DESIGN AND INTEGRATION OF A HUMAN-ROBOT PHYSICAL INTERACTION PLATFORM WITH PURPOSES OF MEDICAL DIAGNOSIS AND REHABILITATION OF UPPER LIMB

In this paper a human-robot physical interaction system with purposes of diagnosis and rehabilitation of upper limb is proposed.Anunderactuatedhaptic device with six degrees of freedom is used, with low inertia and low joint friction.Adaptive control technique is used for passive haptic guidance and active exploration, in order to compensate the dynamic uncertainty of the human operator in the loop.To validate the experimental platform, a procedure is established with three steps: i) knowledge of the haptic interface (interaction with the kinematic virtual environment), ii) navigation in a virtual pipe with changes in the geometric characteristics (verification of position, velocity, collisions and runtime), and iii) haptic guidance in a structured path based on a clinical protocol (study of convergence and energy).Environmental conditions such as temperature, humidity, lighting and noise are characterizedwith purposes to define experimental conditions.In this work, we assess based on the NASA-TLX protocol,the workload perception of simple temporal-spatial tasks

DESIGN AND INTEGRATION OF A HUMAN-ROBOT PHYSICAL INTERACTION PLATFORM WITH PURPOSES OF MEDICAL DIAGNOSIS AND REHABILITATION OF UPPER LIMB

In this paper a human-robot physical interaction system with purposes of diagnosis and rehabilitation of upper limb is proposed.Anunderactuatedhaptic device with six degrees of freedom is used, with low inertia and low joint friction.Adaptive control technique is used for passive haptic guidance and active exploration, in order to compensate the dynamic uncertainty of the human operator in the loop.To validate the experimental platform, a procedure is established with three steps: i) knowledge of the haptic interface (interaction with the kinematic virtual environment), ii) navigation in a virtual pipe with changes in the geometric characteristics (verification of position, velocity, collisions and runtime), and iii) haptic guidance in a structured path based on a clinical protocol (study of convergence and energy).Environmental conditions such as temperature, humidity, lighting and noise are characterizedwith purposes to define experimental conditions.In this work, we assess based on the NASA-TLX protocol,the workload perception of simple temporal-spatial tasks

Microsurgery in complex trauma of pelvic limb in a pediatric patient: case report

Complex trauma is defined as the condition secondary to the exchange of kinetic energy of two or more tissues in one limb. This entity is a surgical emergency that can have many sequelae and can even result in limb loss. An 11-year-old female patient presents complex pelvic limb trauma secondary to contuse injury caused by a helicopter’s rotor blades.  Pelvic limb reconstruction was performed with iliac crest bone graft, the fracture was stabilized with an external fixator and the skin defect was covered with an anterolateral microvascular thigh flap (ALT). There was an adequate integration of the bone graft with adequate skin coverage thanks to the ALT thigh flap. The patient presented discreet limb shortening as consequence.  Currently, microsurgery is the only medical option that meets the objectives of limb reconstruction. Microsurgical techniques can be used in pediatric and adult patients. The success of any recovery from complex trauma is vigorous surgical cleaning, avoiding sequential and/or multiple washes

Universal mental health screening with a focus on suicidal behaviour using smartphones in a Mexican rural community: Protocol for the SMART-SCREEN population-based survey

Introduction Mental disorders represent the second cause of years lived with disability worldwide. Suicide mortality has been targeted as a key public health concern by the WHO. Smartphone technology provides a huge potential to develop massive and fast surveys. Given the vast cultural diversity of Mexico and its abrupt orography, smartphone-based resources are invaluable in order to adequately manage resources, services and preventive measures in the population. The objective of this study is to conduct a universal suicide risk screening in a rural area of Mexico, measuring also other mental health outcomes such as depression, anxiety and alcohol and substance use disorders. Methods and analysis A population-based cross-sectional study with a temporary sampling space of 9 months will be performed between September 2019 and June 2020. We expect to recruit a large percentage of the target population (at least 70%) in a short-term survey of Milpa Alta Delegation, which accounts for 137 927 inhabitants in a territorial extension of 288 km 2. They will be recruited via an institutional call and a massive public campaign to fill in an online questionnaire through mobile-assisted or computer-assisted web app. This questionnaire will include data on general health, validated questionnaires including Well-being Index 5, Patient Health Questionnaire-9, Generalized Anxiety Disorder Scale 2, Alcohol Use Disorders Identification Test, selected questions of the Drug Abuse Screening Test and Columbia-Suicide Severity Rating Scales and Diagnostic and statistical manual of mental disorders (DSM-5) questions about self-harm. We will take into account information regarding time to mobile app response and geo-spatial location, and aggregated data on social, demographical and environmental variables. Traditional regression modelling, multilevel mixed methods and data-driven machine learning approaches will be used to test hypotheses regarding suicide risk factors at the individual and the population level. Ethics and dissemination Ethical approval (002/2019) was granted by the Ethics Review Board of the Hospital Psiquiátrico Yucatán, Yucatán (Mexico). This protocol has been registered in ClinicalTrials.gov. The starting date of the study is 3 September 2019. Results will serve for the planning and healthcare of groups with greater mental health needs and will be disseminated via publications in peer-reviewed journal and presented at relevant mental health conferences. Trial registration number NCT04067063

