L'utilisation de la musique comme support de nouveaux apprentissages dans le vieillissement normal et la maladie d'Alzheimer

L’objectif de ce travail de thèse est d’évaluer le potentiel de la musique comme support mnémotechnique pour l’acquisition de nouvelles informations chez des personnes âgées saines et atteintes de la maladie d’Alzheimer (MA). Les bénéfices de la musique sur la cognition ont souvent été mis en évidence, y compris chez des populations âgées ou atteintes de démence. Parallèlement, chez des sujets jeunes, l’idée que la musique peut servir de support pour la mémoire a été largement débattue. Pourtant, très peu d’études ont posé cette question auprès de populations âgées ou dans la démence, malgré le besoin persistant de stratégies d’intervention dans ce domaine. Dans le présent travail, deux études sont menées dans une cohorte de 8 participants atteints d’un stade léger de la maladie d’Alzheimer, et 7 participants âgés sains appariés en âge et niveau de scolarité. La première étude porte sur la mémoire verbale, et compare l’apprentissage et la rétention de paroles (textes inconnus) présentées de manière récitée ou chantée. Lorsque les paroles sont chantées, différents degrés de familiarité de la mélodie sont contrastés. Aussi, l’action motrice étant intimement liée à l’écoute musicale, nous contrastons deux procédures d’apprentissage impliquant (ou non) la production synchronisée des paroles à mémoriser pendant l’encodage : le participant est invité à chanter à l’unisson avec un modèle (ou à écouter simplement sans chanter). Les résultats de cette étude sont présentés et discutés dans les deux premiers articles de la partie expérimentale. Ils suggèrent globalement que la musique n’aide pas l’apprentissage en rappel immédiat ; un effet délétère est même observé lorsque la mélodie utilisée est non familière. Par contre, la musique favorise la rétention à long terme des paroles, principalement pour les participants MA. Elle ne semble cependant pas interagir avec la procédure d’apprentissage impliquant le chant à l’unisson. La seconde étude porte sur l’apprentissage de séquences de gestes. Suivant la même logique que dans la première étude, nous explorons l’influence d’un accompagnement musical (versus apprentissage en silence) et d’une procédure d’apprentissage avec production synchronisée (versus observation) des gestes durant l’encodage. Les résultats (article 3) ne montrent pas non plus d’interaction entre l’accompagnement et la procédure d’apprentissage, mais différents effets de chaque composante sur les deux groupes de participants. Effectuer les gestes en synchronie avec un modèle lors de l’encodage est bénéfique pour les sujets Contrôles, mais plutôt délétère pour les participants MA. Par contre, l’accompagnement musical favorise davantage l’apprentissage chez les sujet MA que chez les Contrôles. En discussion générale, nous discutons les implications de ces résultats pour la neuropsychologie fondamentale et clinique, et proposons notamment différentes recommandations visant à maximiser ces effets et à les rendre pertinents pour l’usage thérapeutique en stimulation cognitive.

