770 resultados para harm-minimization


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We report an experiment where participants observed an attack on their virtual body as experienced in an immersive virtual reality (IVR) system. Participants sat by a table with their right hand resting upon it. In IVR, they saw a virtual table that was registered with the real one, and they had a virtual body that substituted their real body seen from a first person perspective. The virtual right hand was collocated with their real right hand. Event-related brain potentials were recorded in two conditions, one where the participant"s virtual hand was attacked with a knife and a control condition where the knife only struck the virtual table. Significantly greater P450 potentials were obtained in the attack condition confirming our expectations that participants had a strong illusion of the virtual hand being their own, which was also strongly supported by questionnaire responses. Higher levels of subjective virtual hand ownership correlated with larger P450 amplitudes. Mu-rhythm event-related desynchronization in the motor cortex and readiness potential (C3C4) negativity were clearly observed when the virtual hand was threatened as would be expected, if the real hand was threatened and the participant tried to avoid harm. Our results support the idea that event-related potentials may provide a promising non-subjective measure of virtual embodiment. They also support previous experiments on pain observation and are placed into context of similar experiments and studies of body perception and body ownership within cognitive neuroscience.

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The discussion about setting up a program for lung cancer screening was launched with the publication of the results of the National Lung Screening Trial, which suggested reduced mortality in high-risk subjects undergoing CT screening. However, important questions about the benefit-harm balance and the details of a screening program and its cost-effectiveness remain unanswered. A panel of specialists in chest radiology, respiratory medicine, epidemiology, and thoracic surgery representing all Swiss university hospitals prepared this joint statement following several meetings. The panel argues that premature and uncontrolled introduction of a lung cancer screening program may cause substantial harm that may remain undetected without rigorous quality control. This position paper focuses on the requirements of running such a program with the objective of harmonizing efforts across the involved specialties and institutions and defining quality standards. The underlying statement includes information on current evidence for a reduction in mortality with lung cancer screening and the potential epidemiologic implications of such a program in Switzerland. Furthermore, requirements for lung cancer screening centers are defined, and recommendations for both the CT technique and the algorithm for lung nodule assessment are provided. In addition, related issues such as patient management, registry, and funding are addressed. Based on the current state of the knowledge, the panel concludes that lung cancer screening in Switzerland should be undertaken exclusively within a national observational study in order to provide answers to several critical questions before considering broad population-based screening for lung cancer.

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The objective of this work was to evaluate if corn plants damaged by the lesser cornstalk borer (Elasmopalpus lignosellus) larvae release volatile organic compounds capable of attracting the egg parasitoid Trichogramma pretiosum. The treatments consisted of plants subjected to harm caused by E. lignosellus larvae, plants subjected to mechanical damage, and undamaged plants. The parasitoid was more attracted by the volatiles released by the insect damaged plants than to those released by undamaged corn plants, after 24 and 72 hours. The volatiles (Z)-3-hexenyl acetate, β-pinene, β-myrcene, (E)-4,8-dimethylnona-1,3,7-triene, and benzothiazole were released in significantly larger quantities by damaged plants. Volatiles released by corn plants damaged by E. lignosellus larvae may act as an indirect defense, attracting by T. pretiosum.

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We have explored the threshold of tolerance of three unrelated cell types to treatments with potential cytoprotective peptides bound to Tat(48-57) and Antp(43-58) cell-permeable peptide carriers. Both Tat(48-57) and Antp(43-58) are well known for their good efficacy at crossing membranes of different cell types, their overall low toxicity, and their absence of leakage once internalised. Here, we show that concentrations of up to 100 microM of Tat(48-57) were essentially harmless in all cells tested, whereas Antp(43-58) was significantly more toxic. Moreover, all peptides bound to Tat(48-57) and Antp(43-58) triggered significant and length-dependent cytotoxicity when used at concentrations above 10 microM in all but one cell types (208F rat fibroblasts), irrespective of the sequence of the cargo. Absence of cytotoxicity in 208F fibroblasts correlated with poor intracellular peptide uptake, as monitored by confocal laser scanning fluorescence microscopy. Our data further suggest that the onset of cytotoxicity correlates with the activation of two intracellular stress signalling pathways, namely those involving JNK, and to a lesser extent p38 mitogen-activated protein kinases. These responses are of particular concern for cells that are especially sensitive to the activation of stress kinases. Collectively, these results indicate that in order to avoid unwanted and unspecific cytotoxicity, effector molecules bound to Tat(48-57) should be designed with the shortest possible sequence and the highest possible affinity for their binding partners or targets, so that concentrations below 10 microM can be successfully applied to cells without harm. Considering that cytotoxicity associated to Tat(48-57)- and Antp(43-58) bound peptide conjugates was not restricted to a particular type of cells, our data provide a general framework for the design of cell-penetrating peptides that may apply to broader uses of intracellular peptide and drug delivery.

