Development of a subject-specific musculoskeletal shoulder model : inverse and forward dynamics applications

A prevalência de pessoas que referem dor no complexo articular do ombro, com concomitante limitação na capacidade para realizar atividades da vida diária, é elevada. Estes níveis de prevalência sobrecarregam quer os utentes, como a própria sociedade. A evidência científica atual indicia a existência de uma relação entre as alterações da articulação escápulo-torácica e as patologias associadas à articulação gleno-umeral. A capacidade de quantificar, cinemática e cineticamente, as disfunções ao nível das articulações escápulo-torácica e gleno-umeral, é algo de enorme importância, quer para a comunidade biomecânica, como para a clínica. No decorrer dos trabalhos desta tese foi desenvolvido, através do software OpenSim, um modelo tridimensional músculo-esquelético do complexo articular do ombro que inclui a representação do tórax/coluna, clavícula, omoplata, úmero, rádio, cúbito e articulações que permitem os movimentos relativos desses segmentos, assim como, 16 músculos e 4 ligamentos. Com um total de 11 graus de liberdade, incluindo um novo modelo articular escápulo-torácico, os resultados demonstram que este é capaz de reconstruir de forma precisa e rápida os movimentos escápulo-torácicos e glenoumerais, recorrendo para tal, à cinemática inversa, e à dinâmica inversa e direta. Conta ainda com um método de transformação inovador para determinar, com base nas especificidades dos sujeitos, os locais de inserção muscular. As principais motivações subjacentes ao desenvolvimento desta tese foram contribuir para o aprofundar do atual conhecimento sobre as disfunções do complexo articular do ombro e, simultaneamente, proporcionar à comunidade clínica uma ferramenta biomecânica de livre acesso com o intuito de melhor suportar as decisões clínicas e dessa forma concorrer para uma prática mais efetiva.

Energía Eólica en Argentina: una cuestión estratégica hacia la Economía del Hidrógeno. Wind Energy in Argentina: a strategic subject towards the Hydrogen Economy.

Identificación/caracterización del problema: El abastecimiento energético en base a fuentes no tradicionales o recursos no renovables es un tema altamente estratégico en las agendas de los Estados. El petróleo se está agotando y las existencias no alcanzarán para abastecer el consumo mundial.Esto ha llevado a Gobiernos a implementar alternativas de producción energética basadas en fuentes no tradicionales, tales como el Hidrógeno (H2), lo cual creará una Economía basada en el Hidrógeno.Argentina cuenta con una matriz energética dependiente en un 90 por ciento del petróleo y con reservas certificadas de petróleo y gas natural para 8,6 y 9,4 años respectivamente. Sin duda, los desafíos próximos serán: a) crear las herramientas necesarias para minimizar una potencial crisis energética en el corto plazo, y b) desarrollar políticas energéticas que articulen su autoabastecimiento e inserción en la Economía del Hidrógeno. Dado que Argentina cuenta con uno de los recursos renovables más importantes del mundo, "el viento", tiene condiciones inmejorables para obtener Hidrógeno (H2) por electrólisis del agua, utilizando energía eléctrica proveniente de fuentes renovables como la eólica (EE). Es por ello que apostar al desarrollo local del H2 basado en la EE nos ofrecerá como país, un rol estratégico en la futura Economía del Hidrógeno.Objetivo General: Identificar la actual Matriz Energética Argentina y reconocer los factores limitantes y oportunidades para la diversificación de la misma, utilizando la Energía Eólica (EE) como pilar hacia la Economía del Hidrógeno (Econo-H2). El fin último será esbozar herramientas de política energética e instrumentos regulatorios pertinentes, que sirvan de base para la formulación de una macro política energética.Metodología de Investigación: Se utilizarán técnicas de análisis de la siguiente información:a) Documental (textos, artículos, información periodística)b) Técnica, Legal y administrativa) Oral (Declaraciones oficiales-privadas y entrevistas)d) Visual (imágenes, gráficos y mapas)e) Datos (cronológicos, estadísticos y geográficos)Resultados esperados: La formulación de herramientas de política energética y de instrumentos regulatorios pertinentes, que sirvan de base para la formulación de una macro política energética que considere la Energía Eólica (EE) como un pilar fundamental para la diversificación de la matriz energética actual. Asimismo se reflexionará sobre la importancia de asociar la EE a la producción masiva del hidrógeno (H2) para la inserción y proyección futura de la Argentina hacia la Economía del Hidrógeno.Importancia del Proyecto: Argentina ha ratificado el protocolo de Kioto y forma parte de la Johannesburg Renewable Energy Coalition (JREC), por la cual ha asumido compromisos para fijar políticas nacionales de incentivo para el desarrollo de uso de energías renovables.Sin embargo, y a pesar de una serie de iniciativas y leyes promulgadas relacionadas a uso de energías renovables, hasta la fecha, no se ha logrado cumplir con metas concretas.Consideramos que uno de los factores fundamentales que ha dificultado esto, se basa en la ausencia de una política de Estado de mediano y largo plazo que incluya a las energías renovables como un objetivo concreto y un sistema de instrumentos y planes complementarios que acompañen dicha política.

