Usability and Acceptability of ASSESS MS: Assessment of Motor Dysfunction in Multiple Sclerosis Using Depth-Sensing Computer Vision

Background: Sensor-based recordings of human movements are becoming increasingly important for the assessment of motor symptoms in neurological disorders beyond rehabilitative purposes. ASSESS MS is a movement recording and analysis system being developed to automate the classification of motor dysfunction in patients with multiple sclerosis (MS) using depth-sensing computer vision. It aims to provide a more consistent and finer-grained measurement of motor dysfunction than currently possible. Objective: To test the usability and acceptability of ASSESS MS with health professionals and patients with MS. Methods: A prospective, mixed-methods study was carried out at 3 centers. After a 1-hour training session, a convenience sample of 12 health professionals (6 neurologists and 6 nurses) used ASSESS MS to capture recordings of standardized movements performed by 51 volunteer patients. Metrics for effectiveness, efficiency, and acceptability were defined and used to analyze data captured by ASSESS MS, video recordings of each examination, feedback questionnaires, and follow-up interviews. Results: All health professionals were able to complete recordings using ASSESS MS, achieving high levels of standardization on 3 of 4 metrics (movement performance, lateral positioning, and clear camera view but not distance positioning). Results were unaffected by patients’ level of physical or cognitive disability. ASSESS MS was perceived as easy to use by both patients and health professionals with high scores on the Likert-scale questions and positive interview commentary. ASSESS MS was highly acceptable to patients on all dimensions considered, including attitudes to future use, interaction (with health professionals), and overall perceptions of ASSESS MS. Health professionals also accepted ASSESS MS, but with greater ambivalence arising from the need to alter patient interaction styles. There was little variation in results across participating centers, and no differences between neurologists and nurses. Conclusions: In typical clinical settings, ASSESS MS is usable and acceptable to both patients and health professionals, generating data of a quality suitable for clinical analysis. An iterative design process appears to have been successful in accounting for factors that permit ASSESS MS to be used by a range of health professionals in new settings with minimal training. The study shows the potential of shifting ubiquitous sensing technologies from research into the clinic through a design approach that gives appropriate attention to the clinic environment.

A retrospective analysis of factors influencing the success of autotransplanted posterior teeth

BACKGROUND Survival and success rates of tooth transplantations even after long follow-up periods have been shown to be very high. Nevertheless, it is important to analyse factors potentially influencing these rates. The aim of this study was to assess the influence on success of potential factors. METHODS The research was based on a retrospective analysis of clinical and radiological data from a sample of 59 subjects (75 transplanted teeth). The follow-up period varied from 0.44 to 12.28 years (mean 3.95 years). Success rates were calculated and depicted with Kaplan-Meier plots. Log-rank tests were used to analyse the effect of root development stage, apex width, the use of enamel matrix proteins or the surgeon on success of transplantations. RESULTS Results for success of premolar transplantations were comparable with already published data, while molars performed worse than shown in other studies. The surgeon performing the transplantation (p = 0.001) and tooth type (p ≤ 0.001) were significantly associated with transplantation success. Use of enamel matrix proteins (p = 0.10), root development stage (p = 0.13), the recipient area (p = 0.48) and apex width (p = 0.59) were not significantly associated with success. CONCLUSIONS Molar transplantations were not as successful as premolar transplantations; however, success rates varied greatly depending on the surgeon's experience. The use of enamel matrix proteins as well as root development stage, the recipient area and apex width did not show significant associations with success of tooth transplantations.

Modelo multifactorial para optimización de la productividad en el proceso de generación de energía eléctrica : aplicación al caso de las centrales hidroeléctricas venezolanas

