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Benjamin Howe

Publications and source records attributed to Benjamin Howe.

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FEAST: A Flexible Mealtime-Assistance System Towards In-the-Wild Personalization

Physical caregiving robots hold promise for improving the quality of life of millions worldwide who require assistance with feeding. However, in-home meal assistance remains challenging due to the diversity of activities (e.g., eating, drinking, mouth wiping), contexts (e.g., socializing, watching TV), food items, and user preferences that arise during deployment. In this work, we propose FEAST, a flexible mealtime-assistance system that can be personalized in-the-wild to meet the unique needs of individual care recipients. Developed in collaboration with two community researchers and informed by a formative study with a diverse group of care recipients, our system is guided by three key tenets for in-the-wild personalization: adaptability, transparency, and safety. FEAST embodies these principles through: (i) modular hardware that enables switching between assisted feeding, drinking, and mouth-wiping, (ii) diverse interaction methods, including a web interface, head gestures, and physical buttons, to accommodate diverse functional abilities and preferences, and (iii) parameterized behavior trees that can be safely and transparently adapted using a large language model. We evaluate our system based on the personalization requirements identified in our formative study, demonstrating that FEAST offers a wide range of transparent and safe adaptations and outperforms a state-of-the-art baseline limited to fixed customizations. To demonstrate real-world applicability, we conduct an in-home user study with two care recipients (who are community researchers), feeding them three meals each across three diverse scenarios. We further assess FEAST's ecological validity by evaluating with an Occupational Therapist previously unfamiliar with the system. In all cases, users successfully personalize FEAST to meet their individual needs and preferences. Website: https://emprise.cs.cornell.edu/feast

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Adaptive High-Level Tight Control of Prostate Cancer: A Path from From Terminal Disease to Chronic Condition

Metastatic prostate cancer is one of the leading causes of cancer-related morbidity and mortality worldwide. It is characterized by a high mortality rate and a poor prognosis. In this work, we explore how a clinical oncologist can apply a Stackelberg game-theoretic framework to prolong metastatic prostate cancer survival, or even make it chronic in duration. We utilize a Bayesian optimization approach to identify the optimal adaptive chemotherapeutic treatment policy for a single drug (Abiraterone) to maximize the time before the patient begins to show symptoms. We show that, with precise adaptive optimization of drug delivery, it is possible to significantly prolong the cancer suppression period, potentially converting metastatic prostate cancer from a terminal disease to a chronic disease for most patients, as supported by clinical and analytical evidence. We suggest that clinicians might explore the possibility of implementing a high-level tight control (HLTC) treatment, in which the trigger signals (i.e. biomarker levels) for drug administration and cessation are both high and close together, typically yield the best outcomes, as demonstrated through both computation and theoretical analysis. This simple insight could serve as a valuable guide for improving current adaptive chemotherapy treatments in other hormone-sensitive cancers.

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