Sujeto y Política. La constitución de las identidades desde una perspectiva postfundacionalista: hacia la construcción de un marco teórico-metodológico para el análisis histórico-político. Subject and politics. The constitution of political identities from a posfoundational perspective: towards a construction of a theorethico-methodolocal framework for histórico-political analysis.

El proyecto de investigación se dirige a sistematizar un abordaje postfundacionalista de las identidades políticas en vistas a la construcción de un marco teórico-metodológico para el análisis histórico-político. Se parte de la creciente relevancia en las ciencias sociales de la cuestión de la “identidad” para indagar la singularidad del marco teórico adoptado en su estudio. Así, el postfundacionalismo da cuenta de una teoría de las subjetividades políticas que parte de procesos de identificación que suponen una articulación singular entre relativa estructuralidad y agencia. El sujeto emerge en un contexto nunca plenamente suturado ni plenamente abierto, sino a través de un anudamiento de diversas dimensiones reales, simbólicas e imaginarias. Esta visión es altamente productiva para generar conclusiones relevantes en el campo de la ciencia política y del análisis histórico político comparado. This research project seeks to systematise from a postfundationalist view of political identities a theoretico-methodological framework for historico political analysis. The project starts from the increasing relevance of the quistion of 'identity' for contremporary social sciences. Poststructuralism provides an insight of processes of identification that supposes a singular articulation between relative structurality and agency. The subject emerges in a neither fully structured nor fully opened context but through a knotting process of different registers: real, symblic and imaginary. This vision, we believe, is highly productive to generate meaningful conclusions in the field of political science and comparative political analysis.

Oysters, and all about them : being a complete history of the titular subject, exhaustive on all points of necessary and curious information from the earliest writers to those of the present time, with numerous additions, facts, and notes /

2

Oysters, and all about them : being a complete history of the titular subject, exhaustive on all points of necessary and curious information from the earliest writers to those of the present time, with numerous additions, facts, and notes /

