Sistemi Informatici Mobili e Realtà Aumentata a supporto del lavoro cooperativo in scenari d'emergenza: studio e realizzazione di un caso applicativo

Scopo primario della tesi è studiare e progettare un sistema informatico che proponga un buon livello di innovazione tecnologica in relazione al contesto applicativo di riferimento, ovvero relativamente al supporto al lavoro cooperativo di operatori in scenari d'emergenza. In particolare, la tesi si concentra sul'ecosistema software che ruota attorno al singolo operatore con l'obiettivo di dotarlo di uno strumento informatico che gli consenta di avvalersi di un efficace ed efficiente supporto per l'esecuzione delle proprie azioni sul campo (in generale, per la prima assistenza ai pazienti, triage e monitoraggio di parametri vitali). A tal proposito, l'ambito tecnologico di riferimento è quello del Pervasive Mobile Computing, con specifico riferimento ai sistemi context-aware e a quelli con comportamenti fortemente autonomi. Inoltre, al fine di dotare l'operatore di un supporto per l'interazione con il sistema stesso in modalità hands-free, sono stati analizzati i dispositivi wearable di tipo "see-through"; in particolare, i recenti glasses per realtà aumentata. La progettazione del sistema e il conseguente sviluppo del prototipo (che implementa le caratteristiche più significative ed innovative), è stata guidata da un'ispirazione basata sul modello ad agenti (integrato a quello ad oggetti), rivisitando opportunamente l'utilizzo dei componenti offerti dalla tecnologia Android, al fine di ottenere un prodotto software robusto e modulare facilmente manutenibile ed estendibile. Infine, per garantire a ciascun operatore rapida fruibilità del sistema sono state sfruttate le potenzialità offerte dall'uso di smartcard NFC ed inoltre è stato progettato un protocollo di comunicazione ad hoc, basato su stack Bluetooth, per l'integrazione degli AR-Glasses all'intero sistema.

Vending Machines avanzate basate su principi di Physical Web e Internet of Things

La costante evoluzione tecnologica sta portando alla luce nuove possibilità, che un tempo non erano nemmeno immaginabili. Uno dei settori che si è rivoluzionato maggiormente negli ultimi anni è quello delle telecomunicazioni e questo ha portato sia a una riduzione dei costi per le connessioni a Internet, sia ad un aumento delle loro capacità e prestazioni; di conseguenza queste connessioni sono diventate più accessibili e affidabili permettendo alle persone e alle cose di accedere a Internet quasi ininterrottamente. Questo sviluppo sta portando innumerevoli benefici, ma come ciascuna innovazione tecnologica, tuttavia, i benefici si accompagnano a nuove sfide. In questo elaborato viene dapprima analizzato lo stato dell’arte, i benefici, le problematiche e gli attuali interessi da parte di alcuni dei maggiori player verso l’Internet of Things. Vengono poi prese in considerazione due problematiche: l'individuazione e l'interazione con gli oggetti connessi a Internet, portando come esempio l'utilizzo e la ricerca di una vending machine, un distributore automatico. Proponendo una soluzione, in primo luogo è stato effettuato lo sviluppo di un ecosistema che sfrutta le potenzialità del Physical Web, implementando ad hoc ogni componente, dall'emissione del beacon Eddystone-URL alla visualizzazione della pagina ad esso associata. In secondo luogo questa è stata creata un'applicazione Android che sfrutta l'altro tipo di frame offerto dalla piattaforma beacon di Google, l'Eddystone-UID. Queste due applicazioni vengono quindi analizzate e messe a confronto, per individuare i punti forti e le mancanze delle rispettive piattaforme.

