From hysteria to somatic symptom disorders: Searching for a common psychopathological ground

After decades of manifold contributions aimed at defining hysteria, somatisation and conversion, such syndromes are still neglected and their nosographical definition is debated. The DSM and the ICD have undergone major changes, but their clinical utility with regards to these syndromes is still questionable. On the contrary, the Diagnostic Criteria for Psychosomatic Research represents a useful clinical instrument since it translates psychosocial variables derived from psychosomatic research into operational tools. The present paper offers an overview on the psychopathological description of syndromes such as alexithymia, hypochondriasis, health anxiety, thanatophobia, conversion symptoms, anniversary and reaction which are frequent in clinical practice, but often misdiagnosed due to their absence in the DSM and the ICD. In addition, the influence of culture and cultural changes on the modifications of psychopathological manifestations is described as a further possible source of misdiagnosing and underreporting. New psychopathologies (e.g., multiple chemical sensitivity, orthorexia/vigorexia) that resemble conversion and/or somatisation have been developed, but neither is included in nosography nor taught to clinicians. The aim of the present paper is thus to describe psychopathological manifestations of somatic symptoms and related disorders to help clinicians formulate their diagnosis on the presence of signs and symptoms that can be elicited during a clinical visit, rather than by way of exclusion of other organic or psychiatric disease only

Mutual visibility by luminous robots without collisions

We consider the Mutual Visibility problem for anonymous dimensionless robots with obstructed visibility moving in a plane: starting from distinct locations, the robots must reach, without colliding, a configuration where no three of them are collinear. We study this problem in the luminous robots model, in which each robot has a visible light that can assume colors from a fixed set. Among other results, we prove that Mutual Visibility can be solved in SSynch with 2 colors and in ASynch with 3 colors. If an adversary can interrupt and stop a robot moving to its computed destination, Mutual Visibility is still solvable in SSynch with 3 colors and, if the robots agree on the direction of one axis, also in ASynch. As a byproduct, we provide the first obstructed-visibility solutions to two classical problems for oblivious robots: collision-less convergence to a point (also known as near-gathering) and circle formation

Survey on reporting of epithelial cells in urine sediment as part of external quality assessment programs in Brazilian laboratories

Epithelial cells (ECs) are structures regularly observed during urine microscopy analysis. The correct identification of EC subtypes can be useful since renal tubular epithelial cells (RTECs) are clinically relevant. We investigate the urinary ECs report and the judgement of its clinical importance by Brazilian laboratories. A survey with four questions was made available to participants of the Urinalysis External Quality Assessment Program (EQAP) from Controllab. Laboratories composed 3 groups: (1) differentiating ECs subtypes: “squamous”, “transitional” and “RTECs”; (2) differentiating ECs subtypes: “squamous” or “non-squamous” cells; (3) without ECs subtype identification. Participants did not necessarily answer to all questions and the answers were evaluated both within the same laboratory’s category and within different categories of laboratories. A total of 1336 (94%) laboratories answered the survey; Group 1, 119/140 (85%) reported that ECs differentiation is important to the physician and 62% want to be evaluated by EQAP, while in Group 3, 455/1110 (41%) reported it is useful to them, however only 25% want be evaluated by EQAP. Group 2 laboratories 37/51 (73%) reported that the information is important, but only 13/52 (25%) are interested in an EQAP with differentiation of the 3 ECs subtypes. Most of the laboratories do not differentiate ECs in the three subtypes, despite the clinical importance of RTECs. Education of laboratory staff about the clinical significance of urinary particles should be considered a key priority

Algorithms for design optimization of chemistry of hard magnetic alloys using experimental data

A multi-dimensional random number generation algorithm was used to distribute chemical concentrations of each of the alloying elements in the candidate alloys as uniformly as possible while maintaining the prescribed bounds on the minimum and maximum allowable values for the concentration of each of the alloying elements. The generated candidate alloy compositions were then examined for phase equilibria and associated magnetic properties using a thermodynamic database in the desired temperature range. These initial candidate alloys were manufactured, synthesized and tested for desired properties. Then, the experimentally obtained values of the properties were fitted with a multi-dimensional response surface. The desired properties were treated as objectives and were extremized simultaneously by utilizing a multi-objective optimization algorithm that optimized the concentrations of each of the alloying elements. This task was also performed by another conceptually different response surface and optimization algorithm for double-checking the results. A few of the best predicted Pareto optimal alloy compositions were then manufactured, synthesized and tested to evaluate their macroscopic properties. Several of these Pareto optimized alloys outperformed most of the candidate alloys on most of the objectives. This proves the efficacy of the combined meta-modeling and experimental approach in design optimization of the alloys. A sensitivity analysis of each of the alloying elements was also performed to determine which of the alloying elements contributes the least to the desired macroscopic properties of the alloy. These elements can then be replaced with other candidate alloying elements such as not-so-rare earth elements