Las organizaciones son sistemas o unidades sociales, compuestas por personas que interactúan entre sí, para lograr objetivos comunes. Uno de sus objetivos es la productividad. La productividad es un constructo multidimensional en la que influyen aspectos tecnológicos, económicos, organizacionales y humanos. Diversos estudios apoyan la influencia de la motivación de las personas, de las habilidades y destrezas de los individuos, de su talento para desempeñar el trabajo, así como también del ambiente de trabajo presente en la organización, en la productividad. Por esta razón, el objetivo general de la investigación, es analizar la influencia entre los factores humanos y la productividad. Se hará énfasis en la persona como factor productivo clave, para responder a las interrogantes de la investigación, referidas a cuáles son las variables humanas que inciden en la productividad, a la posibilidad de plantear un modelo de productividad que considere el impacto del factor humano y la posibilidad de encontrar un método para la medición de la productividad que contemple la percepción del factor humano. Para resolver estas interrogantes, en esta investigación se busca establecer las relaciones entre las variables humanas y la productividad, vistas desde la perspectiva de tres unidades de análisis diferentes: individuo, grupo y organización, para la formulación de un modelo de productividad humana y el diseño de un instrumento para su medida. Una de las principales fuente de investigación para la elección de las variables humanas, la formulación del modelo, y el método de medición de la productividad, fue la revisión de la literatura disponible sobre la productividad y el factor humano en las organizaciones, lo que facilitó el trazado del marco teórico y conceptual. Otra de las fuentes para la selección fue la opinión de expertos y de especialistas directamente involucrados en el sector eléctrico venezolano, lo cual facilitó la obtención de un modelo, cuyas variables reflejasen la realidad del ámbito en estudio. Para aportar una interpretación explicativa del fenómeno, se planteó el modelo de los Factores Humanos vs Productividad (MFHP), el cual se analizó desde la perspectiva del análisis causal y fue conformado por tres variables latentes exógenas denominadas: factores individuales, factores grupales y factores organizacionales, que estaban relacionadas con una variable latente endógena denominada productividad. El MFHP se formuló mediante la metodología de los modelos de ecuaciones estructurales (SEM). Las relaciones inicialmente propuestas entre las variables latentes fueron corroboradas por los ajustes globales del modelo, se constataron las relaciones entre las variables latentes planteadas y sus indicadores asociados, lo que facilitó el enunciado de 26 hipótesis, de las cuales se comprobaron 24. El modelo fue validado mediante la estrategia de modelos rivales, utilizada para comparar varios modelos SEM, y seleccionar el de mejor ajuste, con sustento teórico. La aceptación del modelo se realizó mediante la evaluación conjunta de los índices de bondad de ajuste globales. Asimismo, para la elaboración del instrumento de medida de la productividad (IMPH), se realizó un análisis factorial exploratorio previo a la aplicación del análisis factorial confirmatorio, aplicando SEM. La revisión de los conceptos de productividad, la incidencia del factor humano, y sus métodos de medición, condujeron al planteamiento de métodos subjetivos que incorporaron la percepción de los principales actores del proceso productivo, tanto para la selección de las variables, como para la formulación de un modelo de productividad y el diseño de un instrumento de medición de la productividad. La contribución metodológica de este trabajo de investigación, ha sido el empleo de los SEM para relacionar variables que tienen que ver con el comportamiento humano en la organización y la productividad, lo cual abre nuevas posibilidades a la investigación en este ámbito. Organizations are social systems or units composed of people who interact with each other to achieve common goals. One objective is productivity, which is a multidimensional construct influenced by technological, economic, organizational and human aspects. Several studies support the influence on productivity of personal motivation, of the skills and abilities of individuals, of their talent for the job, as well as of the work environment present in the organization. Therefore, the overall objective of this research is to analyze the influence between human factors and productivity. The emphasis is on the individual as a productive factor which is key in order to answer the research questions concerning the human variables that affect productivity and to address the ability to propose a productivity model that considers the impact of the human factor and the possibility of finding a method for the measurement of productivity that includes the perception of the human factor. To consider these questions, this research seeks to establish the relationships between human and productivity variables, as seen from the perspective of three different units of analysis: the individual, the group and the organization, in order to formulate a model of human productivity and to design an instrument for its measurement. A major source of research for choosing the human variables, model formulation, and method of measuring productivity, was the review of the available literature on productivity and the human factor in organizations which facilitated the design of the theoretical and conceptual framework. Another source for the selection was the opinion of experts and specialists directly involved in the Venezuelan electricity sector which facilitated obtaining a model whose variables reflect the reality of the area under study. To provide an interpretation explaining the phenomenon, the model of the Human Factors vs. Productivity Model (HFPM) was proposed. This model has been analyzed from the perspective of causal analysis and was composed of three latent exogenous variables denominated: individual, group and organizational factors which are related to a latent variable denominated endogenous productivity. The HFPM was formulated using the methodology of Structural Equation Modeling (SEM). The initially proposed relationships between latent variables were confirmed by the global fits of the model, the relationships between the latent variables and their associated indicators enable the statement of 26 hypotheses, of which 24 were confirmed. The model was validated using the strategy of rival models, used for comparing various SEM models and to select the one that provides the best fit, with theoretical support. The acceptance of the model was performed through the joint evaluation of the adequacy of global fit indices. Additionally, for the development of an instrument to measure productivity, an exploratory factor analysis was performed prior to the application of a confirmatory factor analysis, using SEM. The review of the concepts of productivity, the impact of the human factor, and the measurement methods led to a subjective methods approach that incorporated the perception of the main actors of the production process, both for the selection of variables and for the formulation of a productivity model and the design of an instrument to measure productivity. The methodological contribution of this research has been the use of SEM to relate variables that have to do with human behavior in the organization and with productivity, opening new possibilities for research in this area.

