After I established my new life for a few months, Bill was offered a position in the same program and moved to Baltimore to join me. He had worked at the Helen Keller National Centre in New York where I met him while doing a summer internship there three years before. I was thrilled when he got the job working beside me and we got to know each other on a daily basis. We had been dating since we met although I was in college and he was working and living in New York and then Cleveland, Ohio. Bill being hearing and sighted, was skilled in sign language and communication techniques with deaf-blind people. He had a wonderful attitude towards disabled people and made me feel like a normal person who was capable of doing things. We shared a lot and were very comfortable with each other. After nearly six months together in Baltimore, we married in May 1992, several weeks before my 28th birthday.After our first year of marriage living in Maryland, Bill and I moved to Little Rock, Arkansas. We wanted to live closer to my family and parents, Ron and Judy Cummings, who lived in Poplar Bluff, Missouri, 176 miles north of Little Rock. I wanted to go back to school and entered the deaf education program at the University of Arkansas at Little Rock with the goal of becoming a teacher for deaf-blind students. I never dreamed I would have a deaf-blind child of my own one day. My vision and hearing loss were caused by nerve damage and no one else in my family nor Bill's had a similar disability.I was pregnant with our first child when I entered UALR. In spite of my growing belly, I enjoyed the teacher training experience. I worked with a deaf-blind 12-year-old student and her teacher at the Arkansas School for the Deaf; observed two energetic four-year-olds in the pre-school program. But when my son, Joe was born in June 1994, my world changed once again. School became less important and motherhood became the ultimate. As a deaf-blind person, I wanted to be the best mom within my abilities.I decided that establishing good communication with my child was an important aspect of being a deaf-blind mom. Bill was in full agreement and we would set Joe on the kitchen table in his infant carrier, reciting together in sign language, "The three Bears". I could see Joe's tiny fists and feet wave excitedly in the air as he watched us signing children's stories. I would encourage Joe to hold my fingers while I signed to him, trying to establish a tactile signing relationship. But he was almost two years old when he finally understood that he needed to sign into my hands. We were sitting at the table and I had a bag of cookies. I refused to give him one until he made the sign for "cookie" in my hand. I quickly rewarded him with a cookie and he got three or four each time he made the sign in my hand. Today at 16, Joe is an expert finger speller and can effectively communicate with me and his younger deaf-blind brother, Ben.When Joe was two and a half, I decided to explore a cochlear implant. It was 1996 and we were living in Poplar Bluff by then. My cousin, who was studying audiology, told me that people using cochlear implants were able to understand sound so well they didn't need good vision. I made an appointment with the St. Louis cochlear implant program and after being evaluated, I decided to go ahead. I am glad I have a cochlear implant. After months of practice I learned to use the new sound and was eventually able to understand many environmental sounds. I never regained the ability of understanding speech, though, but I could hear people's voices very clearly, the sound of laughter, birds singing, and many more. Being able to hear my children's voices is especially wonderful, even when they get noisy and I get a headache. That fall I went to Leader Dogs School for the Blind (LDSB) where I met Milo, a large yellow Labrador retriever. At LDSB I learned how to care for and work with a dog guide. Having Milo as my companion and guide was like stepping into another new and wonderful world of independence. With Milo, I could walk briskly and feel secure. Milo was a big help as a deaf-blind mom, too. With Milo's guiding help, it was wonderful following my children while they rode tricycles or bikes and the whole family enjoyed going out for walks together. Our second son, Ben, was born in February 1999. He was a perfectly healthy little boy and Bill and I were looking forward to raising two sons. Joe was four and a half years old when Ben was born and was fascinated in his new brother. But when Ben was 5 months old, he was diagnosed with Langerhans Cell Histiocytosis (LCH), a rare childhood disease and in some cases, fatal. It was a long, scary road we followed as Ben received treatment at the children's hospital in St. Louis which involved making the 150 mile trip almost weekly for chemotherapy and doctor check-ups. Through it all, Ben was a happy little boy, in spite of the terrible rash that affected his scalp and diaper area, a symptom of LCH. Bill and I knew that we had to do everything possible to help Ben. When he was a year old, his condition seemed stable enough for me to feel comfortable leaving my family for two months to study Braille and learn new technology skills at a program in Kansas City. My vision had deteriorated to a point where I could no longer use a CCTV.Bill's mom, Marie Reid, who lived in Cleveland, Ohio, made a special trip to stay at our home in Poplar Bluff to help Bill with the boys while I was gone. I was successful at the program, learning Braille, making a change from magnification to Braille technology. Upon returning home, I began looking for a job and found employment as a deaf-blind specialist in a new project in Mississippi. The job was in Tupelo and we moved to northern Mississippi, settling into a new life. We transferred Ben's treatment to St. Judes Children's hospital located in Memphis, 94 miles west of Tupelo. I went to work and Bill stayed home with the boys, which worked well. When Ben had to go to St. Judes every three weeks for chemotherapy, Bill was able to drive him. The treatment was successful, the rash had disappeared and there were no traces of LCH in Ben's blood tests. But when he was almost 3 years old, he was diagnosed with optic atrophy, the same eye disease I suffered from and an audiologist detected signs of inner ear hearing loss.Shocked at the news that our little son would grow up legally blind and perhaps become deaf, Bill and I had to rethink our future. We knew we wanted Ben to have a good life and as a deaf-blind child, he needed quality services. We chose to move to Pittsburgh, Pennsylvania because I knew there were good services for deaf-blind people and I could function independently as a stay-home mom. In addition, Cleveland, Ohio, where Marie Reid and several of Bill's siblings lived, was a two hour's drive from Pittsburgh and living near family was important to us. With regret, I left my job opportunity and new friends and we re-located to Pittsburgh. We lived on a quiet street near Squirrel Hill and enrolled Joe into a near-by Catholic school. Ben received excellent early intervention services through the Pittsburgh public school, beginning Braille, using a white cane and tactile signing. The Pennsylvania services for the blind generously purchased a wonderful computer system and Braille display for me to use at home. I was able to communicate with Joe's and Ben's teachers and other contacts using e-mail. Ben's Braille teacher provided us with several print/Braille books which I read to the boys while Ben touched the tactile pictures. I made friends in the deaf and deaf-blind community and our family attended social events. Besides the social benefits of a deaf community, Pittsburgh offered a wonderful interpreting service and I was able to take Ben to doctor appointments knowing an interpreter would meet me at the hospital to assist with communication. I also found people who were willing to help me as volunteer SSPs (support Service Providers), persons whose role is to assist a deaf-blind person in any way, such as shopping, going to the bank, etc. Thus, I was able to function quite independently while Bill worked. Perhaps Bill and I were a bit crazy; after all, we had enough on our plate with a deaf-blind son and a deaf-blind mom, but love is a mysterious thing. In October 2003, Tim was born and our family was complete. Having two school-aged children and a baby on my hands was too much for me to handle alone. Bill was working and busy with culinary arts school. We realized we needed more help with the children, plus the high cost of living in the city was a struggle for us. We decided for the family's best interest, it would be better to move back to Poplar Bluff. After Joe