La idea de Monumentalidad en la Segunda Posguerra: Debates y Propuestas

El presente trabajo aborda el análisis de la idea de monumentalidad, así como el diseño y la construcción de monumentos concretos, a la finalización de la Segunda Guerra Mundial, prestando especial atención al intento del Movimiento Moderno de introducirse en un campo que hasta entonces le había sido ajeno. Entendiendo que el monumento es ante todo un artefacto para la memoria, y analizando las teorías de sociólogos como Émile Durkheim, Maurice Halbwachs, Jan Assmann o Iwona Irwin-Zarecka, la tesis se propone explicar el papel que juegan los monumentos en la creación de una memoria colectiva que, a diferencia de la historia, es una recopilación selectiva de acontecimientos del pasado cuyo fin es procurar y celebrar la permanencia del grupo social. También se propone analizar el papel del monumento como elemento de estabilidad en el paisaje urbano que genera de forma natural el apego de los ciudadanos, puesto que forma parte destacada del marco espacial en el que se han desarrollado sus vidas. Desde estas dos facetas se pretende justificar la necesidad de monumentos que experimenta cualquier grupo social, y por qué las guerras, que ponen en peligro la estructura, e incluso la propia vida del grupo, son acontecimientos que generan una tendencia especial a la construcción de monumentos que conjuren el peligro al que éste se ha visto sometido. Se explicarán las razones por las que la conmemoración de la Segunda Guerra Mundial se volvió especialmente problemática. Entre las principales, la desaparición de fronteras entre frente y retaguardia, entre objetivos militares y civiles; por otra parte la despersonalización de la acción bélica como consecuencia de la aplicación de la tecnología; en tercer lugar el papel de los medios de comunicación de masas, que por primera vez en la historia irrumpieron de forma masiva en una guerra, y ofrecían imágenes instantáneas, más impactantes y con un aura de realidad con la que el monumento convencional no era capaz de competir; en cuarto lugar el inicio de la era atómica, que enfrentaba por primera vez a la humanidad a la posibilidad de su destrucción total; y finalmente la experiencia del Holocausto, en cuanto que aniquilación carente de objetivo e ideología, que se servía del progreso de la ciencia para ganar en eficiencia, y que puso de manifiesto la manipulabilidad de la tecnología al servicio de unos intereses particulares. Como respuesta a esta dificultad para la conmemoración, se popularizaron dos fórmulas hasta entonces marginales que podemos considerar características del momento: una de ellas es el living memorial, que trataba de ofrecer una lectura constructiva de la guerra poniendo de relieve determinadas funciones prácticas de carácter democrático, cultural, deportivo, etc. que se presentaban como los frutos por los que se había combatido en la guerra. En esta fórmula es donde el Movimiento Moderno encontró la posibilidad de abordar nuevos proyectos, en los que la función estaba presente pero no era el ingrediente determinante, lo que obligaría a un enriquecimiento del lenguaje con el que responder a la dimensión emotiva del monumento. Y si bien hay en esta época edificios modernos que podemos calificar justamente de monumentos, el desplazamiento del centro del debate teórico hacia cuestiones estilísticas y expresivas limitó considerablemente la claridad de los enunciados anteriores y la posibilidad de consenso. Dentro de los living memorials, las sedes de la Organización de Naciones Unidas y sus correspondientes agencias representaron la mayor esperanza del Movimiento Moderno por construir un auténtico monumento. Sin embargo, el sistema de trabajo en grupo, con su correspondiente conflicto de personalidades, la ausencia de proyección de los edificios sobre el espacio urbano anexo, y sobre todo el propio descrédito que comenzaron a sufrir las instituciones con el comienzo de la Guerra Fría, frustraron esta posibilidad. La segunda fórmula conmemorativa sería el monumento de advertencia o mahnmal, que renuncia a cualquier rasgo de heroísmo o romanticismo, y se concentra simplemente en advertir de los riesgos que implica la guerra. Dicha fórmula se aplicó fundamentalmente en los países vencidos, y generalmente no por iniciativa propia, sino como imposición de los vencedores, que de alguna forma aprovechaban la ocasión para hacer examen de conciencia lejos de la opinión pública de sus respectivos países. ABSTRACT This paper explores the idea of monumentality through the analysis of the design and construction of several monuments at the end ofWorldWar II. It pays particular attention to the attempt of the Modern Movement to enter a field that had been ignored until this moment. With the assumption that a monument is primarily a mnemonic device, this thesis focuses on the thinking of sociologists like Émile Durkheim, Maurice Halbwachs, Jan Assmann or Iwona Irwin-Zarecka, with the aim of explaining the role of monuments in the creation of a collective memory which, unlike history, consists of past events selected in order to secure and celebrate the permanence of a social group. It also considers the role of monuments as elements of stability in the urban landscape that naturally get assimilated by society, since they are prominent elements in the shared spaces of daily life. These two features explain the need felt by any society for monuments, and how wars, events that endanger the structure and even the existence of that same society, generate a special tendency to build monuments to conjure that inherent danger. The reasons why the memorializing of World War II became especially problematic will be explained. Primary among them is the blurring of boundaries between the front line and the domestic front, between military and civilian targets; moreover, the depersonalization of warfare as a result of advances in technology; thirdly, the role of mass media, which for the first time in history extensively covered a war, instantly broadcasting images of such power and with such an aura of reality that conventional monuments became obsolete; fourthly, the beginning of the atomic age, which meant that mankind faced the possibility of complete destruction; and finally the Holocaust, a racial annihilation devoid of purpose and ideology, which took advantage of scientific progress to gain efficiency, manipulating technology to serve particular interests. In response to this difficulty in commemorating wars, two formulas hitherto marginal gained such popularity as to become prototypes: one was the living memorial, offering a constructive reading of the war by hosting certain practical functions of democratic, cultural or sporting nature. Living memorials presented themselves as the image of the outcome for which the war had been fought. The Modern Movement found in this formula the opportunity for tackling new projects, in which function was present but not as the determining ingredient; in turn, they would require an enhancement of language in order to account for the emotional dimension of the monument. And while there are modern buildings at this time that we can justly describe as monuments, the displacement of the focus of the theoretical debate to stylistic and expressive issues considerably limited the clarity of previous statements and the possibility of consensus. Among all living memorials, the headquarters of the United Nations Organization and its satellite agencies represented the ultimate hope of the Modern Movement to build an authentic monument. However, the group-based design process, the fight of egos it caused, the lack of presence of these buildings over the adjacent urban space, and especially the very discredit that these institutions began to suffer with the onset of the Cold War, all thwarted this expectation. The second commemorative formula was the warning monument or Mahnmal, which rejects any trace of heroism or romanticism, and simply focuses on warning about the risks of war. This formula was mainly used in defeated countries, and generally not on their own initiative, but as an imposition of the victors, which seized the opportunity to do some soul-searching far away from the public opinion of their respective countries.

