De Andrew Carnegie a OverDrive, Amazon y ¿algo más? Biblioteca pública y préstamo de libros digitales en Estados Unidos

Ressenya de: 2012 survey of ebook usage in U.S. public libraries: third annual survey. LJ/SLJ Library Research Syndicate (LRS). [New York, N.Y.]: Library Journal, 2012. 108 p. Disponible en línia a: [Consulta: 27 feb. 2013].

Clinical outcome after trimipramine in patients with delusional depression - a pilot study

The treatment of delusional depression is a major challenge in psychopharmacology. Hypothalamic-pituitary-adrenocortical (HPA) overdrive may contribute, via increased dopaminergic activity, to the pathophysiology of the disorder. Trimipramine appears to be an interesting potential candidate, since it is an atypical antidepressant that is known to inhibit HPA activity. In a four-week open trial we investigated its effects in 15 inpatients with delusional depression. The dosage was increased within 7 days up to 300 - 400 mg/d and was then maintained for three weeks. Psychometric assessments and safety monitoring were conducted weekly. Assessment of the HPA activity was achieved by a combined dexamethasone suppression/corticotropin-releasing hormone stimulation (Dex/CRH) test before and after four weeks of treatment. Therapeutic response was defined as a decrease in the HAMD-score of at least 50 %. Eight out of 13 completers were rated as responders. Therapeutic response was associated with L, D-trimipramine concentrations higher than 160 ng/ml. Intent-to-treat analysis showed significant improvement in psychometric variables. Despite the high dosage, the substance was generally well tolerated, with the exception of one patient who suffered from a hypotensive reaction. Mean +/- SD concentration of L-trimipramine and D-trimipramine were 138 +/- 61 ng/ml and 119 +/- 50 ng/ml at a final dose of 346 +/- 50 mg/d. The ACTH and cortisol area under the curve in the Dex/CRH tests decreased significantly, reflecting a decrease of activity in the HPA system. We suggest that the clinical use of high-dose trimipramine in delusional depression seems to be a promising treatment strategy.

Sähkökirjat Helsingin kaupunginkirjastossa

Esitys Kirjastoverkkopäivillä 23.10.2012 Helsingissä

Effect of ryanodine on sinus node recovery time determined in vitro

Evidence has indicated that the sarcoplasmic reticulum (SR) might be involved in the generation of spontaneous electrical activity in atrial pacemaker cells. We report the effect of disabling the SR with ryanodine (0.1 µM) on the sinus node recovery time (SNRT) measured in isolated right atria from 4-6-month-old male Wistar rats. Electrogram and isometric force were recorded at 36.5oC. Two methods for sinus node resetting were used: a) pulse: a single stimulus pulse interpolated at coupling intervals of 50, 65 or 80% of the regular spontaneous cycle length (RCL), and b) train: a 2-min train of pulses at intervals of 50, 65 or 80% of RCL. Corrected SNRT (cSNRT) was calculated as the difference between SNRT (first spontaneous cycle length after stimulation interruption) and RCL. Ryanodine only slightly increased RCL (<10%), but decreased developed force by 90%. When the pulse method was used, cSNRT (~40 ms), which represents intranodal/atrial conduction time, was independent of the coupling interval and unaffected by ryanodine. However, cSNRT obtained by the train method was significantly higher for shorter intervals between pulses, indicating the occurrence of overdrive suppression. In this case, ryanodine prolonged cSNRT in a rate-dependent fashion, with a greater effect at shorter intervals. These results indicate that: a) a functional SR, albeit important for force development, does not seem to play a major role in atrial automaticity in the rat; b) disruption of cell Ca2+ homeostasis by inhibition of SR function does not appear to affect conduction; however, it enhances overdrive-induced depression of sinusal automaticity.

Efeito da fadiga no andar de pacientes com doença de Parkinson: relação com o nível de atividade física

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Modellazione matematica delle non linearità di sistemi acustici mediante serie di Volterra modificate

