Work and Inter-subjectivity: a theoretical reflection on its dialectics in the field of health and nursing

This theoretical reflection intends to show the inter-subjective relationship that takes place in health and nursing practices under the following theoretical perspectives: Institutional Analysis, Psychodynamics of Labor and the Theory of Communicative Action, with an emphasis on the latter. Linking these concepts to the Marxist approach to work in the field of health emerges from recognizing the need for its continuous reconstruction-in this case, with a view to understand the interaction and communication intrinsic to work in action. The theory of Communicative Action seeks to consider these two inextricable dimensions: work as productive action and as interaction. The first corresponds to instrumental action based on technical rules with a production-guided rationale. The second refers to the interaction that takes place as communicative action and seeks understanding among subjects. We assume that adopting this theoretical perspective in the analysis of health and nursing practices opens new possibilities for clarifying its social and historical process and inter-subjective connections.

SweetRunner : juego de plataforma estilo runner para Android

[ES] El primordial objetivo del presente Trabajo de Final de Título (TFT) es realizar un juego de plataforma estilo runner para dispositivos móviles con sistema Android, y por medio de este, realizar un análisis de las diferentes herramientas que se pueden emplear para el desarrollo juegos para móvil estilo runner.  El resultado que se obtuvo fue SweetRuner, una aplicación móvil que permite jugar en dispositivos móviles que posean sistema Android en una versión igual o superior a Honeycomb. Las características que posee SweetRunner son: creación aleatoria de los elementos del juego; obstáculos y bonificaciones; aumento de dificultad conforme aumenta la puntuación; cálculo de puntuación y puntuación máxima; finalmente, comunicación con la red social Facebook. El desarrollo de SweetRunner se realizó en el motor de videojuegos Unity3D, ya que es considerado la mejor opción para este tipo de juegos, por las facilidades que brinda y por su sencillez y amigabilidad. La mayoría de las herramientas empleadas en el desarrollo de la app son de software libre, pero también se ha trabajado con software privativo. Es por esta razón que el presente trabajo se distribuye bajo la licencia GNU LGPL versión3, ya que con esta licencia se pueden enlazar a un programa no GPL, que puede ser software libre o no. El presente trabajo tiene el potencial necesario para convertirse en una guía para desarrollar juegos para móviles estilo runner. Esta guía facilitará el proceso de desarrollo y optimización, además de ayudar a entender el funcionamiento y la potencialidad de las diferentes herramientas y componentes que se usaron.  

Studio e sviluppo di sistemi RFID in banda UHF

The recent widespread diffusion of radio-frequency identification (RFID) applications operating in the UHF band has been supported by both the request for greater interrogation ranges and greater and faster data exchange. UHF-RFID systems, exploiting a physical interaction based on Electromagnetic propagation, introduce many problems that have not been fully explored for the previous generations of RFID systems (e.g. HF). Therefore, the availability of reliable tools for modeling and evaluating the radio-communication between Reader and Tag within an RFID radio-link are needed. The first part of the thesis discuss the impact of real environment on system performance. In particular an analytical closed form formulation for the back-scattered field from the Tag antenna and the formulation for the lower bound of the BER achievable at the Reader side will be presented, considering different possible electromagnetic impairments. By means of the previous formulations, of the analysis of the RFID link operating in near filed conditions and of some electromagnetic/system-level co-simulations, an in-depth study of the dimensioning parameters and the actual performance of the systems will be discussed and analyzed, showing some relevant properties and trade-offs in transponder and reader design. Moreover a new low cost approach to extend the read range of the RFID UHF passive systems will be discussed. Within the scope to check the reliability of the analysis approaches and of innovative proposals, some reference transponder antennas have been designed and extensive measurement campaign has been carried out with satisfactory results. Finally, some commercial ad-hoc transponder for industrial application have been designed within the cooperation with Datalogic s.p.a., some guidelines and results will be briefly presented.

Mobile TuCSoN: theoretical and technological requirements for TuCSoN's porting over Android mobile devices

Communication and coordination are two key-aspects in open distributed agent system, being both responsible for the system’s behaviour integrity. An infrastructure capable to handling these issues, like TuCSoN, should to be able to exploit modern technologies and tools provided by fast software engineering contexts. Thesis aims to demonstrate TuCSoN infrastructure’s abilities to cope new possibilities, hardware and software, offered by mobile technology. The scenarios are going to configure, are related to the distributed nature of multi-agent systems where an agent should be located and runned just on a mobile device. We deal new mobile technology frontiers concerned with smartphones using Android operating system by Google. Analysis and deployment of a distributed agent-based system so described go first to impact with quality and quantity considerations about available resources. Engineering issue at the base of our research is to use TuCSoN against to reduced memory and computing capability of a smartphone, without the loss of functionality, efficiency and integrity for the infrastructure. Thesis work is organized on two fronts simultaneously: the former is the rationalization process of the available hardware and software resources, the latter, totally orthogonal, is the adaptation and optimization process about TuCSoN architecture for an ad-hoc client side release.

