Minimally invasive surgery when treating endometriosis has a positive effect on health and on quality of work life of affected women

STUDY QUESTION: What is the effect of the minimally invasive surgical treatment of endometriosis on health and on quality of work life (e.g. working performance) of affected women? SUMMARY ANSWER: Absence from work, performance loss and the general negative impact of endometriosis on the job are reduced significantly by the laparoscopic surgery. WHAT IS KNOWN ALREADY: The benefits of surgery overall and of the laparoscopic method in particular for treating endometriosis have been described before. However, previous studies focus on medical benchmarks without including the patient's perspective in a quantitative manner. STUDY DESIGN, SIZE, DURATION: A retrospective questionnaire-based survey covering 211 women with endometriosis and a history of specific laparoscopic surgery in a Swiss university hospital, tertiary care center. Data were returned anonymously and were collected from the beginning of 2012 until March 2013. PARTICIPANTS/MATERIALS, SETTING, METHODS: Women diagnosed with endometriosis and with at least one specific laparoscopic surgery in the past were enrolled in the study. The study investigated the effect of the minimally invasive surgery on health and on quality of work life of affected women. Questions used were obtained from the World Endometriosis Research Foundation (WERF) Global Study on Women's Health (GSWH) instrument. The questionnaire was shortened and adapted for the purpose of the present study. MAIN RESULTS AND THE ROLE OF CHANCE: Of the 587 women invited to participate in the study, 232 (232/587 = 40%) returned the questionnaires. Twenty-one questionnaires were excluded due to incomplete data and 211 sets (211/587 = 36%) were included in the study. Our data show that 62% (n = 130) of the study population declared endometriosis as influencing the job during the period prior to surgery, compared with 28% after surgery (P < 0.001). The mean (maximal) absence from work due to endometriosis was reduced from 2.0 (4.9) to 0.5 (1.4) hours per week (P < 0.001). The mean (maximal) loss in working performance after the surgery averaged out at 5.7% (12.6%) compared with 17.5% (30.5%) before this treatment (P < 0.001). LIMITATIONS, REASONS FOR CAUTION: The mediocre response rate of the study weakens the representativeness of the investigated population. Considering the anonymous setting a non-responder investigation was not performed. A bias due to selection, information and negativity effects within a retrospective survey cannot be excluded, although study-sensitive questions were provided in multiple ways. The absence of a control group (sham group; e.g. patients undergoing specific diagnostic laparoscopy without treatment) is a further limitation of the study. WIDER IMPLICATIONS OF THE FINDINGS: Our study shows that indicated minimally invasive surgery has a clear positive effect on the wellbeing and working performance of women suffering from moderate to severe endometriosis. Furthermore, national net savings in indirect costs with the present number of surgeries is estimated to be €10.7 million per year. In an idealized setting (i.e. without any diagnosis delay) this figure could be more than doubled. STUDY FUNDING/COMPETING INTERESTS: The study was performed on behalf of the University Hospital of Bern (Inselspital) as one of the leading Swiss tertiary care centers. The authors do not declare any competing interests.

Streak detection algorithm for space debris detection on optical images.

Any image processing object detection algorithm somehow tries to integrate the object light (Recognition Step) and applies statistical criteria to distinguish objects of interest from other objects or from pure background (Decision Step). There are various possibilities how these two basic steps can be realized, as can be seen in the different proposed detection methods in the literature. An ideal detection algorithm should provide high recognition sensitiv ity with high decision accuracy and require a reasonable computation effort . In reality, a gain in sensitivity is usually only possible with a loss in decision accuracy and with a higher computational effort. So, automatic detection of faint streaks is still a challenge. This paper presents a detection algorithm using spatial filters simulating the geometrical form of possible streaks on a CCD image. This is realized by image convolution. The goal of this method is to generate a more or less perfect match between a streak and a filter by varying the length and orientation of the filters. The convolution answers are accepted or rejected according to an overall threshold given by the ackground statistics. This approach yields as a first result a huge amount of accepted answers due to filters partially covering streaks or remaining stars. To avoid this, a set of additional acceptance criteria has been included in the detection method. All criteria parameters are justified by background and streak statistics and they affect the detection sensitivity only marginally. Tests on images containing simulated streaks and on real images containing satellite streaks show a very promising sensitivity, reliability and running speed for this detection method. Since all method parameters are based on statistics, the true alarm, as well as the false alarm probability, are well controllable. Moreover, the proposed method does not pose any extraordinary demands on the computer hardware and on the image acquisition process.