In questa tesi si è studiato un metodo per modellare e virtualizzare tramite algoritmi in Matlab le distorsioni armoniche di un dispositivo audio non lineare, ovvero uno “strumento” che, sollecitato da un segnale audio, lo modifichi, introducendovi delle componenti non presenti in precedenza. Il dispositivo che si è scelto per questo studio il pedale BOSS SD-1 Super OverDrive per chitarra elettrica e lo “strumento matematico” che ne fornisce il modello è lo sviluppo in serie di Volterra. Lo sviluppo in serie di Volterra viene diffusamente usato nello studio di sistemi fisici non lineari, nel caso in cui si abbia interesse a modellare un sistema che si presenti come una “black box”. Il metodo della Nonlinear Convolution progettato dall'Ing. Angelo Farina ha applicato con successo tale sviluppo anche all'ambito dell'acustica musicale: servendosi di una tecnica di misurazione facilmente realizzabile e del modello fornito dalla serie di Volterra Diagonale, il metodo permette di caratterizzare un dispositivo audio non lineare mediante le risposte all'impulso non lineari che il dispositivo fornisce a fronte di un opportuno segnale di test (denominato Exponential Sine Sweep). Le risposte all'impulso del dispositivo vengono utilizzate per ricavare i kernel di Volterra della serie. L'utilizzo di tale metodo ha permesso all'Università di Bologna di ottenere un brevetto per un software che virtualizzasse in post-processing le non linearità di un sistema audio. In questa tesi si è ripreso il lavoro che ha portato al conseguimento del brevetto, apportandovi due innovazioni: si è modificata la scelta del segnale utilizzato per testare il dispositivo (si è fatto uso del Synchronized Sine Sweep, in luogo dell'Exponential Sine Sweep); si è messo in atto un primo tentativo di orientare la virtualizzazione verso l'elaborazione in real-time, implementando un procedimento (in post-processing) di creazione dei kernel in dipendenza dal volume dato in input al dispositivo non lineare.

Arterial hypertension in children

PURPOSE OF REVIEW Although arterial hypertension is less common in children than in adults, there is growing concern about elevated blood pressure (BP) in children and adolescents not only because of the association of elevated values with the overweight epidemic, but also as cardiovascular functions are determined in childhood and track into adulthood. The purpose of the review is to discuss new aspects of childhood hypertension. RECENT FINDINGS Guidelines advocate determining BP in children as part of routine health maintenance. This recommendation was recently subject to review by the US Preventive Services Task Force. It was concluded that evidence is insufficient to assess the benefits of this screening. In our opinion, however, assessing BP is part of any thorough physical examination.Sophisticated approaches demonstrate the role of sympathetic nervous system overdrive in the field of sympathetic cardiovascular modulation of childhood arterial hypertension. SUMMARY Elevated BP in children is increasing in frequency and is now recognized as having relevant short-term and long-term consequences. Although efforts to address the childhood overweight epidemic may eventually reduce the number of young patients with hypertension, improved therapies for childhood hypertension also offer the potential for preventing or ameliorating early cardiovascular disease.

Retinal and systemic vascular function in health and disease: the effect of smoking and coronary artery disease

The purpose of the following studies was to explore the effect of systemic vascular and endothelial dysfunction upon the ocular circulation and functionality of the retina. There are 6 principal sections to the present work. Retinal vessel activity in smokers and non-smokers: the principal findings of this work were: chronic smoking affects retinal vessel motion at baseline and during stimulation with flickering light; chronic smoking leads to a vaso-constrictory shift in retinal arteriolar reactivity to flicker; retinal arteriolar elasticity is decreased in chronic smokers. The effect of acute smoking on retinal vessel dynamics in smokers and non-smokers: the principal finding of this work was that retinal reactivity in chronic smokers is blunted when exposed to clicker light provocation immediately after smoking one cigarette. Ocular blood flow in coronary artery disease: The principal findings of this work were: retrobulbar and retinal blood flow is preserved in CAD patients, despite a change pulse wave transmission; arterial retinal response to flickering light provocation is significantly delayed in CAD patients; retinal venular diameters are significantly dilated in CAD patients. Autonomic nervous system function and peripheral circulation in CAD: The principal findings in this work were: CAD patients demonstrate a sympathetic overdrive during a 24 period; a delay in peripheral vascular reactivity (nail-fold capillaries) as observed in patients suffering from CAD could be caused by either arteriosclerotic changes of the vascular walls or due to systemic haemodynamic changes. Visual function in CAD: The principal findings in this work were: overall visual function in CAD patients is preserved, despite a decrease in contrast sensitivity; applying a filtering technique selecting those with greater coefficient of variance which in turn represents a decrease in reliability, some patients appear to have an impaired visual function as assessed using FDT visual field evaluation. Multiple functional, structural and biochemical vascular endothelial dysfunctions in patients suffering from CAD: relationships and possible implications: The principal findings of this work were: BMI significantly correlated with vWF (a marker of endothelial function) in CAD patients. Retinal vascular reactivity showed a significant correlation with peripheral reactivity parameters in controls which lacked in the CAD group and could reflect a loss in vascular endothelial integrity; visual field parameters as assessed by frequency doubling technology were strongly related with systemic vascular elasticity (ambulatory arterial stiffness index) in controls but not CAD patients.