Packet erasure correcting codes for wireless sensor networks: implementation and field trial measurements

This thesis regards the Wireless Sensor Network (WSN), as one of the most important technologies for the twenty-first century and the implementation of different packet correcting erasure codes to cope with the ”bursty” nature of the transmission channel and the possibility of packet losses during the transmission. The limited battery capacity of each sensor node makes the minimization of the power consumption one of the primary concerns in WSN. Considering also the fact that in each sensor node the communication is considerably more expensive than computation, this motivates the core idea to invest computation within the network whenever possible to safe on communication costs. The goal of the research was to evaluate a parameter, for example the Packet Erasure Ratio (PER), that permit to verify the functionality and the behavior of the created network, validate the theoretical expectations and evaluate the convenience of introducing the recovery packet techniques using different types of packet erasure codes in different types of networks. Thus, considering all the constrains of energy consumption in WSN, the topic of this thesis is to try to minimize it by introducing encoding/decoding algorithms in the transmission chain in order to prevent the retransmission of the erased packets through the Packet Erasure Channel and save the energy used for each retransmitted packet. In this way it is possible extend the lifetime of entire network.

Progettazione e implementazione di una applicazione per dispositivi mobili basata su piattaforma android (linguaggio java) a supporto di soggetti affetti da disturbi dello spettro autistico

Nella maggior parte dei casi, i soggetti affetti da Disturbo dello Spettro Autistico hanno un deficit di comunicazione, sia esso verbale o non verbale. Nonostante, ad oggi, non esista una cura per questo disturbo, una diagnosi precoce entro il terzo anno di vita del soggetto e un programma educativo coerente con le necessità del paziente, permettono al bambino con autismo di raggiungere quantomeno le abilità comunicative di base. Recenti studi hanno dimostrato che l’utilizzo di Information and Communication Technology (ICT) nel trattamento di soggetti affetti da Disturbo dello Spettro Autistico può portare molti benefici, dato che, da un lato, computer, tablet e smartphone sono strumenti strutturati e prevedibili e, dall’altro, i sintetizzatori vocali, se presenti, sono privi di inflessioni verbali. A questo proposito, durante il mio tirocinio di tesi magistrale presso l’azienda “CSP – Innovazioni nelle ICT” di Torino, ho sviluppato un’applicazione per tablet Android che permette a psicologi, educatori, logopedisti, insegnanti e genitori di creare tabelle comunicative circostanziate alle esigenze del soggetto e che consente a quest’ultimo di utilizzare questo strumento come efficace mediatore sociale. Questo software si va a inserire in un progetto più ampio, denominato “tools4Autism”, nato dalla collaborazione tra il centro di ricerca di cui sopra, la “Fondazione ASPHI Onlus – ICT per migliorare la qualità di vita delle persone con disabilità” e il “Centro Autismo e Sindrome di Asperger” di Mondovì (CN). L’applicazione prevede principalmente due metodi di utilizzo: il primo, definito “modalità operatore”, è un editor che permette di creare tabelle composte da un numero variabile di immagini che possono essere pittogrammi, fotografie personali, disegni del bambino e possono essere accompagnate o meno da un testo. Una volta create le tabelle, l’operatore ha la possibilità di modificarle, eliminarle, variarne l’ordine, esportarle su altri dispositivi o importare tabelle precedentemente create. Il secondo metodo di utilizzo, definito “modalità utente”, permette al soggetto affetto da Disturbo Autistico di comunicare con altre persone sfruttando le tabelle create dall’operatore coerentemente con le sue necessità. Al tocco dell’immagine da parte del bambino, essa viene evidenziata tramite un contorno rosso e, se abilitato, il sintetizzatore vocale riproduce il testo associato a tale immagine. I principali fattori di innovazione dell’applicazione sono la gratuità, la semplicità di utilizzo, la rapidità nella creazione e nell’aggiornamento delle tabelle comunicative, la portabilità dello strumento e l’utilizzo della sintesi vocale. Il software sarà sperimentato presso il “Centro Autismo e Sindrome di Asperger”, centro di neuropsichiatria infantile specializzato nello studio del Disturbo Autistico. Tale sperimentazione si pone come obiettivo quello di verificare gli effettivi miglioramenti nella velocità e nella qualità di apprendimento delle fondamentali abilità comunicative.

