2,681 research outputs found
El Mobile Learning en el aula de ELE. Propuestas para el alumnado italófono
Los dispositivos móviles se han convertido en una herramienta irrenunciable en la vida de los seres humanos, principalmente como instrumento para estar en contacto con cualquier persona en cualquier lugar y en cualquier momento. La introducción de los smartphone y las tabletas en las aulas de Educación Secundaria favorece la motivación y la autonomía del alumnado, puesto que las aplicaciones digitales (Apps) son el mundo en el que nace y vive. Sin embargo, el concepto de Mobile Learning se puede aplicar tanto al aula de lengua y literatura para hispanohablantes como al aula de español para extranjeros, empleando el móvil no como sustituto del material en papel, sino como elemento que fomenta las habilidades comunicativas. Teniendo en cuenta la utilidad de las app para dispositivos móviles en las aulas de Español como Lengua Extranjera (ELE), en el presente trabajo se desarrolla una propuesta didáctica desde el área de lengua y literatura española para el alumnado italófono: estos estudiantes constituyen un grupo particular de aprendices de español ya que, como los dos idiomas se parecen, surgen dificultades inesperadas al descubrir las divergencias durante el estudio de la lengua
Climate Mitigation and Adaptation Strategies for Roofs and Pavements. A Case Study at Sapienza University Campus
The progressively emerging concept of urban resilience to climate change highlights the
importance of mitigation and adaptation measures, and the need to integrate urban climatology
in the design process, in order to better understand the multiple effects of combined green and
cool technologies for the transition to climate responsive and thermally comfortable urban open
spaces. This study focuses the attention on selected mitigation and adaptation technologies; two
renovation scenarios were designed and modeled according to the minimal intervention criterion. The
study pays attention to the effect on surface temperature and physiological equivalent temperature
(PET) of vegetation and high albedo materials characterizing the horizontal boundaries of the site.
The Sapienza University campus, a historical site in Rome, is taken as a case study. These results
highlight the importance of treed open spaces and the combination of permeable green pavements
associated with cool roofs as the most effective strategy for the mitigation of summer heatwaves and
the improvement of outdoor thermal comfort
A study of trace contaminant identification by microwave double resonance spectroscopy
Trace contaminant identification using microwave double resonance spectroscop
Dynamic changes and prognostic value of pulmonary congestion by lung ultrasound in acute and chronic heart failure: a systematic review
Aims:
Pulmonary congestion is an important finding in patients with heart failure (HF) that can be quantified by lung ultrasound (LUS). We conducted a systematic review to describe dynamic changes in LUS findings of pulmonary congestion (B-lines) in HF and to examine the prognostic utility of B-lines in HF.
Methods and results:
We searched online databases for studies conducted in patients with chronic or acute HF that used LUS to assess dynamic changes or the prognostic value of pulmonary congestion. We included studies in adult populations, published in English, and conducted in ≥25 patients. Of 1327 identified studies, 13 (25–290 patients) met the inclusion criteria: six reported on dynamic changes in LUS findings (438 patients) and seven on the prognostic value of B-lines in HF (953 patients). In acute HF, B-line number changed within as few as 3 h of HF treatment. In acute HF, ≥15 B-lines on 28-zone LUS at discharge identified patients at a more than five-fold risk for HF readmission or death. Similarly, in ambulatory patients with chronic HF, ≥3 B-lines on five- or eight-zone LUS marked those at a nearly four-fold risk for 6-month HF hospitalization or death.
Conclusions:
Lung ultrasound findings change rapidly in response to HF therapy. This technique may represent a useful and non-invasive method to track dynamic changes in pulmonary congestion. Furthermore, residual congestion at the time of discharge in acute HF or in ambulatory patients with chronic HF may identify those at high risk for adverse events
How i do it: Lung ultrasound
In the last 15 years, a new imaging application of sonography has emerged in the clinical arena: lung ultrasound (LUS). From its traditional assessment of pleural effusions and masses, LUS has moved towards the revolutionary approach of imaging the pulmonary parenchyma, mainly as a point-of-care technique. Although limited by the presence of air, LUS has proved to be useful in the evaluation of many different acute and chronic conditions, from cardiogenic pulmonary edema to acute lung injury, from pneumothorax to pneumonia, from interstitial lung disease to pulmonary infarctions and contusions. It is especially valuable since it is a relatively easy-to-learn application of ultrasound, less technically demanding than other sonographic examinations. It is quick to perform, portable, repeatable, non-ionizing, independent from specific acoustic windows, and therefore suitable for a meaningful evaluation in many different settings, both inpatient and outpatient, in both acute and chronic conditions.In the next few years, point-of-care LUS is likely to become increasingly important in many different clinical settings, from the emergency department to the intensive care unit, from cardiology to pulmonology and nephrology wards. © 2014 Gargani and Volpicelli; licensee BioMed Central Ltd
Sharp Hardy inequalities in the half space with trace remainder term
In this paper we deal with a class of inequalities which interpolate the
Kato's inequality and the Hardy's inequality in the half space. Starting from
the classical Hardy's inequality in the half space \rnpiu
=\R^{n-1}\times(0,\infty), we show that, if we replace the optimal constant
with a smaller one , , then we can add an extra trace-term equals to that one that appears in the
Kato's inequality. The constant in the trace remainder term is optimal and it
tends to zero when goes to , while it is equal to the optimal
constant in the Kato's inequality when
Lung ultrasound for the early diagnosis of COVID-19 pneumonia: an international multicenter study.
Purpose: To analyze the application of a lung ultrasound (LUS)-based diagnostic approach to patients suspected of
COVID-19, combining the LUS likelihood of COVID-19 pneumonia with patient’s symptoms and clinical history.
Methods: This is an international multicenter observational study in 20 US and European hospitals. Patients suspected
of COVID-19 were tested with reverse transcription-polymerase chain reaction (RT-PCR) swab test and had an
LUS examination. We identified three clinical phenotypes based on pre-existing chronic diseases (mixed phenotype),
and on the presence (severe phenotype) or absence (mild phenotype) of signs and/or symptoms of respiratory failure
at presentation. We defined the LUS likelihood of COVID-19 pneumonia according to four different patterns: high
(HighLUS), intermediate (IntLUS), alternative (AltLUS), and low (LowLUS) probability. The combination of patterns and
phenotypes with RT-PCR results was described and analyzed.
Results: We studied 1462 patients, classified in mild (n = 400), severe (n = 727), and mixed (n = 335) phenotypes.
HighLUS and IntLUS showed an overall sensitivity of 90.2% (95% CI 88.23–91.97%) in identifying patients with positive
RT-PCR, with higher values in the mixed (94.7%) and severe phenotype (97.1%), and even higher in those patients with objective respiratory failure (99.3%). The HighLUS showed a specificity of 88.8% (CI 85.55–91.65%) that was
higher in the mild phenotype (94.4%; CI 90.0–97.0%). At multivariate analysis, the HighLUS was a strong independent
predictor of RT-PCR positivity (odds ratio 4.2, confidence interval 2.6–6.7, p < 0.0001).
Conclusion: Combining LUS patterns of probability with clinical phenotypes at presentation can rapidly identify
those patients with or without COVID-19 pneumonia at bedside. This approach could support and expedite patients’
management during a pandemic surge.post-print2420 K
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