Synthesis of Hand Exoskeletons for the Rehabilitation of Post-Stroke Patients

This dissertation presents the synthesis of a hand exoskeleton (HE) for the rehabilitation of post-stroke patients. Through the analysis of state-of-the-art, a topological classification was proposed. Based on the proposed classification principles, the rehabilitation HEs were systematically analyzed and classified. This classification is helpful to both understand the reason of proposing certain solutions for specific applications and provide some useful guidelines for the design of a new HE, that was actually the primary motivation of this study. Further to this classification, a novel rehabilitation HE was designed to support patients in cylindrical shape grasping tasks with the aim of recovering the basic functions of manipulation. The proposed device comprises five planar mechanisms, one per finger, globally actuated by two electric motors. Indeed, the thumb flexion/extension movement is controlled by one actuator whereas a second actuator is devoted to the control of the flexion/extension of the other four fingers. By focusing on the single finger mechanism, intended as the basic model of the targeted HE, the feasibility study of three different 1 DOF mechanisms are analyzed: a 6-link mechanism, that is connected to the human finger only at its tip, an 8-link and a 12-link mechanisms where phalanges and articulations are part of the kinematic chain. The advantages and drawbacks of each mechanism are deeply analyzed with respect to targeted requirements: the 12-link mechanism was selected as the most suitable solution. The dimensional synthesis based on the Burmester theory as well as kinematic and static analyses were separately done for all fingers in order to satisfy the desired specifications. The HE was finally designed and a prototype was built. The experimental results of the first tests are promising and demonstrate the potential for clinical applications of the proposed device in robot-assisted training of the human hand for grasping functions.

La storia di Iefte (Jdc 10,6-12,7). Studi sul testo biblico e sulla sua ricezione nell'Antichità

La tesi tratta la storia veterotestamentaria di Iefte (Jdg 10,6-12,7). Il lavoro è diviso in due parti: la prima concerne la formazione del testo biblico e propone una nuova analisi critico-testuale del passo attraverso il confronto tra TM, LXX, Vg e altre fonti. Questo raffronto esamina i rapporti tra il TM e il modello ebraico dei LXX e le differenze tra le diverse recensioni dei LXX; inoltre, lo studio del lessico e dei temi in esso presenti porta alla formulazione di una nuova ipotesi sul tempo della composizione e sulla contestualizzazione storica e letteraria dell'episodio all'interno del corpus biblico. La seconda parte si concentra sulla storia delle interpretazioni del passo nel mondo latino e greco dal I secolo d.C. all'inizio del V secolo, e ha portato alla costituzione di un dossier di brani, esaminati nel loro contesto, che commentano o citano l'episodio. L'attenzione al contesto ha permesso di risolvere alcuni problemi che finora hanno impedito la ricostruzione del percorso esegetico del brano (attribuzione di alcuni frammenti catenari, datazione del De virginitate di Ambrogio, ecc.) Questo nuovo approccio di ricerca combina un'analisi completa dell'episodio biblico con uno studio approfondito della sua esegesi. Rivela così, da un lato, le scelte effettuate durante la composizione di un testo scritturistico problematico, e, dall'altro, i diversi meccanismi utilizzati dagli esegeti per spiegare il significato di una storia in cui la bontà di Dio, che ha tollerato il sacrificio umano, è messa in discussione.

Forme (形 XING) e Visioni (象 XIANG): Nuove prospettive di ricerca per una storia comparata della Screendance in Europa e in Cina