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Magnetization versus temperature in the temperature interval 2-200 K was measured for amorphous alloys of three different compositions: Fe 81.5B14.5Si4, Fe40Ni38 Mo4B18, and Co70Fe5Ni 2Mo3B5Si15. The measurements were performed by means of a SQUID (superconducting quantum interference device) magnetometer. The aim was to extract information about the different mechanisms contributing to thermal demagnetization. A powerful data analysis technique based on successive minimization procedures has demonstrated that Stoner excitations of the strong ferromagnetic type play a significant role in the Fe-Ni alloy studied. The Fe-rich and Co-rich alloys do not show a measurable contribution from single-particle excitations.

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The effect of motor training using closed loop controlled Functional Electrical Stimulation (FES) on motor performance was studied in 5 spinal cord injured (SCI) volunteers. The subjects trained 2 to 3 times a week during 2 months on a newly developed rehabilitation robot (MotionMaker?). The FES induced muscle force could be adequately adjusted throughout the programmed exercises by the way of a closed loop control of the stimulation currents. The software of the MotionMaker? allowed spasms to be detected accurately and managed in a way to prevent any harm to the SCI persons. Subjects with incomplete SCI reported an increased proprioceptive awareness for motion and were able to achieve a better voluntary activation of their leg muscles during controlled FES. At the end of the training, the voluntary force of the 4 incomplete SCI patients was found increased by 388% on their most affected leg and by 193% on the other leg. Active mobilisation with controlled FES seems to be effective in improving motor function in SCI persons by increasing the sensory input to neuronal circuits involved in motor control as well as by increasing muscle strength.

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Recent literature has discussed the unintended consequences of clinical information technologies (IT) on patient safety, yet there has been little discussion about the safety concerns in the area of consumer health IT. This paper presents a range of safety concerns for consumers in social media, with a case study on YouTube. We conducted a scan of abstracts on 'quality criteria' related to YouTube. Five areas regarding the safety of YouTube for consumers were identifi ed: (a) harmful health material targeted at consumers (such as inappropriate marketing of tobaccoor direct-to-consumer drug advertising); (b) public display of unhealthy behaviour (such as people displaying self-injury behaviours or hurting others); (c) tainted public health messages (i.e. the rise of negative voices againstpublic health messages); (d) psychological impact from accessing inappropriate, offensive or biased social media content; and (e) using social media to distort policy and research funding agendas. The examples presented should contribute to a better understanding about how to promote a safe consumption and production of social media for consumers, and an evidence-based approach to designing social media interventions for health. The potential harm associated with the use of unsafe social media content on the Internet is a major concern. More empirical and theoretical studies are needed to examine how social media infl uences consumer health decisions, behaviours and outcomes, and devise ways to deter the dissemination of harmful infl uences in social media.

