Studio e ottimizzazione di un sistema automatico per il cambiamento del setup in un motoveicolo sportivo

In the racing field the possibility to change the suspension settings can improve the overall performance of motorcycles, adapting to any type of circuit, any driving style and any weather condition, increasing the feeling of the rider with the vehicle. The present study investigated the pressure and forces related to changes in the oil level inside of the front fork. Seeing the importance of the change of the oil level have been developed an automated device, to be installed in the forks of original sports motorcycles, with the function to vary the level of oil in an automatic way. This system, having the possibility to continuously change the partial setup, could allow the optimization of the forks in each sector of the track, through a unit that automates the change. The project of the system has been presented to teams and riders of national championships and they showed interest on it.

Long-term results and complications following uvulopalatopharyngoplasty in 116 consecutive patients

A modified uvulopalatopharyngoplasty (UPPP) was carried out between January 1992 and December 2003 at the ENT Department of the Inselspital in Bern in 146 patients with habitual or complicated rhonchopathy. The operation consisted of a classical tonsillectomy or residual tonsil resection and additional shortening of the uvula. The natural mucosal fold between the uvula and the upper pole of the tonsils was carefully preserved. A wide opening to the rhinopharynx was created by asymmetric suturing of the glossopalantine and pharyngopalatine arches. A retrospective questionnaire with regard to rhonchopathy, phases of apnea, daytime drowsiness, obstruction of nasal breathing, long-term complications and patient satisfaction was used to evaluate the short-term and long-term effectiveness of the modified UPPP as well as the incidence of adverse side effects. Complete postoperative courses were evaluated in 116 patients. Surgical complications were restricted to one case with postoperative hemorrhage. A velum insufficiency or postoperative rhinopharyngeal stenosis did not occur. Eighty-three patients (72%) confirmed a persistent suppression or substantial improvement of the rhonchopathy. Disappearance or decrease of sleep apnea was confirmed in 12 (63%) out of 19 postoperative polysomnographic follow-up investigations. Long-term complications occurred in a total of 27 (23%) of 116 patients. They were confined to minor problems such as dryness of the mouth (n = 12), slight difficulty in swallowing (n = 7), discrete speech disturbances (n = 1), and slight pharyngeal dysesthesias (n = 7) with feeling of a lump in the throat and compulsive clearing of the throat. Eighty-five patients (73%) reported that they were satisfied with the postoperative result even several years after the operation. Looking back, 31 patients (27%) would no longer have the operation performed. The inadequate result of the rhonchopathy was specified as the reason by 21 patients. Ten patients had unpleasant memories of the operation because of intensive postoperative pain. Snoring and apneic phases are suppressed or improved by non-traumatic UPPP in the majority of patients. This effect persisted even years after the operation.

Decomposing intuitive components in a conceptual problem solving task

Research into intuitive problem solving has shown that objective closeness of participants' hypotheses were closer to the accurate solution than their subjective ratings of closeness. After separating conceptually intuitive problem solving from the solutions of rational incremental tasks and of sudden insight tasks, we replicated this finding by using more precise measures in a conceptual problem-solving task. In a second study, we distinguished performance level, processing style, implicit knowledge and subjective feeling of closeness to the solution within the problem-solving task and examined the relationships of these different components with measures of intelligence and personality. Verbal intelligence correlated with performance level in problem solving, but not with processing style and implicit knowledge. Faith in intuition, openness to experience, and conscientiousness correlated with processing style, but not with implicit knowledge. These findings suggest that one needs to decompose processing style and intuitive components in problem solving to make predictions on effects of intelligence and personality measures.