Plasmon-enhanced dynamic light scattering of gold nanorods in bulk and near a wall

Transportprozesse von anisotropen metallischen Nanopartikeln wie zum Beispiel Gold-Nanostäbchen in komplexen Flüssigkeiten und/oder begrenzten Geometrien spielen eine bedeutende Rolle in einer Vielzahl von biomedizinischen und industriellen Anwendungen. Ein Weg zu einem tiefen, grundlegenden Verständnis von Transportmechanismen ist die Verwendung zweier leistungsstarker Methoden - dynamischer Lichtstreuung (DLS) und resonanzverstärkter Lichtstreuung (REDLS) in der Nähe einer Grenzfläche. In dieser Arbeit wurden nanomolare Suspensionen von Gold-Nanostäbchen, stabilisiert mit Cetyltrimethylammoniumbromid (CTAB), mit DLS sowie in der Nähe einer Grenzfläche mit REDLS untersucht. Mit DLS wurde eine wellenlängenabhängige Verstärkung der anisotropen Streuung beobachtet, welche sich durch die Anregung von longitudinaler Oberflächenplasmonenresonanz ergibt. Die hohe Streuintensität nahe der longitudinalen Oberflächenplasmonenresonanzfrequenz für Stäbchen, welche parallel zum anregenden optischen Feld liegen, erlaubte die Auflösung der translationalen Anisotropie in einem isotropen Medium. Diese wellenlängenabhängige anisotrope Lichtstreuung ermöglicht neue Anwendungen wie etwa die Untersuchung der Dynamik einzelner Partikel in komplexen Umgebungen mittels depolarisierter dynamischer Lichtstreuung. In der Nähe einer Grenzfläche wurde eine starke Verlangsamung der translationalen Diffusion beobachtet. Hingegen zeigte sich für die Rotation zwar eine ausgeprägte aber weniger starke Verlangsamung. Um den möglichen Einfluss von Ladung auf der festen Grenzfläche zu untersuchen, wurde das Metall mit elektrisch neutralem Polymethylmethacrylat (PMMA) beschichtet. In einem weiteren Ansatz wurde das CTAB in der Gold-Nanostäbchen Lösung durch das kovalent gebundene 16-Mercaptohexadecyltrimethylammoniumbromid (MTAB) ersetzt. Daraus ergab sich eine deutlich geringere Verlangsamung.

Spatial computing per smart devices

Magic Carpet, nato come un middleware orientato a una dimostrazione sullo spatial computing, che inizialmente coinvolgeva solo smart devices ed un tappeto di tag NFC, è il punto di partenza per uno studio sulle tecnologie abilitanti in tale campo. Il prodotto finale è una toolchain per lo sviluppo e la distribuzione, su dispositivi connessi, di applicazioni di spatial computing. Essa comprende un interprete per un DSL basato su un core calculus formalizzato, Field Calculus, e un middleware che supporta l'astrazione curando, a basso livello, le comunicazioni con il vicinato e le percezioni ambientali.

Progettazione e sviluppo di un'applicazione smartphone per acquisti usando l'nfc

Con questa tesi si mostra come sfruttare i tag nfc con lo smartphone per facilitare l'acquisto di alcuni servizi e di facilitarne l'uso.

A model for radiofrequency electromagnetic field predictions at outdoor and indoor locations in the context of epidemiological research

We present a geospatial model to predict the radiofrequency electromagnetic field from fixed site transmitters for use in epidemiological exposure assessment. The proposed model extends an existing model toward the prediction of indoor exposure, that is, at the homes of potential study participants. The model is based on accurate operation parameters of all stationary transmitters of mobile communication base stations, and radio broadcast and television transmitters for an extended urban and suburban region in the Basel area (Switzerland). The model was evaluated by calculating Spearman rank correlations and weighted Cohen's kappa (kappa) statistics between the model predictions and measurements obtained at street level, in the homes of volunteers, and in front of the windows of these homes. The correlation coefficients of the numerical predictions with street level measurements were 0.64, with indoor measurements 0.66, and with window measurements 0.67. The kappa coefficients were 0.48 (95%-confidence interval: 0.35-0.61) for street level measurements, 0.44 (95%-CI: 0.32-0.57) for indoor measurements, and 0.53 (95%-CI: 0.42-0.65) for window measurements. Although the modeling of shielding effects by walls and roofs requires considerable simplifications of a complex environment, we found a comparable accuracy of the model for indoor and outdoor points.