Medical, psychological and socio-economic implications of chronic hand eczema: a cross-sectional study.

BACKGROUND Hand eczema (HE) is a common skin disease with major medical psychological and socio-economic implications. Onset and prognosis of HE are determined by individual as well as environmental factors. So far, most epidemiological data on HE have been reported from Scandinavian and recently German studies. OBJECTIVE To investigate the characteristics and medical care of patients with chronic HE (CHE) in Switzerland, and identify risk factors. METHODS In this cross-sectional study, data from patients with chronic HE were obtained by means of medical history, dermatological examination and patient questionnaires. Multiple logistic regression analysis was applied to identify risk factors for high severity and dermatology life quality index (DLQI). RESULTS In seven dermatology departments, 199 patients (mean age 40.4 years, 50.8% female) with CHE (mean duration 6.6 years) were enrolled. Moderate to severe HE was reported by 70.9% of patients, and was associated with age <30 or >50 years, localization of lesions and pruritus. Because of the CHE, 37.3% of patients were on sick leave over the past 12 months, 14.8% had changed or lost their job. Practically all patients applied topical therapy, 21% were treated with alitretinoin, and 21% with psoralen plus UVA light (PUVA). The effects on the health-related quality of life was moderate to large in 33.7% and 39.4% of CHE patients, respectively. Factors associated with a high impact on DLQI (mean 9.7 ± 5.8) were female sex, lesions on back of the hands and pruritus as well as mechanical skin irritation and wearing gloves. CONCLUSION In agreement with recent studies, the Swiss data demonstrate the high impact of CHE on medical well-being, patient quality of life and work ability. As it is associated with an intense use of health care services, high rate of sick leave, job loss and change, CHE may cause a high socio-economic burden.

Effectiveness of Texas Children's Hospital's Saturday Wellness Program for Children with special health care needs

Children with Special Health Care Needs comprise approximately 13% of children within the state of Texas. In addition to their primary diagnosis, it is estimated that approximately 18% of these children with special health care needs are overweight. Many times parents of children with special health care needs are extremely busy dealing with the daily responsibilities required to care for a child with a chronic illness, and thus, lose connections with their local communities and available resources for health needs such as obesity. Texas Children’s Hospital’s Wellness Program for Children with Special Health Care Needs is a family-centered wellness program to prevent obesity in this population; however, no formal evaluation of the program has been conducted. The purpose of this study was to assess the effectiveness of the Texas Children’s Saturday Wellness Program on weight status, nutrition knowledge, and the frequency of physical activity of children who participated in the program. A secondary data analysis was conducted with 50 children with special health care needs and their families who participated in the program during 2007 and 2008. A pre post-test study design was used with data collected immediately before and after participation in the 4 week program. Data measures included demographics (age, race, etc.), anthropometrics (height and weight), a quality of life survey focusing on nutrition and physical activity behaviors, and a knowledge survey on physical activity and nutrition. Of 50 participants, 33 (66%) completed the program. Children participating in the program showed a significant decrease in BMI (mean=29.83 to mean=29.22, BMI z score p<0.01), as well as frequency of physical activity (p<0.05) and knowledge (p<0.01). Texas Children’s Hospital’s wellness program for children with special health care needs provided a promising structure for a wellness program within a multi-ethnic special needs population; however, long term effect research is needed with a larger sample size and more comprehensive outcomes and process measures. Nonetheless, this program indicates the effectiveness and feasibility of a family-based approach to weight loss in children with special needs.^