Aquatic therapies in patients with compromised left ventricular function and heart failure

With water immersion, gravity is partly eliminated, and the water exerts a pressure on the body surface. Consequently there is a blood volume shift from the periphery to the central circulation, resulting in marked volume loading of the thorax and heart. This paper presents a selection of published literature on water immersion, balneotherapy, aqua exercises, and swimming, in patients with left ventricular dysfunction (LVD) and/or stable chronic heart failure (CHF). Based on exploratory studies, central hemodynamic and neurohumoral responses of aquatic therapies will be illustrated. Major findings are: 1. In LVD and CHF, a positive effect of therapeutic warm-water tub bathing has been observed, which is assumed to be from afterload reduction due to peripheral vasodilatation caused by the warm water. 2. In coronary patients with LVD, at low-level water cycling the heart is working more efficiently than at lowlevel cycling outside of water. 3. In patients with previous extensive myocardial infarction, upright immersion to the neck resulted in temporary pathological increases in mean pulmonary artery pressure (mPAP) and mean pulmonary capillary pressures (mPCP). 4. Additionally, during slow swimming (20-25m/min) the mPAP and/or PCP were higher than during supine cycling outside water at a 100W load. 5. In CHF patients, neck- deep immersion resulted in a decrease or no change in stroke volume. 6. Although patients are hemodynamically compromised, they usually maintain a feeling of well-being during aquatic therapy. Based on these findings, clinical indications for aquatic therapies are proposed and ideas are presented to provoke further research.

Prosthetic considerations

Implants have changed prosthodontics more than any other innovation in dentistry. Replacement of lost teeth by a fixed or removable prosthesis is considered to be a restitutio ad similem, while implants may provide a feeling of restitutio ad integrum. Implant prosthodontics means restoring function, aesthetics, and providing technology; biology and technology are combined. Placement of implants is a reconstructive, preprosthetic surgical intervention and is therefore different from most goals in oral surgery that consist of tooth extraction, treating infection and removing pathology from soft or hard tissues. Thus, implants are part of the final prosthetic treatment which encompasses functional, aesthetic and social rehabilitation. The patient's needs and functional status determine the goal of prosthetic treatment. Treatment outcomes in implant prosthodontics are survival of implants and prostheses, impact on physiological and psychological status, oral health-related impact on quality of life, and initial and maintenance costs. A variety of prosthetic solutions are available to restore the partially and completely edentulous jaw and more recently specific methods have been developed such as computer guided planning and CAD-CAM technologies. These should allow more uniform quality and passive fit of prostheses, and simultaneously enables processing of biologically well-accepted materials.

Sexual and organ function in patients with symptomatic prolapse: are pessaries helpful?

OBJECTIVE: To evaluate quality of life and pelvic organ and sexual function before and during pessary use in patients with symptomatic pelvic organ prolapse and to determine reasons which lead to cessation of pessary use. DESIGN: Prospective observational study. SETTING: Tertiary referral center. PATIENT(S): Patients with symptomatic stage II or more prolapse of the anterior, posterior, or apical vaginal wall with or without uterus were included in this study. INTERVENTION(S): We used the Female Sexual Function Index questionnaire and the Sheffield prolapse questionnaire. For quality of life we used the King's Health Questionnaire. MAIN OUTCOME MEASURE(S): Main outcome measures were quality of life and sexual and pelvic organ function. RESULT(S): A total of 73 women participated in this study; 31 were sexually active. Desire, lubrication, and sexual satisfaction showed statistically significant improvement, and orgasm remained unchanged. Statistically significant improvement in the feeling of bulge occurred during therapy, stool outlet problems were significantly improved, overactive bladder symptoms were significantly better, and pessaries did not significantly alter incontinence. CONCLUSION(S): Pessaries have been shown to be a viable noninvasive treatment for pelvic organ prolapse improving organ and sexual function as well as general wellbeing.