Mastication Movements And Sleep Quality Of Patients With Myofascial Pain: Occlusal Device Therapy Improvements.

Patients with myofascial pain experience impaired mastication, which might also interfere with their sleep quality. The purpose of this study was to evaluate the jaw motion and sleep quality of patients with myofascial pain and the impact of a stabilization device therapy on both parameters. Fifty women diagnosed with myofascial pain by the Research Diagnostic Criteria were enrolled. Pain levels (visual analog scale), jaw movements (kinesiography), and sleep quality (Epworth Sleepiness Scale; Pittsburgh Sleep Quality Index) were evaluated before (control) and after stabilization device use. Range of motion (maximum opening, right and left excursions, and protrusion) and masticatory movements during Optosil mastication (opening, closing, and total cycle time; opening and closing angles; and maximum velocity) also were evaluated. Repeated-measures analysis of variance in a generalized linear mixed models procedure was used for statistical analysis (α=.05). At baseline, participants with myofascial pain showed a reduced range of jaw motion and poorer sleep quality. Treatment with a stabilization device reduced pain (P<.001) and increased both mouth opening (P<.001) and anteroposterior movement (P=.01). Also, after treatment, the maximum opening (P<.001) and closing (P=.04) velocities during mastication increased, and improvements in sleep scores for the Pittsburgh Sleep Quality Index (P<.001) and Epworth Sleepiness Scale (P=.04) were found. Myofascial pain impairs jaw motion and quality of sleep; the reduction of pain after the use of a stabilization device improves the range of motion and sleep parameters.

Weight Variation In Users Of Depot-medroxyprogesterone Acetate, The Levonorgestrel-releasing Intrauterine System And A Copper Intrauterine Device For Up To Ten Years Of Use.

Data on record regarding weight variation in depot-medroxyprogesterone acetate (DMPA) and levonorgestrel-releasing intrauterine system (LNG-IUS) users are controversial. To date, no studies have yet evaluated weight variation in DMPA and LNG-IUS users in up to ten years of use compared to non-hormonal contraceptive users. A retrospective study analysed weight variations in 2138 women using uninterruptedly DMPA (150 mg intramuscularly, three-monthly; n = 714), the LNG-IUS (n = 701) or a copper-intrauterine device (Cu-IUD; n = 723). At the end of the first year of use, there was a mean weight increase of 1.3 kg, 0.7 kg and 0.2 kg among the DMPA-, LNG-IUS- and Cu-IUD users, respectively, compared to weight at baseline (p < 0.0001). After ten years of use, the mean weight had risen by 6.6 kg, 4.0 and 4.9 kg among the DMPA-, LNG-IUS- and Cu-IUD users, respectively. DMPA-users had gained more weight than LNG-IUS- (p = 0.0197) and than Cu-IUD users (p = 0.0294), with the latter two groups not differing significantly from each other in this respect (p = 0.5532). Users of hormonal and non-hormonal contraceptive methods gained a significant amount of weight over the years. DMPA users gained more weight over the treatment period of up to ten years than women fitted with either a LNG-IUS or a Cu-IUD.

