Effects of a Transdiagnostic Internet Intervention («velibra») for Anxiety Disorders in Primary Care: Results of a Randomized Controlled Trial

Internet-based cognitive behavioral self-help treatment (ICBT) for anxiety disorders has shown promising results in several trials, but there is yet a lack of studies of ICBT in „real world” primary care settings. In this randomized controlled trial we recruited participants through general practitioners. The aim of the study was to examine whether treatment-as-usual (TAU) in primary care settings plus ICBT is superior to TAU alone in reducing anxiety symptoms and other outcome measures among individuals meeting diagnostic criteria of a least one of three anxiety disorders (social anxiety disorder, panic disorder with or without agoraphobia, generalized anxiety disorder). 150 adults fulfilling diagnostic criteria for a least one of the anxiety disorders according to a diagnostic interview are randomly assigned to one of the two conditions: TAU plus ICBT versus TAU. Randomization is stratified by primary disorder, medication (yes/no) and concurrent psychotherapy. ICBT consists of a transdiagnostic and tailored Internet-based self-help program for several anxiety disorders which also includes cognitive bias modification for interpretation (CBM-I). Primary outcomes are symptoms of disorder-specific anxiety measures and diagnostic status after the intervention (9 weeks). Secondary outcomes include primary outcomes at 3-month follow-up and secondary measures such as general symptomatology, depression, quality of life, adherence to ICBT and satisfaction with ICBT. The study is currently being completed. Primary results along with results for specific subgroups (e.g. primary diagnosis, concurrent medication and/or psychotherapy) will be presented and discussed.

Experiences with a voluntary surveillance system for early detection of equine diseases in Switzerland

Clinical observations made by practitioners and reported using web- and mobile-based technologies may benefit disease surveillance by improving the timeliness of outbreak detection. Equinella is a voluntary electronic reporting and information system established for the early detection of infectious equine diseases in Switzerland. Sentinel veterinary practitioners have been able to report cases of non-notifiable diseases and clinical symptoms to an internet-based platform since November 2013. Telephone interviews were carried out during the first year to understand the motivating and constraining factors affecting voluntary reporting and the use of mobile devices in a sentinel network. We found that non-monetary incentives attract sentinel practitioners; however, insufficient understanding of the reporting system and of its relevance, as well as concerns over the electronic dissemination of health data were identified as potential challenges to sustainable reporting. Many practitioners are not yet aware of the advantages of mobile-based surveillance and may require some time to become accustomed to novel reporting methods. Finally, our study highlights the need for continued information feedback loops within voluntary sentinel networks.

You Know You Are Evidence-Based If...

This issue of the Family Preservation Journal further contributes to our knowledge of what works in family preservation and family support by offering seven articles that are evidence-based.

The Role of Patents in the Advent of Web 2.0

Given the significant impact of Web 2.0-related innovations on new Internet-based initiatives, this paper seeks to identify to what extent the main developments are protected by patents and whether patents have had a leading role in the advent of Web 2.0. The article shows that the number of patent applications filed is not that important for many of the Web 2.0 technologies in frequent use and that, of those filed, those granted are even less. The conclusion is that patents do not seem to be a relevant factor in the development of the Web 2.0 (and more generally in dynamic markets) where there is a high degree of innovation and low entry barriers for newcomers.

A New Multidisciplinary Home Care Telemedicine System to Monitor Stable Chronic Human Immunodeficiency Virus-Infected Patients: A Randomized Study

