Association between obstructive apnea syndrome during sleep and damages to anterior labyrinth: Our experience

The obstructive sleep apnea syndrome is a chronic condition characterized by frequent episodes of collapse of the upper airways during sleep. It can be considered a multisystem disease. Among the districts involved, even the auditory system was seen to be concerned. It was enrolled a population of 20 patients after polysomnographic diagnosis of OSAS (Apnea Hypopnea Index > 10) and a control group of 28 healthy persons (Apnea Hypopnea Index < 5). Each patient has been subjected to Pure Tone Audiometry, Tympanometry, study of Acoustic Reflex, Otoacoustic Emissions and Auditory Brainstem Response. Moreover they were submitted to endoscopy of upper airway with Muller Maneuver and Epworth Sleepiness Scale (ESS). The values of ESS was 13.5 in OSAS group and 5.4 in control group. The tone audiometry is worse in all frequencies analyzed in OSAS patients, but within the normal range for both groups analyzed by 250 to 1000 Hertz. Otoacoustic emissions show a reduced reproducibility and a lower signal/ noise ratio in OSAS group (P <0.01)

Papillomavirus Infection and Prevention: How Much Does the Sicilian Population Know? An Observational Study

Human papillomavirus is a sexually transmitted virus that is responsible not only for uterine cervical cancer, but also for the oral and oropharyngeal cancers. In this latter case, the virus indiscriminately affects both sexes at any age. Vaccination plays a key role in preventing infection and its possible consequences. Therefore, this study aimed to assess the degree of awareness of papillomavirus infection and its possible prevention in the Sicilian population. A prospective observational study was carried out on the Sicilian population through a self-administered questionnaire, consisting of 10 multiple-choice questions. The survey lasted from June 2021 to December 2021. A total of 844 respondents were included: 60.90% were female and 53.55% were aged between 21 and 30 years. Most of the surveyed population knew about the virus and the existence of the vaccine, however, many of them did not know about virus's effects on the oral and oropharyngeal sites (49.17%), or about the indication for vaccination for males (39.69%). Oral and oropharyngeal papillomavirus-related cancers are an increasingly frequent finding, especially in young adults. Therefore, it is necessary and quite mandatory to educate the population about the risks that certain voluptuous habits may cause, with the help of general practitioners, schools, social media, and social networks

NBI and Laryngeal Papillomatosis: A Diagnostic Challenge: A Systematic Review

Narrow-band imaging (NBI) represents a valid aid in laryngeal squamous cell carcinoma (LSCC) diagnosis for detecting vascular changes. However, LSCC and laryngeal papillomatosis (LP) show similar vascular patterns that may lead to misdiagnosis and improper treatment. This review aims to deepen this NBI limit in order to stress a careful preoperative evaluation of laryngeal lesions. The research was carried out on PubMed, Web of Science and Scopus databases using specific keywords. The topic of research was assessed by these parameters: accuracy, sensitivity, specificity, and positive and negative predictive values. This review included only five articles: they demonstrated that NBI is better than white-light endoscopy in detecting LSCC and LP. They also reported that LP is frequently mistaken for LSCC, resulting in high rates of false positives using NBI. This is the first review that emphasized this NBI limitation in distinguishing between LP and LSCC in cases of a type V pattern of intraepithelial papillary capillary loop. Although NBI application increased the rate of early cancer detection, LP reduces NBI accuracy. This drawback may lead to misdiagnosis and improper treatment. Our advice is to be careful in cases of type V pattern on NBI and to research LP epithelial and clinical features because it could be a pitfall

Social Integration, Art therapy and educational process with teenagers

Este artículo es una aproximación a parte de los resultados obtenidos en un estudio de caso etnográfico y abordaje cualitativo; relata los procesos educativos en un taller de arteterapia con adolescentes brasileños en conflicto con la ley y permite algunas reflexiones sobre integración social y violencia.This article is an approximation to a part of the gotten results in an ethnographic study of case and with a qualitative approach; talks about educative process in an art therapy workshop with Brazilian teenagers in conflict with law and permits some thoughts about social integration and violence

