Spinal cord injury: assessment of autonomic state-dependent control of cardiovascular system and body core temperature

Spinal cord injury (SCI) results not only in paralysis; but it is also associated with a range of autonomic dysregulation that can interfere with cardiovascular, bladder, bowel, temperature, and sexual function. The entity of the autonomic dysfunction is related to the level and severity of injury to descending autonomic (sympathetic) pathways. For many years there was limited awareness of these issues and the attention given to them by the scientific and medical community was scarce. Yet, even if a new system to document the impact of SCI on autonomic function has recently been proposed, the current standard of assessment of SCI (American Spinal Injury Association (ASIA) examination) evaluates motor and sensory pathways, but not severity of injury to autonomic pathways. Beside the severe impact on quality of life, autonomic dysfunction in persons with SCI is associated with increased risk of cardiovascular disease and mortality. Therefore, obtaining information regarding autonomic function in persons with SCI is pivotal and clinical examinations and laboratory evaluations to detect the presence of autonomic dysfunction and quantitate its severity are mandatory. Furthermore, previous studies demonstrated that there is an intimate relationship between the autonomic nervous system and sleep from anatomical, physiological, and neurochemical points of view. Although, even if previous epidemiological studies demonstrated that sleep problems are common in spinal cord injury (SCI), so far only limited polysomnographic (PSG) data are available. Finally, until now, circadian and state dependent autonomic regulation of blood pressure (BP), heart rate (HR) and body core temperature (BcT) were never assessed in SCI patients. Aim of the current study was to establish the association between the autonomic control of the cardiovascular function and thermoregulation, sleep parameters and increased cardiovascular risk in SCI patients.

Creativite langagiere et contact de langues: Le cas du langage sms et chat chez les jeunes camerounais

Résumé L’apparition de l’internet au Cameroun offre une réelle occasion d’échange, surtout pour les jeunes. Les innovations de la toile sont à considérer à plusieurs niveaux, les linguistes sous tous les cieux ont actuellement à débattre du langage SMS et CHAT, qui est, d’après (Dejond ,2002) « un mélange d’anglicisme, d’abréviation, de sigles et de rebus d’écriture phonétique. On écrit comme on parle. » Cette forme d’écriture facile à transcrire est éloignée des normes orthographiques et grammaticales du français standard. En effet, le langage SMS et CHAT des jeunes camerounais n’obéit qu’à la norme dictée par l’imagination de ses adeptes. Il se caractérise par des phénomènes comme la troncation, l’élision vocalique et consonantique ou l’agglutination à l’intérieur des mots. L’un des phénomènes les plus marquants est l’introduction des chiffres allant de 1 à 9 dans la graphie de certains mots. Ces écritures simplifiées nécessitent souvent l’intuition ou la compétence linguistique des lecteurs pour décrypter le message, le but étant l’interprétation du contenu. De plus, le type de message est strictement communicatif ou expressif et non normatif. Ainsi, l’essentiel est de faire passer un message. Les règles, les principes ou les contraintes qui gouvernent la transcription orthographique d’un mot français sont relégués au second plan. L’écriture texto employé par les jeunes camerounais cherche parcimonieusement à en dire le plus avec un minimum de caractère. Pour cela, on chatte entre amis, parents ou avec des connaissances éparpillée de part le monde qui naissent de ces rencontres virtuelles.

Business Chat: analisi e Mock-up

Il documento presenta le analisi svolte per la creazione delle schermate dell'applicazione Business Chat mostrando tutto il percorso decisionale intrapreso per l'implementazione di ogni funzionalità. Business Chat è un'applicazione di messaggistica istantanea che permette una comunicazione diretta tra un negozio e i propri clienti.

Business chat: sviluppo e implementazione

In questa tesi si vuole parlare dello sviluppo e dell'implementazione di un'applicazione per smartphone. L'applicazione in questione si chiama BusinessChat, è stata sviluppata per Android e utilizza sia lato server, sia lato Client. BusinessChat è un applicazione che mette in contatto consumatori e gestori di attività. Lo scopo dell'app è quindi quello di permettere al consumatore, di comunicare con il business in maniera più immediata, semplice e diretta. Per quanto riguarda il business può utilizzare quest'app sia per fornire un servizio al proprio cliente che per utilizzarla per pubblicizzare la propria attività, ad esempio con messaggi in broadcast a tutti i propri contatti (questa funzione non è ancora presente nella nostra applicazione, ma verrà aggiunta in un breve futuro). L'utente può ricercare, attraverso l'uso di una mappa, una particolare attività, ed eventualmente mettersi in contatto con lei, ad esempio, se ciò che cerchiamo è un ristorante, potremmo voler sapere se questa sera sono ancora disponibili dei posti liberi nel proprio locale, oppure se ad esempio volessimo ordinare delle pizze da asporto dalla nostra pizzeria di fiducia o sapere se sono attrezzati per gestire clienti allergici al glutine, o più semplicemente per conoscere l'orario di chiusura, tutto questo sarebbe possibile farlo attraverso pochissimi passi grazie a BusinessChat.