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Purpose/Objective(s): Letrozole radiosensitizes breast cancer cells in vitro. In clinical settings, no data exist for the combination of letrozole and radiotherapy. We assessed concurrent and sequential radiotherapy and letrozole in the adjuvant setting.Materials/Methods: The present study is registered with ClinicalTrials.gov, number NCT00208273. This Phase 2 randomized trial was undertaken in two centers in France and one in Switzerland between January 12, 2005, and February 21, 2007. One hundred fifty postmenopausal women with early-stage breast cancer were randomly assigned after conserving surgery to either concurrent radiotherapy and letrozole (n = 75) or sequential radiotherapy and letrozole (n = 75). Randomization was open label with a minimization technique, stratified by investigational centers, chemotherapy (yes vs. no), radiation boost (yes vs. no), and value of radiation-induced lymphocyte apoptosis (#16% vs. .16%). The whole breast was irradiated to a total dose of 50 Gy in 25 fractions over 5 weeks. In the case of supraclavicular and internal mammary node irradiation, the dose was 44 - 50 Gy. Letrozole was administered orally once daily at a dose of 2 - 5 mg for 5 years (beginning 3 weeks pre-radiotherapy in the concomitant group, and 3 weeks postradiotherapy in the sequential group). The primary endpoint was the occurrence of acute (during and within 6 weeks of radiotherapy) and late (within 2 years) radiation-induced Grade 2 or worse toxic effects of the skin and lung (functional pulmonary test and lung CT-scan). Analyses were by intention-to-treat. The long-term follow-up after 2 years was only performed in Montpellier (n = 121) and evaluated skin toxicity (clinical examination every 6 months), lung fibrosis (one CT-scan yearly), cosmetic outcome.Results: All patients were analyzed apart from 1 in the concurrent group who withdrew consent before any treatment.Within the first 2 years (n = 149), no lung toxicity was identified by CT scan and no modification from baseline was noted by the lung diffusion capacity test. Two patients in each group had Grade 2 or worse late effects (both radiation-induced subcutaneous fibrosis [RISF]). After 2 years (n = 121), and with a median follow-up of 50 months (38-62), 2 patients (1 in each arm) presented a Grade 3 RISF. No lung toxicity was identified by CT scan. Cosmetic results (photographies) and quality of life was good to excellent. All patients who had Grade 3 subcutaneous fibrosis had an RILA value of 16% or less, irrespective of the sequence with letrozole.Conclusions:With long-term follow-up, letrozole can be safely delivered shortly after surgery and concomitantly with radiotherapy.

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This paper presents a Bayesian approach to the design of transmit prefiltering matrices in closed-loop schemes robust to channel estimation errors. The algorithms are derived for a multiple-input multiple-output (MIMO) orthogonal frequency division multiplexing (OFDM) system. Two different optimizationcriteria are analyzed: the minimization of the mean square error and the minimization of the bit error rate. In both cases, the transmitter design is based on the singular value decomposition (SVD) of the conditional mean of the channel response, given the channel estimate. The performance of the proposed algorithms is analyzed,and their relationship with existing algorithms is indicated. As withother previously proposed solutions, the minimum bit error rate algorithmconverges to the open-loop transmission scheme for very poor CSI estimates.

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The suitable timing of capacity investments is a remarkable issue especially in capital intensive industries. Despite its importance, fairly few studies have been published on the topic. In the present study models for the timing of capacity change in capital intensive industry are developed. The study considers mainly the optimal timing of single capacity changes. The review of earlier research describes connections between cost, capacity and timing literature, and empirical examples are used to describe the starting point of the study and to test the developed models. The study includes four models, which describe the timing question from different perspectives. The first model, which minimizes unit costs, has been built for capacity expansion and replacement situations. It is shown that the optimal timing of an investment can be presented with the capacity and cost advantage ratios. After the unit cost minimization model the view is extended to the direction of profit maximization. The second model states that early investments are preferable if the change of fixed costs is small compared to the change of the contribution margin. The third model is a numerical discounted cash flow model, which emphasizes the roles of start-up time, capacity utilization rate and value of waiting as drivers of the profitable timing of a project. The last model expands the view from project level to company level and connects the flexibility of assets and cost structures to the timing problem. The main results of the research are the solutions of the models and analysis or simulations done with the models. The relevance and applicability of the results are verified by evaluating the logic of the models and by numerical cases.

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This correspondence studies the formulation of members ofthe Cohen-Posch class of positive time-frequency energy distributions.Minimization of cross-entropy measures with respect to different priorsand the case of no prior or maximum entropy were considered. It isconcluded that, in general, the information provided by the classicalmarginal constraints is very limited, and thus, the final distributionheavily depends on the prior distribution. To overcome this limitation,joint time and frequency marginals are derived based on a "directioninvariance" criterion on the time-frequency plane that are directly relatedto the fractional Fourier transform.