BACKGROUND: Antiretroviral therapy has changed the natural history of human immunodeficiency virus (HIV) infection in developed countries, where it has become a chronic disease. This clinical scenario requires a new approach to simplify follow-up appointments and facilitate access to healthcare professionals. METHODOLOGY: We developed a new internet-based home care model covering the entire management of chronic HIV-infected patients. This was called Virtual Hospital. We report the results of a prospective randomised study performed over two years, comparing standard care received by HIV-infected patients with Virtual Hospital care. HIV-infected patients with access to a computer and broadband were randomised to be monitored either through Virtual Hospital (Arm I) or through standard care at the day hospital (Arm II). After one year of follow up, patients switched their care to the other arm. Virtual Hospital offered four main services: Virtual Consultations, Telepharmacy, Virtual Library and Virtual Community. A technical and clinical evaluation of Virtual Hospital was carried out. FINDINGS: Of the 83 randomised patients, 42 were monitored during the first year through Virtual Hospital (Arm I) and 41 through standard care (Arm II). Baseline characteristics of patients were similar in the two arms. The level of technical satisfaction with the virtual system was high: 85% of patients considered that Virtual Hospital improved their access to clinical data and they felt comfortable with the videoconference system. Neither clinical parameters [level of CD4+ T lymphocytes, proportion of patients with an undetectable level of viral load (p = 0.21) and compliance levels >90% (p = 0.58)] nor the evaluation of quality of life or psychological questionnaires changed significantly between the two types of care. CONCLUSIONS: Virtual Hospital is a feasible and safe tool for the multidisciplinary home care of chronic HIV patients. Telemedicine should be considered as an appropriate support service for the management of chronic HIV infection. TRIAL REGISTRATION: Clinical-Trials.gov: NCT01117675.

Solución para la delegación de identidad en Sistemas de Gestión de Identidad paneuropeos basada en infraestructuras de certificación y lenguajes formales de asertos de seguridad