The Fourteenth Data Release of the Sloan Digital Sky Survey: First Spectroscopic Data from the extended Baryon Oscillation Spectroscopic Survey and from the second phase of the Apache Point Observatory Galactic Evolution Experiment

The fourth generation of the Sloan Digital Sky Survey (SDSS-IV) has been in operation since July 2014. This paper describes the second data release from this phase, and the fourteenth from SDSS overall (making this, Data Release Fourteen or DR14). This release makes public data taken by SDSS-IV in its first two years of operation (July 2014-2016). Like all previous SDSS releases, DR14 is cumulative, including the most recent reductions and calibrations of all data taken by SDSS since the first phase began operations in 2000. New in DR14 is the first public release of data from the extended Baryon Oscillation Spectroscopic Survey (eBOSS); the first data from the second phase of the Apache Point Observatory (APO) Galactic Evolution Experiment (APOGEE-2), including stellar parameter estimates from an innovative data driven machine learning algorithm known as "The Cannon"; and almost twice as many data cubes from the Mapping Nearby Galaxies at APO (MaNGA) survey as were in the previous release (N = 2812 in total). This paper describes the location and format of the publicly available data from SDSS-IV surveys. We provide references to the important technical papers describing how these data have been taken (both targeting and observation details) and processed for scientific use. The SDSS website (www.sdss.org) has been updated for this release, and provides links to data downloads, as well as tutorials and examples of data use. SDSS-IV is planning to continue to collect astronomical data until 2020, and will be followed by SDSS-V.Comment: SDSS-IV collaboration alphabetical author data release paper. DR14 happened on 31st July 2017. 19 pages, 5 figures. Accepted by ApJS on 28th Nov 2017 (this is the "post-print" and "post-proofs" version; minor corrections only from v1, and most of errors found in proofs corrected

Dendritic cell deficiencies persist seven months after SARS-CoV-2 infection

Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV)-2 infection induces an exacerbated inflammation driven by innate immunity components. Dendritic cells (DCs) play a key role in the defense against viral infections, for instance plasmacytoid DCs (pDCs), have the capacity to produce vast amounts of interferon-alpha (IFN-α). In COVID-19 there is a deficit in DC numbers and IFN-α production, which has been associated with disease severity. In this work, we described that in addition to the DC deficiency, several DC activation and homing markers were altered in acute COVID-19 patients, which were associated with multiple inflammatory markers. Remarkably, previously hospitalized and nonhospitalized patients remained with decreased numbers of CD1c+ myeloid DCs and pDCs seven months after SARS-CoV-2 infection. Moreover, the expression of DC markers such as CD86 and CD4 were only restored in previously nonhospitalized patients, while no restoration of integrin β7 and indoleamine 2,3-dyoxigenase (IDO) levels were observed. These findings contribute to a better understanding of the immunological sequelae of COVID-19

Clonal chromosomal mosaicism and loss of chromosome Y in elderly men increase vulnerability for SARS-CoV-2

The pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2, COVID-19) had an estimated overall case fatality ratio of 1.38% (pre-vaccination), being 53% higher in males and increasing exponentially with age. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, we found 133 cases (1.42%) with detectable clonal mosaicism for chromosome alterations (mCA) and 226 males (5.08%) with acquired loss of chromosome Y (LOY). Individuals with clonal mosaic events (mCA and/or LOY) showed a 54% increase in the risk of COVID-19 lethality. LOY is associated with transcriptomic biomarkers of immune dysfunction, pro-coagulation activity and cardiovascular risk. Interferon-induced genes involved in the initial immune response to SARS-CoV-2 are also down-regulated in LOY. Thus, mCA and LOY underlie at least part of the sex-biased severity and mortality of COVID-19 in aging patients. Given its potential therapeutic and prognostic relevance, evaluation of clonal mosaicism should be implemented as biomarker of COVID-19 severity in elderly people. Among 9578 individuals diagnosed with COVID-19 in the SCOURGE study, individuals with clonal mosaic events (clonal mosaicism for chromosome alterations and/or loss of chromosome Y) showed an increased risk of COVID-19 lethality