La presente tesi si propone di trattare il soggetto della screendance, giovane disciplina in continua definizione nata combinando cinema e coreografia, da una prospettiva alternativa, coerente con le ultime trasformazioni sociali. La ricerca, suddivisa in quattro parti, inizia da una ricognizione critica sulla terminologia utilizzata per indicare la screendance nel suo sviluppo storico in Europa e in Cina durante il XX secolo. Adoperando una metodologia basata sugli strumenti della storiografia comparativa, vengono utilizzati come chiavi di lettura i due concetti taoisti di xiang o visione e xing o forma, l’uno riferito al contesto culturale, storico e artistico di una data società umana in un dato periodo storico, e l’altro alludente alle forme artistiche specifiche definite da quei principi. Nel focalizzarsi sul confronto tra i differenti sviluppi della screendance nel corso del XX secolo in Europa e in Cina, nella seconda parte, la tesi affronta una comparazione diacronica delle trasformazioni di xiang delle due aree geografiche, insieme a una comparazione sincronica delle xing, rendendo più evidenti analogie e divergenze di numerosi case studies occidentali e cinesi.  Uno sguardo sul panorama europeo, attento alle differenze nella disseminazione della screendance attraverso i festival in Gran Bretagna, Francia, Belgio e Italia, costituisce il focus della terza parte. Con la quarta ed ultima parte, la tesi riserva ampio spazio alla disamina della situazione contemporanea della screendance, seguendone la diffusione negli ultimi quattro decenni attraverso i festival e, più recentemente, i nuovi canali social di creazione e condivisione di contenuti video, e prospettando un futuro in cui la realtà della screendance europea e quella cinese potranno confrontare le proprie identità culturali. Il ricco apparato documentario include un elenco dei festival di screendance europei e cinesi, e una serie di interviste inedite ai maggiori operatori e professionisti del settore, italiani ed europei.

Predictive And Prognostic Role Of Biological Markers In Neuroendocrine Neoplasia And Evaluation Of Activity And Safety Of Second Line Treatments In Neuroendocrine Carcinoma Patients

BACKGROUND Neuroendocrine neoplasia (NEN) are divided in well differentiated G1,G2 and G3 neuroendocrine tumors (NETs) and G3 neuroendocrine carcinomas (NECs). For the latter no standard therapy in second-line is available and prognosis is poor. METHODS Primary aim was to evaluate new prognostic and predictive biomarkers (WP1-3). In WP4 we explored the activity of FOLFIRI and CAPTEM as second-line in NEC patients in a multicenter non-comparative phase II trial RESULTS In WP1-2 we found that 4 of 6 GEP-NEC patients with a negative 68Ga-PET/CT had a loss of expression of RB1. In WP3 on 47 GEP-NENs patients the presence of DLL3 in 76.9% of G3 NEC correlate with RB1-loss (p<0.001), negative 68Ga-PET/CT(p=0.001) and a poor prognosis. In the WP4 we conducted a multicenter non-comparative phase II trial to explore the activity of FOLFIRI or CAPTEM in terms of DCR, PFS and OS given as second-line in NEC patients. From 06/03/2017 to 18/01/2021 53 out of 112 patients were enrolled in 17 of 23 participating centers. Median follow-up was 10.8 (range 1.4 – 38.6) months. The 3-month DCR was 39.3% in the FOLFIRI and 32.0 % in the CAPTEM arm. The 6-months PFS rate was 34.6% ( 95%CI 17.5-52.5) in FOLFIRI and 9.6% (95%CI 1.8-25.7) in CAPTEM group. In the FOLFIRI subgroup the 6-months and 12-months OS rate were 55.4% (95%CI 32.6-73.3) and 30.3% (CI 11.1-52.2) respectively. In CAPTEM arm the 6-months and 12-months OS rate were 57.2% (95%34.9-74.3) and 29.0% (95%10.0-43.3). The miRNA analysis of 20 patients compared with 20 healthy subjects shows an overexpression of miRNAs involved in staminality , neo-angiogenesis and mitochontrial anaerobic glycolysis activation. CONCLUSION WP1-3 support the hypothesis that G3NECs carrying RB1 loss is associated with a DLL3 expression highlighting a potential therapeutic opportunity. Our study unfortunately didn’t met the primary end–point but the results are promising

Analyzing urban green adaptation opportunities: concepts, approaches, & strategies for existing neighborhoods