La estrategia i2010 de la UE tiene como objetivo garantizar el liderazgo europeo en materia de TIC y poner los beneficios de la Sociedad de la Información al servicio de la economía, la sociedad y la calidad de vida personal, teniendo presente que los éxitos de Europa hasta la fecha se han basado en favorecer la competencia leal en los mercados de las telecomunicaciones y crear un mercado sin fronteras para contenidos y medios de comunicación digitales. En esta línea, la Comisión Europea ha establecido que los distintos estados miembros deben contribuir activamente al desarrollo y uso seguro de los servicios telemáticos entre sus ciudadanos. Más concretamente, atribuye a las Administraciones Públicas, tanto a nivel nacional, regional como local, un papel dinamizador de la Sociedad de la Información que les obliga a ofrecer paulatinamente todos los actos administrativos a los ciudadanos a través de Internet. Como primer paso para el uso seguro de los servicios telemáticos que ofrecen las instituciones públicas se hace preciso dotar a los ciudadanos de una identidad digital que les permita identificarse ante un Proveedor de Servicio o ante otros ciudadanos de manera inequívoca. Por esta razón, la mayoría de países europeos – y otros en el resto del mundo – están promoviendo, sistemas fiables de gestión de identidad electrónica (eIDM), de tal manera que los ciudadanos, las empresas y departamentos gubernamentales (incluso en Estados miembros diferentes) pueden identificar y certificar sus operaciones con precisión, rapidez y sencillez. Sin embargo, la gestión de esta identidad por las Administraciones Públicas supone un importante desafío, acentuado cuando se hace necesaria la interoperabilidad entre Administraciones de diferentes países, puesto que personas y entidades tienen credenciales de identificación diferentes en función de su propio marco jurídico nacional. Consciente del problema, en la Unión Europea se han puesto en marcha una serie de proyectos con el objetivo de conseguir la interoperabilidad de los eIDMs entre las instituciones públicas de diferentes Estados miembros. A pesar de ello, las soluciones adoptadas hasta la fecha son insuficientes porque no prevén todos los posibles casos de interacción del usuario con las instituciones. En concreto, no tienen en cuenta un aspecto muy importante que se ofrece en los distintos sistemas jurídicos nacionales, a saber, la delegación de la identidad, mediante la cual un ciudadano puede autorizar a otro para que actúe en su nombre para acceder a determinados servicios prestados por las instituciones públicas. En esta tesis se realizan un conjunto de aportaciones que dan solución a distintos aspectos de los problemas planteados y que, de forma conjunta, permiten la interoperabilidad y la delegación de identidad en determinados Sistemas de Gestión de Identidad aplicados al entorno de las Administraciones Públicas. En el caso de la delegación, se ha definido un sistema de delegación dinámica de identidad entre dos entidades genéricas que permite solucionar el problema del acceso delegado a los servicios telemáticos ofrecidos por las Administraciones Públicas. La solución propuesta se basa en la generación de un token de delegación, constituido a partir de un Certificado Proxy, que permite a la entidad que delega establecer la delegación de identidad en otra entidad en base a un subconjunto de sus atributos como delegador, estableciendo además, en el propio token de delegación, restricciones en el conjunto de servicios accesibles a la entidad delegada y el tiempo de validez de la delegación. Adicionalmente, se presentan los mecanismos necesarios tanto para poder revocar un token de delegación como para comprobar sin un token de delegación ha sido o no revocado. Para ello se propone una solución para la identificación unívoca de tokens de delegación y la creación de una nueva entidad denominada Autoridad de Revocación de Tokens de Delegación. Entre las características del sistema de delegación propuesto destaca el que es lo suficientemente seguro como para ser utilizado en el entorno de la Administración Pública, que no requiere el uso de mecanismos off‐line para la generación de la delegación y que se puede realizar la delegación de forma instantánea y sin la necesidad de trámites complejos o la participación de un elevado número de entidades. Adicionalmente, el token de delegación propuesto es perfectamente integrable en las infraestructura de clave pública actual lo que hace que, dado que gran parte de las Administraciones Públicas europeas basan sus sistemas de identidad digital en el uso de la PKI y certificados de identidad X.509, la solución pueda ser puesta en marcha en un entorno real sin necesidad de grandes cambios o modificaciones de comportamiento. En lo referente a la interoperabilidad, se realiza un análisis exhaustivo y la correspondiente evaluación de las principales propuestas de Sistemas de Gestión de Identidad orientados a conseguir la interoperabilidad realizadas hasta la fecha en el marco de la Unión Europea y se propone, a alto nivel, una arquitectura de interoperabilidad para la gestión de identidad en las Administraciones Públicas. Dicha arquitectura es lo suficientemente genérica como para poder ser aplicada tanto en el entorno pan‐Europeo como en los entornos nacionales, autonómicos y locales, de tal forma que la interoperabilidad en la gestión de la identidad esté garantizada en todos los niveles de la Administración Pública. Por último, mediante la integración de la solución de delegación dinámica de identidad y la arquitectura de interoperabilidad propuestas se presenta una solución al problema de la delegación en un escenario pan‐Europeo de gestión de identidad, dando lugar a una arquitectura global de interoperabilidad pan‐Europea con soporte a la delegación de identidad. SUMMARY The i2010 European Union Plan aims to ensure European leadership in ICT and to promote the positive contribution that information and communication technologies can make to the economic, social and personal quality of life, bearing in mind that, to date, success in Europe has been based on promoting fair competition in telecommunications markets and on creating a borderless market for contents and digital media. In this line, the European Commission has established that the different member states should contribute actively to the development and secure use of telematic services among their citizens. More specifically, it is attributed to national, regional and local Public Administrations to have a supportive role of the Information Society, requiring them to gradually provide the citizens with Internet‐based access to all administrative procedures acts. As a first step for the secure use of telematic services offered by public institutions, it is necessary to provide the citizens with a digital identity to enable them to identify themselves unequivocally to a Service Provider or to other citizens. For this reason, most European countries ‐ and others in the rest of the world ‐ are promoting reliable systems for managing electronic identity (eIDM), so that citizens, businesses and government departments (even in different Member States) can identify and certify their operations with precision, speed and simplicity. However, the identity management by Public Administrations is a major challenge that becomes more difficult when interoperability between administrations of different countries is needed, due to the fact that individuals and entities have different identification credentials according to their own national legal framework. Aware of the problem, the European Union has launched a series of projects with the aim of achieving interoperability of eIDMs between public institutions of different Member States. However, the solutions adopted to date are insufficient because they do not foresee all possible cases of user interaction with the institutions. In particular, solutions do not take into account a very important aspect that is offered in different national legal systems, namely, the delegation of identity, by which a citizen can authorize another to act on his/her behalf to access certain services provided by public institutions. In this thesis a collection of contributions that provide solution to different aspects of the aforementioned problems are carried out. The solutions, in global, enable interoperability and identity delegation in some of the Identity Management Systems applied to Public Administration environment. In the case of delegation, a dynamic identity delegation system between generic entities is defined. This system makes it possible to solve the problem of delegated access to telematic services offered by Public Administrations. The proposed solution is based on the generation of a piece of information called delegation token. This delegation token, derived from a Proxy Certificate, allows the establishment of identity delegation by an entity that delegates (delegator) in other entity (delegatee) making use of a subset of delegator attributes. It also establishes restrictions on services that can be used by the delegated entity and the expiry date of delegation. In addition to this, the mechanisms necessary to revoke and check the revocation status of a delegation token are presented. To do this, a solution to univocally identify delegation tokens and the creation of a completely new entity, called Token Delegation Revocation Authority, are proposed. The most remarkable characteristics of the proposed delegation system are its security, enough for it to be used in the Public Administration environment, the fact that it does not require off‐line processes in order to generate the delegation, and the possibility of performing the delegation instantaneously and without neither complex processes nor the intervention of a large number of entities. The proposed delegation token can be completely incorporated into current Public Key Infrastructure (PKI). Thus, since most of the European Public Administrations base their digital identity systems on PKI and X.509 identity certificates, the solution can be adopted in a real environment without great changes or performance modifications. Regarding interoperability, an exhaustive analysis and evaluation of most significant proposals on Identity Management Systems that aim to achieve interoperability carried out in the European Union framework until now are performed. A high level identity management interoperability architecture for Public Administrations is also proposed. This architecture is sufficiently generic to be applied to both pan‐European environment and national, regional or local environments, thus interoperability in identity management at all Public Administration levels is guaranteed. Finally, through the integration of the proposed dynamic identity delegation solution and the high level interoperability architecture, a solution to the problem of identity delegation in a pan‐European identity management environment is suggested, leading to a pan‐European global interoperability architecture with identity delegation support.