Workers and respirators: What factors influence medical clearance? Experience in the petrochemical industry 2004--2008

This retrospective cohort study analyzed data from more than 2200 OSHA-mandated respirator medical evaluations performed between 2004 and 2008, with information initially obtained using an online questionnaire, to determine what factors influence medical clearance and the ability to safely wear respiratory protection in a large petrochemical company.^ The employees were mostly white males with a high school education, ranging in age from 25 to 60 years of age, who had been employed with the company an average of eight years. Their work was typically performed outdoors in a rural or offshore setting. Respirators were typically required for emergency response – escape or rescue only – and/or limited to less than four hours per month.^ Approximately 90% of the population achieved medical clearance by utilizing the online questionnaire. Of the remaining 10%, 66% were cleared after additional "hands-on" medical examination exam; 28% of the individuals' jobs were modified by their supervisor in order to not use a respirator, and 6% of the individuals (n=13) were excluded from wearing a respirator on the basis of the medical examination. The primary causes for exclusion from respirator use were cardiovascular (37.5%) and respiratory (31.3%) issues, followed by psychological (18.8%) and musculoskeletal (12.5%) concerns. Ultimately, over 99% of workers evaluated under this system were found capable of using respiratory protection safely. This questionnaire has proven to be an excellent health screening tool capable of initiating early detection and further investigation of potentially serious medical conditions within a large and diverse population in multiple locations. ^

Teaching safety at a summer camp: Evaluation of a children's fire safety curriculum in an urban community setting

Objectives: The purpose of this study was to evaluate the effectiveness of the Danger Rangers Fire Safety Curriculum in increasing the fire safety knowledge of low-income, minority children in pre-kindergarten to third grade in Austin, TX during a summer day camp in 2007.^ Methods: Data was collected from child participants via teacher and researcher administered tests at pretest, posttest (immediately after the completion of the fire safety module), and at a 3 week follow-up to asses retention. In addition, a self-administered questionnaire was collected from parents pre- and post-intervention to assess home-related fire/burn risk factors. Paired t-tests were conducted using STATA 12.0 to evaluate pretest, posttest, and retention test mean scores as well as mean fire safety rules listed by grade group. McNemar's test was used to determine if there was a difference in fire-related risk factors as reported by the parents of the participants before and after the intervention. Only those who had paired data for the tests/surveys being compared were included in the analysis.^ Results: The first/second grade group and the third grade group scored significantly higher on fire safety knowledge on the posttest compared to the pretest (p<0.0001 for both groups). However, there was no significant change in knowledge scores for the pre-kindergarten to kindergarten group (p=0.14). Among the first/second grade group, knowledge levels did not significantly decline between the posttest and retention test (p=0.25). However, the third grade group had significantly lower fire safety knowledge scores on the retention test compared to the posttest (p<0.001). A similar increase was seen in the amount of fire safety rules listed after the intervention (p<0.0001 between pre and posttest for both the first/second grade and third grade groups), with no decline from the posttest to the retention test (p=0.50) for the first/second grade group, but a significant decline in the third grade group (p=0.001). McNemar's chi-square test showed a significant increase in the percentage of participants' parents reporting smoke detector testing on a regular basis and having a fire escape plan for their family after the intervention (p=0.01 and p<0.0001, respectively). However, there was no significant change in the frequency of reports of the child playing in the kitchen while the parent cooks or the house/apartment having a working smoke detector.^ Conclusion: We found that general fire safety knowledge improved and the number of specific fire safety rules increased among the first to third grade children who participated in the Danger Rangers fire safety program. However, it did not significantly increase general fire safety knowledge among the pre-k/k group. This study also showed that a program targeted towards children has the potential to influence familial risk factors by proxy. The Danger Rangers Fire Safety Curriculum should be further evaluated by conducting a randomized controlled trial, using valid measures that assess fire safety attitudes, beliefs, behaviors, as well as fire/burn related outcomes.^

