234 research outputs found
The academic as public intellectual: examining public engagement in the professionalised academy
In this article we critically consider the widely held conception that the public intellectual is in decline. We present a more sanguine fate of this figure, arguing that today we observe a flourishing of intellectuals. One such figure is the academic intellectual who has often been looked at with suspicion as a technical specialist. This conception suggests that university intellectuals are diluted versions of the historical conception of the ‘true’ public intellectual – that is, an ‘independent spirit’ that fearlessly challenges unjust power. In this article, we contest this view, arguing that this historical conception, idealised as it may be, nevertheless can inform scholastic activities. By resituating the public intellectual as a kind of temperament rather than a title, we examine its pressing – but at the same time uneasy – relevance to contemporary academic life. Counterposing this with contemporary instrumental conceptions of research impact, we suggest that where possible the intellectual academic should aspire to go beyond academic institutional norms and requirements. Hence, the academic public intellectual refers to a temperament, which is in but not of the academic profession
Primeros resultados del estudio analítico de la cerámica vidriada decorada Nazarí: la cerámica palatina (ss. XIV-XV)
lustreware, decorations, glazes, analyses, céramique a réflex métallique, décorations, glaçures, analyses, cerámica dorada, decoraciones, vidriados, análisisPostprint (published version
Estudio de la viabilidad de la integración de un Sistema de Posicionamiento Óptico en el entorno de la radioterapia intraoperatoria
Actas de: XXIX Congreso Anual de la Sociedad Espñaola de Ingeniería Biomédica (CASEIB 2011). Cáceres, 16-18 Noviembre 2011.La radioterapia intraoperatoria (RIO) es una técnica que combina cirugía y radioterapia, que se aplica en pacientes con tumores para los que se ha indicado su resección y con alto riesgo recidivante. El oncólogo radioterapeuta planifica esta intervención sobre una imagen TAC del paciente. Sin embargo, los datos del escenario real encontrado en la sala de tratamiento (posición y orientación del aplicador respecto del paciente y energía del haz) se deben recoger de forma manual para actualizar la planificación. Esta información es muy valiosa para la documentación y posterior seguimiento del procedimiento realizado. En este trabajo se evalúa la viabilidad de la integración de un sistema de posicionamiento óptico en el entorno RIO, y su precisión para localizar el aplicador sobre la imagen de planificación.Este trabajo ha sido financiado por el Minsiterio de Ciencia e Innovación (PI09/90568 IPT-3000000-2010-3, TEC2010-21619-C04-01), la Comunidad de Madrid (ARTEMIS S2009/DPI-1802) y fondos FEDER.Publicad
Advanced tracking and image registration techniques for intraoperative radiation therapy
Mención Internacional en el título de doctorIntraoperative electron radiation therapy (IOERT) is a technique used to
deliver radiation to the surgically opened tumor bed without irradiating healthy
tissue. Treatment planning systems and mobile linear accelerators enable
clinicians to optimize the procedure, minimize stress in the operating room (OR)
and avoid transferring the patient to a dedicated radiation room. However,
placement of the radiation collimator over the tumor bed requires a validation
methodology to ensure correct delivery of the dose prescribed in the treatment
planning system. In this dissertation, we address three well-known limitations of
IOERT: applicator positioning over the tumor bed, docking of the mobile linear
accelerator gantry with the applicator and validation of the dose delivery
prescribed. This thesis demonstrates that these limitations can be overcome by
positioning the applicator appropriately with respect to the patient’s anatomy.
The main objective of the study was to assess technological and procedural
alternatives for improvement of IOERT performance and resolution of
problems of uncertainty. Image-to-world registration, multicamera optical
trackers, multimodal imaging techniques and mobile linear accelerator docking
are addressed in the context of IOERT.
IOERT is carried out by a multidisciplinary team in a highly complex
environment that has special tracking needs owing to the characteristics of its
working volume (i.e., large and prone to occlusions), in addition to the requisites
of accuracy. The first part of this dissertation presents the validation of a
commercial multicamera optical tracker in terms of accuracy, sensitivity to
miscalibration, camera occlusions and detection of tools using a feasible surgical
setup. It also proposes an automatic miscalibration detection protocol that
satisfies the IOERT requirements of automaticity and speed. We show that the
multicamera tracker is suitable for IOERT navigation and demonstrate the
feasibility of the miscalibration detection protocol in clinical setups.
Image-to-world registration is one of the main issues during image-guided
applications where the field of interest and/or the number of possible
anatomical localizations is large, such as IOERT. In the second part of this
dissertation, a registration algorithm for image-guided surgery based on lineshaped
fiducials (line-based registration) is proposed and validated. Line-based registration decreases acquisition time during surgery and enables better
registration accuracy than other published algorithms.