New methodology to assess activity status of occlusal caries in primary teeth using laser fluorescence device

An in vivo study was conducted to verify the ability of laser fluorescence (LF) to assess the activity status of occlusal caries in primary teeth, using different air-drying times. Occlusal sites (707) were examined using LF (DIAGNOdent) after air-drying for 3 s and 15 s, and the difference between readings (DIF15 s-3 s) was calculated. For concurrent validation of LF, visual criteria-Nyvad (NY) and Lesion Activity Assessment associated with the International Caries Detection and Assessment System (LAA-ICDAS)-were the reference standards for lesion activity. Histological exam using a pH-indicator dye (0.1% methyl red) was performed in 46 exfoliated/extracted teeth for criterion validation. LF readings and DIF15 s-3 s were compared using Kruskall-Wallis and Mann-Whitney tests. Receiver operating characteristic analyses were performed and validity parameters calculated, considering the caries activity assessment. Using NY, active lesions (3 s: 30.0 +/- 29.3; 15 s: 34.2 +/- 30.6) presented higher LF readings than inactive lesions (3 s: 17.0 +/- 16.3; 15 s: 19.2 +/- 17.3; p <0.05), different from LAA-ICDAS. Active cavitated caries resulted in higher LF readings (3 s: 50.3 +/- 3.5; 15 s: 54.7 +/- 30.2) than inactive cavitated caries (3 s: 19.9 +/- 16.3; 15 s: 22.8 +/- 16.8). Therefore, LF can distinguish cavitated active and inactive lesions classified by NY, but not by LAA-ICDAS; however, this difference might be related to the visual system rather than to LF. The air-drying time could be an alternative to improve the caries activity assessment; however, longer air-drying time is suggested to be tested subsequently. (C) 2010 Society of Photo-Optical Instrumentation Engineers. [DOI: 10.1117/1.3463007]

Mn-doped cubic BN as an atomiclike memory device: A density functional study

We investigate the electronic properties of Mn(B) substitutional doping in cubic boron nitride (BN), for different charge states, using density functional theory (DFT) calculations. We show that the neutral Mn has a nonmagnetic ground state (S=0). Upon charge injection, it is unambiguously shown that the Mn(B)(-) has a high-spin configuration with a strong, localized magnetic moment of 5 mu(Bohr). We developed a simple model, parameterized by the DFT results, that allows us to interpret the rules played by the crystal-field and exchange-correlation splitting in the magnetization process.

Organic molecule assembled between carbon nanotubes: A highly efficient switch device

We report a highly efficient switch built from an organic molecule assembled between single-wall carbon nanotube electrodes. We theoretically show that changes in the distance between the electrodes alter the molecular conformation within the gap, affecting in a dramatic way the electronic and charge transport properties, with an on/off ratio larger than 300. This opens up the perspective of combining molecular electronics with carbon nanotubes, bringing great possibilities for the design of nanodevices.

A sampling device to quantify offspring release of sessile marine invertebrates

Quantifying the rate of propagule release is of most importance to estimate reproductive output of natural populations, but simple methods to obtain such data are seldom reported. We designed and tested an inexpensive apparatus capable of reliably measure the release of gametes, eggs or larvae of sessile marine invertebrates in vertical walls. A population of the acom barnacle Chthamalus bisinuatus was sampled with this trap over 68d to obtain a time series of naupliar release. An apparent semilunar trend is shown, indicating the effectiveness of this sampling method.