Analisi della polarità su chat di livestreaming

La Sentiment analysis, nata nell'ambito dell’informatica, è una delle aree di ricerca più attive nel campo dell’analisi del linguaggio naturale e si è diffusa ampiamente anche in altri rami scientifici come ad esempio le scienze sociali, l’economia e il marketing. L’enorme diffusione della sentiment analysis coincide con la crescita dei cosiddetti social media: siti di commercio e recensioni di prodotti, forum di discussione, blog, micro-blog e di vari social network. L'obiettivo del presente lavoro di tesi è stato quello di progettare un sistema di sentiment analysis in grado di rilevare e classificare le opinioni e i sentimenti espressi tramite chat dagli utenti della piattaforma di video streaming Twitch.tv. Per impostare ed organizzare il lavoro, giungendo quindi alla definizione del sistema che ci si è proposti di realizzare, sono stati utilizzati vari modelli di analisi in particolare le recurrent neural networks (RNNLM) e sistemi di word embedding (word2vec),nello specifico i Paragraph Vectors, applicandoli, dapprima, su dati etichettati in maniera automatica attraverso l'uso di emoticon e, successivamente, su dati etichettati a mano.

Air within the spinal canal in spontaneous pneumomediastinum

Spontaneous pneumomediastinum is an uncommon benign condition that is occasionally associated with air within the spinal canal. We describe a further case in a 14-year-old girl and suggest a classification system based on a detailed review of the previous literature. Forty-eight patients with spontaneous pneumomediastinum and intraspinal air accumulation (36 men and 12 women, age range 4-72 years, median age 18 years) were grouped into those with underlying lung disease (n = 13), those with other underlying etiologic factors (n = 22), and those arising spontaneously (n = 13). Neurologic symptoms or signs were noted in one case. The remaining cases were successfully managed conservatively. In spontaneous pneumomediastinum, accumulation of air within the spinal canal is self-limiting and benign. The same management is advised in spontaneous pneumomediastinum with and without intraspinal air accumulation.

Ultrastructural changes in diaphragm neuromuscular junctions in a severe mouse model for Spinal Muscular Atrophy and their prevention by bifunctional U7 snRNA correcting SMN2 splicing

In Spinal Muscular Atrophy (SMA), the SMN1 gene is deleted or inactivated. Because of a splicing problem, the second copy gene, SMN2, generates insufficient amounts of functional SMN protein, leading to the death of spinal cord motoneurons. For a "severe" mouse SMA model (Smn -/-, hSMN2 +/+; with affected pups dying at 5-7 days), which most closely mimicks the genetic set-up in human SMA patients, we characterise SMA-related ultrastructural changes in neuromuscular junctions (NMJs) of two striated muscles with discrete functions. In the diaphragm, but not the soleus muscle of 4-days old SMA mice, mitochondria on both sides of the NMJs degenerate, and perisynaptic Schwann cells as well as endoneurial fibroblasts show striking changes in morphology. Importantly, NMJs of SMA mice in which a modified U7 snRNA corrects SMN2 splicing and delays or prevents SMA symptoms are normal. This ultrastructural study reveals novel features of NMJ alterations - in particular the involvement of perisynaptic Schwann cells - that may be relevant for human SMA pathogenesis.

Development of a documentation instrument for the conservative treatment of spinal disorders in the International Spine Registry, Spine Tango

Spine Tango is the first and only International Spine Registry in operation to date. So far, only surgical spinal interventions have been recorded and no comparable structured and comprehensive documentation instrument for conservative treatments of spinal disorders is available. This study reports on the development of a documentation instrument for the conservative treatment of spinal disorders by using the Delphi consensus method. It was conducted with a group of international experts in the field. We also assessed the usability of this new assessment tool with a prospective feasibility study on 97 outpatients and inpatients with low back or neck pain undergoing conservative treatment. The new 'Spine Tango conservative' questionnaire proved useful and suitable for the documentation of pathologies, conservative treatments and outcomes of patients with low back or neck problems. A follow-up questionnaire seemed less important in the predominantly outpatient setting. In the feasibility study, between 43 and 63% of patients reached the minimal clinically important difference in pain relief and Core Outcome Measures Index at 3 months after therapy; 87% of patients with back pain and 85% with neck pain were satisfied with the received treatment. With 'Spine Tango conservative' a first step has been taken to develop and implement a complementary system for documentation and evaluation of non-surgical spinal interventions and outcomes within the framework of the International Spine Registry. It proved useful and feasible in a first pilot study, but it will take the experience of many more cases and therapists to develop a version similarly mature as the surgical instruments of Spine Tango.

Nerve root sedimentation sign: evaluation of a new radiological sign in lumbar spinal stenosis

Retrospective case-referent study.

Preoperative mapping of arterial spinal supply using 3.0-T MR angiography with an intravasal contrast medium and high-spatial-resolution steady-state

Preoperative mapping of the arterial spinal supply prior to thoracoabdominal aortic aneurysm repair is highly relevant because of high risk for postoperative ischemic spinal cord injuries such as paraparesis or paraplegia.