In the third part of this dissertation, we integrate a commercial low-cost
ultrasound transducer and a cone beam CT C-arm with an optical tracker for
image-guided interventions to enable surgical navigation and explore image based
registration techniques for both modalities.
In the fourth part of the dissertation, a navigation system based on optical
tracking for the docking of the mobile linear accelerator to the radiation
applicator is assessed. This system improves safety and reduces procedure time.
The system tracks the prescribed collimator location to solve the movements
that the linear accelerator should perform to reach the docking position and
warns the user about potentially unachievable arrangements before the actual
procedure. A software application was implemented to use this system in the
OR, where it was also evaluated to assess the improvement in docking speed.
Finally, in the last part of the dissertation, we present and assess the
installation setup for a navigation system in a dedicated IOERT OR, determine
the steps necessary for the IOERT process, identify workflow limitations and
evaluate the feasibility of the integration of the system in a real OR. The
navigation system safeguards the sterile conditions of the OR, clears the space
available for surgeons and is suitable for any similar dedicated IOERT OR.La Radioterapia Intraoperatoria por electrones (RIO) consiste en la
aplicación de radiación de alta energía directamente sobre el lecho tumoral,
accesible durante la cirugía, evitando radiar los tejidos sanos. Hoy en día, avances
como los sistemas de planificación (TPS) y la aparición de aceleradores lineales
móviles permiten optimizar el procedimiento, minimizar el estrés clínico en el
entorno quirúrgico y evitar el desplazamiento del paciente durante la cirugía a
otra sala para ser radiado. La aplicación de la radiación se realiza mediante un
colimador del haz de radiación (aplicador) que se coloca sobre el lecho tumoral
de forma manual por el oncólogo radioterápico. Sin embargo, para asegurar una
correcta deposición de la dosis prescrita y planificada en el TPS, es necesaria una
adecuada validación de la colocación del colimador. En esta Tesis se abordan
tres limitaciones conocidas del procedimiento RIO: el correcto posicionamiento
del aplicador sobre el lecho tumoral, acoplamiento del acelerador lineal con el
aplicador y validación de la dosis de radiación prescrita. Esta Tesis demuestra
que estas limitaciones pueden ser abordadas mediante el posicionamiento del
aplicador de radiación en relación con la anatomía del paciente.
El objetivo principal de este trabajo es la evaluación de alternativas
tecnológicas y procedimentales para la mejora de la práctica de la RIO y resolver
los problemas de incertidumbre descritos anteriormente. Concretamente se
revisan en el contexto de la radioterapia intraoperatoria los siguientes temas: el
registro de la imagen y el paciente, sistemas de posicionamiento multicámara,
técnicas de imagen multimodal y el acoplamiento del acelerador lineal móvil.
El entorno complejo y multidisciplinar de la RIO precisa de necesidades
especiales para el empleo de sistemas de posicionamiento como una alta
precisión y un volumen de trabajo grande y propenso a las oclusiones de los
sensores de posición. La primera parte de esta Tesis presenta una exhaustiva
evaluación de un sistema de posicionamiento óptico multicámara comercial.
Estudiamos la precisión del sistema, su sensibilidad a errores cometidos en la
calibración, robustez frente a posibles oclusiones de las cámaras y precisión en
el seguimiento de herramientas en un entorno quirúrgico real. Además,
proponemos un protocolo para la detección automática de errores por calibración que satisface los requisitos de automaticidad y velocidad para la RIO
demostrando la viabilidad del empleo de este sistema para la navegación en RIO.
Uno de los problemas principales de la cirugía guiada por imagen es el
correcto registro de la imagen médica y la anatomía del paciente en el quirófano.
En el caso de la RIO, donde el número de posibles localizaciones anatómicas es
bastante amplio, así como el campo de trabajo es grande se hace necesario
abordar este problema para una correcta navegación. Por ello, en la segunda
parte de esta Tesis, proponemos y validamos un nuevo algoritmo de registro
(LBR) para la cirugía guiada por imagen basado en marcadores lineales. El
método propuesto reduce el tiempo de la adquisición de la posición de los
marcadores durante la cirugía y supera en precisión a otros algoritmos de registro
establecidos y estudiados en la literatura.
En la tercera parte de esta tesis, integramos un transductor de ultrasonido
comercial de bajo coste, un arco en C de rayos X con haz cónico y un sistema
de posicionamiento óptico para intervenciones guiadas por imagen que permite
la navegación quirúrgica y exploramos técnicas de registro de imagen para ambas
modalidades.