and Ben were out of school in June, my mom flew out to Pittsburgh to escort them back to her home while Bill finished his externship for his culinary arts degree and in the late summer of 2004, we packed up our apartment, said good-bye to Pittsburgh, and drove to Missouri. The move was a good decision in many ways. Poplar Bluff, a rural town in south-eastern Missouri, has been my hometown since I was 10 years old. My extended family live there and the boys are thriving growing up among their cousins. Ben is receiving Braille and sign language services at public school and reads Braille faster than me!While both Bill and I are deeply satisfied knowing our children are happy, we have made personal sacrifices. Bill has given up his career satisfaction as a professional cook, needing to help look after the children and house. I have given up the benefits of city life such as interpreting and SSP services, not to mention the social benefits of a deaf community. But the children's well-being comes first, and I have found ways to fulfil my needs by getting involved with on-line groups for deaf-blind people, including writers and poets. I have taken a great interest in writing, especially children's stories and hope to establish a career as a writer. While I work on my computer, Bill keeps busy engaging the boys in various projects. They have built a screened-in tree house in the backyard where Ben and Tim like to sleep during warm summer nights.“It's almost 5 o'clock," Bill signed into my hand, rousing me from my thoughts. Time to prepare for our homeward journey the next day to Poplar Bluff, Missouri.Christy and Family

Obsolescence in Conversation Knick-knacks of uncertain use,[Omitted for space]Somber pictures and distant blues,Faded pastels, hard cameos,Phials still smelling of perfume,Jewelry, rags, rattles, puppets,What a great clutter in this chest!All for sale. Accept my offer,Reader. Perhaps these old thingsWill move you to tears or laughter.You’ll have to pay, and as for me,I shall buy some nice fresh roses. (Cros and Corbière) Orlando, in his book Obsolete Objects in the Literary Imagination, interprets the listing of the objects in this sonnet as intensifying “the primary defunctionalization of the things” (18). Until line 5, the old objects in the chest seemed to bring good reminiscence. In line 6, on the contrary, these objects suddenly turn into “great clutter”, which needs to be sold in order to be replaced with “some nice fresh roses”. This is a representative example of how obsolescence is construed in our everyday lives. Obsolete objects bring memories, warmth, and nostalgia, yet we often view them as the defunctionalized, impractical, uncertain, or worthless that will eventually have to be replaced with the new. When it comes to technological objects, functionality, efficiency, and usefulness are the central reasons for their existence. Accordingly, becoming obsolete poses a great challenge towards the reason for their existence, raising our perception about obsolete technology as a waste. Strasser (Strasser) wrote in the 1920s — “economic growth was fueled by what had once been understood as waste.” This notion carries over to today’s computing environment in which the high rate of machine turnover translates into tremendous profitability for the computing industries. Hence planned obsolescence, planning and engineering the obsolescence, became a long-established principle in American consumer economics (Sterne). The ways in which computing devices are designed today are good resulting representations of planned obsolescence. A study in 2007 showed that American consumers use their phones for only 17.5 months before replacing them (U.S. Wireless Mobile Phone Evaluation Study), and worldwide sales of mobile phones are expected to exceed one billion by 2009 (Gartner). Huang and Truong called the trend of usage lifetime being much shorter than their functional lifetime the disposable technology paradigm. As environmental sustainability became an important issue in our daily lives, the awareness of planned obsolescence and the disposable technology paradigm alarmed researchers to actively engage in the questions of supporting sustainability in computing devices. Because of the notion that obsolescence equals waste, the conversations in designing for sustainability have been based on the view that obsolescence is something that is problematic and need to be prevented. For example, sustainable interaction design (Blevis) suggested ways in which design can prolong the life cycle of the product in order to delay or prevent the product from becoming obsolete. So far we have discussed how the notion of obsolescence is perceived in our everyday lives, what it means to the computing industry, and how it is utilized for economic profit or, in contrary, attempted to be prevented for environmental sustainability. Rather than viewing obsolescence as having negative power, however, we challenge the notion that obsolescence is worthless and furthermore discuss the social and individual values that were surfaced through a case study of a user community that maintained an obsolete machine for over nine years after the product’s discontinuation. HP200LX User Community HP200LX (LX) is a PDA introduced by HP in 1994. It is MS-DOS compatible and comes with 2 or 4 MB of memory including the RAM. Housed in a clamshell-style case, it comes with 640x200 monochrome display, QWERTY keyboard, serial port, and PCMCIA slot. A user claimed that an AA battery would run his LX for up to two weeks. The user community for the LX communicated and shared information through an email list. The email list started in late 1996 and thrived until September 2008. By January of 2008, there were approximately 90,000 accumulated messages that were archived online since 1996. We sampled roughly 35,000 messages from the beginning of the archive, around discontinuation (November, 1999), and later in the archive, and analyzed using standard qualitative analysis through coding and probed for emerging patterns. The LX was discontinued in 1999, officially making the LX to be obsolete. To the LX users, however, the LX was more effective than any other PDAs at the time. Because the LX was running DOS, it allowed the users to flexibly develop and share custom applications that fit their everyday practices. Besides, the LX users considered the LX useful due to it being lightweight and having long lasting battery life. In the attempt to push back against the obsolescence of the machine, during the first few years after discontinuation, the LX user community was actively building resources that would help prolong the life of the rapidly aging LX. This included solutions in dealing with fixing and upgrading hardware and software, adding new features, and maintaining compatibility with the surrounding computing environment. For example, the members shared their know-hows on fixing broken hinges or finding the right memory card that communicated the best with the LX. As well, a user developed a do-it-yourself kit that allowed end users to install backlight to the LX, which was not an existing feature in the original LX. Actively Participating in Building Up the Resources Around the time the LX was discontinued, the LX community was pushing back against the notion of obsolescence that was given to the LX. The LX was still useful to them and they could not find the alternatives that would replace the kinds of functionalities and features that the LX provided. Accordingly, it was up to the members themselves to maintain the LX, which required active participation from the members. The core members of the list shared the knowledge they had accumulated while using the LX. If a member asked a question to the email list, a variety of solutions was followed. This way, over many years, the community had collectively built up resources that were necessary in order for the LX users to maintain the LX on their own. In 2001, a member volunteered to aggregate members’ contact information and their core knowledge skills in maintaining the LX. He wanted to use the database for the newcomers and for those who will continue to use the LX long after the list died when the resources would no longer be available: “…we could create a database which all people who are so kind to support the HPLX community even after they leave the list (if ever) can add their contact information and a short HPLX-related skills profile, so that, when you have a s[p]ecific problem with (for example) an Internet connection with cel[l] phone you simply do a search for "cell phone" and it appears, besides others, the entryname: [David Wong]email: [dw]@epost.deURL: www.[david-wong].deskills: cell phones, LaTeX, Synchronization, serial port,.....”