Workshop on engaging the human-computer interaction community with public policymaking internationally

There is an increasing interest in the intersection of human-computer interaction and public policy. This day-long workshop will examine successes and challenges related to public policy and human computer interaction, in order to provide a forum to create a baseline of examples and to start the process of writing a white paper on the topic.

Paisajes de la sal en Andalucía

Los paisajes protagonistas de esta investigación han sido creados gracias a la actividad de las salinas, explotaciones “donde se beneficia la sal de las aguas del mar o de ciertos manantiales, cuando se ha evaporado el agua.” (RAE). Son lugares de características únicas, tanto por sus valores naturales y medioambientales, como por los valores culturales, patrimoniales, históricos, sociales e identitarios, “resultado de la acción e interacción de factores naturales y humanos en el territorio” (CEP, 2000). Existen salinas en muchos lugares del mundo, pero es en la Península Ibérica donde se encuentra la mayor concentración de estas explotaciones en toda Europa y, por consiguiente, de los singulares paisajes asociados y generados por ellas. Es también la única región europea donde existen salinas de interior que utilizan métodos de evaporación para la obtención de sal: las energías y circunstancias naturales aprovechadas en ellas, sol, viento, gravedad y humedad relativa, propician la evaporación del agua salada, una de las estrategias fundamentales para su funcionamiento. Esta circunstancia determina su posición geográfica en el territorio y su dependencia de los ciclos climáticos estacionales, del régimen hidrológico, la estructura geológica del subsuelo, la geomorfología y la acción humana para potenciar la eficiencia de los procesos productivos, creando para ello un extenso e interesante patrimonio natural y cultural en torno a ellas. Por tanto, son también paisajes culturales, resultado de un proceso artesanal de producción y comercialización de la sal, que se articula a través de la construcción de una serie de instalaciones preindustriales diseminadas y conectadas en puntos estratégicos del territorio costero e interior. La presente tesis aborda la grave situación a la que se enfrentan en la actualidad los paisajes ibéricos de la sal, concretamente los ubicados en la Comunidad Autónoma de Andalucía, que están sufriendo un ávido proceso de abandono y desaparición desde mediados del s. XX, con la consiguiente pérdida para la sociedad de este valioso patrimonio cultural y natural, que se ha ido construyendo durante siglos, prácticamente desde el inicio de la humanidad. De las diversas tipologías de salinas que existen, se han seleccionado las explotaciones, tanto marítimas como de interior, que utilizan o han utilizado en su origen técnicas de explotación artesanal basadas en la evaporación. El interés de esta acotación tipológica se ha basado en las relaciones de dependencia que estas explotaciones de sal establecen con el entorno físico y climático donde se ubican para poder existir y funcionar. El objetivo principal de esta investigación ha perseguido el establecimiento y definición de un marco territorial, global e integrador, para los paisajes culturales salineros andaluces, a través de la observación directa realizada durante el trabajo de campo, el análisis de textos, imágenes, documentos, gráficos, palabras y entrevistas abiertas. Lo anterior ha permitido identificar, clasificar, analizar y valorar sus principales características y su evolución en el tiempo, identificando las causas del deterioro y desaparición del patrimonio salinero, evaluando la efectividad de las iniciativas, públicas y/o privadas, y de las figuras de protección, así como analizar las relaciones que establecen con su entorno próximo, con los núcleos de población y