Communication skills training in oncology: a position paper based on a consensus meeting among European experts in 2009

Background: Communication in cancer care has become a major topic of interest. Since there is evidence that ineffective communication affects both patients and oncology clinicians (physicians and nurses), so-called communication skills trainings (CSTs) have been developed over the last decade. While these trainings have been demonstrated to be effective, there is an important heterogeneity with regard to implementation and with regard to evidence of different aspects of CST. Methods: In order to review and discuss the scientific literature on CST in oncology and to formulate recommendations, the Swiss Cancer League has organised a consensus meeting with European opinion leaders and experts in the field of CST, as well as oncology clinicians, representatives of oncology societies and patient organisations. On the basis of a systematic review and a meta-analysis, recommendations have been developed and agreed upon. Results: Recommendations address (i) the setting, objectives and participants of CST, (ii) its content and pedagogic tools, (iii) organisational aspects, (iv) outcome and (v) future directions and research. Conclusion: This consensus meeting, on the basis of European expert opinions and a systematic review and meta-analysis, defines key elements for the current provision and future development and evaluation of CST in oncology.

Dissecting Carotenoid from Structural Components of Carotenoid-Based Coloration: A Field Experiment with Great Tits (Parus major)

Carotenoid-based yellowish to red plumage colors are widespread visual signals used in sexual and social communication. To understand their ultimate signaling functions, it is important to identify the proximate mechanism promoting variation in coloration. Carotenoid-based colors combine structural and pigmentary components, but the importance of the contribution of structural components to variation in pigment-based colors (i.e., carotenoid-based colors) has been undervalued. In a field experiment with great tits (Parus major), we combined a brood size manipulation with a simultaneous carotenoid supplementation in order to disentangle the effects of carotenoid availability and early growth condition on different components of the yellow breast feathers. By defining independent measures of feather carotenoid content (absolute carotenoid chroma) and background structure (background reflectance), we demonstrate that environmental factors experienced during the nestling period, namely, early growth conditions and carotenoid availability, contribute independently to variation in yellow plumage coloration. While early growth conditions affected the background reflectance of the plumage, the availability of carotenoids affected the absolute carotenoid chroma, the peak of maximum ultraviolet reflectance, and the overall shape, that is, chromatic information of the reflectance curves. These findings demonstrate that environment-induced variation in background structure contributes significantly to intraspecific variation in yellow carotenoid-based plumage coloration.

The near babylonian speech confusion in early detection of psychosis

It is barely 15 years since, in 1996, the issue theme of Schizophrenia Bulletin (Vol 22, 2) “Early Detection, and Intervention in Schizophrenia” signified the commencement of this field of research. Since that time the field of early detection research has developed rapidly and it may be translated into clinical practice by the introduction of an Attenuated Psychosis Syndrome in Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, (DSM-5) (www.dsm5.org/ProposedRevisions/Pages/proposedrevision.aspx?rid=412#). Attenuated psychotic symptoms (APS) had first been suggested as a clinical predictor of first-episode psychosis by the Personal Assessment and Crisis Evaluation (PACE) Clinic group as part of the ultrahigh risk (UHR) criteria.1 The term ultrahigh risk became broadly accepted for this set of criteria for imminent risk of developing psychosis in the late 1990s. The use of the term “prodrome” for a state characterized by at-risk (AR) criteria was criticized as a retrospective concept inevitably followed by the full-blown disorder.1 Although alternative terms have been suggested, prodrome is still used in prospective studies (eg, prodromally symptomatic, potentially or putatively prodromal, prodrome-like state/symptoms). Some alternative suggestions such as prepsychotic state/symptoms, subthreshold psychotic symptoms, early psychosis, subsyndromal psychosis, hypopsychosis, or subpsychosis were short-lived. Other terms still in use include UHR, at-risk mental state (ARMS), AR, high risk, clinical high risk (CHR), or early and late AR state. Further, the term psychotic-like experiences (PLEs) has recently (re-)entered early detection research. …

Using Micro-Gravity Techniques to Map Alluvium Thickness and Pleistocene Location of the West Branch of the Susquehanna River Near Muncy, Pennsylvania