Developing and implementing an open and non-proprietary device description for FOUNDATION fieldbus based on software standards

Support for interoperability and interchangeability of software components which are part of a fieldbus automation system relies on the definition of open architectures, most of them involving proprietary technologies. Concurrently, standard, open and non-proprietary technologies, such as XML, SOAP, Web Services and the like, have greatly evolved and been diffused in the computing area. This article presents a FOUNDATION fieldbus (TM) device description technology named Open-EDD, based on XML and other related technologies (XLST, DOM using Xerces implementation, OO, XMIL Schema), proposing an open and nonproprietary alternative to the EDD (Electronic Device Description). This initial proposal includes defining Open-EDDML as the programming language of the technology in the FOUNDATION fieldbus (TM) protocol, implementing a compiler and a parser, and finally, integrating and testing the new technology using field devices and a commercial fieldbus configurator. This study attests that this new technology is feasible and can be applied to other configurators or HMI applications used in fieldbus automation systems. (c) 2008 Elsevier B.V. All rights reserved.

Electro-optically sensitive diamond-like carbon thin films deposited by reactive magnetron sputtering for electronic device applications

The goal of this work is to study and relate electrical and optical properties of diamond-like carbon (DLC) thin films for applications in electronic devices. DLC films were deposited in a reactive RF magnetron sputtering system on p-type silicon and glass substrates. The target was a 99.9999% pure, 6 in. diameter graphite plate and methane was used as processing gas. Eight DLC films were produced for each substrate, varying deposition time, the reactor pressure between 5 mTorr and 10 mTorr while the RF power was applied at 13.56 MHz and varied between 100, 150, 200 and 250W. After deposition, the films were analyzed by I-V and C-V measurements (Cheng et al. (2004) [1]) in order to determine the electric resistivity, photo-current response and dielectric constant, optical transmittance, used to find the optical gap by the Tauc method; and by photoluminescence analysis to determine the photoemission and confirm the optical band gap. These characteristics are compared and the influence of the deposition parameters is discussed. (C) 2011 Published by Elsevier B.V.

Development and fabrication of an optimized thermo-electro-optic device using a Mach-Zehnder interferometer

The development and fabrication of a thermo-electro-optic sensor using a Mach-Zehnder interferometer and a resistive micro-heater placed in one of the device`s arms is presented. The Mach-Zehnder structure was fabricated on a single crystal silicon substrate using silicon oxynitride and amorphous hydrogenated silicon carbide films to form an anti-resonant reflective optical waveguide. The materials were deposited by Plasma enhanced chemical vapor deposition technique at low temperatures (similar to 320 degrees C). To optimize the heat transfer and increase the device response with current variation, part of the Mach-Zehnder sensor arm was suspended through front-side bulk micromachining of the silicon substrate in a KOH solution. With the temperature variation caused by the micro-heater, the refractive index of the core layer of the optical waveguide changes due to the thermo-optic effect. Since this variation occurs only in one of the Mach-Zehnder`s arm, a phase difference between the arms is produced, leading to electromagnetic interference. In this way, the current applied to the micro-resistor can control the device output optical power. Further, reactive ion etching technique was used in this work to define the device`s geometry, and a study of SF6 based etching rates on different composition of silicon oxynitride films is also presented. (C) 2007 Elsevier B.V. All rights reserved.

Single Axis Controlled Hybrid Magnetic Bearing for Left Ventricular Assist Device: Hybrid Core and Closed Magnetic Circuit

In previous studies, we presented main strategies for suspending the rotor of a mixed-flow type (centrifugal and axial) ventricular assist device (VAD), originally presented by the Institute Dante Pazzanese of Cardiology (IDPC), Brazil. Magnetic suspension is achieved by the use of a magnetic bearing architecture in which the active control is executed in only one degree of freedom, in the axial direction of the rotor. Remaining degrees of freedom, excepting the rotation, are restricted only by the attraction force between pairs of permanent magnets. This study is part of a joint project in development by IDPC and Escola Politecnica of Sao Paulo University, Brazil. This article shows advances in that project, presenting two promising solutions for magnetic bearings. One solution uses hybrid cores as electromagnetic actuators, that is, cores that combine iron and permanent magnets. The other solution uses actuators, also of hybrid type, but with the magnetic circuit closed by an iron core. After preliminary analysis, a pump prototype has been developed for each solution and has been tested. For each prototype, a brushless DC motor has been developed as the rotor driver. Each solution was evaluated by in vitro experiments and guidelines are extracted for future improvements. Tests have shown good results and demonstrated that one solution is not isolated from the other. One complements the other for the development of a single-axis-controlled, hybrid-type magnetic bearing for a mixed-flow type VAD.