On the automatic integration of hardware accelerators into FPGA-based embedded systems

This paper proposes an automatic framework for the seamless integration of hardware accelerators, starting from an OpenMP-based application and an XML file describing the HW/SW partitioning. It extends a fully software architecture by generating and integrating the cores, along with the proper interfaces, and the code for scheduling and synchronization. Experimental results show that it is possible to validate different solutions only by varying the input code.

Transductive neurofuzzy-based torque control of a milling process: results of a case study

This paper presents the design and implementation of an intelligent control system based on local neurofuzzy models of the milling process relayed through an Ehternet-based application. Its purpose is to control the spindle torque of a milling process by using an internal model control paradigm to modify the feed rate in real time. The stabilization of cutting cutting torque is especially necessary in milling processes such as high-spedd roughing of steel moulds and dies tha present minor geometric uncertainties. Thus, maintenance of the curring torque increaes the material removal rate and reduces the risk of damage due to excessive spindle vibration, a very sensitive and expensive component in all high-speed milling machines. Torque control is therefore an interesting challenge from an industrial point of view.

Estudio de redes WSN y su aplicación a la ingeniería civil

Las redes inalámbricas están experimentando un gran crecimiento en el campo de la instrumentación electrónica. En concreto las redes de sensores inalámbricas (WSN de Wireless Sensor Network) suponen la opción más ventajosa para su empleo en la instrumentación electrónica ya que sus principales características se acoplan perfectamente a las necesidades. Las WSN permiten la utilización de un número relativamente alto de nodos, están orientadas a sistemas de bajo consumo y funcionamiento con baterías y poseen un ancho de banda adecuado para las necesidades de la instrumentación electrónica. En este proyecto fin de carrera se ha realizado un estudio de las tecnologías inalámbricas disponibles, se han comparado y se ha elegido la tecnología ZigBeeTM por considerarse la más adecuada y la que más se ajusta a las necesidades descritas. En el desarrollo de mi vida profesional se han conectado dos campos teóricamente distantes como son la instrumentación electrónica y la ingeniería civil. En este proyecto se hace una descripción de la instrumentación que se utiliza para controlar estructuras como presas, túneles y puentes y se proponen casos prácticos en los que las redes WSN aportan valor añadido a instrumentación actual y a los sistemas de comunicaciones utilizados. Se definen tanto los sistemas de comunicaciones utilizados actualmente como una serie de sensores utilizados para medir los principales parámetros a controlar en una obra civil. Por último se ha desarrollado una aplicación de prueba de una red ZigBeeTM basada en equipos comerciales del fabricante Digi. consiste en una aplicación desarrollada en entorno web que maneja de forma remota, a través de Internet, las entradas y salidas digitales y analógicas de los nodos que forman la red. Se forma una red ZigBeeTM con un coordinador, un router y un dispositivo final. El Coordinador está integrado en un Gateway que permite acceder a la red ZigBeeTM a través de internet y conocer el estado de los nodos que forman la red. Con los comandos adecuados se puede leer el estado de las entradas y salidas analógicas y digitales y cambiar el estado de una salida digital. ABSTRACT. Wireless networks are experiencing tremendous growth in the field of electronic instrumentation. In particular wireless sensor networks represent the most advantageous for use in electronic instrumentation since its main characteristics fit perfectly to the needs. The WSN allow the use of a relatively large number of nodes, are aimed at low-power systems and battery operation and have an adequate bandwidth for the needs of electronic instrumentation. In this project has made a study of available wireless technologies have been compared and chosen ZigBeeTM technology was considered the most appropriate to the needs described. In the course of my professional life have connected two fields are theoretically distant as electronic instrumentation and civil engineering. In this project, there is a description of the instrumentation used to control structures such as dams, tunnels and bridges and proposes practical cases in which WSN networks add value to current instrumentation and communications systems used. There are defined as communications systems now being used as a set of sensors used to measure the main parameters to be controlled in a civil structure. Finally, I have developed a test application based ZigBeeTM networking equipment maker Digi trading. It consists of a Web-based application developed to manage remotely, via the Internet, the digital and analog inputs and outputs nodes forming the network. ZigBeeTM It forms a network with a coordinator, router and end device. The Coordinator is built into a gateway that allows access to the ZigBeeTM network through internet and know the status of the nodes forming the network. With the appropriate command can read the status of the digital inputs and outputs and change the state of a digital output.