(User EI, Sep. 2001) The responses were favorable, showing that the members valued participation as an important part of sustaining the community and the obsolete machine. A few months later, in February 2002, a member suggested the list to introduce themselves to the list in 80 minutes. The thread continued for about a month from users around the world: [Stanley Bower], New ZealandOwner of one well travelled single speed unit featuring a Hinge Crack and a rubber band modified latch. (User TG, Jan. 2002) [Dan], I hail from Los Angeles, CA, originally from Roseburg, Oregon. USA All the Way! I posted several months ago a suggestion that we set up an HPLX conference to get everyone on the list in a convenient location. Anyone else interested? [John Bulard] (User KC, Feb. 2002) 105 members have responded to the thread. Then user EI suggested to merge the contact information gathered from this email thread to the knowledge database. Currently, the database is offline due to privacy concerns, but this event showed how much the list was conscientious about using the collective knowledge for those who need help in maintaining the obsolete machine that essentially have little resources to depend on. The fact that the LX was obsolete pushed users to actively engage in collectively building resources for maintaining the LX. Unveiling Invisible Collective Creativity Because of the members’ active participation, it also unveiled the creativity of the members in getting around the problems that were created due to the obsolescence. For example, reading a PDF file on the LX was a big issue since existing DOS based PDF readers required higher system requirements than the LX. Accordingly, the members had to come up with their own ways of reading PDF files, and these were shared on the email list starting 1998 through 2005. In February 1999, user UP suggested printing PDF files from a fax driver and reading the output from the fax viewer. However, this fax viewer solution did not seem to get much attention. Instead, user EO followed up saying that some PDF files could be read directly without the viewer while others do not. Because this solution had uncertainties, his second suggestion was to convert PDF files into images from other computers and import them into the LX. From this point on, the members discussed a variety of ways in which PDF files could be read. The members found downloadable programs that could convert PDF files to .TXT or ASCII files as well as email addresses to which the members could send PDF files and receive text files back. In March 2001, a member introduced using Google to open PDF file as a text file and downloading the HTML file to the LX. Later, instead of the PDF to TXT or HTML solution, user CN shared his know-how of viewing PDF files through image capture: you can open it in Acrobat on your desktop, capture a screenshot to your clipboard (I think on a Windows box you press PrtScrn), then trim it neatly in a graphics program before saving the image to .pcx or some other format. Then you can view it in LXPic on your palmtop. It's easier than it sounds. (User CN, Jul. 2001) In April 2005, a member distributed an application that converted PDF files directly into the image files. Another member then complained about the size of the resulting image file, which he then solved through manually getting rid of the white bordering around the text. The LX users were constantly adapting their own ways of solving problems. Aside from viewing PDF files problem, there were many other challenges such as breaking hardware and outdating software that the users had to deal with. However, this very process of overcoming the LX becoming obsolete and losing compatibility with the advancing computing environment has unveiled the collective creativity of the LX users that would otherwise have been hidden. Becoming Well-Informed Even with active knowledge sharing and creative work-arounds, maintaining the LX was still challenging. Accordingly, the members had to constantly look out for alternatives that could replace the LX: I just picked up one of these beasties [Zaurus] at HSN.COM for $180-ish shipped. I was wondering if I could get some feedback from anyone who has used it and can compare/contrast with an LX. There are obvious differences in battery life, color, etc but I was wondering about built-in applications. So far this thing seems like a good alternative for those who want a "modern" color PDA but find PocketWindows too bloated and PalmOS too primitive. The coolest part is that you can use the SD slot form flash mem and the CF slot for ethernet or other periph. (User F, Mar. 2003) During the course of researching the alternatives and sharing experiences on the list, the members became well-informed about the alternative products and their pros and cons of the detailed aspects. Examples included how keyboard touch feels, what available customized as well as built-in applications are, how easy it is to back up, how long the battery life is, or what daily usage practices are. Because the LX was an intricate part of the members’ lives, daily resources and practices were built around the LX, making it one of the impeding factors for the LX users to move on to an alternative device. Thus, it was important to know the degree to which the alternative device can continue to support the workflow that was established around the LX. This forced the members to actively engage in conversations to be well informed about alternative devices beyond features and machine performances. As a result, the members became well aware of the choices they have as consumers and perceived themselves to be able to make well-informed decisions than other general consumer groups. Co-Construction of Group Identity Because the members became well-informed consumers and the LX was not something that anybody could use (it required minimum programming knowledge), the members begun to distance themselves apart from the general group of users. HP200LX becoming abandoned in place of a new mobile platform WinCE, which was supposedly user-friendlier than DOS, pushed the members even further away from “the normal users”, which opened up another space for the LX users to co-construct their group identity. Here is an exemplary conversation thread in which user BN responds to user TE: › HP are NOT making a big mistake by discontinuing the 200LX any more › than your girlfiend was whe[n] she dumped you for the nerd with pots › of money.Yeah, yeah, we react like the dumped boyfriend. But hey, rejection is tough. :)› It's their choice and their problem. _We_ don't have a problem.A little yes… (User BN, July 1999) Notice here how user BN and TE refer to the list members as “we” who react to the discontinuation like the dumped boyfriend, and HP as “they” who abandoned the LX over the new mobile platform. Similarly, in the following, by grouping the users “these days” that buy “crappy computer hardware and software”, user TE contrasts the LX users from the general group of users and characterizes the LX users as those who make informed decisions: They [the companies] don't care if the machines are a pain in the butt and the users are frustrated. These days, users are willing to accept crappy computer hardware and software... (User TE, 1999) However, another user argued that the general group of users, in fact, prefers WinCE or computing devices that they consider “crappy”, placing themselves further away from the general users: No, no, no. They [users] love that [WinCE]. There's nothing better than a big installed base who thin[k]s that a bug fix is properly referred to as an "upgrade." (User MD, 1999) Watkins, in his book Throwaways (Watkins), argued that distancing between the new and the old gave a means of maintaining dominance through distinction from others. For example, rather than being viewed as true progression, to Watkins, avant-gardism was merely another means of social distinction, a way to stay one step ahead. In the case of the LX community, the use of old, instead of the new, has been placed as their ways of staying techno-culturally one step ahead. This process of social distinction played an important part in the formation of the group identity, which in turn tightened the community and brought them closer together. Obsolescence Uncovers Values in Technology Use When we picture obsolete computers, they are dusted, big, heavy, slow, and clunky – they are perceived to have little ability to perform as newer computers do. However, obsolescence is such a situated notion that it may be construed arbitrarily depending on how, to whom, and when an object becomes obsolete. Although planned obsolescence may reclassify a machine as