Over the last decades, the growing evidence of human-caused climate change has raised awareness of the consequences of exceeding global temperature by 2˚C. This awareness has led to a contemporary approach to the conceptualization and management of green adaptation policies in spatial planning. This thesis aims to develop a comprehensive methodology for assessing the adaptability of existing neighborhoods to green strategies. The reliability of the proposed method is examined in the cities of Bologna and Imola and proved to be applicable in other geoghraphical locations. This thesis integrates three key themes of conceptual and implementation principles for urban green adaptation. This thesis initially defines methods for narrowing uncertainties in urban planning energy forecasting modeling by exploring the roles of integrated energy planning. The second is by exploring green retrofitting strategies in building, this thesis examines the effects of various energy-saving factors in roofing scenarios including a green roof, rooftop greenhouse, and insolated roof. Lastly, this thesis analyzes green strategies in urban spaces to enhance thermal comfort through facing urban heat exposure related to urban heat island effects. The roles of integrated energy policies and green strategic thinking are discussed to highlight various aspects of green adaptation on the neighborhood scale. This thesis develops approaches by which cities can face the challenges of current green urban planning and connect the conceptual and practical aspects of green spatial planning. Another point that this thesis highlight is that due to the interdependency of individuals and places, it is difficult to assure whether all the adaptation policies on a large scale are enhancing the resiliency of the neighborhood or they are simply shuffling the vulnerability through the individuals and places. Besides, it asserts that neglecting to reflect on these reallocations of the effects generates serious complications, and will result in long-term dysfunctional consequences.

Investigating the learning potential of the Second Quantum Revolution: development of an approach for secondary school students

In recent years we have witnessed important changes: the Second Quantum Revolution is in the spotlight of many countries, and it is creating a new generation of technologies. To unlock the potential of the Second Quantum Revolution, several countries have launched strategic plans and research programs that finance and set the pace of research and development of these new technologies (like the Quantum Flagship, the National Quantum Initiative Act and so on). The increasing pace of technological changes is also challenging science education and institutional systems, requiring them to help to prepare new generations of experts. This work is placed within physics education research and contributes to the challenge by developing an approach and a course about the Second Quantum Revolution. The aims are to promote quantum literacy and, in particular, to value from a cultural and educational perspective the Second Revolution. The dissertation is articulated in two parts. In the first, we unpack the Second Quantum Revolution from a cultural perspective and shed light on the main revolutionary aspects that are elevated to the rank of principles implemented in the design of a course for secondary school students, prospective and in-service teachers. The design process and the educational reconstruction of the activities are presented as well as the results of a pilot study conducted to investigate the impact of the approach on students' understanding and to gather feedback to refine and improve the instructional materials. The second part consists of the exploration of the Second Quantum Revolution as a context to introduce some basic concepts of quantum physics. We present the results of an implementation with secondary school students to investigate if and to what extent external representations could play any role to promote students’ understanding and acceptance of quantum physics as a personal reliable description of the world.

Role of second trimester ultrasound in prediction of newborns neurologic damage after maternal Cytomegalovirus infection

Objective To find a correlation between cerebral symptoms at birth and abnormalities found at anomaly scan, through the analysis of sensitivity of the anomaly scan in the prediction of severe CMV neonatal disease. Methods - Design, Setting, Population This was a retrospective collection of all cases of primary congenital CMV infection reported in our unit (Obstetrics and Perinatal Medicine, Policlinico di S Orsola, IRCSS, Bologna) over a period of 9 years (2013–2022). Only cases of fetal infection following confirmed maternal primary infection in the first trimester (MPI) and newborns with confirmed CMV infection on blood/saliva or urine were included. Results Between 2014 and 2022, 69 fetuses had an antenatal diagnosis of primary CMV infection. The infection occurred after MPI in the first, second, and third trimester in 63.7% (43/69), 27.5% (19/69), and 10% (7/69) of cases, respectively. Second-trimester assessment by anomaly scan was abnormal in 10/69 (15%) fetuses: 5/69 (7%) had an extracerebral STA and 5/69 (7%) had a cerebral STA. Normal anomaly scan was found in 59/69 (86%) fetuses. When looking at all fetuses infected in the first trimester, 12.5% (5/40) underwent TOP and 45% (18/40) had symptoms at birth. A mean follow-up of 22.4 months (range 12–48 months) was available for 68/69 (99%) live born neonates. Conclusion Anomaly scan results to have a predictive positive value of 67% fetuses infected in the first trimester. Serial assessment by ultrasound is necessary to predict the risk of sequelae occurring in 35% following fetal infection in the first trimester of pregnancy. This combined evaluation by US and trimester of infection should be useful when counselling on the prognosis of cCMV infection.