Self-Organizing Maps for Pattern Recognition in Design of Alloys

A combined experimental\u2013computational methodology for accelerated design of AlNiCo-type permanent magnetic alloys is presented with the objective of simultaneously extremizing several magnetic properties. Chemical concentrations of eight alloying elements were initially generated using a quasirandom number generator so as to achieve a uniform distribution in the design variable space. It was followed by manufacture and experimental evaluation of these alloys using an identical thermo-magnetic protocol. These experimental data were used to develop meta-models capable of directly relating the chemical composition with desired macroscopic properties of the alloys. These properties were simultaneously optimized to predict chemical compositions that result in improvement of properties. These data were further utilized to discover various correlations within the experimental dataset by using several concepts of artificial intelligence. In this work, an unsupervised neural network known as selforganizing maps was used to discover various patterns reported in the literature. These maps were also used to screen the composition of the next set of alloys to be manufactured and tested in the next iterative cycle. Several of these Pareto-optimized predictions out-performed the initial batch of alloys. This approach helps significantly reducing the time and the number of alloys needed in the alloy development process

Assessment of plaque morphology in alzheimer’s mouse cerebellum using three-dimensional X-ray phase-based virtual histology

Visualization and characterization of beta -amyloid deposits is a fundamental task in pre-clinical study of Alzheimer's disease (AD) to assess its evolution and monitor the efficiency of new therapeutic strategies. While the cerebellum is one of the brain areas most underestimated in the context of AD, renewed interest in cerebellar lesions has recently arisen as they may link to motor and cognitive alterations. Thus, we quantitatively investigated three-dimensional plaque morphology in the cerebellum in APP/PS1 transgenic mouse, as a model of AD. In order to obtain a complete high-resolution three-dimensional view of the investigated tissue, we exploited synchrotron X-ray phase contrast tomography (XPCT), providing virtual slices with histology-matching resolution. We found the formation of plaques elongated in shape, and with a specific orientation in space depending on the investigated region of the cerebellar cortex. Remarkably, a similar shape is observed in human cerebellum from demented patients. Our findings demonstrate the capability of XPCT in volumetric quantification, supporting the current knowledge about plaque morphology in the cerebellum and the fundamental role of the surrounding tissue in driving their evolution. A good correlation with the human neuropathology is also reported

Resilience, Cardiological Outcome, and Their Correlations With Anxious-Depressive Symptoms and Quality of Life in Patients With an Implantable Cardioverter Defibrillator

Background: Resilience is proven as a protective factor against the development of psychiatric disorders, and it has gained clinical relevance in the development and progression of cardiovascular pathology. The authors performed a longitudinal study on patients with implantable cardioverter defibrillator (ICD) with the primary aim to highlight the possible existence of a correlation between individual resilience capacity, depressive and anxiety symptoms, and quality of life in terms of outcomes. The secondary aim was to analyze the differences between patients with major cardiac events in the follow-up and patients without cardiac events with respect to the previous variables. Materials and Methods: A total of 80 patients enrolled in the Cardiology Unit were evaluated at T0 and during the follow-up through the following scales: the 14-item Resilience Scale (RS-14), the Hospital Anxiety and Depression Scale (HADS), and the World Health Organization Quality of Life-Brief Version (WHOQOL-Bref). Results: A significant linear correlation between resilience and all the areas of quality of life at T0, T1, and T2 emerged. A negative correlation between resilience and anxiety and depressive symptoms emerged, as well as between depression and anxiety and quality of life. Patients with cardiac events during the follow up have shown a worse quality of life and the onset of anxiety-depressive symptoms over time, without changes to the resilience scores. Patients without cardiac events showed an increasing trend in resilience scores. Discussion: Given the speed and simplicity of use of the RS-14 scale, it seems promising to further investigate the real clinical usefulness of this instrument in the cardiology field

The BaR-SPOrt Experiment

BaR-SPOrt (Balloon-borne Radiometers for Sky Polarisation Observations) is an experiment to measure the linearly polarized emission of sky patches at 32 and 90 GHz with sub-degree angular resolution. It is equipped with high sensitivity correlation polarimeters for simultaneous detection of both the U and Q stokes parameters of the incident radiation. On-axis telescope is used to observe angular scales where the expected polarization of the Cosmic Microwave Background (CMBP) peaks. This project shares most of the know-how and sophisticated technology developed for the SPOrt experiment onboard the International Space Station. The payload is designed to flight onboard long duration stratospheric balloons both in the Northern and Southern hemispheres where low foreground emission sky patches are accessible. Due to the weakness of the expected CMBP signal (in the range of microK), much care has been spent to optimize the instrument design with respect to the systematics generation, observing time efficiency and long term stability. In this contribution we present the instrument design, and first tests on some components of the 32 GHz radiometer.Comment: 12 pages, 10 figures, Astronomical Telescopes and Instrumentation (Polaimetry in Astronomy) Hawaii August 2002 SPIE Meetin