obsolete, its actual disuse may come later. Even if the disuse occurs, again, throwing away may happen later. The LX community showed a representative example of the constant re-interpretation of the obsolescence through the tight tension between reclassification of the LX as obsolete by the corporate and perceived obsolescence by the end-users. For the LX users, the LX was not obsolete – it was still the most functional device they could find at the time. The LX users were then committed to maintain the LX over eight years after discontinuation, challenging the notion of obsolete computers as worthless. The LX users maintained the obsolete machine not solely because of the nostalgic purposes but arguably because of the quality and functionality the machine possessed. In fact, the LX community was merely a representative of many user communities of discontinued computing artifacts (Muniz Jr. and Schau, Frauenfelder) that could attest to the arbitrary notion of obsolescence. The constant tension between the forced obsolescence and the refusal towards obsolescence, in return, allowed the LX community to discover values that may not otherwise have been revealed. In the process of pushing back the notion that the LX is obsolete, the community was able to bring to the surface the active participation of the community, the hidden forms of collective creativity, constant efforts in becoming well informed, and the formation of group identity. References Blevis, E. "Sustainable Interaction Design: Invention & Disposal, Renewal & Reuse." ACM CHI New York, 2007. Cros, Charles, and Tristan Corbière. Œuvres Complètes [de] Charles Cros [et] Tristan Corbière. Bibliothèque de La Pléiade. Paris: Gallimard, 1970. Frauenfelder, M. "Never Say Die." Wired March 2000. Gartner. "Gartner Says Mobile Phone Sales Will Exceed One Billion in 2009." 2005. 15 July 2009 ‹http://www.gartner.com/press_releases/asset_132473_11.html›. Huang, E.M., and K.N. Truong. "Sustainably Ours - Situated Sustainability for Mobile Phones." Interactions-New York 15.2 (2008): 16-19. Muniz Jr., A.M., and H.J. Schau. "Religiosity in the Abandoned Apple Newton Brand Community." Journal of Consumer Research 31.4 (2005): 737-47. Orlando, Francesco. Obsolete Objects in the Literary Imagination : Ruins, Relics, Rarities, Rubbish, Uninhabited Places, and Hidden Treasures. New Haven: Yale University Press, 2006. Sterne, Jonathan. "Out with the Trash: On the Future of New Media." Residual Media. Ed. Charles R. Acland. Illustrated ed. Minneapolis: University of Minessota Press, 2007. 16-31. Strasser, Susan. Waste and Want: A Social History of Trash. 1st ed. New York: Metropolitan Books, 1999. U.S. Wireless Mobile Phone Evaluation Study. J.D. Power and Associates, 2007. Watkins, E. Throwaways: Work Culture and Consumer Education. Stanford University Press, 1993.

Area Studies and Study Abroad in the 21st Century The future now belongs to societies that organize themselves for learning. - Ray Marshall and Marc Tucker, Thinking for a Living, xiii Few today would argue with the conviction that nearly every phase of our daily lives is shaped and informed by global societies, corporations, events and ideas. More than ever before, it is possible to claim that we are increasingly aware of the dynamic power and penetrating effects of global flows on information, technology, the sciences, the arts, the humanities, and languages. Borderless, spaceless and timeless, such sources of knowledge, it appears, are effortlessly digested and disseminated without clocks, calendars, or physical limitations. It is, of course, a mistake to believe that packages of “instant” knowledge that appear to wing their way at megahertz speeds in and through our earthly lives account for all or nearly all that there is to know—or, more importantly, to learn—about our communities, regions and the globe itself. On the contrary: the “knowing” about how to live, to work, to prosper, or to understand ourselves and those around us is not what educators mean when they speak of intellectual achievement and practical understanding. It is the “learning” about us, our societies and our global knowledge that lies at the heart of the international educator’s life work, and it is the learning that is the most controversial aspect of education. The act of “learning,” in fact, is less objective and more subjective, is less passive and more active, and is less superficial and more profound in each of our lives. By definition, a responsible learner is one who takes on the intellectual challenge and the social and personal obligation to leave this globe a better place for those who follow, who assumes the life work of influencing the lives of others, and who is committed to making the best of every opportunity both within the reach and beyond the vision of the mind’s eye. Study abroad has traditionally been viewed as a time of seeing and viewing, however passively, the differences and similarities of other peoples, societies and cultures. The period of knowing about what others do or say can occur at any time during one’s life; however, the “knowing” of studying abroad is accomplished in the college years prior to the accumulated knowledge about practical learning and living. In this respect, study abroad has been seen as an experience which may or may not invest the students in greater or lesser insights about the peoples, societies or cultures around them. Further, when study abroad is bound up with travel or movement from place to place, it can become a passive act, so much so that travel rather than learning becomes the goal of the study abroad experience. Simply put, the more that one travels, the more, it is argued, one learns. Furthermore, while seen as desirable for “classroom learning,” some would say that no amount of academic preparation appears to be useful in the enterprise of the travel experience, since so many experiences are unpredictable, individualized and, in some cases, arbitrary. From the perspective of study abroad, it might be said that the gods of area studies no longer completely fulfill our students’ needs, while the gods of global studies have not yet fulfilled their promises. Janus-like, international educators look in one direction at a still highly intense and valued picture of local cultures and identities, and in another direction toward an increasingly common culture, economy and society. The former appears to celebrate the differences and “uncommonness” of the human experience while the latter smoothes over the differences to underscore the commonalities and sameness of our contemporary world. The choice appears to be between the particular and the universal, the local and the global. Academic preparations, such as area studies programs, appear to be unnecessary for the individualized forms of learning, such as study abroad. Indeed, since an area studies preparation may raise or strengthen stereotypical perceptions of the overseas peoples, societies and cultures, it has been argued that it best be left aside. In this context, students are viewed as a tabula rasa on which new discoveries from living and studying overseas leave an imprint or impression. It seems that sending as many students as possible in as many directions as possible has become the dominant study abroad objective. Thus, “whole world” presentations and documentation often rely on the “other” as the learning objective with little or no attempt to discriminate or distinguish the levels of learning that such “whole world” immersion entails. In recent times, additional concerns about liability, health, safety and comfort levels have been added to the “pre-departure” orientations and training programs. The “student as self-learner” continues to be viewed and treated as a “customer knowledge-consumer” within both U.S. private and public colleges and universities. In the age of “globalization,” it is the conviction of the editors of Frontiers that knowledge consumption is only a small aspect of the 21st century international educators’ arsenal. More importantly, it will be argued in this special issue on area studies and Study Abroad that the intellectual development of the U.S. undergraduate needs to be enhanced with skills of self-learning and transdisciplinary perspectives on local and regional cultures and languages. The authors contributing to this special thematic issue of Frontiers have been asked to bring their state-of-the-art thinking on area studies to bear on the key question confronting study abroad: How does specialized understanding of geographical and cultural areas of the world enhance and strengthen undergraduate learning on and beyond our campuses? In other words, in what ways do area studies inform overseas learning through