810 research outputs found

    Raising awareness for water polution based on game activities using internet of things

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    Awareness among young people regarding the environment and its resources and comprehension of the various factors that interplay, is key to changing human behaviour towards achieving a sustainable planet. In this paper IoT equipment, utilizing sensors for measuring various parameters of water quality, is used in an educational context targeting at a deeper understanding of the use of natural resources towards the adoption of environmentally friendly behaviours. We here note that the use of water sensors in STEM gameful learning is an area which has not received a lot of attention in the previous years. The IoT water sensing and related scenaria and practices, addressing children via discovery, gamification, and educational activities, are discussed in detail

    Crise suicidaire et maladie d’Alzheimer débutante : intérêt d’une analyse neuropsychologique détaillée

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    RésuméIntroduction Le risque de développer une maladie d’Alzheimer augmente avec l’âge. Le rôle de celle-ci comme un facteur de risque indépendant de suicide n’est pas bien compris et demeure complexe et mal élucidé. L’objectif de cet article est d’envisager une compréhension neuropsychologique de la crise suicidaire dans le cas d’une maladie d’Alzheimer débutante. Méthode Une évaluation cognitive globale (Mini-Mental State Examination, Batterie Rapide d’Évaluation Frontale) complétée de l’exploration de l’inhibition cognitive selon ses fonctions d’accès (tâche de lecture en présence de distracteurs), de suppression (Trail Making Test), et de freinage (Stroop, Hayling, Go/No-Go) a été réalisée chez une femme souffrant d’une maladie d’Alzheimer (MMSE à 21/30) avant et après réalisation d’une tentative de suicide dans un contexte de dépression. Résultats L’échelle d’Hamilton était cotée à 24/52, l’échelle de dépression de Cornell à 21/38. L’intentionnalité suicidaire était modérée avec un score à 15/25 à l’échelle d’intentionnalité suicidaire de Beck. Initialement préservées, le déclin des fonctions exécutives a coïncidé avec l’émergence d’une crise suicidaire dans un contexte de dépression chez une patiente souffrant de maladie d’Alzheimer. Les fonctions de l’inhibition cognitive étaient altérées dans ses trois composantes, après ajustement des facteurs de confusion. Conclusion Une évaluation détaillée des fonctions exécutives et singulièrement de l’inhibition cognitive dans la population des patients atteints d’une maladie d’Alzheimer permettrait de détecter les personnes les plus à risque de passage à l’acte et de proposer une surveillance plus étroite dans le cadre des soins généraux de leur maladie. AbstractIntroduction The role of Alzheimer\u27s disease as a risk factor for suicide is unclear. The aim of this study was to understand neuropsychological component of the suicidal crisis in Alzheimer\u27s disease. Method Using an extensive neuropsychological battery, different aspects of cognitive inhibition were particularly examined: Access to relevant information (using the Reading with distraction task), suppression of no longer relevant information (Trail Making Test, Rule Shift Cards), and restraint of cognitive resources to relevant information (Stroop test, Hayling Sentence Completion test, Go/No-Go). One female Alzheimer depressed case was assessed before and after a suicide attempt. Results Ten days after the patient\u27s suicide attempt, dementia was still moderate with a MMSE score at 21/30 but with a worsening of executive functions (FAB at 8/18) in the context of depression and suicide. The Hamilton-Depression Rating Scale was at 24 (maximal score at 52), and the Cornell Scale for Depression was at 21 (maximal score at 38). Suicidal intent was moderate with a score of 9 on the Beck Suicide Intent Scale (maximal score at 25). The patient did not present a delirium, psychotic symptoms, or anosognosia. Her episodic memory was altered as shown by her semantic performance on verbal fluency (naming 12 animals in 120 seconds) and on lexical fluency (naming 8 words beginning with the letter P). Initially preserved, executive function declined during a suicidal crisis in a context of depression in Alzheimer\u27s disease case. Neuropsychological testing confirmed a dysexecutive syndrome (FAS at 8/18), with an impairment in her conceptualization capacity (MCST) and a deficit in cognitive inhibition and its access (reading task in the presence of distractors), deletion (TMT) and restraint (Stroop, Go/No-Go, Hayling) functions. Computed tomography has shown no signs of intracranial expansive process. Conclusion Assessing predictors of suicide and means of completion in patients with dementia may help the development of interventions to reduce risk of suicide among the growing population of individuals with dementia. Because of Alzheimer\u27s-related cognitive inhibition impairment, identification and intervention addressing the complex issues of depression, executive dysfunction and dementia may help clinicians to mitigate the risk of suicide in patients with Alzheimer\u27s disease