Metrópole digital: o jovem aprendiz na educação tecnológica

This thesis was elaborated in the scenario of Digital Metropolis Institute (IMD) – a supplementary unit at the Federal University of Rio Grande do Norte in the training of personnel with technical and higher level courses whose technical level training is associated with a process of digital inclusion, with the purpose of attracting young people to this area, with emphasis on Software and Hardware Development. It aims to investigate the cognitive change of young apprentice on technological education and his/her entrance into the labor market, through the formation and the social inclusion proposed by the Instituto Metrópole Digital; understanding the juvenile subjectivity production through the Instituto Metrópole Digital’s education by performance in the labor market; recognizing the Brazilian professional qualification public policies for youth and identifying the role of Tutoring in the learning process during the course of formation of the young apprentice of the technological education proposed by the Instituto Metrópole Digital.The clipping of the object of investigation was the process of cognitive change and constitution of subjectivity of the young apprentice in information technology (IT) in the IMD. It was searched support in theory Freireana as proposal that problematizes the policies and the process of formation and professional qualification, in the perspective of a citizen and liberating consciousness. By qualitative and ethnographic nature, descriptive-explanatory, it counts with the participation of young people, high school students from public and private schools, aged between 15 and 18 years. There are strong aspects: a cognitive change on the young apprentice of technological education onto overdrive high school as the student of the Instituto Metrópole Digital; it happened the social integration for those who remain in the course, both in the neighborhood where they reside and at school where he attended high school, the young man is recognized and becomes reference to other young, favoring him a life projection which when the activities of mentoring is learning motivator, it exerts a positive influence to the young on the continuity of studies, it provides intellectual and institutional affiliation and continuity in the investments to the academic life for a better insertion in the labor market, which refers to the modification of the life project-invest in academic training, in exchange for a technical job in the labor market. There are weak aspects: the absence of professor in the course, in his most important role, which involves awareness of his/her condition in action, in explicit position that the professional practice constitutes as this constitution requires reciprocity of its students and the context in which it operates; fragile formation of mentoring, absence of dialogues in the classroom that favors the formation of subject learning, mainly in guiding action, mediator of the young; There is a lack of methodological proposal to develop real projects on the labor market with problem solving and collaborative learning. It considers that without converting information into knowledge cannot discern clearly enough that there is no direct causal relationship between Professional and technological Education and the level of employability of the young worker certificate. It suggests to the evasion: a greater knowledge of the reality of the student of the Institute Metropolis Digital; better knowledge of youth and their expectations of life project; the Tutoring will be Teacher-tutor; investing in employability conditions effective the young into the labor market.

Étude de la dynamique du ferrofluide appliquée sur une surface générée par plusieurs actionneurs

Le sujet de cette thèse est la caractérisation dynamique d’une surface générée par plusieurs actionneurs d’un miroir ferrofluidique intégré dans un montage d’optique adaptative. Elle conclut un projet de doctorat au sein du groupe Borra s’étant échelonné sur 4 années. Un bref portrait général de l’optique adaptative est d’abord présenté, suivi d’une section sur la théorie du contrôle. Les types de contrôleurs y sont abordés, soit PID et surcharge. L’effet de la viscosité sur la réponse dynamique du système, ainsi que les analyseurs de front d’onde utilisés sont ensuite expliqués. La section résultats est subdivisée en plusieurs sous-sections ordonnées de façon chronologique. Dans un premier temps, il est question des résultats obtenus dans le cadre d’une caractérisation d’un nouveau miroir de 91 actionneurs fabriqué au sein du groupe. Il est ensuite question des résultats obtenus avec diverses techniques telles le PSD et l’imagerie déclenchée. Il y aura toute une section sur les résultats en vitesse, en fonction de la viscosité du liquide, suivie d’une section sur les simulations réalisées avec Simulink afin de bien cibler les limites du système. Les résultats portant sur la technique de surcharge des actionneurs seront ensuite présentés avec des projections futures. La dernière partie de cette thèse portera sur une innovation apportée par un autre membre du groupe. Nous parlerons de la déposition d’une membrane élastomère réfléchissante et de ses effets sur la dynamique du système.