the activity of study abroad? The variety of responses demonstrates two principal ways in which area studies has begun to reformulate its goals and strategies. First, area studies reaffirms a commitment to local and regional comprehensive research and teaching, and redefines its mission in terms of the need to come to grips with local knowledge and specific social and cultural practices within a globalized world. Second, area studies specialists question long-held definitions of concepts, including those of “geographical area” and “globalization,” in order to maximize contributions to U.S. undergraduate learning. David Ludden begins our issue with a review of the Social Science Research Council and the Ford Foundation’s understanding of the transition in area studies from the Sputnik era to the globalization era. Ludden notes the faculty dilemma in working in an “area.” He points out the political interests of the Cold War for public funding of such specialized academic skills, skills which, whether funded by the government or not, were and continue to be defined by the scholar first and then by finances. Drawing on his own experience at the South Asia Institute at the University of Pennsylvania, Ludden takes the reader through the intellectual rationale for area studies, and how that rationale is being redefined in favor of stronger area studies in the present globalization era. Gregory Kulacki’s study of China and the Chinese experience points accurately to one approach to defining area studies; that is, in terms of the peoples and cultures studied. In a sense, Kulacki makes it clear that Chinese studies is “legitimate” and has authority as long as it reflects the Chinese themselves, their experiences and lives. Ann Curthoys, on the other hand, notes the growing importance of defining Australians and Australian studies not only in terms of the changing experiences of contemporary Australia, but also in terms of the demands of non-Australians, who ask for more precision in defining Australians, their history, society and cultures. Richard Beach and George Sherman take on a more difficult matter, at least from the viewpoint of U.S. faculty and students. Canada is rarely seen as a study abroad site for U.S. students, not only because of its geographical position but also for its cultural and historical proximity. The overall U.S. view, albeit unflattering, is that Canada and Canadians are very much like the U.S. and Americans, so why study in Canada? Beach and Sherman argue that history, languages, and borders do make a difference, both physically as well as culturally. Using the argument of the previous area studies specialists, they are interested in the ways that Canadians have shaped and informed their cultural and social identities in the teeth of U.S. economic and political domination in the region. The implications of globalization are, perhaps, more immediately evident in the Canadian case than in any other world region. U.S. students would do well to observe the processes of adaptation and acculturation first-hand by studying and living in Canada. James Petras gives us a broader vista of regional adaptation to the economic and political forces of globalization with his essay on Latin America. Indeed, Latin America has a dynamic similar to that of Canada due to its physical, cultural and historical proximity to the U.S. It would be a mistake to see Latin America only in terms of the north-south regional dynamics, since Europe, Asia and Africa have also shaped both past and present structures and institutions within that region in ways far more dramatic than has the United States. Study abroad, Petras reminds us, is an excellent way of learning directly about Latin American societies, cultures and politics from Latin Americans themselves, a learning that may be widely different from the official U.S. diplomatic and corporate perspectives. Finally, the very familiar world regions, such as England, offer in some cases more challenges to the U.S. undergraduate than might be expected. Jane Edwards looks at Britain and all that U.S. students may or may not know about that culture and society. The study of Britain lends itself, Edwards argues, to more than the usual challenges, due to the preconceived notions that U.S. students bring with them to, say, London. Understanding the “European-ness” of Britain and its historic relationship with continental Western Europe will justify the need to see Britain as less familiar and more complex, thus necessitating the need to study, visit and live in parts of Britain and Western Europe. In this case, the area does define the country, its identity and culture in a historical interplay of social, cultural and economic forces. David Lloyd, Philip Khoury and Russell Bova invite the reader to return to large regional perspectives through African, Middle Eastern and Russian area studies. David Lloyd presents an analysis of the broad and immediate contexts of African studies. While recognizing the difficulty of establishing consistently causal links between African studies and study abroad in Africa, he delineates the significance of local, experience-based study for the development of collaborative African studies research. Lloyd argues that the benefits of study abroad in Africa to African studies belie the relatively small number of students involved. Further, assessment for funding and other purposes needs to utilize criteria that take into account the challenges of on-site study in Africa and the depth of post-study abroad participation not just in African studies per se, but in other related areas as well. Considering the recent past of Middle East studies, Philip Khoury charts its response to post-Cold War criticism. He illustrates new directions the field is taking towards including different geographic areas, and new emphasis in organizational priorities, noting the importance of funding for providing first-hand contact for students in Middle Eastern studies with scholars from the Middle East. Khoury assesses the impact of recent historical and political events in the area on Middle Eastern studies, and looks toward more inclusive research efforts. Russell Bova examines another region that has undergone considerable political, social and economic change in the 20th century. Having moved from empire to soviet socialist states and now to a confederation of nation states, Russia and, naturally, Russian area studies, offer an excellent example of local and regional complexities both in the nomenclature of the region and in the changes in Russian studies programs. Bova illustrates the need to understand the specific dynamics of local communities in their relationship to larger administrative units such as provinces, states and national capitals. In referring to the “double transition” of contemporary Russia, Bova reminds us that globalization is both a grass roots and elite process with many unlikely “bedfellows” that is also changing more rapidly each decade than had been the case fifty years ago. Finally, Richard Falk and Nancy Kanach collaborate to discuss the ways in which globalization and study abroad are emerging in the post-Cold War period. The sudden shifts of economic and political power make our world more fragile and more difficult to comprehend without considering the “computer gap” that is rapidly leaving whole communities and even nations in a more uneven relationship with the power brokers than ever before. The need to reflect with care and precision through area studies is complemented by the additional pressing need to study, see and learn outside of the U.S. Globalization means promoting study abroad and reaffirming the strengths of local and regional studies. Taken together, these essays invite international educators to reconsider notions of learning before, during and after study abroad. The writers view study abroad as an opportunity for social and intellectual engagement with other peoples and with oneself. The essays point to a variety of ways of intellectually preparing our students for their initial encounters with sets of real-life global experiences. Reflecting on such engagement and encounters allows students to begin to formulate, with increasing sophistication, specific and general concepts about individual differences, local and regional commonalities, and the global transformations of our present era. In light of the current area studies debates, we might also reconsider approaches to pre-departure preparations, create onsite projects, and reorganize the overseas curricula of study abroad programs themselves. In particular, students can continue to benefit from area and global studies programs back on the home campus upon their return, where they can