Demo paper: tablet-based visualization of transportation data in Madrid using SPARQLStream

In this demo paper we describe an iOS-based application that allows visualizing live bus transport data in Madrid from static and streaming RDF endpoints, reusing the Web services provided by the bus transport authority in the city and wrapping them using SPARQLStream

Impacto de las redes sociales digitales en la innovación y la ventaja competitiva : un estudio de casos

Internet y las Tecnologías de la Información y las Comunicaciones han transformado de manera notable la forma de relacionarse de las personas. Actualmente, la presencia de estas nuevas tecnologías está totalmente asumida e impacta en el día a día de millones de personas en todo el mundo. Dentro de este contexto se presentan las Redes Sociales Digitales como plataformas que han dado lugar a un cambio de mentalidad, creando una nueva forma de comprender y utilizar internet. En este proyecto se ha llevado a cabo un estudio del fenómeno de las redes sociales dentro del mundo empresarial con el fin especificar su viabilidad como herramienta profesional dentro del sector de las TIC en términos de innovación, ventaja competitiva, y riesgo. El desarrollo de este trabajo se ha abarcado en dos partes principales: en primer lugar, un análisis teórico a cerca de las ventajas competitivas que puede ofrecer esta tecnología y cómo se puede traducir en valor real para una empresa. Y en segundo lugar un estudio de casos práctico donde se ha estudiado la experiencia de distintas empresas en el uso del Social Media. Previo a la implementación de estos puntos, este estudio se ha enmarcado dentro del mundo de las TIC, presentando conceptos como la web 2.0, los tipos herramientas que pueden ser aplicadas por la empresa y modelos de negocio que se presentan en Internet. La finalidad de este trabajo consiste en presentar qué factores de los expuestos de manera teórica generan ventaja competitiva y beneficio o por el contrario, desventaja y riesgo a la empresa, apoyándose en las conclusiones obtenidas a través del estudio de casos. ABSTRACT Internet and Information and Communication Technologies have remarkably transformed the personal relationship. Thus, these technologies are completely assumed and affect to the daily life of millions of people. Under this context, is presented the Digital Social Media as platforms which have changed the global mindset triggering a new way of understanding and using the Internet. In this project, has been carried out a study of the Social Media within the professional TIC world, aimed to specify its viability as working tool in terms of innovation, competitive advantage and risk. The implementation has been covered in two main parts: First, a theoretical analysis about the competitive advantage which this technology could offer and how it can become into real value for a company. And secondly, a Case Study in order to analyze different company’s experiences in the use of Social Media and providing empirical support to the obtained conclusions in the theoretical part. In addition, before develop these two points, the project has been integrated in the TIC´s field, meeting concepts as Web 2.0, different kinds of internet-based tools which can be used by a company and business models based on the information technologies.