En la cuarta parte de esta tesis se evalúa un navegador basado en el sistema
de posicionamiento óptico para el acoplamiento del acelerador lineal móvil con
aplicador de radiación, mejorando la seguridad y reduciendo el tiempo del propio
acoplamiento. El sistema es capaz de localizar el colimador en el espacio y
proporcionar los movimientos que el acelerador lineal debe realizar para alcanzar
la posición de acoplamiento. El sistema propuesto es capaz de advertir al usuario
de aquellos casos donde la posición de acoplamiento sea inalcanzable. El sistema
propuesto de ayuda para el acoplamiento se integró en una aplicación software
que fue evaluada para su uso final en quirófano demostrando su viabilidad y la
reducción de tiempo de acoplamiento mediante su uso.
Por último, presentamos y evaluamos la instalación de un sistema de
navegación en un quirófano RIO dedicado, determinamos las necesidades desde
el punto de vista procedimental, identificamos las limitaciones en el flujo de
trabajo y evaluamos la viabilidad de la integración del sistema en un entorno
quirúrgico real. El sistema propuesto demuestra ser apto para el entorno RIO
manteniendo las condiciones de esterilidad y dejando despejado el campo
quirúrgico además de ser adaptable a cualquier quirófano similar.Programa Oficial de Doctorado en Multimedia y ComunicacionesPresidente: Raúl San José Estépar.- Secretario: María Arrate Muñoz Barrutia.- Vocal: Carlos Ferrer Albiac
The caring enterprise: a sociology of corporate social involvement in Britain and Italy
This thesis examines corporate social responsibility initially
in Britain, where there has recently been a conspicuous growth
of interest in business social involvement, and Italy. Corporate
social responsibility is defined here as business engagement in
the wider community in order to contribute towards the general
well-being of society. Our analysis employs a hybrid methodology:
we employ a variety of sources, namely, historical texts,
secondary studies and detailed case studies of corporate social
programmes based on in-depth interviews of relevant personnel and
the study of company documents.
Our aim in this study is to provide a general explanation
of why companies go beyond their commercial remit to become
engaged in communitarian and philanthropic action. A socially and
politically informed analysis is furnished: we place this area
in its historical and political context, without losing sight of
the role played by economic forces. Any explanation of
contemporary advances in corporate social responsibility needs
to stress the role of the modern state in society, and, more
specifically, the development of relations between the state and
the business community. It is argued that, in Britain, as a
response to the political and economic crisis of the 1970s, the
links between the business and state sectors became ever closer.
This, as we shall demonstrate, created the institutional
opportunities for active business involvement in society in areas
such as environmental protection, small firm development and
urban regeneration. Italy has seen less political impetus given
to active corporate involvement in society. The most significant
achievements, though, have come from within the state sector.
A final consideration of our social analysis is that we
attempt to analyse the contribution of the private sector to
wider society. This is especially pertinent because, in Britain,
corporate responsibility has come to be seen as a private
solution to public problems. We show, using original case study
material, that there are limits to what companies can achieve on
a social front. We conclude that corporate social responsibility
must emphasise the need for companies to observe social and legal
restrictions in their pursuit of commercial goals, rather than
necessarily engaging actively in social action
ReseArch with Patient and Public invOlvement: a RealisT evaluation - the RAPPORT study
Background
Patient and public involvement (PPI) is a prerequisite for many funding bodies and NHS research ethics approval. PPI in research is defined as research carried out with or by the public rather than to, about or for them. While the benefits of PPI have been widely discussed, there is a lack of evidence on the impact and outcomes of PPI in research.
Objectives
To determine the types of PPI in funded research, describe key processes, analyse the contextual and temporal dynamics of PPI and explore the experience of PPI in research for all those involved. Mechanisms contributing to the routine incorporation of PPI in the research process were assessed, the impact of PPI on research processes and outcomes evaluated, and barriers and enablers to effective PPI identified.
Design
A three-staged realist evaluation drawing on Normalisation Process Theory to understand how far PPI was embedded within health-care research in six areas: diabetes mellitus, arthritis, cystic fibrosis, dementia, public health and learning disabilities. The first two stages comprised a scoping exercise and online survey to chief investigators to assess current PPI activity. The third stage consisted of case studies tracked over 18 months through interviews and document analysis. The research was conducted in four regions of England.