Laurentide glaciation during the early Pleistocene (~970 ka) dammed the southeast-flowing West Branch of the Susquehanna River (WBSR), scouring bedrock and creating 100-km-long glacial Lake Lesley near the Great Bend at Muncy, Pennsylvania (Ramage et al., 1998). Local drill logs and well data indicate that subsequent paleo-outwash floods and modern fluvial processes have deposited as much as 30 meters of alluvium in this area, but little is known about the valley fill architecture and the bedrock-alluvium interface. By gaining a greater understanding of the bedrock-alluvium interface the project will not only supplement existing depth to bedrock information, but also provide information pertinent to the evolution of the Muncy Valley landscape. This project determined if variations in the thickness of the valley fill were detectable using micro-gravity techniques to map the bedrock-alluvium interface. The gravity method was deemed appropriate due to scale of the study area (~30 km2), ease of operation by a single person, and the available geophysical equipment. A LaCoste and Romberg Gravitron unit was used to collect gravitational field readings at 49 locations over 5 transects across the Muncy Creek and Susquehanna River valleys (approximately 30 km2), with at least two gravity base stations per transect. Precise latitude, longitude and ground surface elevation at each location were measured using an OPUS corrected Trimble RTK-GPS unit. Base stations were chosen based on ease of access due to the necessity of repeat measurements. Gravity measurement locations were selected and marked to provide easy access and repeat measurements. The gravimeter was returned to a base station within every two hours and a looping procedure was used to determine drift and maximize confidence in the gravity measurements. A two-minute calibration reading at each station was used to minimize any tares in the data. The Gravitron digitally recorded finite impulse response filtered gravity measurements every 20 seconds at each station. A measurement period of 15 minutes was used for each base station occupation and a minimum of 5 minutes at all other locations. Longer or multiple measurements were utilized at some sites if drift or other externalities (i.e. train or truck traffic) were effecting readings. Average, median, standard deviation and 95% confidence interval were calculated for each station. Tidal, drift, latitude, free-air, Bouguer and terrain corrections were then applied. The results show that the gravitational field decreases as alluvium thickness increases across the axes of the Susquehanna River and Muncy Creek valleys. However, the location of the gravity low does not correspond with the present-day location of the West Branch of the Susquehanna River (WBSR), suggesting that the WBSR may have been constrained along Bald Eagle Mountain by a glacial lobe originating from the Muncy Creek Valley to the northeast. Using a 3-D inversion model, the topography of the bedrock-alluvium interface was determined over the extent of the study area using a density contrast of -0.8 g/cm3. Our results are consistent with the bedrock geometry of the area, and provide a low-cost, non-invasive and efficient method for exploring the subsurface and for supplementing existing well data.

Assessment of flow in perforating arteries during intracranial aneurysm surgery using intraoperative near-infrared indocyanine green videoangiography

OBJECTIVE: Perforating arteries are commonly involved during the surgical dissection and clipping of intracranial aneurysms. Occlusion of perforating arteries is responsible for ischemic infarction and poor outcome. The goal of this study is to describe the usefulness of near-infrared indocyanine green videoangiography (ICGA) for the intraoperative assessment of blood flow in perforating arteries that are visible in the surgical field during clipping of intracranial aneurysms. In addition, we analyzed the incidence of perforating vessels involved during the aneurysm surgery and the incidence of ischemic infarct caused by compromised small arteries. METHODS: Sixty patients with 64 aneurysms were surgically treated and prospectively included in this study. Intraoperative ICGA was performed using a surgical microscope (Carl Zeiss Co., Oberkochen, Germany) with integrated ICGA technology. The presence and involvement of perforating arteries were analyzed in the microsurgical field during surgical dissection and clip application. Assessment of vascular patency after clipping was also investigated. Only those small arteries that were not visible on preoperative digital subtraction angiography were considered for analysis. RESULTS: The ICGA was able to visualize flow in all patients in whom perforating vessels were found in the microscope field. Among 36 patients whose perforating vessels were visible on ICGA, 11 (30%) presented a close relation between the aneurysm and perforating arteries. In one (9%) of these 11 patients, ICGA showed occlusion of a P1 perforating artery after clip application, which led to immediate correction of the clip confirmed by immediate reestablishment of flow visible with ICGA without clinical consequences. Four patients (6.7%) presented with postoperative perforating artery infarct, three of whom had perforating arteries that were not visible or distant from the aneurysm. CONCLUSION: The involvement of perforating arteries during clip application for aneurysm occlusion is a usual finding. Intraoperative ICGA may provide visual information with regard to the patency of these small vessels.