El perito médico en los delitos sexuales. Buenos Aires 1850-1890

En esta tesina analizo el rol jugado por el perito médico en los delitos sexuales entre 1850 y 1890 en Buenos Aires. El punto central es mostrar como ayuda a crear a la 'victima aceptable' sea hombre o mujer. Para hacer esto, explico la pericia médica en sí y muestro como este va mucho más allá de su deber para asegurarse de no estar ayudando al varón o la mujer a ocultar una perversión como la homosexualidad o la masturbación. Al mismo tiempo muestro que los crímenes sexuales son tratados en una forma particular respecto de otros tipos de delitos por la justicia de ese momento. Finalmente, en el último capítulo, intento mostrar como los conocimientos y la práctica jurídica se combinan con el saber y el ejercicio de la medicina para intentar definir la niñez y su sexualidad

El perito médico en los delitos sexuales. Buenos Aires 1850-1890

En esta tesina analizo el rol jugado por el perito médico en los delitos sexuales entre 1850 y 1890 en Buenos Aires. El punto central es mostrar como ayuda a crear a la 'victima aceptable' sea hombre o mujer. Para hacer esto, explico la pericia médica en sí y muestro como este va mucho más allá de su deber para asegurarse de no estar ayudando al varón o la mujer a ocultar una perversión como la homosexualidad o la masturbación. Al mismo tiempo muestro que los crímenes sexuales son tratados en una forma particular respecto de otros tipos de delitos por la justicia de ese momento. Finalmente, en el último capítulo, intento mostrar como los conocimientos y la práctica jurídica se combinan con el saber y el ejercicio de la medicina para intentar definir la niñez y su sexualidad

El perito médico en los delitos sexuales. Buenos Aires 1850-1890

En esta tesina analizo el rol jugado por el perito médico en los delitos sexuales entre 1850 y 1890 en Buenos Aires. El punto central es mostrar como ayuda a crear a la 'victima aceptable' sea hombre o mujer. Para hacer esto, explico la pericia médica en sí y muestro como este va mucho más allá de su deber para asegurarse de no estar ayudando al varón o la mujer a ocultar una perversión como la homosexualidad o la masturbación. Al mismo tiempo muestro que los crímenes sexuales son tratados en una forma particular respecto de otros tipos de delitos por la justicia de ese momento. Finalmente, en el último capítulo, intento mostrar como los conocimientos y la práctica jurídica se combinan con el saber y el ejercicio de la medicina para intentar definir la niñez y su sexualidad

Segmentación de Secuencias de Vídeo: análisis y desarrollo de estrategias para la detección de cambios de toma y para la detección de objetos móviles

The important technological advances experienced along the last years have resulted in an important demand for new and efficient computer vision applications. On the one hand, the increasing use of video editing software has given rise to a necessity for faster and more efficient editing tools that, in a first step, perform a temporal segmentation in shots. On the other hand, the number of electronic devices with integrated cameras has grown enormously. These devices require new, fast, and efficient computer vision applications that include moving object detection strategies. In this dissertation, we propose a temporal segmentation strategy and several moving object detection strategies, which are suitable for the last generation of computer vision applications requiring both low computational cost and high quality results. First, a novel real-time high-quality shot detection strategy is proposed. While abrupt transitions are detected through a very fast pixel-based analysis, gradual transitions are obtained from an efficient edge-based analysis. Both analyses are reinforced with a motion analysis that allows to detect and discard false detections. This analysis is carried out exclusively over a reduced amount of candidate transitions, thus maintaining the computational requirements. On the other hand, a moving object detection strategy, which is based on the popular Mixture of Gaussians method, is proposed. This strategy, taking into account the recent history of each image pixel, adapts dynamically the amount of Gaussians that are required to model its variations. As a result, we improve significantly the computational efficiency with respect to other similar methods and, additionally, we reduce the influence of the used parameters in the results. Alternatively, in order to improve the quality of the results in complex scenarios containing dynamic backgrounds, we propose different non-parametric based moving object detection strategies that model both background and foreground. To obtain high quality results regardless of the characteristics of the analyzed sequence we dynamically estimate the most adequate bandwidth matrices for the kernels that are used in the background and foreground modeling. Moreover, the application of a particle filter allows to update the spatial information and provides a priori knowledge about the areas to analyze in the following images, enabling an important reduction in the computational requirements and improving the segmentation results. Additionally, we propose the use of an innovative combination of chromaticity and gradients that allows to reduce the influence of shadows and reflects in the detections.