Participants
Non-commercial studies currently running or completed within the previous 2 years eligible for adoption on the UK Clinical Research Network portfolio. A total of 129 case study participants included researchers and PPI representatives from 22 research studies, and representatives from funding bodies and PPI networks
UNO SGUARDO ALLA DIDATTICA DEL LESSICO FRA SCUOLA SUPERIORE E UNIVERSITÀ
L’articolo prende l’avvio da alcuni errori lessicali in attività esercitative di studenti universitari (prevalentemente del primo anno) che devono colmare delle lacune attraverso la frequenza di un laboratorio di scrittura. Il livello del lessico qui considerato è quello del lessico della conoscenza, all’interno delle funzioni comunicative richieste nel contesto di un laboratorio universitario. Il primo problema che si pone l’autrice dell’articolo è come motivare scientificamente le scelte correttive degli errori; il secondo è come sostenere l’apprendimento degli studenti attraverso strategie didattiche specifiche che agiscano all’interno del loro “spazio lessicale”. Dal momento che gli errori qui considerati riguardano il piano sintagmatico, questo è il punto di partenza per una ricognizione sugli studi lessicali a livello di restrizioni semantiche, di “combinazioni preferenziali” (le collocazioni in senso stretto), di costruzioni a verbo supporto, di polirematiche, tutti fenomeni caratterizzati da diversi gradi di “coesione lessicale” e infine di reggenze sintattiche (identificate da qualche autore come “collocazioni grammaticali”). Per quanto riguarda il secondo problema, ossia il sostegno all’apprendimento degli studenti, successivo alla correzione e restituzione degli errori, l’articolo presenta un’ampia sezione di esercizi che partono dal riconoscimento del piano sintagmatico del lessico e si concentrano poi sugli aspetti specifici delle restrizioni semantiche e delle collocazioni.
An overview at vocabulary teaching strategies between high school and university
The article starts by highlighting some lexical errors occurred in practice activities carried out by a group of university students (predominantly first-year students) who had to fill some gaps in language skills by attending a writing workshop. The level of vocabulary considered here is that of knowledge lexicon, within the communicative functions required in the context of a university workshop. The first issue highlighted by the author of the article is how to scientifically justify the choices of error connection; the second one is how to support students’ learning through specific teaching strategies that function within the student’s “lexical space”. Since the errors considered here concern the syntagmatic plan, this is the starting point for a reconnaissance of lexical studies at the level of semantic restrictions, of “preferential combinations” (collocations in the strict sense), of support verb constructions, of polyrhymatic constructions, all phenomena characterized by varying degrees of “lexical cohesion” and finally of syntactic regencies (identified by some authors as “grammatical collocations”). With regard to the second issue, i.e. how to support students’ learning subsequent to error connection and reporting of results, this article presents an extensive section of exercises that start from the recognition of the syntagmatic plan of lexicon and then focus on the specific aspects of semantic restrictions and collocations
UN ASPETTO DELLA COMPRENSIONE: RICONOSCERE I PUNTI DI VISTA. COMPETENZA INDIVIDUALE CON VALORE SOCIALE
Partendo dalle difficoltà di comprensione di studenti del primo anno di università, l’autrice focalizza su una zona sensibile della semantica: l’individuazione di voci diverse in un testo. Si tratta dell’aspetto enunciativo del discorso, centrale quando l’avvicendamento dei punti di vista si avvicina alla polifonia. L’ipotesi didattica è che gli strumenti narratologici, ormai un po’ consunti, possano diventare delle leve per una didattica attiva di tipo laboratoriale che ponga gli studenti davanti a problemi interpretativi cui siano motivati a dare delle risposte.
One aspect of understanding: recognizing points of view. Individual competence with social value
Starting from the comprehension difficulties of first-year university students, the author focuses on a sensitive area of semantics: the identification of different voices in a text. This is the enunciative aspect of discourse, which is central when the alternation of points of view approaches polyphony. The didactic hypothesis is that the narratological instruments, now a bit worn out, can become levers for active, laboratory-type didactics that put students in front of interpretative problems which they are motivated to resolve
Juguetes y silbatos infantiles de época nazarí
El estudio presenta un número de piezas para uso infantil que nos ofrece el reflejo de la vida cotidiana, con representaciones figurativas de bulto redondo, tan escasas en el área hispanomusulmana (caballos, oso, reptiles...), a veces con silbatos adosados; y otros juegos para el uso de las niñas, que jugaban a imitación de sus madres a guisar, usando un completo ajuar de útiles de cocina y vajilla, presentando importantísimos ejemplos en este campo.This study presents a number of items for use by children, that give us images of daily life, with three-dimensional figures, so rare in the Hispano-Muslim period (horses, bears, reptiles...), some of them with whistles attached. Other toys are for use by girls, who played at imitating their mothers at cooking and used complete sets of kitchen utensils and crockery, thus providing us with important samples in this field
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