habitantes a los que sirven, la red de carreteas y caminos que las conectan y los ríos y mares que las proveen de materia prima. Finalmente, se ha establecido una sistemática integral de análisis, con el fin de poder actuar, a partir del conocimiento, a favor de la gestión, salvaguarda y pervivencia de los excepcionales valores culturales y naturales, que definen el carácter e identidad de estos singulares paisajes. ----------------------ABSTRACT----------------- The landscapes of this research have been created by the activity of saltworks, sites “where salt from sea water or certain springs is obtained, when water evaporates.” (RAE). They are places with unique characteristics, because of their natural and environmental values, as well as their cultural, historic and social values, their heritage and identity, “the result of the action and interaction of natural and human factors on the territory” (European Landscape Convention, 2000). There are many saltworks in many places around the world, but it is in the Iberian Peninsula where we find the highest concentration of salt industries within Europe and, therefore, the particular landscapes associated and created by them. It is as well the only European region where we can find inland saltworks with evaporation methods to obtain salt: the energies and natural circumstances used in them are sun, wind, gravity and relative humidity, favouring salt water evaporation, one of the main strategies of their functioning. This circumstance determines their geographic position in the territory and its dependence on seasonal climatic cycles, hydrological regimes, geological subsoil structure, geomorphology and human action to strengthen productive processes efficiency, creating an extensive and interesting natural and cultural heritage around them. Therefore, they are also cultural landscapes, result of a traditional salt production process and marketing, organized through the construction of certain preindustrial buildings scattered and connected in strategic inland and seaside spots. This thesis deals with the plight today’s salt landscapes are facing, particularly those within the Andalucian Region, since the middle of the 20th century undergoing an avid process of abandonment and disappearance, meaning a great loss for society of a cultural and natural heritage constructed along centuries, almost since the beginning of mankind. Among the diverse typologies of saltworks, the selection made consists on those inland and seaside ones, which use or have originally used traditional production techniques based on evaporation. The interest in this particular saltwork typology is based on the dependency relationships these industries establish with the environment and climate where they are located, in order to be able to exist and function. The main goal of this research has pursued to establish and define a global and inclusive territorial framework for Andalucian cultural saltworks landscapes, through direct observation carried out during fieldwork, analysis of texts, images, documents, graphs, words and open interviews. All of it has allowed to identify, classify, analyze and evaluate their main characteristics and evolution over time, identifying the causes of deterioration and disappearance of the saltworks heritage, assessing the effectiveness of public and private initiatives, and protection projects, as well as analyzing the relationships with their surroundings, population centers and residents they serve, road networks connecting them and rivers and seas supplying the raw material. Finally, a comprehensive analysis systematic has been established, in order to be able to take action, with knowledge as starting point, for the management, preservation and survival of the unique cultural and natural values that define the character and identity of these singular landscapes.