1

Subject in Process

Combined media on photographic paper. 51¼" x 83" Private Collection

Prevention of transfusional Trypanosoma cruzi infection in Latin America

Trypanosoma cruzi is a protozoan infection widely spread in Latin America, from Mexico in the north to Argentina and Chile in the south. The second most important way of acquiring the infection is by blood transfusion. Even if most countries of Latin America have law/decree/norms, that make mandatory the screening of blood donors for infectious diseases, including T. cruzi (El Salvador and Nicaragua do not have laws on the subject), there is usually no enforcement or it is very lax. Analysis of published serologic surveys of T. cruzi antibodies in blood donors done in 1993, indicating the number of donors and screening coverage for T. cruzi in ten countries of Central and South America indicated that the probability of receiving a potentially infected transfusion unit in each country varied from 1,096 per 10,000 transfusions in Bolivia, the highest, to 13.02 or 13.86 per 10,000 transfusions in Honduras and Venezuela respectively, where screening coverage was 100%. On the other hand the probability of transmitting a T. cruzi infected unit was 219/10,000 in Bolivia, 24/10,000 in Colombia, 17/10,000 in El Salvador, and around 2-12/10,000 for the seven other countries. Infectivity risks defined as the likelihood of being infected when receiving an infected transfusion unit were assumed to be 20% for T. cruzi. Based on this, estimates of the absolute number of infections induced by transfusion indicated that they were 832, 236, and 875 in Bolivia, Chile and Colombia respectively. In all the other countries varied from seven in Honduras to 85 in El Salvador. Since 1993, the situation has improved. At that time only Honduras and Venezuela screened 100% of donors, while seven countries, Argentina, Colombia, El Salvador, Honduras, Paraguay, Uruguay and Venezuela, did the same in 1996. In Central America, without information from Guatemala, the screening of donors for T. cruzi prevented the transfusion of 1,481 infected units and the potential infection of 300 individuals in 1996. In the same year, in seven countries of South America, the screening prevented the transfusion of 36,017 infected units and 7, 201 potential cases of transfusional infection.

Self-reported health needs and use of primary health care services by adolescents enrolled in post-mandatory schools or vocational training programmes in Switzerland.

BACKGROUND: The second Swiss Multicenter Adolescent Survey on Health (SMASH02) was conducted among a representative sample (n = 7428) of students and apprentices aged 16 to 20 from the three language areas of Switzerland during the year 2002. This paper reports on health needs expressed by adolescents and their use of health care services over the 12 months preceding the survey. METHODS: Nineteen cantons representing 80% of the resident population agreed to participate. A complex iterative random cluster sample of 600 classes was drawn with classes as primary sampling unit. The participation rate was 97.7% for the classes and 99.8% for the youths in attendance. The self-administered questionnaire included 565 items. The median rate of item non-response was 1.8%. Ethical and legal requirements applying to surveys of adolescent populations were respected. RESULTS: Overall more than 90% of adolescents felt in good to excellent health. Suffering often or very often from different physical complaints or pain was also reported such as headache (boys: 15.9%, girls: 37.4%), stomach-ache (boys: 9.7%, girls: 30.0%), joint pain (boys: 24.7%, girls: 29.5%) or back pain (boys: 24.3%, girls: 34.7%). Many adolescents reported a need for help on psychosocial and lifestyle issues, such as stress (boys: 28.5%, girls: 47.7%) or depression (boys: 18.9%, girls: 34.4%). Although about 75% of adolescents reported having consulted a general practitioner and about one-third having seen another specialist, reported reasons for visits do not correspond to the expressed needs. Less than 10% of adolescents had visited a psychiatrist, a family planning centre or a social worker. CONCLUSIONS: The reported rates of health services utilisation by adolescents does not match the substantial reported needs for help in various areas. This may indicate that the corresponding problems are not adequately detected and/or addressed by professionals from the health and social sectors.

Patterns of Subject Mix in Higher Education Institutions : A First Empirical Analysis Using the AQUAMETH Database

Teaching and research are organised differently between subject domains: attempts to construct typologies of higher education institutions, however, often do not include quantitative indicators concerning subject mix which would allow systematic comparisons of large numbers of higher education institutions among different countries, as the availability of data for such indicators is limited. In this paper, we present an exploratory approach for the construction of such indicators. The database constructed in the AQUAMETH project, which includes also data disaggregated at the disciplinary level, is explored with the aim of understanding patterns of subject mix. For six European countries, an exploratory and descriptive analysis of staff composition divided in four large domains (medical sciences, engineering and technology, natural sciences and social sciences and humanities) is performed, which leads to a classification distinguishing between specialist and generalist institutions. Among the latter, a further distinction is made based on the presence or absence of a medical department. Preliminary exploration of this classification and its comparison with other indicators show the influence of long term dynamics on the subject mix of individual higher education institutions, but also underline disciplinary differences, for example regarding student to staff ratios, as well as national patterns, for example regarding the number of PhD degrees per 100 undergraduate students. Despite its many limitations, this exploratory approach allows defining a classification of higher education institutions that accounts for a large share of differences between the analysed higher education institutions.