Glycogen-rich pleomorphic xanthoastrocytoma with clear-cell features: confirmatory report of a rare variant with implications for differential diagnosis

Central nervous system space-occupying lesions with clear-cell features encompass a nosologically heterogeneous array, ranging from reactive histiocytic proliferations to neuroepithelial or meningothelial neoplasms of various grades and to metastases. In the face of such differential diagnostic breadth, recognizing cytoplasmic lucency as part of the morphological spectrum of some low grade gliomas will directly have an impact on patient care. We describe a prevailing clear-cell change in an epileptogenic left temporal pleomorphic xanthoastrocytoma surgically resected from a 36-year-old man. Mostly subarachnoid and focally calcified, the tumor was composed of fascicles of moderately atypical spindle cells with optically lucent cytoplasm that tended to intermingle with a desmoplastic mesh of reticulin fibers. Immunohistochemically, coexpression of S100 protein, vimentin, GFAP, and CD34 was noted. Conversely, neither punctate staining for EMA nor positivity for CD68 was seen. Mitotic activity was absent, and the MIB1 labeling index was 2-3% on average. Diastase-sensitive PAS-positive granula indicated clear-cell change to proceed from glycogen storage. Electron microscopy showed tumor cell cytoplasm to be largely obliterated by non-lysosomal-bound pools of glycogen, while hardly any fat vacuole was encountered. Neither ependymal-derived organelles nor annular lamellae suggesting oligodendroglial differentiation were detected. The latter differential diagnosis was further invalidated by lack of codeletion of chromosomal regions 1p36 and 19q13 on molecular genetic testing. By significantly interfering with pattern recognition as an implicit approach in histopathology, clear-cell change in pleomorphic xanthoastrocytoma is likely to suspend its status as a "classic", and to prompt more deductive differential diagnostic strategies to exclude look-alikes, especially clear-cell ependymoma and oligodendroglioma.

T-cell trafficking in the central nervous system

To perform their distinct effector functions, pathogen-specific T cells have to migrate to target tissue where they recognize antigens and produce cytokines that elicit appropriate types of protective responses. Similarly, migration of pathogenic self-reactive T cells to target organs is an essential step required for tissue-specific autoimmunity. In this article, we review data from our laboratory as well as other laboratories that have established that effector function and migratory capacity are coordinately regulated in different T-cell subsets. We then describe how pathogenic T cells can enter into intact or inflamed central nervous system (CNS) to cause experimental autoimmune encephalomyelitis or multiple sclerosis. In particular, we elaborate on the role of CCR6/CCL20 axis in migration through the choroid plexus and the involvement of this pathway in immune surveillance of and autoimmunity in the CNS.

Proximity-accelerated chemical coupling reaction in the benzodiazepine-binding site of gamma-aminobutyric acid type A receptors: superposition of different allosteric modulators

Benzodiazepines are widely used drugs. They exert sedative/hypnotic, anxiolytic, muscle relaxant, and anticonvulsant effects and act through a specific high affinity binding site on the major inhibitory neurotransmitter receptor, the gamma-aminobutyric acid type A (GABA(A)) receptor. Ligands of the benzodiazepine-binding site are classified into three groups depending on their mode of action: positive and negative allosteric modulators and antagonists. To rationally design ligands of the benzodiazepine site in different isoforms of the GABA(A) receptor, we need to understand the relative positioning and overlap of modulators of different allosteric properties. To solve these questions, we used a proximity-accelerated irreversible chemical coupling reaction. GABA(A) receptor residues thought to reside in the benzodiazepine-binding site were individually mutated to cysteine and combined with a cysteine-reactive benzodiazepine site ligand. Direct apposition of reaction partners is expected to lead to a covalent reaction. We describe here such a reaction of predominantly alpha(1)H101C and also three other mutants (alpha(1)G157C, alpha(1)V202C, and alpha(1)V211C) with an Imid-NCS derivative in which a reactive isothiocyanate group (-NCS) replaces the azide group (-N(3)) in the partial negative allosteric modulator Ro15-4513. Our results show four contact points of imidazobenzodiazepines with the receptor, alpha(1)H101C being shared by classical benzodiazepines. Taken together with previous data, a similar orientation of these ligands within the benzodiazepine-binding pocket may be proposed.