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Tutkielman tavoitteena oli osoittaa minkälaisia vaikutuksia työnantajan sivukulujen poisto toisi työllisyyteen. Tutkielman empiirinen osio toteutettiin survey-tutkimuksella. Tämä toteutettiin postikyselyllä, jossa 810 Etelä-Karjalalaiselle yritykselle lähetettiin joulukuussa 2004 kyselylomake. Kyselyyn vastanneiden yritysten määrä oli 141 ja vastausprosentti oli 17. Vastanneiden yritysten toimialajakauma vastasi koko Etelä-Karjalan alueen yritysten toimialajakaumaa, jossa suurimpana toimialana oli eri palvelualan yritykset. Tutkielma eroaa aikaisemminista työllisyyden parantamiseksi esitetyistä malleista. Ensimmäineneroavaisuus on sivukulujen poistaminen yrityksiltä kokonaan eikä vain muutamilla prosenttiyksiköillä. Toinen eroavaisuus on sivukulujen poiston kohdistamisessavain niille yrityksille, joilla työllistävyys kasvaa merkittävästi. Näiden tarkoituksena on maksimoida työllisyysvaikutukset ja vaikuttaa aiheutuneiden kustannusten minimointiin tai kustannusten korvaantumiseen täysimääräisesti. Asetetut tavoitteet voidaan saavuttaa kohdistamalla sivukulujen poisto vain niihin yrityksiin, jotka työllistävät alle 5 henkilöä. Näiden yritysten kohdalla mahdollistuvauusien työntekijöiden määrä nousee keskimäärin 36 prosentilla. Tämä merkitsee laskelmien mukaan sitä, että sivululujen poiston aiheuttama sosiaalivakuutusmaksujen väheneminen korvaantuu vanhojen ja uusien työntekijöiden maksamilla tuloveroilla ja vähentyvillä työttömyyskorvauksilla. Uusien työpaikkojen kasvu merkitseeEtelä-Karjalan työttömyysprosentin laskua yli 4 prosenttiyksiköllä.

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Natural selection favours the genes which are able to introduce replicates of themselves in the next generation with higher certainty than do rival genes (Hamilton 1963). The fitness of an individual, it?s ability to produce future parents, depends on it?s own behaviour as well as on the behaviour of other individuals in the population. For instance, the intensity of competition an individual experience depends on the exploitation of resources by neighbours. The fitness is thus frequency dependent on what neighbours do. Behaviours can be classified according to the costs and benefits they have on the fitness of the behaver and it?s neighbours (Hamilton 1964, Hamilton 1975). According to this classification there exist four distinct social behaviours. (1) A gene confering the ability to use a new ressource is called selfish because it has a positive e_ect on the bearer of the gene but a negative e_ect on neighbours by the concomitant increase in competition. (2) An altruistic behaviour is defined as an action where an individual increases the fitness of a neighbour at the expense of it?s own. The e_ect is deleterious for the actor but positive for the receptor. (3) More surprinsingly, an individual might sacrifice a fraction of it?s ressources to harm another at no direct benefits. This spitefull behaviour incurs a cost for the actor but is also deleterious for the receptor. (4) Finally a cooperative behaviour breeds benefits for both actors and neighbours. In this thesis I will continue on the path traced by numerous evolutionnary biologist which attempt to fine tune our understanding of the evolution of social behaviours since Hamilton?s foundation (1963, 1964). A critical development over the last 40 years has been the realisation that competition between kin can partly or completely cancel out the role of relatedness as an agent favouring altruism (Wilson et al., 1992; Taylor, 1992a,b). Of importance is thus to determine the scale at which competition and altruism occur. One mechanism avoiding the complete dilution of relatedness by competition is the conditionnal expression of the social behaviors. Focus will be given in this thesis at the role played by di_erent recognition mechanism in paving the way to altruism (Komdeur and Hatchwell, 1999) when the population has a spatial structure. Further, the evolution of spite will also be considered in these settings. The thesis is fractionated into two parts. First, di_erent models promoting altruism cooperation and spite will be compared under the same theoretical umbrella. This is a rather informal and more personnal part of my thesis. It also serve as a justification and basis to "Altruism among kin and non-kin individuals" which is an article attempting to clas- sify the mechanisms leading to altruism and cooperation. Second, in the annexe, there are three research papers about kin selection, altruism and dispersal: "Is sociality driven by the costs of dispersal or the benefits of philopatry?: A role for kin-discrimination mechanism", "Altruism, dispersal and phenotype kin recognition" and "Inbreeding avoidance through kin recognition: choosy female boost male dispersal" this last paper incorporates kin recognition as an agent favoring sex-biased dispersal.

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Tutkimus suomalaisten yritysten liiketoimintamahdollisuuksista hiilidoksidipäästöjen vähentämisen parissa Luoteis-Venäjällä.