RICORS2040 : The need for collaborative research in chronic kidney disease

Chronic kidney disease (CKD) is a silent and poorly known killer. The current concept of CKD is relatively young and uptake by the public, physicians and health authorities is not widespread. Physicians still confuse CKD with chronic kidney insufficiency or failure. For the wider public and health authorities, CKD evokes kidney replacement therapy (KRT). In Spain, the prevalence of KRT is 0.13%. Thus health authorities may consider CKD a non-issue: very few persons eventually need KRT and, for those in whom kidneys fail, the problem is 'solved' by dialysis or kidney transplantation. However, KRT is the tip of the iceberg in the burden of CKD. The main burden of CKD is accelerated ageing and premature death. The cut-off points for kidney function and kidney damage indexes that define CKD also mark an increased risk for all-cause premature death. CKD is the most prevalent risk factor for lethal coronavirus disease 2019 (COVID-19) and the factor that most increases the risk of death in COVID-19, after old age. Men and women undergoing KRT still have an annual mortality that is 10- to 100-fold higher than similar-age peers, and life expectancy is shortened by ~40 years for young persons on dialysis and by 15 years for young persons with a functioning kidney graft. CKD is expected to become the fifth greatest global cause of death by 2040 and the second greatest cause of death in Spain before the end of the century, a time when one in four Spaniards will have CKD. However, by 2022, CKD will become the only top-15 global predicted cause of death that is not supported by a dedicated well-funded Centres for Biomedical Research (CIBER) network structure in Spain. Realizing the underestimation of the CKD burden of disease by health authorities, the Decade of the Kidney initiative for 2020-2030 was launched by the American Association of Kidney Patients and the European Kidney Health Alliance. Leading Spanish kidney researchers grouped in the kidney collaborative research network Red de Investigación Renal have now applied for the Redes de Investigación Cooperativa Orientadas a Resultados en Salud (RICORS) call for collaborative research in Spain with the support of the Spanish Society of Nephrology, Federación Nacional de Asociaciones para la Lucha Contra las Enfermedades del Riñón and ONT: RICORS2040 aims to prevent the dire predictions for the global 2040 burden of CKD from becoming true