Simulación de seguimiento de blancos en sistemas radar. Parte 2

El proyecto consiste en el diseño y estudio de un software cuyas prestaciones estén orientadas a gestionar una simulación de un sistema de radar. El prototipo de este entorno de simulación se ha realizado en el lenguaje Matlab debido a que inicialmente se considera el más adecuado para el tratamiento de las señales que los sistemas de radar manejan para realizar sus cálculos. Se ha escogido como modelo el software desarrollado por la compañía SAP para gestionar los E.R.P.s de grandes empresas. El motivo es que es un software cuyo diseño y funcionalidad es especialmente adecuado para la gestión ordenada de una cantidad grande de datos diversos de forma integrada. Diseñar e implementar el propio entorno es una tarea de enorme complejidad y que requerirá el esfuerzo de una cantidad importante de personas; por lo que este proyecto se ha limitado, a un prototipo básico con una serie de características mínimas; así como a indicar y dejar preparado el camino por el que deberán transcurrir las futuras agregaciones de funcionalidad o mejoras. Funcionalmente, esto es, independientemente de la implementación específica con la que se construya el entorno de simulación, se ha considerado dividir las características y prestaciones ofrecidas por el sistema en bloques. Estos bloques agruparán los componentes relacionados con un aspecto específico de la simulación, por ejemplo, el bloque 1, es el asignado a todo lo relacionado con el blanco a detectar. El usuario del entorno de simulación interactuará con el sistema ejecutando lo que se llaman transacciones, que son agrupaciones lógicas de datos a introducir/consultar en el sistema relacionados y que se pueden ejecutar de forma independiente. Un ejemplo de transacción es la que permite mantener una trayectoria de un blanco junto con sus parámetros, pero también puede ser una transacción la aplicación que permite por ejemplo, gestionar los usuarios con acceso al entorno. Es decir, las transacciones son el componente mínimo a partir del cual el usuario puede interactuar con el sistema. La interfaz gráfica que se le ofrecerá al usuario, está basada en modos, que se pueden considerar “ventanas” independientes entre sí dentro de las cuáles el usuario ejecuta sus transacciones. El usuario podrá trabajar con cuantos modos en paralelo desee y cambiar según desee entre ellos. La programación del software se ha realizado utilizando la metodología de orientación a objetos y se ha intentado maximizar la reutilización del código así como la configurabilidad de su funcionalidad. Una característica importante que se ha incorporado para garantizar la integridad de los datos es un diccionario sintáctico. Para permitir la persistencia de los datos entre sesiones del usuario se ha implementado una base de datos virtual (que se prevé se reemplace por una real), que permite manejar, tablas, campos clave, etc. con el fin de guardar todos los datos del entorno, tanto los de configuración que solo serían responsabilidad de los administradores/desarrolladores como los datos maestros y transaccionales que serían gestionados por los usuarios finales del entorno de simulación. ABSTRACT. This end-of-degree project comprises the design, study and implementation of a software based application able to simulate the various aspects and performance of a radar system. A blueprint for this application has been constructed upon the Matlab programming language. This is due to the fact that initially it was thought to be the one most suitable to the complex signals radar systems usually process; but it has proven to be less than adequate for all the other core processes the simulation environment must provide users with. The software’s design has been based on another existing software which is the one developed by the SAP company for managing enterprises, a software categorized (and considered the paradigm of) as E.R.P. software (E.R.P. stands for Enterprise Resource Planning). This software has been selected as a model because is very well suited (its basic features) for working in an orderly fashion with a pretty good quantity of data of very diverse characteristics, and for doing it in a way which protects the integrity of the data. To design and construct the simulation environment with all its potential features is a pretty hard task and requires a great amount of effort and work to be dedicated to its accomplishment. Due to this, the scope of this end-of-degree project has been focused to design and construct a very basic prototype with minimal features, but which way future developments and upgrades to the systems features should go has also been pointed. In a purely functional approach, i.e. disregarding completely the specific implementation which accomplishes the simulation features, the different parts or aspects of the simulation system have been divided and classified into blocks. The blocks will gather together and comprise the various components related with a specific aspect of the simulation landscape, for example, block number one will be the one dealing with all the features related to the radars system target. The user interaction with the system will be based on the execution of so called transactions, which essentially consist on bunches of information which logically belong together and can thus be managed together. A good example, could be a transaction which permits to maintain a series of specifications for target’s paths; but it could also be something completely unrelated with the radar system itself as for example, the management of the users who can access the system. Transactions will be thus the minimum unit of interaction of users with the system. The graphic interface provided to the user will be mode based, which can be considered something akin to a set of independent windows which are able on their own to sustain the execution of an independent transaction. The user ideally should be able to work with as many modes simultaneously as he wants to, switching his focus between them at will. The approach to the software construction has been based on the object based paradigm. An effort has been made to maximize the code’s reutilization and also in maximizing its customizing, i.e., same sets of code able to perform different tasks based on configuration data. An important feature incorporated to the software has been a data dictionary (a syntactic one) which helps guarantee data integrity. Another important feature that allow to maintain data persistency between user sessions, is a virtual relational data base (which should in future times become a real data base) which allows to store data in tables. The data store in this tables comprises both the system’s configuration data (which administrators and developers will maintain) and also master and transactional data whose maintenance will be the end users task.