Technical evaluation of a third generation optical pose tracker for motion analysis and image-guided surgery

Laparoscopic instrument tracking systems are an essential component in image-guided interventions and offer new possibilities to improve and automate objective assessment methods of surgical skills. In this study we present our system design to apply a third generation optical pose tracker (Micron- Tracker®) to laparoscopic practice. A technical evaluation of this design is performed in order to analyze its accuracy in computing the laparoscopic instrument tip position. Results show a stable fluctuation error over the entire analyzed workspace. The relative position errors are 1.776±1.675 mm, 1.817±1.762 mm, 1.854±1.740 mm, 2.455±2.164 mm, 2.545±2.496 mm, 2.764±2.342 mm, 2.512±2.493 mm for distances of 50, 100, 150, 200, 250, 300, and 350 mm, respectively. The accumulated distance error increases with the measured distance. The instrument inclination covered by the system is high, from 90 to 7.5 degrees. The system reports a low positional accuracy for the instrument tip.

Parallel workflows to personalize clinical guidelines recommendations: application to gestational diabetes mellitus

The MobiGuide system provides patients with personalized decision support tools, based on computerized clinical guidelines, in a mobile environment. The generic capabilities of the system will be demonstrated applied to the clinical domain of Gestational Diabetes (GD). This paper presents a methodology to identify personalized recommendations, obtained from the analysis of the GD guideline. We added a conceptual parallel part to the formalization of the GD guideline called "parallel workflow" that allows considering patient?s personal context and preferences. As a result of analysing the GD guideline and eliciting medical knowledge, we identified three different types of personalized advices (therapy, measurements and upcoming events) that will be implemented to perform patients? guiding at home, supported by the MobiGuide system. These results will be essential to determine the distribution of functionalities between mobile and server decision support capabilities.

Neuroanatomic-based detection algorithm for automatic labeling of brain structures in brain injury

The number and grade of injured neuroanatomic structures and the type of injury determine the degree of impairment after a brain injury event and the recovery options of the patient. However, the body of knowledge and clinical intervention guides are basically focused on functional disorder and they still do not take into account the location of injuries. The prognostic value of location information is not known in detail either. This paper proposes a feature-based detection algorithm, named Neuroanatomic-Based Detection Algorithm (NBDA), based on SURF (Speeded Up Robust Feature) to label anatomical brain structures on cortical and sub-cortical areas. Themain goal is to register injured neuroanatomic structures to generate a database containing patient?s structural impairment profile. This kind of information permits to establish a relation with functional disorders and the prognostic evolution during neurorehabilitation procedures.

Conceptualización e Infraestructura para la Investigación Experimental en Ingeniería del Software