El Derecho Argentino frente a la pandemia y post-pandemia COVID-19. TOMO II

La Facultad de Derecho de la Universidad Nacional de Córdoba no podía permanecer indolente frente a la conmoción que, durante este año 2020, ha provocado en el mundo la pandemia de COVID-19. Como comunidad educativa advertíamos que la prioridad máxima era lograr la continuidad de la labor de nuestra Casa de Estudios, para garantizar a nuestros alumnos del grado y del posgrado, el ejercicio de su derecho a estudiar, continuando y en algunos casos iniciando sus estudios, a pesar de las condiciones adversas que se vivían. Con esa finalidad convocamos a los profesores titulares de todas las cátedras y eméritos y consultos que quisieran hacerlo, a sumarse con sus aportes a esta construcción colectiva, que aborda los temas que nos ocupan desde las diversas perspectivas de las distintas áreas del mundo jurídico. Y la desinteresada respuesta positiva no se hizo esperar. Prueba de ello es este libro cuyas dimensiones, tanto en lo cuantitativo como en lo cualitativo, superaron las expectativas iniciales. La jerarquía de los autores que generosamente han participado con sus contribuciones, en algunos casos en forma individual y en otros acompañados por sus equipos de colaboradores, permiten prever que esta obra ha de brindar elementos de juicio de gran utilidad para continuar construyendo el mundo jurídico, dentro de la pandemia y después de ella.ÍNDICE GENERAL. TOMO II. DERECHO CONSTITUCIONAL. "Emergencias, orden constitucional y COVID-19 en Argentina" por Antonio María Hernández. "Una constitución para todas las épocas. Algunas notas sobre el Derecho Constitucional en tiempo de pandemia" por Guillermo E. Barrera Buteler, Magdalena I. Álvarez, José M. Pérez Corti y Victorino Solá. Pandemia y constitución en la Argentina actual. Reflexiones desde la Cátedra “B” de Derecho Constitucional Facultad de Derecho. Universidad Nacional de Córdoba. I. Introducción. Breves comentarios sobre este texto y “lo constitucional” en los tiempos actuales en Argentina por Andrés Rossetti. II. Nociones sobre el Cuidado y el Modo de Ser en el Mundo por Marta Faur. III. Impacto de la pandemia en la dicotomía público/privado en Argentina por Claudio E. Guiñazú. IV. Preocupaciones constitucionales en tiempos de pandemia: desigualdad y emergencia. La necesidad de repensar los mecanismos decisorios por Romina Verri. V. Derechos laborales y gremiales de los trabajadores estatales durante la emergencia sanitaria por Félix A. López Amaya. VI. La coordinación intergubernamental frente al COVID-19 en experiencias de países federales por Marcelo Bernal. "Cuando el centro está afuera de la figura. -República, desequilibrio de poderes y emergencia-" por Pablo Riberi. "Pandemia y estado de excepción" por Miguel Ángel Ortiz Pellegrini. DERECHO PENAL. "La emergencia sanitaria en contextos de encierro carcelario" por Carlos Julio Lascano. "COVID-19 y cárceles argentinas" por Gustavo A. Arocena. DERECHO INTERNACIONAL PUBLICO. "La confrontación entre Estados Unidos de América y China en tiempos de COVID-19 y el Derecho Internacional Público" por Zlata Drnas de Clément. "El rol del principio de cooperación internacional durante la pandemia y en el período post-COVID 19" por María Alejandra Sticca. "COVID-19, crímenes internacionales y amenazas a la paz: ¿integran las pandemias el ámbito material de la responsabilidad de proteger?" por Luciano Pezzano. "Incidencia de la pandemia covid 19 en derechos fundamentales. Las organizaciones internacionales y la seguridad de los estados" por Christian G. Sommer, María Pilar Llorens, Oscar Benítez y Guillermo Costilla. DERECHO INTERNACIONAL PRIVADO. "El COVID-19 y la cooperación jurídica internacional" por Adriana Dreyzin de Klor. "El COVID-19 y las nuevas formas de celebración del matrimonio" por Carlos E. Echegaray de Maussion. "Pandemia y solicitudes de retorno de menores por traslados ilícitos en sustracción de niños: ¿es la COVID-19 una excepción de riesgo grave?" por Myriam Diana Lucero. "Justicia, aislamiento y videoconferencia la experiencia del Derecho Internacional Privado en desandar barreras: guía de buenas prácticas de la conferencia de La Haya 2019" por Carolina Harrington. "Restitución internacional de niños. La excepción de grave riesgo y COVID-19" por Laura Martina Jeifetz. "El Derecho Internacional Privado y el desafío frente a los grupos más vulnerables en el marco del COVID-19" por Cristina Britos. "La responsabilidad social empresaria de las empresas multinacionales como herramienta para enfrentar la pandemia COVID-19" por Candela Noelia Villegas. DERECHO ADMINISTRATIVO. "Los deberes cívicos frente a la pandemia COVID 19" por José Luis Palazzo. "Importancia del rol y la gestión del Poder Judicial en tiempos de coronavirus – COVID-19" por Domingo J. Sesin y Daniela S. Sosa. DERECHO DEL TRABAJO Y DE LA SEGURIDAD SOCIAL. "Las relaciones laborales en la emergencia" por Carlos Alberto Toselli.Fil: Hernández, Antonio María. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Barrera Buteler, Guillermo Eduardo. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Álvarez, Magdalena I. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Pérez Corti, José M. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Solá, Victorino. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Rossetti, Andrés. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Faur, Marta. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Guiñazú, Claudio E. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Verri, Romina. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: López Amaya, Félix A. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Bernal, Marcelo. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Bernal, Marcelo. Universidad Nacional de Córdoba. Facultad de Ciencias Sociales. Centro de Estudios Avanzados; Argentina.Fil: Riberi, Pablo. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Ortiz Pellegrini, Miguel Ángel. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Lascano, Carlos Julio. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Arocena, Gustavo A. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Drnas de Clément, Zlata. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Sticca, María Alejandra. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Pezzano, Luciano. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Universidad Nacional de Córdoba. Facultad de Ciencias Sociales; Argentina.Fil: Sommer, Christian G. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Sommer, Christian G. Universidad Católica de Córdoba. Facultad de Derecho. Instituto de Derechos Humanos; Argentina.Fil: Llorens, María Pilar. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Benítez, Oscar. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Costilla, Guillermo. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Salas, Graciela R. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Mortarotti, Pablo César. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Mortarotti, Pablo César. Universidad Católica de Córdoba; Argentina.Fil: Mortarotti, Pablo César. Universidad Siglo 21; Argentina.Fil: Dreyzin de Klor, Adriana. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Dreyzin de Klor, Adriana. Universidad Blas Pascal; Argentina.Fil: Lucero, Myriam Diana. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Harrington, Carolina. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Jeifetz, Laura Martina. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Britos, Cristina. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Villegas, Candela Noelia. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Villegas, Candela Noelia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Córdoba; Argentina.Fil: Zavatti, Adriana M. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Bottiglieri, María G. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Fernández, Flavia. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Gordillo Reinalde, Laura Andrea. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Palazzo, José Luis. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Sesin, Domingo J. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Sosa, Daniela S. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Giménez, Laura E. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Tello Roldan, María Cecilia. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Toselli, Carlos Alberto. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina.Fil: Echegaray de Maussion, Carlos E. Universidad Nacional de Córdoba. Facultad de Derecho; Argentina