Paisajes de la sal en Andalucía

Los paisajes protagonistas de esta investigación han sido creados gracias a la actividad de las salinas, explotaciones “donde se beneficia la sal de las aguas del mar o de ciertos manantiales, cuando se ha evaporado el agua.” (RAE). Son lugares de características únicas, tanto por sus valores naturales y medioambientales, como por los valores culturales, patrimoniales, históricos, sociales e identitarios, “resultado de la acción e interacción de factores naturales y humanos en el territorio” (CEP, 2000). Existen salinas en muchos lugares del mundo, pero es en la Península Ibérica donde se encuentra la mayor concentración de estas explotaciones en toda Europa y, por consiguiente, de los singulares paisajes asociados y generados por ellas. Es también la única región europea donde existen salinas de interior que utilizan métodos de evaporación para la obtención de sal: las energías y circunstancias naturales aprovechadas en ellas, sol, viento, gravedad y humedad relativa, propician la evaporación del agua salada, una de las estrategias fundamentales para su funcionamiento. Esta circunstancia determina su posición geográfica en el territorio y su dependencia de los ciclos climáticos estacionales, del régimen hidrológico, la estructura geológica del subsuelo, la geomorfología y la acción humana para potenciar la eficiencia de los procesos productivos, creando para ello un extenso e interesante patrimonio natural y cultural en torno a ellas. Por tanto, son también paisajes culturales, resultado de un proceso artesanal de producción y comercialización de la sal, que se articula a través de la construcción de una serie de instalaciones preindustriales diseminadas y conectadas en puntos estratégicos del territorio costero e interior. La presente tesis aborda la grave situación a la que se enfrentan en la actualidad los paisajes ibéricos de la sal, concretamente los ubicados en la Comunidad Autónoma de Andalucía, que están sufriendo un ávido proceso de abandono y desaparición desde mediados del s. XX, con la consiguiente pérdida para la sociedad de este valioso patrimonio cultural y natural, que se ha ido construyendo durante siglos, prácticamente desde el inicio de la humanidad. De las diversas tipologías de salinas que existen, se han seleccionado las explotaciones, tanto marítimas como de interior, que utilizan o han utilizado en su origen técnicas de explotación artesanal basadas en la evaporación. El interés de esta acotación tipológica se ha basado en las relaciones de dependencia que estas explotaciones de sal establecen con el entorno físico y climático donde se ubican para poder existir y funcionar. El objetivo principal de esta investigación ha perseguido el establecimiento y definición de un marco territorial, global e integrador, para los paisajes culturales salineros andaluces, a través de la observación directa realizada durante el trabajo de campo, el análisis de textos, imágenes, documentos, gráficos, palabras y entrevistas abiertas. Lo anterior ha permitido identificar, clasificar, analizar y valorar sus principales características y su evolución en el tiempo, identificando las causas del deterioro y desaparición del patrimonio salinero, evaluando la efectividad de las iniciativas, públicas y/o privadas, y de las figuras de protección, así como analizar las relaciones que establecen con su entorno próximo, con los núcleos de población y habitantes a los que sirven, la red de carreteas y caminos que las conectan y los ríos y mares que las proveen de materia prima. Finalmente, se ha establecido una sistemática integral de análisis, con el fin de poder actuar, a partir del conocimiento, a favor de la gestión, salvaguarda y pervivencia de los excepcionales valores culturales y naturales, que definen el carácter e identidad de estos singulares paisajes. ----------------------ABSTRACT----------------- The landscapes of this research have been created by the activity of saltworks, sites “where salt from sea water or certain springs is obtained, when water evaporates.” (RAE). They are places with unique characteristics, because of their natural and environmental values, as well as their cultural, historic and social values, their heritage and identity, “the result of the action and interaction of natural and human factors on the territory” (European Landscape Convention, 2000). There are many saltworks in many places around the world, but it is in the Iberian Peninsula where we find the highest concentration of salt industries within Europe and, therefore, the particular landscapes associated and created by them. It is as well the only European region where we can find inland saltworks with evaporation methods to obtain salt: the energies and natural circumstances used in them are sun, wind, gravity and relative humidity, favouring salt water evaporation, one of the main strategies of their functioning. This circumstance determines their geographic position in the territory and its dependence on seasonal climatic cycles, hydrological regimes, geological subsoil structure, geomorphology and human action to strengthen productive processes efficiency, creating an extensive and interesting natural and cultural heritage around them. Therefore, they are also cultural landscapes, result of a traditional salt production process and marketing, organized through the construction of certain preindustrial buildings scattered and connected in strategic inland and seaside spots. This thesis deals with the plight today’s salt landscapes are facing, particularly those within the Andalucian Region, since the middle of the 20th century undergoing an avid process of abandonment and disappearance, meaning a great loss for society of a cultural and natural heritage constructed along centuries, almost since the beginning of mankind. Among the diverse typologies of saltworks, the selection made consists on those inland and seaside ones, which use or have originally used traditional production techniques based on evaporation. The interest in this particular saltwork typology is based on the dependency relationships these industries establish with the environment and climate where they are located, in order to be able to exist and function. The main goal of this research has pursued to establish and define a global and inclusive territorial framework for Andalucian cultural saltworks landscapes, through direct observation carried out during fieldwork, analysis of texts, images, documents, graphs, words and open interviews. All of it has allowed to identify, classify, analyze and evaluate their main characteristics and evolution over time, identifying the causes of deterioration and disappearance of the saltworks heritage, assessing the effectiveness of public and private initiatives, and protection projects, as well as analyzing the relationships with their surroundings, population centers and residents they serve, road networks connecting them and rivers and seas supplying the raw material. Finally, a comprehensive analysis systematic has been established, in order to be able to take action, with knowledge as starting point, for the management, preservation and survival of the unique cultural and natural values that define the character and identity of these singular landscapes.