Visual complaints and visual hallucinations in Parkinson's disease

Background Visual symptoms are common in Parkinson's disease (PD) and are frequently under-diagnosed. The detection of visual symptoms is important for differential diagnosis and patient management. Aim To establish the prevalence of recurrent visual complaints (RVC) and recurrent visual hallucinations (RVH) and to investigate their interaction in PD patients and controls. Methods This cross-sectional study included 88 PD patients and 90 controls. RVC and RVH were assessed with a visual symptom questionnaire and the North-East-Visual-Hallucinations-Interview (NEVHI). Results Double vision (PD vs. Controls: 18.2% vs. 1.3%; p < 0.001), misjudging objects when walking (PD vs. Controls: 12.5% vs. 1.3%; p < 0.01), words moving whilst reading (PD vs. Controls: 17.0% vs. 1.3%; p < 0.001) and freezing in narrow spaces (PD vs. Controls: 30.7% vs. 0%; p < 0.001) were almost exclusively found in PD patients. The same was true for recurrent complex visual hallucinations and illusions (PD vs. Controls: both 17.0% vs. 0%; p < 0.001). Multiple RVC (43.2% vs. 15.8%) and multiple RVH (29.5% vs. 5.6%) were also more common in PD patients (both p < 0.001). RVC did not predict recurrent complex visual hallucinations; but double vision (p = 0.018, R2 = 0.302) and misjudging objects (p = 0.002, R2 = 0.302) predicted passage hallucinations. Misjudging objects also predicted the feeling of presence (p = 0.010, R2 = 0.321). Conclusions Multiple and recurrent visual symptoms are common in PD. RVC emerged as risk factors predictive of the minor forms of hallucinations, but not recurrent complex visual hallucinations.

Community participation in health services

This study critically analyzes and synthesizes community participation (CP) theory across disciplines, defining and beginning to map out the elements of CP according to a preliminary framework of structure, process, intermediate outcomes, and ultimate outcomes. The first study component sought to determine the impact of Sight N' Soul, a CP project utilizing neighborhood health workers (NHWs), on appointment missing in an indigent urban African-American population. It found that persons entering the vision care system through contact with an NEW were about a third less likely to miss an appointment than those persons entering the system through some other avenue. While theory in this area remains too poorly developed to hypothesize causal relationships between structure, process, and outcomes, a summary of the elements of Sight N' Soul's structure and process both developed the preliminary framework and serves as a first step to mapping these relationships. The second component of the study uncovered the elements of structure and process that may contribute to a sustained egalitarian partnership between community people and professionals, a CP program called Project HEAL. Elements of Project HEAL's structure and process included a shared belief in the program; spirituality; contribution, ownership, and reciprocation; a feeling of family; making it together; honesty, trust, and openness about conflict; the inevitability of uncertainty and change; and the guiding interactional principles of respect; love, care, and compassion; and personal responsibility. The third component analyzed the existing literature, identifying and addressing gaps and inconsistencies and highlighting areas needing more highly developed ethical analysis. Focal issues include the political, economic, and historical context of CP; the power of naming; the issue of purpose; the nature of community; the power to muster and allocate resources; and the need to move to a systems view of health and well-being, expanding our understanding of the universe of potential outcomes of CP, including iatrogenic outcomes. Intermediate outcomes might include change in community, program, and individual capacity, as well as improved health care delivery. Ultimate outcomes include increased positive interdependencies and opportunities for contribution; improved mental, physical, and spiritual health; increased social justice; and decreased exploitation. ^

Patient and Informant Views on Visual Hallucinations in Parkinson Disease.

OBJECTIVE Visual hallucinations (VHs) are a very personal experience, and it is not clear whether information about them is best provided by informants or patients. Some patients may not share their hallucinatory experiences with caregivers to avoid distress or for fear of being labeled insane, and others do not have informants at all, which limits the use of informant-based questionnaires. The aim of this study was to compare patient and caregiver views about VHs in Parkinson disease (PD), using the North-East Visual Hallucinations Interview (NEVHI). METHODS Fifty-nine PD patient-informant pairs were included. PD patients and informants were interviewed separately about VHs using the NEVHI. Informants were additionally interviewed using the four-item version of the Neuropsychiatric Inventory. Inter-reliability and concurrent validity of the different measures were compared. RESULTS VHs were more commonly reported by patients than informants. The inter-rater agreement between NEVHI-patient and NEVHI-informant was moderate for complex VHs (Cohen's kappa = 0.44; 95% confidence interval [CI]: 0.13-0.75; t = 3.43, df = 58, p = 0.001) and feeling of presence (Cohen's kappa = 0.35; 95% CI: 0.00-0.70; t = 2.75, df = 58, p = 0.006), but agreement was poor for illusions (Cohen's kappa = 0.25; 95% CI: -0.07-0.57; t = 2.36, df = 58, p = 0.018) and passage hallucinations (Cohen's kappa = 0.16; 95% CI: -0.04-0.36; t = 2.26, df = 58, p = 0.024). CONCLUSION When assessing VHs in PD patients, it is best to rely on patient information, because not all patients share the details of their hallucinations with their caregivers.