Gamma-tocopherol supplementation inhibits protein nitration and ascorbate oxidation in rats with inflammation

Gamma-tocopherol (gammaT) complements alpha-tocopherol (alphaT) by trapping reactive nitrogen oxides to form a stable adduct, 5-nitro-gammaT [Christen et al., PNAS 94:3217-3222; 1997]. This observation led to the current investigation in which we studied the effects of gammaT supplementation on plasma and tissue vitamin C, vitamin E, and protein nitration before and after zymosan-induced acute peritonitis. Male Fischer 344 rats were fed for 4 weeks with either a normal chow diet with basal 32 mg alphaT/kg, or the same diet supplemented with approximately 90 mg d-gammaT/kg. Supplementation resulted in significantly higher levels of gammaT in plasma, liver, and kidney of control animals without affecting alphaT, total alphaT+gammaT or vitamin C. Intraperitoneal injection of zymosan caused a marked increase in 3-nitrotyrosine and a profound decline in vitamin C in all tissues examined. Supplementation with gammaT significantly inhibited protein nitration and ascorbate oxidation in the kidney, as indicated by the 29% and 56% reduction of kidney 3-nitrotyrosine and dehydroascorbate, respectively. Supplementation significantly attenuated inflammation-induced loss of vitamin C in the plasma (38%) and kidney (20%). Zymosan-treated animals had significantly higher plasma and tissue gammaT than nontreated pair-fed controls, and the elevation of gammaT was strongly accentuated by the supplementation. In contrast, alphaT did not significantly change in response to zymosan treatment. In untreated control animals, gammaT supplementation lowered basal levels of 3-nitrotyrosine in the kidney and buffered the starvation-induced changes in vitamin C in all tissues examined. Our study provides the first in vivo evidence that in rats with high basal amounts of alphaT, a moderate gammaT supplementation attenuates inflammation-mediated damage, and spares vitamin C during starvation-induced stress without affecting alphaT.

Cloning of IgE-binding proteins from Simulium vittatum and their potential significance as allergens for equine insect bite hypersensitivity

Insect bite hypersensitivity (IBH) is an allergic dermatitis of horses caused by bites of Culicoides and sometimes Simulium spp. The aim of this investigation was to identify Simulium allergens associated with IBH. A phage surface display cDNA library expressing recombinant Simulium vittatum salivary gland proteins was screened using sera of IBH-affected horses sensitized to S. vittatum salivary gland proteins as shown in immunoblot, resulting in the identification of seven cDNAs encoding IgE-binding proteins. The deduced amino acid sequences of these proteins showed sequence similarities to antigen 5 like protein (Sim v 1), to a serine protease inhibitor (Sim v 2), to two alpha-amylases (Sim v 3 and Sim v 4), and to three S. vittatum erythema proteins (SVEPs). The cDNA inserts were subcloned and expressed as [His](6)-tagged protein in Escherichia coli and purified using Ni(2+)-chelate affinity chromatography. Mice were immunised with the seven recombinant proteins and the antibodies tested against the recombinant proteins and salivary gland extract (SGE) of S. vittatum and Culicoides nubeculosus in immunoblot analyses. r-Sim v 1 specific mouse Abs recognized a band of about 32 kDa in immunoblots of both S. vittatum and C. nubeculosus SGE, detectable also by serum IgE of IBH-affected horses. Preincubation of horse serum with r-Sim v 1 completely inhibited IgE binding to the 32 kDa band demonstrating the presence of cross-reactive antigen 5 like proteins in both SGE. Determination of IgE levels against the r-Sim v proteins and crude S. vittatum extract by ELISA in sera from 25 IBH-affected and 20 control horses showed that IBH-affected horses had significantly higher IgE levels than controls against r-Sim v 1, 2, 3, 4 and S. vittatum extract, whereas the r-SVEP showed only marginal IgE binding. Further analyses showed that 60% of IBH-affected horses reacted to r-Sim v 1, suggesting that this could be a major allergen for IBH. Forty to twenty percent of the IBH-affected horses reacted with r-Sim v 2, 3 or 4. Combination of the results obtained with the 4 r-Sim v proteins showed that 92% of the IBH-affected but only 15% of the healthy horses had IgE levels against one or more of the 4 r-Sim v proteins. Seventy percent of the healthy horses had detectable IgE against S. vittatum extract, indicating a low specificity of the detection system used. Optimization of the ELISA system will be required to determine reliable cut-off values for the IBH-related allergens. Their in vivo relevance needs to be carefully assessed.