Workspace optimization for a planar cable-suspended direct-driven robot

The present work is inspired by an industrial task, i.e. spray painting a large area by means of a robotic system consisting in a Cable-Driven Parallel Robot (CDPR). In many cases, the area of the robot workspace is smaller than the area to be painted. For this reason, the base of the robot has to be shifted several times during the painting process. These robots are referred to as Repetitive Workspace Robots (RWR). In other words, in order to accomplish the whole task, they need to be moved after they have completed a sub-task locally. A cable suspended CDPR is an ideal candidate for such tasks; it can be thin, light, flexible and cost-efficient. The question is: which is the best shape of the local workspace in these conditions? In fact, not always a larger area of the local workspace guarantees an efficient painting process. This is because the efficiency relies mainly on the shape rather than on the local workspace area itself. In this work we employ an index [Seriani S, Gallina P, Gasparetto A, 2014] to evaluate the efficiency of the workspace of a 2-link CDPR. Finally, we show how the index value changes in relation to some geometrical parameters of the robot, thus laying the foundations for a general design methodology

Software Development in the Post-PC Era: Towards Software Development as a Service

Abstract. Software systems affect all aspects of our modern life andare revolutionizing the way we live. Over the years, software developmenthas evolved to meet the needs of new types of applications and toembrace new technological disruptions. Today, we witness the rise of mobilitywhere the role of the conventional high-specification PC is declining.Some refer to this era as the Post-PC era. This technological shift,powered by a key enabling technology - cloud computing, has opened new opportunities for human advancement (e.g. the Internet of Things).Consequently, the evolving landscape of software systems drives the need for new methods for conceiving them. Such methods need to a) address the challenges and requirements of this era and b) embrace the benefitsof new technological breakthroughs. In this paper, we list the characteristics of the Post-PC era from the software development perspective. In addition, we describe three motivating trends of software development processes. Then, we derive a list of requirements for the future software development approach from the characteristics of the Post-PC era and from the motivating trends. Finally, we propose a reference architecturefor cloud-based software process enactment as an enabler for Software Development as a Service (SDaaS). The architecture is thefirst step to address the needs that we have identified

Development of n-DoF Preloaded structures for impact mitigation in cobots

A core issue in collaborative robotics is that of impact mitigation, especially when collisions happen with operators. Passively compliant structures can be used as the frame of the cobot, although, usually, they are implemented by means of a single-degree-offreedom (DoF). However, n-DoF preloaded structures offer a number of advantages in terms of flexibility in designing their behavior. In this work, we propose a comprehensive framework for classifying n-DoF preloaded structures, including one-, two-, and threedimensional arrays. Furthermore, we investigate the implications of the peculiar behavior of these structures-which present sharp stiff-to-compliant transitions at designdetermined load thresholds-on impact mitigation. To this regard, an analytical n-DoF dynamic model was developed and numerically implemented. A prototype of a 10DoF structure was tested under static and impact loads, showing a very good agreement with the model. Future developments will see the application of n-DoF preloaded structures to impact-mitigation on cobots and in the field of mobile robots, as well as to the field of novel architected materials

Fatigue behavior and cyclic damage of peek short fiber reinforced composites

Fatigue strength and failure mechanisms of short fiber reinforced (SFR) PEEK have been investigated in the past by several research groups. However some relevant aspects of the fatigue behavior of these materials, like cyclic creep and fatigue damage accumulation and modeling, have not been studied yet, in particular in presence of both fillers and short fibers as reinforcement. In the present research these aspects were considered by carrying out uni-axial fatigue tests in load control (cycle ratio R = 0) on neat PEEK and PEEK based composites reinforced either with short carbon fibers only or with addition of fillers (graphite and PTFE). For each material stress-life curves were obtained and compared. Fatigue fracture surfaces were analyzed to identify failure mechanisms in presence of different reinforcement types. The evolution of cyclic creep strain was also monitored as a function of the number of cycles, thus allowing investigation on the correlation between cyclic creep parameters and fatigue life. The evolution of cyclic damage with loading cycles was then compared by defining a damage parameter related to the specimen stiffness reduction observed during the tests. Progressive cyclic damage evolution of short fiber reinforced PEEK composites presented significantly different patterns depending on applied stress level and on the presence of different reinforcement typologies. In order to reproduce the different fatigue damage kinetics and stages of progressive damage accumulation observed experimentally, a cyclic damage model was finally developed and implemented into a finite element code by which a satisfactory agreement between numerical prediction and experimental data at different stress levels for each examined material