Can urethrolysis resolve outlet obstruction related symptoms after Burch colposuspension for stress urinary incontinence?

OBJECTIVE Bladder outlet obstruction may occur after any incontinence surgery and may present as OAB, hesitancy and or the feeling of incomplete emptying. Aim of this study was to analyze the clinical and urodynamical outcome after urethrolysis in patients presenting with various clinical symptoms after Burch colposuspension for stress urinary incontinence. STUDY DESIGN Between January 2005 and December 2014, all patients who presented with symptoms and with bladder outlet obstruction were included. All patients had undergone Burch or Cowan colposuspension for stress urinary incontinence previously. Primary endpoint was the visual analogue scale (VAS) as measurement of patient perceived disease impact. Secondary endpoints were the various domains of the King's Health Questionnaire, urodynamic parameters as detrusor pressure at maximum flow, residual urine and sonographic bladder wall thickness before and six months after intervention. RESULTS Seventy-two female patients were included in this study whereof 42 suffered from urgency and urge incontinence, 20 from hesitancy and/or slow stream, seven from residual urine of more than 100ml and three from a combination of urgency and residual urine. VAS improved significantly (p<0.0001). Quality of life as determined by the King's Health Questionnaire improved for the domains general health, role limitations, emotions, physical limitations, personal limitations and incontinence impact significantly. Micturition pressure dropped significantly from 43cmH2O (95% CI 19-59cmH2O) to 18cmH2O (95% CI 16-23.5 H2O). Residual urine changed from 110ml (range 20-380ml) to 32ml (20-115ml). Bladder wall thickness decreased from 7mm (95% CI 6.235-7.152) to 5mm (95% CI 5.037-5.607; p<0.01). CONCLUSION Urethrolysis may resolve patients' symptoms and lower micturition pressure but irritative symptoms may persist.

Sobre las vicisitudes del término Gemüt

Immanuel Kant´s philosophy is the critic theory about Gemüt, which culmination is reached in the Kritik der Urteilskraft. It contains, in its meaning, the dimention of the animus as well as the dimention of the thymós; in this sense, it is the source and seat of the subject´s total faculties. Among them, Kant includes the feeling of joy and displeasure, which faculty of knowing is the Urteilskraft, and its principle a priori is the ending (but not the culmination), for which theGemüt is the subject´s life. In Hegel’s philosophy of art, it is reduced to just feeling.

Redes para las nuevas formas de clientelismo político

La descentralización de políticas sociales hacia los municipios es planteada como una alternativa de desarrollo a partir de las relaciones micro sociales. Los municipios deben asumir una nueva responsabilidad y plantearse una nueva función: definir y ejecutar políticas sociales locales o regionales. Esta nueva relación del municipio con su población ha sido uno de los elementos, en un proceso que tiene múltiples explicaciones, que ha favorecido nuevas prácticas clientelares denominadas Clientelismo fino o institucional. Este clientelismo favorece una situación de sometimiento y de asistencialismo, dificultando nuevas formas de relación que permitan el desarrollo humano y el ejercicio de derechos.