Effect of mannitol dry powder challenge on exhaled nitric oxide in children

BACKGROUND Fractional exhaled nitric oxide (FENO), a non-invasive marker of eosinophilic airway inflammation, is increasingly used for diagnostic and therapeutic decisions in adult and paediatric asthma. Standardized guidelines for the measurement of FENO recommend performing FENO measurements before rather than after bronchial provocation tests. OBJECTIVE To investigate whether FENO levels decrease after a Mannitol dry powder (MDP) challenge in a clinical setting, and whether the extent of the decrease is influenced by number of MDP manoeuvres, baseline FENO, atopy and doctor diagnosed asthma. METHODS Children aged 6-16 years, referred for possible reactive airway disease to a respiratory outpatient clinic, performed an MDP challenge (Aridol®, Pharmaxis, Australia). FENO was measured in doublets immediately before and after the challenge test using the portable NIOX MINO® device (Aerocrine, Stockholm, Sweden). We analysed the data using Kruskal-Wallis rank tests, Wilcoxon signed rank tests and multivariable linear regressions. RESULTS One hundred and seven children completed both tests (mean±SD age 11.5±2.8 years). Overall, median (interquartile range) FENO decreased slightly by -2.5 ppb (-7.0, -0.5), from 18.5 ppb (10.5, 45.5) before the MDP challenge to 16.5 ppb thereafter (8.5, 40.5; p<0.001). In all participants, the change in FENO was smaller than one standard deviation of the baseline mean. The % fall in FENO was smaller in children with less MDP manoeuvres (e.g. higher bronchial responsiveness; p = 0.08) but was not influenced by levels of baseline FENO (p = 0.68), atopy (p = 0.84) or doctor diagnosed asthma (p = 0.93). CONCLUSION MDP challenge test influences FENO values but differences are small and clinically barely relevant.

Factors other than the glomerular filtration rate that determine the serum beta-2-microglobulin level.

BACKGROUND β2-microglobulin has been increasingly investigated as a diagnostic marker of kidney function and a prognostic marker of adverse outcomes. To date, non-renal determinants of β2-microglobulin levels have not been well described. Non-renal determinants are important for the interpretation and appraisal of the diagnostic and prognostic value of any endogenous kidney function marker. METHODS This cross-sectional analysis was performed within the framework of the www.seniorlabor.ch study, which includes subjectively healthy individuals aged ≥ 60 years. Factors known or suspected to have a non-renal association with kidney function markers were investigated for a non-renal association with serum β2-microglobulin. As a marker of kidney function, the Berlin Initiative Study equation 2 for the estimation of the estimated glomerular filtration rate (eGFR(BIS2)) in the elderly was employed. RESULTS A total of 1302 participants (714 females and 588 males) were enrolled in the study. The use of a multivariate regression model adjusting for age, gender and kidney function (eGFR(BIS2)) revealed age, male gender, and C-reactive protein level to be positively associated with β2-microglobulin levels. In addition, there was an inverse non-renal relationship between systolic blood pressure, total cholesterol and current smoking status. No association with markers of diabetes mellitus, body stature, nutritional risk, thyroid function or calcium and phosphate levels was observed. CONCLUSIONS Serum β2-microglobulin levels in elderly subjects are related to several non-renal factors. These non-renal factors are not congruent to those known from other markers (i.e. cystatin C and creatinine) and remind of classical cardiovascular risk factors.

Predictive modelling of mineral scaling, corrosion and the performance of solute geothermometers in a granitoid-hosted, enhanced geothermal system