enter effectively into scholarly debates and continue the learning and personal growth that began while they were abroad. Frontiers welcomes comments and suggestions for future special issues. We see ourselves and our field of international education in greater need of close cooperation with our faculty colleagues both in terms of defining the work of international learning, and in terms of formulating and designing international or global programs. We thus invite our readers to see Frontiers as a forum for such academic exchanges, and promise that Frontiers will respond to articles, essays, book reviews and reviews of resources for study abroad with collegial interest and enthusiasm. We wish to thank especially Brian Whalen, Rhoda Borcherding and our other colleagues on the Editorial Board for their support, encouragement and assistance in completing this special issue. We are particularly pleased with the authors and their willingness to listen to our requests and comments. Thomas Ricks, Villanova University Katharine Krebs, SUNY Binghamton Michael Monahan, Macalester College Suggestions for Further Reading Altbach, Philip G. and Patti McGill Peterson, eds. Higher Education in the 21st Century: Global Challenge and National Response. IIE Research Report Number 29. Annapolis, MD: IIE Books, 1999. This slim volume focuses on principal topics for colleges and universities to consider both locally and globally. Philip Altbach and Todd Davis set the tone of the volume with their “notes for an international dialogue on higher education.” Stressing the need for practical education, the authors also raise issues about the role of technology, the increase in “internationally mobile students,” the global role of graduate education, privatization of higher education, committed faculty and the threats of “managerialized” universities. The eight responses to the opening themes address specific issues for China, India, Africa and South Africa, Latin America, Japan and Europe. The work is a very good discussion text for international educators and their area studies faculty colleagues, and also provides a theoretical basis for the design and development of overseas programs. Stephen R. Graubard, ed. “Education Yesterday, Education Tomorrow.” Daedalus. Vol. 127, No. 4 (Fall, 1998). The eleven authors of this issue of the Journal of the American Academy of Arts and Sciences build off the Fall 1995 issue of Daedalus and its topic of “American Education: Still Separate, Still Unequal.” While neither accepting nor rejecting the thrust of A Nation at Risk, the authors look both at what has occurred over the past three decades, and at what is on the horizon for the next decade. In stressing reforms of systems and innovative ways of learning, the authors’ discussions invite the international educator to address a variety of ways in which students learn and to challenge the system in which they thrive. WWW. NAFSA.ORG/SECUSSA.WHYSTUDY In 1989, NAFSA and COUNCIL created the Whole World Committee (WWC). Initially chaired by John Sommers and now chaired by Mick Vandenberg, the WWC set out to find ways by which U.S. students could and would choose non-European overseas sites for a semester of study and learning. One of the tasks that the WWC accomplished was the creation of four area study essays on Africa, Asia, South America and the Middle East. Each essay, entitled “Why Study in …,” addresses basic fears and stereotyping of the non-European world regions. The essays then focus on benefits, health and safety, “getting started,” housing, and practical learning in each of these regions. In newly-attached longer versions, the essays also have a bibliography and more informative texts. The shorter versions were published serially in Transitions Abroad. NAFSA has added two additional important essays to this website, on “Class and Study Abroad” and “An African-American in South Africa.” Overall, the readers of Frontiers will be well-advised to access the articles at the website and consider using all the essays in their pre-departure orientation training, faculty area studies discussion groups, and in welcome-back sessions for returning students. Richard Falk. Predatory Globalization: A Critique. Cambridge, UK: Polity Press, 1999. The thesis of Richard Falk’s critique is that “predatory globalization’ has eroded, if not altogether broken, the former social contract that was forged between state and society during the last century or so” (p. 3). The breaking of that contract resulted from the state’s “deference to the discipline of global capital” and the neglect of the common good. Falk argues that only the “massing of strong transnational social pressures on the states of the world could alter the political equation to the point where the state could sufficiently recover its autonomy in relation to the world economy.” He demonstrates the emergence of a new kind of transnational politics referred to as “globalization-from-below.” In restoring “global civil society,” this new politics will need to move forward with the project of cosmopolitan democracy, including the protection of human rights. For the international educator, creating overseas programs that allow for a better understanding of the interconnectedness of regional and global levels is an admirable goal. More important, however, are those programs that offer U.S. undergraduates insights into “world order priorities” such as global poverty, protection of the planet, the sources of transnational violence, and “responsible sovereignty” in ways rarely found in traditional classroom learning on our campuses. Mark Tessler, Jodi Nachtwey and Anne Banda. Eds. Area Studies and Social Science: Strategies for Understanding Middle East Politics. Bloomington and Indianapolis, IN: Indiana University Press, 1999. This edited work addresses a wide range of issues involved in the “rational choice” versus area studies debate that is so well elucidated by David Ludden in the opening article of our special issue. Looking at the “area studies controversy” from the perspective of political scientists, the editors’ Introduction underscores questions that we international educators need to address ourselves. It is valuable to wonder about the “uses and abuses” of area studies in planning our overseas programs, or discussing the “internationalization” of our curricula. It is also critical to understand the Eurocentric and overly-simplistic approaches of the social science “rational choice” models. While agreeing that both area studies and the social science theories and methodologies are necessary for a global understanding, the present work places such questions within the context of the Middle East as a stimulus and a model for increasing the value of research about any country or region.

Human history has witnessed varied surveillance and counter-surveillance activities from time immemorial. Human beings could not surveille others effectively and accurately without the technology of their era. Technology is a tool that can empower both people and governments. The outcomes are different based on the users’ intentions and aims. 2,500 years ago, Sun Tzu noted that ‘If you know both yourself and your enemy, you can win numerous (literally, "a hundred") battles without jeopardy’. His words still ring true. To be a good surveiller and counter-surveiller it is essential to know both sides, and in order to be good at these activities access to technology is vital. There is no doubt that knowledge is power, and without technology to access the information, it is impossible to be powerful. As we become more expert at technology, we will learn what makes surveillance and counter-surveillance more effective, and will be more powerful.“Surveillance” is one of the most important aspects of living in the convergent media environment. This essay illustrates government surveillance and counter-surveillance during the Iranian Green Movement (2009) on social and mobile media. The Green Movement refers to a non-violent movement that arose after the disputed presidential election on June 2009. After that Iran was facing its most serious political crisis since the 1979 revolution. Claims of vote fraud triggered massive street protests. Many took to the streets with “Green” signs, chanting slogans such as ‘the government lied’, and ‘where is my vote?’ There is no doubt that social and mobile media has played an important role in Iran’s contemporary politics. According to Internet World Stats (IWS) Internet users in 2009 account for approximately 48.5 per cent of the population of Iran. In 2009, Iran had 30.2 million mobile phone users (Freedom House), and 72 cellular subscriptions for every 100 people (World Bank). Today, while Iran has the 19th-largest population in the world, its blogosphere holds the third spot in terms of number of users, just behind the United States and China (Beth Elson et al.). In this essay the use of social and mobile media (technology) is not debated, but the extent of this use, and who, why and how it is used, is clearly scrutinised.Visibility and Surveillance There have been different kinds of surveillance for a very long time. However, all types of surveillance are based on the notion of “visibility”. Previous studies show that visibility is not a new term (Foucault Discipline). The new things in the new era, are its scale, scope and complicated ways to watch others without being watched, which are not limited to a specific time, space and group, and are completely different from previous instruments for watching (Andrejevic). As Meikle and Young (146) have mentioned ‘networked digital media bring with them a new kind of visibility’, based on different kinds of technology. Internet surveillance has important implications in politics to control, protect, and influence (Marx Ethics; Castells; Fuchs Critique). Surveillance has been improved during its long history, and evolved from very simple spying and watching to complicated methods of “iSpy” (Andrejevic). To understand the importance of visibility and its relationship with surveillance, it is essential to study visibility in conjunction with the notion of “panopticon” and its contradictory functions. Foucault uses Bentham's notion of panopticon that carries within itself visibility and transparency to control others. “Gaze” is a central term in Bentham’s view. ‘Bentham thinks of a visibility organised entirely around a dominating, overseeing gaze’ (Foucault Eye). Moreover, Thomson (Visibility 11) notes that we are living in the age of ‘normalizing the power of the gaze’ and it is clear that the influential gaze is based on powerful means to see others.Lyon (Surveillance 2) explains that ‘surveillance is any collection and processing of personal data, whether identifiable or not, for the purpose of influencing or managing those whose data have been granted…’. He mentions that today the most important means of surveillance reside in computer power which allows collected data to be sorted, matched, retrieved, processed, marketed and circulated.Nowadays, the Internet has become ubiquitous in many parts of the world. So, the changes in people’s interactions have influenced their lives. Fuchs (Introduction 15) argues that ‘information technology enables surveillance at a distance…in real time over networks at high transmission speed’. Therefore, visibility touches different aspects of people’s lives and living in a “glasshouse” has caused a lot of fear and anxiety about privacy.Iran’s Green Movement is one of many cases for studying surveillance and counter-surveillance technologies in social and mobile media. Government Surveillance on Social and Mobile Media in Iran, 2009 In 2009 the Iranian government controlled technology that allowed them to monitor, track, and limit access to the Internet, social media and mobiles communication, which has resulted in the surveillance of Green Movement’s activists. The Iranian government had improved its technical capabilities to monitor the people’s behavior on the Internet long before the 2009 election. The election led to an increase in online surveillance. Using social media the Iranian government became even more powerful than it was before the election. Social media was a significant factor in strengthening the government’s power. In the months after the election the virtual atmosphere became considerably more repressive. The intensified filtering of the Internet and implementation of more advanced surveillance systems strengthened the government’s position after the election. The Open Net Initiative revealed that the Internet censorship system in Iran is one of the most comprehensive and sophisticated censorship systems in the world. It emphasized that ‘Advances in domestic technical capacity have contributed to the implementation of a centralized filtering strategy and a reduced reliance on Western technologies’.On the other hand, the authorities attempted to block all access to political blogs (Jaras), either through cyber-security methods or through threats (Tusa). The Centre for Investigating Organized Cyber Crimes, which was founded in 2007 partly ‘to investigate and confront social and economic offenses on the Internet’ (Cyber Police), became increasingly important over the course of 2009 as the government combated the opposition’s online activities (Beth Elson et al. 16). Training of "senior Internet lieutenants" to confront Iran's "virtual enemies online" was another attempt that the Intelligence minister announced following the protests (Iran Media Program).In 2009 the Iranian government enacted the Computer Crime Law (Jaras). According to this law the Committee in Charge of Determining Unauthorized Websites is legally empowered to identify sites that carry forbidden content and report that information to TCI and other major ISPs for blocking (Freedom House). In the late fall of 2009, the government started sending threatening and warning text messages to protesters about their presence in the protests (BBC). Attacking, blocking, hacking and hijacking of the domain names of some opposition websites such as Jaras and Kaleme besides a number of non-Iranian sites such as Twitter were among the other attempts of the Iranian Cyber Army (Jaras).It is also said that the police and security forces arrested dissidents identified through photos and videos posted on the social media that many imagined had empowered them. Furthermore, the online photos of the active protesters were posted on different websites, asking people to identify them (Valizadeh).In late June 2009 the Iranian government was intentionally permitting Internet traffic to and from social networking sites such as Facebook and Twitter so that it could use a sophisticated practice called Deep Packet Inspection (DPI) to collect information about users. It was reportedly also applying the same technology to monitor mobile phone communications (Beth Elson et al. 15).On the other hand, to cut communication between Iranians inside and outside the country, Iran slowed down the Internet dramatically (Jaras). Iran also blocked access to Facebook, YouTube, Wikipedia, Twitter and many blogs before, during and after the protests. Moreover, in 2009, text message services were shut down for over 40 days, and mobile phone subscribers could not send or receive text messages regardless of their mobile carriers. Subsequently it was disrupted on a temporary basis immediately before and during key protests days.It was later discovered that the Nokia Siemens Network provided the government with surveillance technologies (Wagner; Iran Media Program). The Iranian government built a complicated system that enabled it to monitor, track and intercept what was said on mobile phones. Nokia Siemens Network confirmed it supplied Iran with the technology needed to monitor, control, and read local telephone calls [...] The product allowed authorities to monitor any communications across a network, including voice calls, text messaging, instant messages, and web traffic (Cellan-Jones). Media sources also reported that two Chinese companies, Huawei and ZTE, provided surveillance technologies to the government. The Nic Payamak and Saman Payamak websites, that provide mass text messaging services, also reported that operator Hamrah Aval commonly blocked texts with words such as meeting, location, rally, gathering, election and parliament (Iran Media Program). Visibility and Counter-Surveillance The panopticon is not limited to the watchers. Similarly, new kinds of panopticon and visibility are not confined to government surveillance. Foucault points out that ‘the seeing machine was once a sort of dark room into which individuals spied; it has become a transparent building in which the exercise of power may be supervised by society as a whole’ (Discipline 207). What is important is Foucault's recognition that transparency, not only of those who are being observed but also of those who are observing, is central to the notion of the panopticon (Allen) and ‘any member of society will have the right to come and see with his own eyes how schools, hospitals, factories, and prisons function’ (Foucault, Discipline 207). Counter-surveillance is the process of detecting and mitigating hostile surveillance (Burton). Therefore, while the Internet is a surveillance instrument that enables governments to watch people, it also improves the capacity to counter-surveille, and draws public attention to governments’ injustice. As Castells (185) notes the Internet could be used by citizens to watch their government as an instrument of control, information, participation, and even decision-making, from the bottom up.With regards to the role of citizens in counter-surveillance we can draw on Jay Rosen’s view of Internet users as ‘the people formerly known as the audience’. In counter-surveillance it can be said that passive citizens (formerly the audience) have turned into active citizens. And this change was becoming impossible without mobile and social media platforms. These new techniques and technologies have empowered people and given them the opportunity to have new identities. When Thompson wrote ‘the exercise of power in modern societies remains in many ways shrouded in secrecy and hidden from the public gaze’ (Media 125), perhaps he could not imagine that one day people can gaze at the politicians, security forces and the police through the use of the Internet and mobile devices.Furthermore, while access to mobile media allows people to hold authorities accountable for their uses and abuses of power (Breen 183), social media can be used as a means of representation, organization of collective action, mobilization, and drawing attention to police brutality and reasons for political action (Gerbaudo).There is no doubt that having creativity and using alternative platforms are important aspects in counter-surveillance. For example, images of Lt. Pike “Pepper Spray Cop” from the University of California became the symbol of the senselessness of police brutality during the Occupy Movement (Shaw). Iranians’ Counter-Surveillance on Social and Mobile Media, 2009 Iran’s Green movement (2009) triggered a lot of discussions about the role of technology in social movements. In this regard, there are two notable attitudes about the role of technology: techno-optimistic (Shriky and Castells) and techno-pessimistic (Morozov and Gladwell) views should be taken into account. While techno-optimists overrated the role of social media, techno-pessimists underestimated its role. However, there is no doubt that technology has played a great role as a counter-surveillance tool amongst Iranian people in Iran’s contemporary politics.Apart from the academic discussions between techno-optimists and techno-pessimists, there have been numerous debates about the role of new technologies in Iran during the Green Movement. This subject has received interest from different corners of the world, including Western countries, Iranian authorities, opposition groups, and also some NGOs. However, its role as a means of counter-surveillance has not received adequate attention.As the tools of counter-surveillance are more or less the tools of surveillance, protesters learned from the government to use the same techniques to challenge authority on social media.Establishing new websites (such as JARAS, RASA, Kalemeh, and Iran green voice) or strengthening some previous ones (such as Saham, Emrooz, Norooz), also activating different platforms such as Facebook, Twitter, and YouTube accounts to broadcast the voice of the Iranian Green Movement and neutralize the government’s propaganda were the most important ways to empower supporters of Iran’s Green Movement in counter-surveillance.‘Reporters Without Borders issued a statement, saying that ‘the new media, and particularly social networks, have given populations collaborative tools with which they can change the social order’. It is also mentioned that despite efforts by the Iranian government to prevent any reporting of the protests and due to considerable pressure placed on foreign journalists inside Iran, social media played a significant role in sending the messages and images of the movement to the outside world (Axworthy). However, at that moment, many thought that Twitter performed a liberating role for Iranian dissenters. For example, Western media heralded the Green Movement in Iran as a “Twitter revolution” fuelled by information and communication technologies (ICTs) and social media tools (Carrieri et al. 4). “The Revolution Will Be Twittered” was the first in a series of blog posts published by Andrew Sullivan a few hours after the news of the protests was released.According to the researcher’s observation the numbers of Twitter users inside Iran who tweeted was very limited in 2009 and social media was most useful in the dissemination of information, especially from those inside Iran to outsiders. Mobile phones were mostly influential as an instrument firstly used for producing contents (images and videos) and secondly for the organisation of protests. There were many photos and videos that were filmed by very simple mobile cell phones, uploaded by ordinary people onto YouTube and other platforms. The links were shared many times on Twitter and Facebook and released by mainstream media. The most frequently circulated story from the Iranian protests was a video of Neda Agha-Sultan. Her final moments were captured by some bystanders with mobile phone cameras and rapidly spread across the global media and the Internet. It showed that the camera-phone had provided citizens with a powerful means, allowing for the creation and instant sharing of persuasive personalised eyewitness records with mobile and globalised target populations (Anden-Papadopoulos).Protesters used another technique, DDOS (distributed denial of service attacks), for political protest in cyber space. Anonymous people used DDOS to overload a website with fake requests, making it unavailable for users and disrupting the sites set as targets (McMillan) in effect, shutting down the site. DDOS is an important counter-surveillance activity by grassroots activists or hackers. It was a cyber protest that knocked the main Iranian governmental websites off-line and caused crowdsourcing and false trafficking. Amongst them were Mahmoud Ahmadinejad, Iran's supreme leader’s websites and those which belong to or are close to the government or security forces, including news agencies (Fars, IRNA, Press TV…), the Ministry of Foreign Affairs, the Ministry of Justice, the Police, and the Ministry of the Interior.Moreover, as authorities uploaded the pictures of protesters onto different platforms to find and arrest them, in some cities people started to put the pictures, phone numbers and addresses of members of security forces and plain clothes police officers who attacked them during the protests and asked people to identify and report the others. They also wanted people to send information about suspects who infringed human rights. Conclusion To sum up, visibility, surveillance and counter-surveillance are not new phenomena. What is new is the technology, which increased their complexity. As Foucault (Discipline 200) mentioned ‘visibility is a trap’, so being visible would be the weakness of those who are being surveilled in the power struggle. In the convergent era, in order to be more powerful, both surveillance and counter-surveillance activities aim for more visibility. Although both attempt to use the same means (technology) to trap the other side, the differences are in their subjects, objects, goals and results.While in surveillance, visibility of the many by the few is mostly for the purpose of control and influence in undemocratic ways, in counter-surveillance, the visibility of the few by the many is mostly through democratic ways to secure more accountability and transparency from the governments.As mentioned in the case of Iran’s Green Movement, the scale and scope of visibility are different in surveillance and counter-surveillance. The importance of what Shaw wrote about Sydney occupy counter-surveillance, applies to other places, such as Iran. She has stressed that ‘protesters and police engaged in a dance of technology and surveillance with one another. Both had access to technology, but there were uncertainties about the extent of technology and its proficient use…’In Iran (2009), both sides (government and activists) used technology and benefited from digital networked platforms, but their levels of access and domains of influence were different, which was because the sources of power, information and wealth were divided asymmetrically between them. Creativity was important for both sides to make others more visible, and make themselves invisible. Also, sharing information to make the other side visible played an important role in these two areas. References Alen, David. “The Trouble with Transparency: The Challenge of Doing Journalism Ethics in a Surveillance Society.” Journalism Studies 9.3 (2008): 323-40. 8 Dec. 2013 ‹http://www.tandfonline.com/doi/full/10.1080/14616700801997224#.UqRFSuIZsqN›. 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