Life or Death: Prognostic Value of a Resting EEG with Regards to Survival in Patients in Vegetative and Minimally Conscious States

OBJECTIVE: To investigate the potentially prognostic value of a resting state electroencephalogram (EEG) with regards to the clinical outcome from vegetative and minimally conscious states (VS and MCS) in terms of survival six months after a brain injury. METHODS: We quantified a dynamic repertoire of EEG oscillations in resting condition with eyes closed in patients in VS and MCS. The exact composition of EEG oscillations was assessed by analysing the probability-classification of short-term EEG spectral patterns. RESULTS: Results demonstrated that (a) the diversity and the variability of EEG for Non-Survivors were significantly lower than for Survivors; and (b) a higher probability of mostly delta and slow-theta oscillations occurring either alone or in combination were found during the first assessment for patients with a bad outcome (i.e., those who died) within six months of an injury compared to patients who survived. At the same time, patients with a good outcome (i.e., those who survived) after six months post-injury had a higher probability of mostly fast-theta and alpha oscillations occurring either alone or in combination during the first assessment when compared to patients who died within six months of an injury. CONCLUSIONS: Resting state EEGs properly analysed may have a potentially prognostic value with regards to the outcome from VS or MCS in terms of survival six months after a brain injury. SIGNIFICANCE: This work may have implications for clinical care, rehabilitative programmes and medical-legal decisions for patients with impaired consciousness states after being in a coma due to acute brain injuries

MOTOR DYSFUNCTION OF THE "NON AFFECTED" LOWER LIMB: A KINEMATIC COMPARATIVE STUDY BETWEEN HEMIPARETIC STROKE AND TOTAL KNEE PROSTHESIZED PATIENTS

In patients with hemispheric stroke, abnormal motor performances are described also in the ipsilateral limbs. They may be due to a cortical reorganization in the unaffected hemisphere; moreover, also peripheral mechanisms may play a role. To explore this hypothesis, we studied motor performances in 15 patients with hemispheric stroke and in 14 patients with total knee arthroplasty, which have a reduced motility in the prosthesized leg. Using the unaffected leg, they performed five superimposed circular trajectories in a prefixed pathway on a computerized footboard, while looking at a marker on the computer screen. The average trace error was significantly different between the groups of patients and healthy subjects [F ((2,25)) = 7.9; p = 0.003]; on the contrary, the test time execution did not vary significantly. In conclusion, both groups of patients showed abnormal motor performances of the unaffected leg; this result suggests a likely contribution of peripheral mechanisms

Sending Country Policies

This chapter explores the twin central questions of how and why countries of origin reach out to expatriate populations. It first outlines basic concepts and typologies related to sending country policies, focusing particularly on key countries of origin of migrants settled within the European Union. Second, the chapter reviews central explanations for the emergence of sending country policies. However, sending countries do not reach out to their emigrants in equal measure. Differences are therefore examined in the outreach policies of sending countries and in sending countries' transnational relations with diasporas. The last part of the chapter discusses the nexus between sending country policies and migrant integration in the country of residence. On the basis of existing research, the chapter argues that sending country policies may intersect with migrants' integration in a number of ways. For example, migrant sending countries may seek to strengthen the upward mobility of their expatriate citizens in their place of residence abroad, and they may call for greater protection of migrant workers in precarious labour situations. Little is currently known about how migrants and diasporas respond to these policies and how they are perceived by political actors of countries of residence. This is an area for further study. More analysis is also needed to determine the extent that sending country outreach policies aimed at bonding with and supporting citizens abroad challenge territorial policy sovereignty and the strength of receiving countries in agenda-setting in international cooperation on migration and migrant settlement

PROPRIETÀ MECCANICHE DI ELETTROFORMATI NANOCRISTALLINI IN LEGA Ni-Co

L’elettroformatura di componenti per impieghi strutturali è un processo di crescente importanza industriale e richiede lo sviluppo di materiali con un insieme calibrato di caratteristiche fisico-meccaniche di non facile conseguimento. In questo lavoro si è messo a punto un processo di elettrodeposizione di lega Ni-Co di composizione ottimizzata rispetto ad una possibile specifica di progetto. Morfologia e microstruttura sono state caratterizzate mediante analisi di microscopia elettronica e diffrazione di raggi X; la caratterizzazione meccanica è stata condotta attraverso prove di trazione, indentazione strumentata, microscratch e misura degli sforzi residui. I risultati forniti da prove di trazione e di microdurezza sono stati analizzati allo scopo di definire una correlazione precisa e riproducibile tra limite elastico e durezza Vickers per il materiale in studio. La struttura nanocristallina della lega ha offerto lo spunto per studiare la dipendenza delle proprietà meccaniche dalla velocità di deformazione, sia attraverso prove di trazione sia attraverso prove di microscratch, in modo da potere sondare un intervallo di velocità di deformazione il più ampio possibile