Sófocles : Áyax, una mirada desde la Justicia

En Ayax de Sófocles, se rompe la cadena inexorable de odios heredados, porque alguien, Teucro, acepta la mano tendida del adversario, Odiseo. Blundell remarca este lento pero efectivo caminar hacia la conciliación. Nuestro trabajo se propone una mirada "desde la justicia" humana y divina. Efectúa un rastreo sobre el juicio de Ayax a través de visiones de la épica tardía, la lírica y la tragedia y descubre en esta obra la confluencia de juicios injustos del pasado y el comienzo de futuros juicios también injustos. El interés por la instancia judicial nos lleva al análisis de la constitución del tribunal, su modo de proceder y las consecuencias de su accionar. También nos detenemos en el enfoque religioso elegido por Sófocles. Por último se evalúa la tragedia a la luz de los estadios de evolución del sentimiento de venganza

Organizaciones vecinales en municipios de Mendoza : Potencialidad para generar prácticas sociales con inteligencia territorial

The idea of Territorial Intelligence emphasizes the participation of different types from actors in the decisions that concern to the local territory. Between the communitarian actors, the ocal organizations are fundamental because they have an existential knowledge of the geographic space who share the neighbors. That knowledge, is focused generally in the deficiencies of the district or of the district and it is constituted in its reason of being, like average for the defense as opposed to the authority of the local government. This so shared in common function is left lamentably to a quite traditional relation like intermediary between municipality and community annotated. A special case constitutes the cooperative calls of rural services or vicinal organizations that are in charge to administer the service of potable water, those that are generally led by people greater or small proprietors of traditional agriculture. A strong territorial identity can be observed that, as opposed to the transformations and modernization of the field, subsists exactly by that feeling of root. In the province of Mendoza, the importance of the ocal organizations was increased during the decade of the' 90 with the decentralization processes, to canalize house policies, some public works and services in the districts. From a perspective of associated management, projects of economic, cultural, environmental development would have to revitalize their function like organizations able to also agglutinate not only demands but that they promote to the local territory from other dimensions. With these motivations and the purpose of proposing strategies to induce practices of ocal work with territorial intelligence, a set of reflections that allow to compare the space distribution and the characteristics of these organizations between 90 years' and the present time, in some departments of the province of Mendoza appears. The most important result is expressed in a tipología of ocal unions, with a cartography that ties feasible territory and social actors to collaborate to generate transformations social, specially in rural areas

La "manía cultural" por el dios griego Pan en el período eduardiano : El caso de Peter Pan

En este trabajo nos proponemos analizar descripciones que se hacen del personaje Peter Pan, como recreación eduardiana del arquetipo del dios griego Pan, para ver de qué manera dialogan esas construcciones con los diferentes sentidos que esta deidad fue connotando en contextos diversos en los que ocurrió su figura (desde obras de la literatura clásica, atravesadas por las lecturas, re-lecturas y re-escrituras de la tradición literaria británica). Veremos que Peter Pan, en los textos que el escritor escocés James M. Barrie escribió sobre él en un lapso de alrededor de treinta años, oficia "como Pan", en una dimensión alegórica, de nexo/puente entre dos conceptos que se presentan como opuestos: la Naturaleza y la Civilización. La primera aparece como el lugar donde se encuentran los dominios del dios/niño eterno, a los que solo pueden ingresar algunos pocos elegidos, y es símbolo de una nostalgia por una esencia perdida que, a su vez, se asocia con el concepto de infancia. La segunda representa negativamente el modelo de sociedad capitalista moderna que impone reglas que se contraponen a ese yo «natural». En este sentido, esa Arcadia se conecta con la literatura para niños, ya que son ellos "junto con los poetas" quienes tienen todavía permitido el acceso a ese lugar, y la capacidad de oír el «llamado» que Peter hace con la música de su flauta, del mismo modo en que son ellos quienes pueden disfrutar de esas lecturas y a quienes estas están dirigidas. Esta oposición de Naturaleza vs. Civilización conforma la «estructura del sentir» de la cultura de principios del siglo XX en Gran Bretaña, de la cual la literatura para niños es parte fundamental