Experience is lacking with mineral scaling and corrosion in enhanced geothermal systems (EGS) in which surface water is circulated through hydraulically stimulated crystalline rocks. As an aid in designing EGS projects we have conducted multicomponent reactive-transport simulations to predict the likely characteristics of scales and corrosion that may form when exploiting heat from granitoid reservoir rocks at ∼200 °C and 5 km depth. The specifications of an EGS project at Basel, Switzerland, are used to constrain the model. The main water–rock reactions in the reservoir during hydraulic stimulation and the subsequent doublet operation were identified in a separate paper (Alt-Epping et al., 2013b). Here we use the computed composition of the reservoir fluid to (1) predict mineral scaling in the injection and production wells, (2) evaluate methods of chemical geothermometry and (3) identify geochemical indicators of incipient corrosion. The envisaged heat extraction scheme ensures that even if the reservoir fluid is in equilibrium with quartz, cooling of the fluid will not induce saturation with respect to amorphous silica, thus eliminating the risk of silica scaling. However, the ascending fluid attains saturation with respect to crystalline aluminosilicates such as albite, microcline and chlorite, and possibly with respect to amorphous aluminosilicates. If no silica-bearing minerals precipitate upon ascent, reservoir temperatures can be predicted by classical formulations of silica geothermometry. In contrast, Na/K concentration ratios in the production fluid reflect steady-state conditions in the reservoir rather than albite–microcline equilibrium. Thus, even though igneous orthoclase is abundant in the reservoir and albite precipitates as a secondary phase, Na/K geothermometers fail to yield accurate temperatures. Anhydrite, which is present in fractures in the Basel reservoir, is predicted to dissolve during operation. This may lead to precipitation of pyrite and, at high exposure of anhydrite to the circulating fluid, of hematite scaling in the geothermal installation. In general, incipient corrosion of the casing can be detected at the production wellhead through an increase in H2(aq) and the enhanced precipitation of Fe-bearing aluminosilicates. The appearance of magnetite in scales indicates high corrosion rates.

T Cell Motility as Modulator of Interactions with Dendritic Cells

It is well established that the balance of costimulatory and inhibitory signals during interactions with dendritic cells (DCs) determines T cell transition from a naïve to an activated or tolerant/anergic status. Although many of these molecular interactions are well reproduced in reductionist in vitro assays, the highly dynamic motility of naïve T cells in lymphoid tissue acts as an additional lever to fine-tune their activation threshold. T cell detachment from DCs providing suboptimal stimulation allows them to search for DCs with higher levels of stimulatory signals, while storing a transient memory of short encounters. In turn, adhesion of weakly reactive T cells to DCs presenting peptides presented on major histocompatibility complex with low affinity is prevented by lipid mediators. Finally, controlled recruitment of CD8(+) T cells to cognate DC-CD4(+) T cell clusters shapes memory T cell formation and the quality of the immune response. Dynamic physiological lymphocyte motility therefore constitutes a mechanism to mitigate low avidity T cell activation and to improve the search for "optimal" DCs, while contributing to peripheral tolerance induction in the absence of inflammation.

Iron and manganese in bottom sediments and interstitial waters sampled in the White Sea on August 21-30, 2003

Iron and manganese in bottom sediments studied along the sublatitudinal transect from Kandalaksha to Arkhangelsk are characterized by various contents and speciations depending on sedimentation environment, grain size of sediments, and diagenetic processes. The latter include redistribution of reactive forms leading to enrichment in Fe and Mn of surface sediments, formation of films, incrustations, and ferromanganese nodules. Variations in total Fe content (2-8%) are accompanied by changes in concentration of its reactive forms (acid extraction) and concentration of dissolved Fe in interstitial waters (1-14 µM). Variations in Mn content in bottom sediments (0.03-3.7%) and interstitial waters (up to 500 µM) correspond to high diagenetic mobility of this element. Changes in oxidation degree of chemical elements result in redox stratification of sediment strata with maximum concentrations of Fe, Mn, and sulfides. Organic matter of bottom sediments with considerable terrestrial constituent is oxidized by bottom water oxygen mainly at the sediment surface or in anaerobic conditions within the sediment strata. The role of inorganic components in organic matter oxidation changes from surface layer bottom sediments (where manganese oxyhydroxide dominates among oxidants) to deeper layers (where sulfate of interstitial water serves as the main oxidant). Differences in river runoff and hydrodynamics are responsible for geochemical asymmetry of the transect. The deep Kandalaksha Bay serves as a sediment trap for manganese (Mn content in sediments varies within 0.5-0.7%), whereas the sedimentary environment in the Dvina Bay promotes its removal from bottom sediments (Mn 0.05%).