Multiple Robots, Single Operator: Considerations About Information And Commanding

Multiple robot, single operator scenarios suppose a challenge in terms of human factors. Two relevant issues are keeping the situational awareness and managing the workload of operators. In order to address these problems, this work analyses the management of information and commands in multi-robot missions. About the information, this paper proposes a selection based on mission and operator states. Regarding the commands, this work reflects about the levels of automation and the methods of commanding.

Comparative analysis of the gene-dense ACHE/TFR2 region on human chromosome 7q22 with the orthologous region on mouse chromosome 5

Chromosome 7q22 has been the focus of many cytogenetic and molecular studies aimed at delineating regions commonly deleted in myeloid leukemias and myelodysplastic syndromes. We have compared a gene-dense, GC-rich sub-region of 7q22 with the orthologous region on mouse chromosome 5. A physical map of 640 kb of genomic DNA from mouse chromosome 5 was derived from a series of overlapping bacterial artificial chromosomes. A 296 kb segment from the physical map, spanning Ache to Tfr2, was compared with 267 kb of human sequence. We identified a conserved linkage of 12 genes including an open reading frame flanked by Ache and Asr2, a novel cation-chloride cotransporter interacting protein Cip1, Ephb4, Zan and Perq1. While some of these genes have been previously described, in each case we present new data derived from our comparative sequence analysis. Adjacent unfinished sequence data from the mouse contains an orthologous block of 10 additional genes including three novel cDNA sequences that we subsequently mapped to human 7q22. Methods for displaying comparative genomic information, including unfinished sequence data, are becoming increasingly important. We supplement our printed comparative analysis with a new, Web-based program called Laj (local alignments with java). Laj provides interactive access to archived pairwise sequence alignments via the WWW. It displays synchronized views of a dot-plot, a percent identity plot, a nucleotide-level local alignment and a variety of relevant annotations. Our mouse–human comparison can be viewed at http://web.uvic.ca/~bioweb/laj.html. Laj is available at http://bio.cse.psu.edu/, along with online documentation and additional examples of annotated genomic regions.

Utilità e limiti della diagnosi di patologie polmonari e pleuriche asbesto-correlate

L’apparato respiratorio rappresenta il bersaglio di numerose sostanze tossiche aerodisperse che rivestono un ruolo chiave nella patogenesi della maggior parte delle patologie polmonari e pleuriche, sia benigne che maligne. Nonostante per alcune di esse siano noti specifici fattori di rischio, le sole attività di prevenzione primaria non sono sufficienti a limitarne la diffusione. Si rende quindi necessario attuare adeguate misure di prevenzione secondaria per la diagnosi di malattie potenzialmente curabili allo stadio iniziale, in modo da aumentare l’efficacia dei trattamenti terapeutici e le possibilità di guarigione. Un approccio non invasivo per lo studio dei meccanismi fisiopatologici alla base delle patologie polmonari e pleuriche potrebbe essere effettuato anche con nuove metodiche (es. naso elettronico), al fine di identificare e validare nuovi biomarcatori per un più specifico approccio diagnostico. Il lavoro scientifico ha riguardato inizialmente l’identificazione di un indicatore o di un gruppo di indicatori dotati di potere diagnostico sufficientemente elevato per poter discriminare precocemente, nell’ambito di soggetti con pregressa esposizone ad asbesto, patologie benigne, sia polmonari che pleuriche, da patologie maligne. Successivamente l’attenzione è stata rivolta alla diagnosi precoce di patologie neoplastiche a carico del solo parenchima polmonare, valutando il potere discriminante di un pattern di composti organici volatili (VOCs, tra cui pentano, 2-metilpentano, esano, etilbenzene, eptanale e trans-2-nonenale) raccolti con metodiche non invasive e dotati di potere diagnostico tale da discriminare patologie benigne da patologie maligne potenzialmente curabili in soggetti ad alto rischio di sviluppare cancro del polmone. Infine abbiamo tentato di ottimizzare i parametri di impostazione e raccolta di un nuovo strumento: il naso elettronico. Su di esso esistono alcuni lavori in letteratura in cui ne vengono descritte le potenzialità in ambito diagnostico per il riconoscimento di specifici pattern suggestivi di patologie polmonari, sia flogistiche (TBC, BPCO) che neoplastiche (mesotelioma, NSCLC). Purtroppo nessuno di questi lavori definisce le condizioni ottimali di utilizzo, i limiti dello strumento e le interferenze di fattori ambientali e soggettivi riguardo al segnale elaborato. Il lavoro si è concentrato soprattutto sull’indagine delle condizioni ottimali di utilizzo e sull’eventuale condizionamento del segnale da parte di determinate variabili ambientali (es. umidità) o individuali (es. fumo, cibo, alcol).