A COMUNICAÇÃO VIA INTERNET NA INCLUSÃO E INTEGRAÇÃO DE DEFICIENTES AUDITIVOS: um estudo sobre a região do ABC / SP

O objetivo deste trabalho é compreender como a comunicação, através da Internet, é utilizada e construída, consideradas as questões da inclusão e integração de pessoas com deficiência auditiva. Analisam-se os conceitos sobre comunicação, inclusão e integração; a deficiência auditiva e seu significado para os indivíduos; a questão dos sites que tratam do assunto na Internet e o tipo de abordagem comunicacional utilizada dentro deste universo. A mensagem do transmissor (via Internet) - decodificada pelo receptor (deficiente auditivo) fornece ao receptor uma integração no mundo midiático capaz de fornecer uma inclusão adequada e uso facilitado da Internet pelo deficiente auditivo (receptor/a). A análise das respostas dos questionários aplicados aos usuários e aos transmissores de informações dos sites e as teorias utilizadas mostrarão se há dificuldades na construção de novas mensagens no campo da Internet e na sua utilização pelos receptores. O caminho da inclusão e integração comunicacional passará pela transformação dessas mensagens e por projetos e ações a serem desenvolvidos na construção dos sites na Internet.

A COMUNICAÇÃO VIA INTERNET NA INCLUSÃO E INTEGRAÇÃO DE DEFICIENTES AUDITIVOS: um estudo sobre a região do ABC / SP

O objetivo deste trabalho é compreender como a comunicação, através da Internet, é utilizada e construída, consideradas as questões da inclusão e integração de pessoas com deficiência auditiva. Analisam-se os conceitos sobre comunicação, inclusão e integração; a deficiência auditiva e seu significado para os indivíduos; a questão dos sites que tratam do assunto na Internet e o tipo de abordagem comunicacional utilizada dentro deste universo. A mensagem do transmissor (via Internet) - decodificada pelo receptor (deficiente auditivo) fornece ao receptor uma integração no mundo midiático capaz de fornecer uma inclusão adequada e uso facilitado da Internet pelo deficiente auditivo (receptor/a). A análise das respostas dos questionários aplicados aos usuários e aos transmissores de informações dos sites e as teorias utilizadas mostrarão se há dificuldades na construção de novas mensagens no campo da Internet e na sua utilização pelos receptores. O caminho da inclusão e integração comunicacional passará pela transformação dessas mensagens e por projetos e ações a serem desenvolvidos na construção dos sites na Internet.

Treating the speech disorder in Parkinson's Disease Online

The Lee Silverman Voice Treatment (LSVT) has been shown to be highly effective in treating the speech disorder in Parkinson's Disease (PD). However, patient access to this treatment remains limited in Australia, due to availability of speech pathologists, patient mobility and distance issues. We have investigated the feasibility and effectiveness of an Internet-based telerehabilitation application (eREHAB) for the delivery of the LSVT to persons with PD and disordered speech. Ten participants with PD and dysarthria were treated online with the LSVT for a total of 16 sessions. There were significant improvements in sound pressure levels for vowel prolongation, reading and conversational monologue (P < 0.01), pitch range (P < 0.05) and in perceptual features of pitch and loudness variability, loudness level (P < 0.01) and breathiness (P < 0.05). A participant satisfaction questionnaire indicated that 70% of participants expressed overall satisfaction with the online treatment. Telerehabilitation was feasible and effective in delivering the LSVT to people with PD.