Antecedentes: Esta investigación se enmarca principalmente en la replicación y secundariamente en la síntesis de experimentos en Ingeniería de Software (IS). Para poder replicar, es necesario disponer de todos los detalles del experimento original. Sin embargo, la descripción de los experimentos es habitualmente incompleta debido a la existencia de conocimiento tácito y a la existencia de otros problemas tales como: La carencia de un formato estándar de reporte, la inexistencia de herramientas que den soporte a la generación de reportes experimentales, etc. Esto provoca que no se pueda reproducir fielmente el experimento original. Esta problemática limita considerablemente la capacidad de los experimentadores para llevar a cabo replicaciones y por ende síntesis de experimentos. Objetivo: La investigación tiene como objetivo formalizar el proceso experimental en IS, de modo que facilite la comunicación de información entre experimentadores. Contexto: El presente trabajo de tesis doctoral ha sido desarrollado en el seno del Grupo de Investigación en Ingeniería del Software Empírica (GrISE) perteneciente a la Escuela Técnica Superior de Ingenieros Informáticos (ETSIINF) de la Universidad Politécnica de Madrid (UPM), como parte del proyecto TIN2011-23216 denominado “Tecnologías para la Replicación y Síntesis de Experimentos en Ingeniería de Software”, el cual es financiado por el Gobierno de España. El grupo GrISE cumple a la perfección con los requisitos necesarios (familia de experimentos establecida, con al menos tres líneas experimentales y una amplia experiencia en replicaciones (16 replicaciones hasta 2011 en la línea de técnicas de pruebas de software)) y ofrece las condiciones para que la investigación se lleve a cabo de la mejor manera, como por ejemplo, el acceso total a su información. Método de Investigación: Para cumplir este objetivo se opta por Action Research (AR) como el método de investigación más adecuado a las características de la investigación, para obtener resultados a través de aproximaciones sucesivas que abordan los problemas concretos de comunicación entre experimentadores. Resultados: Se formalizó el modelo conceptual del ciclo experimental desde la perspectiva de los 3 roles principales que representan los experimentadores en el proceso experimental, siendo estos: Gestor de la Investigación (GI), Gestor del Experimento (GE) y Experimentador Senior (ES). Por otra parte, se formalizó el modelo del ciclo experimental, a través de: Un workflow del ciclo y un diagrama de procesos. Paralelamente a la formalización del proceso experimental en IS, se desarrolló ISRE (de las siglas en inglés Infrastructure for Sharing and Replicating Experiments), una prueba de concepto de entorno de soporte a la experimentación en IS. Finalmente, se plantearon guías para el desarrollo de entornos de soporte a la experimentación en IS, en base al estudio de las características principales y comunes de los modelos de las herramientas de soporte a la experimentación en distintas disciplinas experimentales. Conclusiones: La principal contribución de la investigación esta representada por la formalización del proceso experimental en IS. Los modelos que representan la formalización del ciclo experimental, así como la herramienta ISRE, construida a modo de evaluación de los modelos, fueron encontrados satisfactorios por los experimentadores del GrISE. Para consolidar la validez de la formalización, consideramos que este estudio debería ser replicado en otros grupos de investigación representativos en la comunidad de la IS experimental. Futuras Líneas de Investigación: El cumplimiento de los objetivos, de la mano con los hallazgos alcanzados, han dado paso a nuevas líneas de investigación, las cuales son las siguientes: (1) Considerar la construcción de un mecanismo para facilitar el proceso de hacer explícito el conocimiento tácito de los experimentadores por si mismos de forma colaborativa y basados en el debate y el consenso , (2) Continuar la