Sexual health and socioeconomic-related factors in Spain

Purpose: The aim of the present study was to describe sexual health in Spain according to three important indicators of the World Health Organization definition and explore the influence of socioeconomic factors. Methods: We performed a population-based cross-sectional study of sexually active people aged 16-44 years residing in Spain in 2009 (2365 women and 2532 men). Three main aspects of sexual health were explored: sexual satisfaction, safe sex, and sexual abuse. The independent variables explored were age, age at first intercourse, reason for first intercourse, type of partner, level of education, country of origin, religiousness, parity, and social class. Bivariate and multivariate logistic regression models were fitted. Results: Both men and women were quite satisfied with their sexual life, their first sexual intercourse, and their sexual relationships during the previous year. Most participants had practiced safe sex both at first intercourse and during the previous year. Levels of sexual abuse were similar to those in other developed countries. People of disadvantaged socioeconomic position have less satisfying, more unsafe, and more abusive sexual relationships. Women experienced more sexual abuse and had less satisfaction at their first intercourse. Conclusions: The state of sexual health in Spain is relatively good. However, we observed inequalities according to gender and socioeconomic position.

An investigation of drinking-driving characteristics of South Dakota motorists: baseline S.D. ASAP roadside survey.

Alcohol Safety Action Project - South Dakota, Pierre

Driver visibility quality: comparison of visibility quality meter data with human visual performance. Final report.

National Highway Traffic Safety Administration, Washington, D.C.

Human engineering bibliography.

Mode of access: Internet.

Methods for microbiological and chemical determinations of essential amino acids in proteins and foods /

Cover title.

Estimates of global and regional potential health gains from reducing multiple major risk factors

Background Estimates of the disease burden due to multiple risk factors can show the potential gain from combined preventive measures. But few such investigations have been attempted, and none on a global scale. Our aim was to estimate the potential health benefits from removal of multiple major risk factors. Methods We assessed the burden of disease and injury attributable to the joint effects of 20 selected leading risk factors in 14 epidemiological subregions of the world. We estimated population attributable fractions, defined as the proportional reduction in disease or mortality that would occur if exposure to a risk factor were reduced to an alternative level, from data for risk factor prevalence and hazard size. For every disease, we estimated joint population attributable fractions, for multiple risk factors, by age and sex, from the direct contributions of individual risk factors. To obtain the direct hazards, we reviewed publications and re-analysed cohort data to account for that part of hazard that is mediated through other risks. Results Globally, an estimated 47% of premature deaths and 39% of total disease burden in 2000 resulted from the joint effects of the risk factors considered. These risks caused a substantial proportion of important diseases, including diarrhoea (92%-94%), lower respiratory infections (55-62%), lung cancer (72%), chronic obstructive pulmonary disease (60%), ischaemic heart disease (83-89%), and stroke (70-76%). Removal of these risks would have increased global healthy life expectancy by 9.3 years (17%) ranging from 4.4 years (6%) in the developed countries of the western Pacific to 16.1 years (43%) in parts of sub-Saharan Africa. Interpretation Removal of major risk factors would not only increase healthy life expectancy in every region, but also reduce some of the differences between regions, The potential for disease prevention and health gain from tackling major known risks simultaneously would be substantial.