Calidad editorial y calidad científica en los parámetros para inclusión de revistas científicas en bases de datos en Acceso Abierto y comerciales

Se analizan los parámetros de evaluación utilizados por RedALyC, Catálogo Latindex, SciELO, Scopus y Web of Science para incorporar revistas científicas en sus colecciones, a fin de demostrar su relación con los objetivos perseguidos por cada base y debatir acerca de la valoración que la comunidad científica está otorgándoles a estos sistemas como determinantes de "calidad científica". Los indicadores utilizados se clasifican en: 1) Calidad editorial (aspectos formales o gestión editorial); 2) Calidad de contenido (revisión por pares u originalidad) y 3) Visibilidad (prestigio de editores y editorial, endogamia, uso e impacto, accesibilidad o indización). Se revela que: a) entre un 9 y un 16 se relacionan con la calidad de contenido; b) falta especificidad en sus definiciones y en la determinación de sus pesos específicos en los sistemas, y c) coinciden con los objetivos de cada base, aunque se observa una marcada tendencia hacia los relacionados con aspectos formales y visibilidad. Se deja así en evidencia que estos sistemas persiguen sus propios objetivos y que conforman núcleo de revistas de "calidad" para su público lector. Se concluye, en consecuencia, que la presencia o ausencia de una revista en estas colecciones, no es parámetro suficiente para determinar la calidad de las revistas científicas ni de sus contenidos.

Calidad editorial y calidad científica en los parámetros para inclusión de revistas científicas en bases de datos en Acceso Abierto y comerciales

Se analizan los parámetros de evaluación utilizados por RedALyC, Catálogo Latindex, SciELO, Scopus y Web of Science para incorporar revistas científicas en sus colecciones, a fin de demostrar su relación con los objetivos perseguidos por cada base y debatir acerca de la valoración que la comunidad científica está otorgándoles a estos sistemas como determinantes de "calidad científica". Los indicadores utilizados se clasifican en: 1) Calidad editorial (aspectos formales o gestión editorial); 2) Calidad de contenido (revisión por pares u originalidad) y 3) Visibilidad (prestigio de editores y editorial, endogamia, uso e impacto, accesibilidad o indización). Se revela que: a) entre un 9 y un 16 se relacionan con la calidad de contenido; b) falta especificidad en sus definiciones y en la determinación de sus pesos específicos en los sistemas, y c) coinciden con los objetivos de cada base, aunque se observa una marcada tendencia hacia los relacionados con aspectos formales y visibilidad. Se deja así en evidencia que estos sistemas persiguen sus propios objetivos y que conforman núcleo de revistas de "calidad" para su público lector. Se concluye, en consecuencia, que la presencia o ausencia de una revista en estas colecciones, no es parámetro suficiente para determinar la calidad de las revistas científicas ni de sus contenidos.

Calidad editorial y calidad científica en los parámetros para inclusión de revistas científicas en bases de datos en Acceso Abierto y comerciales

Se analizan los parámetros de evaluación utilizados por RedALyC, Catálogo Latindex, SciELO, Scopus y Web of Science para incorporar revistas científicas en sus colecciones, a fin de demostrar su relación con los objetivos perseguidos por cada base y debatir acerca de la valoración que la comunidad científica está otorgándoles a estos sistemas como determinantes de "calidad científica". Los indicadores utilizados se clasifican en: 1) Calidad editorial (aspectos formales o gestión editorial); 2) Calidad de contenido (revisión por pares u originalidad) y 3) Visibilidad (prestigio de editores y editorial, endogamia, uso e impacto, accesibilidad o indización). Se revela que: a) entre un 9 y un 16 se relacionan con la calidad de contenido; b) falta especificidad en sus definiciones y en la determinación de sus pesos específicos en los sistemas, y c) coinciden con los objetivos de cada base, aunque se observa una marcada tendencia hacia los relacionados con aspectos formales y visibilidad. Se deja así en evidencia que estos sistemas persiguen sus propios objetivos y que conforman núcleo de revistas de "calidad" para su público lector. Se concluye, en consecuencia, que la presencia o ausencia de una revista en estas colecciones, no es parámetro suficiente para determinar la calidad de las revistas científicas ni de sus contenidos.