investigación empírica en el mismo grupo de investigación hasta cubrir completamente el ciclo experimental (por ejemplo: experimentos nuevos, síntesis de resultados, etc.), (3) Replicar el proceso de investigación en otros grupos de investigación en ISE, y (4) Renovar la tecnología de la prueba de concepto, tal que responda a las restricciones y necesidades de un entorno real de investigación. ABSTRACT Background: This research addresses first and foremost the replication and also the synthesis of software engineering (SE) experiments. Replication is impossible without access to all the details of the original experiment. But the description of experiments is usually incomplete because knowledge is tacit, there is no standard reporting format or there are hardly any tools to support the generation of experimental reports, etc. This means that the original experiment cannot be reproduced exactly. These issues place considerable constraints on experimenters’ options for carrying out replications and ultimately synthesizing experiments. Aim: The aim of the research is to formalize the SE experimental process in order to facilitate information communication among experimenters. Context: This PhD research was developed within the empirical software engineering research group (GrISE) at the Universidad Politécnica de Madrid (UPM)’s School of Computer Engineering (ETSIINF) as part of project TIN2011-23216 entitled “Technologies for Software Engineering Experiment Replication and Synthesis”, which was funded by the Spanish Government. The GrISE research group fulfils all the requirements (established family of experiments with at least three experimental lines and lengthy replication experience (16 replications prior to 2011 in the software testing techniques line)) and provides favourable conditions for the research to be conducted in the best possible way, like, for example, full access to information. Research Method: We opted for action research (AR) as the research method best suited to the characteristics of the investigation. Results were generated successive rounds of AR addressing specific communication problems among experimenters. Results: The conceptual model of the experimental cycle was formalized from the viewpoint of three key roles representing experimenters in the experimental process. They were: research manager, experiment manager and senior experimenter. The model of the experimental cycle was formalized by means of a workflow and a process diagram. In tandem with the formalization of the SE experimental process, infrastructure for sharing and replicating experiments (ISRE) was developed. ISRE is a proof of concept of a SE experimentation support environment. Finally, guidelines for developing SE experimentation support environments were designed based on the study of the key features that the models of experimentation support tools for different experimental disciplines had in common. Conclusions: The key contribution of this research is the formalization of the SE experimental process. GrISE experimenters were satisfied with both the models representing the formalization of the experimental cycle and the ISRE tool built in order to evaluate the models. In order to further validate the formalization, this study should be replicated at other research groups representative of the experimental SE community. Future Research Lines: The achievement of the aims and the resulting findings have led to new research lines, which are as follows: (1) assess the feasibility of building a mechanism to help experimenters collaboratively specify tacit knowledge based on debate and consensus, (2) continue empirical research at the same research group in order to cover the remainder of the experimental cycle (for example, new experiments, results synthesis, etc.), (3) replicate the research process at other ESE research groups, and (4) update the tools of the proof of concept in order to meet the constraints and needs of a real research environment.