Magnetic suspension of the rotor of a ventricular assist device of mixed flow type

This work presents results of preliminary studies concerning application of magnetic bearing in a ventricular assist device (VAD) being developed by Dante Pazzanese Institute of Cardiology-IDPC (Sao Paulo, Brazil). The VAD-IDPC has a novel architecture that distinguishes from other known VADs. In this, the rotor has a conical geometry with spiral impellers, showing characteristics that are intermediate between a centrifugal VAD and an axial VAD. The effectiveness of this new type of blood pumping principle was showed by tests and by using it in heart surgery for external blood circulation. However, the developed VAD uses a combination of ball bearings and mechanical seals, limiting the life for some 10 h, making impossible its long-term use or its use as an implantable VAD. As a part of development of an implantable VAD, this work aims at the replacement of ball bearings by a magnetic bearing. The most important magnetic bearing principles are studied and the magnetic bearing developed by Escola Politecnica of Sao Paulo University (EPUSP-MB) is elected because of its very simple architecture. Besides presenting the principle of the EPUSP-MB, this work presents one possible alternative for applying the EPUSP-MB in the IDPC-VAD.

A new approach to heart valve tissue engineering: mimicking the heart ventricle with a ventricular assist device in a novel bioreactor

The `biomimetic` approach to tissue engineering usually involves the use of a bioreactor mimicking physiological parameters whilst supplying nutrients to the developing tissue. Here we present a new heart valve bioreactor, having as its centrepiece a ventricular assist device (VAD), which exposes the cell-scaffold constructs to a wider array of mechanical forces. The pump of the VAD has two chambers: a blood and a pneumatic chamber, separated by an elastic membrane. Pulsatile air-pressure is generated by a piston-type actuator and delivered to the pneumatic chamber, ejecting the fluid in the blood chamber. Subsequently, applied vacuum to the pneumatic chamber causes the blood chamber to fill. A mechanical heart valve was placed in the VAD`s inflow position. The tissue engineered (TE) valve was placed in the outflow position. The VAD was coupled in series with a Windkessel compliance chamber, variable throttle and reservoir, connected by silicone tubings. The reservoir sat on an elevated platform, allowing adjustment of ventricular preload between 0 and 11 mmHg. To allow for sterile gaseous exchange between the circuit interior and exterior, a 0.2 mu m filter was placed at the reservoir. Pressure and flow were registered downstream of the TE valve. The circuit was filled with culture medium and fitted in a standard 5% CO(2) incubator set at 37 degrees C. Pressure and flow waveforms were similar to those obtained under physiological conditions for the pulmonary circulation. The `cardiomimetic` approach presented here represents a new perspective to conventional biomimetic approaches in TE, with potential advantages. Copyright (C) 2010 John Wiley & Sons, Ltd.

Particle-Image Velocimetry Study of a Pediatric Ventricular Assist Device

Particle-image velocimetry (PIV) was used to visualize the flow within an optically transparent pediatric ventricular assist device (PVAD) under development in our laboratory The device studied is a diaphragm type pulsatile pump with an ejection volume of 30 ml per beating cycle intended for temporary cardiac assistance as a bridge to transplantation or recovery in children. Of particular interest was the identification of flow patterns, including regions of stagnation and/or strong turbulence that often promote thrombus formation and hemolysis, which can degrade the usefulness of such devices. For this purpose, phase-locked PIV measurements were performed in planes parallel to the diaphram that drives the flow in the device. The test fluid was seeded with 10 Am polystyrene spheres, and the motion of these particles was used to determine the instantaneous flow velocity distribution in the illumination plane. These measurements revealed that flow velocities up to 1.0 m/s can occur within the PVAD. Phase-averaged velocity fields revealed the fixed vortices that drive the bulk flow within the device, though significant cycle-to-cycle variability was also quite apparent in the instantaneous velocity distributions, most notably during the filling phase. This cycle-to-cycle variability can generate strong turbulence that may contribute to greater hemolysis. Stagnation regions have also been observed between the input and output branches of the prototype, which can increase the likelihood of thrombus formation. [DOI: 10.1115/1.4001252]