Un estudio del adjetivo en un corpus de textos escritos en inglés y español pertenecientes al discurso de especialidad de las Tecnologías de la Información y las Comunicaciones

Esta investigación se enmarca dentro de los denominados lenguajes de especialidad que para esta tesis será el de las Tecnologías de la Información y la Comunicación (TIC). De todos los aspectos relacionados con el estudio de estos lenguajes que pudieran tener interés lingüístico ha primado el análisis del componente terminológico. Tradicionalmente la conceptualización de un campo del saber se representaba mayoritariamente a través del elemento nominal, así lo defiende la Teoría General de la Terminología (Wüster, 1968). Tanto la lexicología como la lexicografía han aportado importantes contribuciones a los estudios terminológicos para la identificación del componente léxico a través del cual se transmite la información especializada. No obstante esos primeros estudios terminológicos que apuntaban al sustantivo como elmentos denominativo-conceptual, otras teorías más recientes, entre las que destacamos la Teoría Comunicativa de la Terminología (Cabré, 1999) identifican otras estructuras morfosintácticas integradas por otros elementos no nominales portadores igualmente de esa carga conceptual. A partir de esta consideración, hemos seleccionado para este estudio el adjetivo relacional en tanto que representa otra categoría gramatical distinta al sustantivo y mantiene un vínculo con éste debido a su procedencia. Todo lo cual puede suscitar cierto interés terminológico. A través de esta investigación, nos hemos propuesto demostrar las siguientes hipótesis: 1. El adjetivo relacional aporta contenido especializado en su asociación con el componente nominal. 2. El adjetivo relacional es portador de un valor semántico que hace posible identificar con más precisión la relación conceptual de los elementos -adjetivo y sustantivo - de la combinación léxica resultante, especialmente en algunas formaciones ambiguas. 3. El adjetivo relacional, como modificador natural del sustantivo al que acompaña, podría imponer cierta restricción en sus combinaciones y, por tanto, hacer una selección discriminada de los integrantes de la combinación léxica especializada. Teniendo en cuenta las anteriores hipótesis, esta investigación ha delimitado y caracterizado el segmento léxico objeto de estudio: la ‘combinación léxica especializada (CLE)’ formalmente representada por la estructura sintáctica [adjR+n], en donde adjR es el adjetivo y n el sustantivo al que acompaña. De igual forma hemos descrito el marco teórico desde el que abordar nuestro análisis. Se trata de la teoría del Lexicón Generatvio (LG) y de la representación semántica (Pustojovsky, 1995) que propone como explicación de la generación de significados. Hemos analizado las distintas estructuras de representación léxica y en especial la estructura qualia a través de la cual hemos identificado la relación semántica que mantienen los dos ítems léxicos [adjR+n] de la estructura sintáctica de nuestro estudio. El estudio semántico de las dos piezas léxicas ha permitido, además, comprobar el valor denominativo del adjetivo en la combinación. Ha sido necesario elaborar un corpus de textos escritos en inglés y español pertenecientes al discurso de especialidad de las TIC. Este material ha sido procesado para nuestros fines utilizando distintas herramientas electrónicas. Se ha hecho uso de lexicones electrónicos, diccionarios online generales y de especialidad y corpus de referencia online, estos últimos para poder eventualmente validad nuetros datos. Asimismo se han utilizado motores de búsqueda, entre ellos WordNet Search 3.1, para obtener la información semántica de nuestros elementos léxicos. Nuestras conclusiones han corroborado las hipótesis que se planteaban en esta tesis, en especial la referente al valor denominativo-conceptual del adjetivo relacional el cual, junto con el sustantivo al que acompaña, forma parte de la representación cognitiva del lenguaje de especialidad de las TIC. Como continuación a este estudio se proponen sugerencias sobre líneas futuras de investigación así como el diseño de herramientas informáticas que pudieran incorporar estos datos semánticos como complemento de los ítems léxicos dotados de valor denominativo-conceptual. ABSTRACT This research falls within the field of the so-called Specialized Languages which for the purpose of this study is the Information and Communication Technology (ICT) discourse. Considering their several distinguishing features terminology concentrates our interest from the point of view of linguistics. It is broadly assumed that terms represent concepts of a subject field. For the classical view of terminology (Wüster, 1968) these terms are formally represented by nouns. Both lexicology and terminology have made significant contributions to the study of terms. Later research as well as other theories on Terminology such as the Communicative Theory of Terminology (Cabré, 1993) have shown that other lexical units can also represent knowledge organization. On these bases, we have focused our research on the relational adjective which represents a functional unit different from a noun while still connected to the noun by means of its nominal root. This may have a potential terminological interest. Therefore the present research is based on the next hypotheses: 1. The relational adjective conveys specialized information when combined with the noun. 2. The relational adjective has a semantic meaning which helps understand the conceptual relationship between the adjective and the noun being modified and disambiguate certain senses of the resulting lexical combination. 3. The relational adjective may impose some restrictions when choosing the nouns it modifies. Considering the above hypotheses, this study has identified and described a multi-word lexical unit pattern [Radj+n] referred to as a Specialized Lexical Combination (SLC) linguistically realized by a relational adjective, Radj, and a noun, n. The analysis of such a syntactic pattern is addressed from the framework of the Generative Lexicon (Pustojovsky, 1995). Such theory provides several levels of semantic description which help lexical decomposition performed generatively. These levels of semantic representation are connected through generative operations or generative devices which account for the compositional interpretation of any linguistic utterance in a given context. This study analyses these different levels and focuses on one of them, i.e. the qualia structure since it may encode the conceptual meaning of the syntactic pattern [Radj+n]. The semantic study of these two lexical items has ultimately confirmed the conceptual meaning of the relational adjective. A corpus made of online ICT articles from magazines written in English and Spanish – some being their translations - has been used for the word extraction. For this purpose some word processing software packages have been employed. Moreover online general language and specialized language dictionaries have been consulted. Search engines, namely WordNet Search 3.1, have been also exploited to find the semantic information of our lexical units. Online reference corpora in English and Spanish have been used for a contrastive analysis of our data. Finally our conclusions have confirmed our initial hypotheses, i.e. relational adjectives are specialized lexical units which together with the nouns are part of the knowledge representation of the ICT subject field. Proposals for new research have been made together with some other suggestions for the design of computer applications to visually show the conceptual meaning of certain lexical units.