    Skew-Product Decomposition of Planar Brownian Motion and Complementability

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    International audienceLet ZZ be a complex Brownian motion starting at 0 and WW the complex Brownian motion defined by Wt=0ZsZsdZsW_ t = \int_0^\cdot \frac{Z_s}{|Z_s|} dZ_s. The natural filtration FW\mathcal{F}_W of WW is the filtration generated by ZZ up to an arbitrary rotation. We show that given any two different matrices Q1Q_1 and Q2Q_2 in O2(R)O_2(\mathbb{R}), there exists an FZ\mathcal{F}_Z-previsible process HH taking values in {Q1,Q2}\{Q_1,Q_2\} such that the Brownian motion 0HdW\int_0^\cdot H \cdot dW generates the whole filtration FZ\mathcal{F}_Z. As a consequence, for all aa and bb in R\mathbb{R} such that a2+b2=1a^2 + b^2 = 1, the Brownian motion aRe(W)+bIm(W)a \mathrm{Re}(W) + b \mathrm{Im}(W) is complementable in FZ\mathcal{F}_Z

    Superconducting pairing and density-wave instabilities in quasi-one-dimensional conductors

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    Using a renormalization group approach, we determine the phase diagram of an extended quasi-one-dimensional electron gas model that includes interchain hopping, nesting deviations and both intrachain and interchain repulsive interactions. d-wave superconductivity, which dominates over the spin-density-wave (SDW) phase at large nesting deviations, becomes unstable to the benefit of a triplet ff-wave phase for a weak repulsive interchain backscattering term g1>0g_1^\perp>0, despite the persistence of dominant SDW correlations in the normal state. Antiferromagnetism becomes unstable against the formation of a charge-density-wave state when g1g_1^\perp exceeds some critical value. While these features persist when both Umklapp processes and interchain forward scattering (g2g_2^\perp) are taken into account, the effect of g2g_2^\perp alone is found to frustrate nearest-neighbor interchain dd- and ff-wave pairing and instead favor next-nearest-neighbor interchain singlet or triplet pairing. We argue that the close proximity of SDW and charge-density-wave phases, singlet d-wave and triplet ff-wave superconducting phases in the theoretical phase diagram provides a possible explanation for recent puzzling experimental findings in the Bechgaard salts, including the coexistence of SDW and charge-density-wave phases and the possibility of a triplet pairing in the superconducting phase.Comment: 19 pages, 13 figure

    Horizontal partial laryngectomy for supraglottic squamous cell carcinoma

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    Between 1981-1999, 75 patients treated for supraglottic SCC with horizontal supraglottic laryngectomy (HSL) at the Otolaryngology Head and Neck Surgery Department of Lausanne University Hospital were retrospectively studied. There were 16 patients with T1, 46 with T2 and 13 with T3 tumors. Among these, 16 patients (21%) had clinical neck disease corresponding to stage I, II, III and IV in 12, 39, 18 and 6 patients, respectively. All patients had HSL. Most patients had either elective or therapeutic bilateral level II-IV selective neck dissection. Six patients (8%) with advanced neck disease had ipsilateral radical and controlateral elective II-IV selective neck dissections. Adjuvant radiotherapy was given to 25 patients (30%) for either positive surgical margins (n=8), pathological nodal status (n=14) or both (n=3). Median follow-up was 48months (range, 24-199). Five-year disease-specific survival and locoregional and local control were 92, 90 and 92.5%, respectively. Among five patients who were diagnosed with local recurrence, one had a total laryngectomy (1.4%); the others were treated by endoscopic laser surgery. Two patients had both a local and regional recurrence. They were salvaged with combined surgery and radiotherapy, but eventually died of their disease. Cartilage infiltration seems to influence both local control (P=0.03) and disease-specific survival (P=0.06). There was a trend for worse survival with pathological node involvement (P=0.15) and extralaryngeal extension of the cancer (P=0.1). All patients except one recovered a close to normal function after the treatment. Aspiration was present in 16 patients (26%) in the early postoperative period. A median of 16days (7-9) was necessary to recover a close to normal diet. Decannulation took a median of 17days (8-93). Seven patients kept a tracheotomy tube for up to 3months because of persistent aspiration. There was no permanent tracheostomy or total laryngectomy for functional purposes. Horizontal supraglottic laryngectomy remains an adequate therapeutic alternative for supraglottic squamous cell carcinoma, offering an excellent oncological outcome. The postoperative functional morbidity is substantial, indicating the need for careful patient selection, but good laryngeal function recovery is the rule. The surgical alternative is endoscopic laser surgery, which may offer comparable oncological results with less functional morbidity. Nevertheless, these two different techniques need to be compared prospectivel

    Evaluation of Luminosity Reduction in the ILC Head-on Scheme from Parasitic Collisions

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    online : http://cern.ch/AccelConf/p07/PAPERS/THPMN008.PDFInternational audienceAn interaction region with head-on collisions is being developed for the ILC as an alternative to the base line 14 mrad crossing angle design, motivated by simpler beam manipulations upstream of the interaction point (IP) and a more favourable configuration for the detector and physics analysis. The design of the post-collision beam line in this scheme involves however a number of technological challenges, one of which is the strength requirement for the electrostatic separators (ES) placed immediately after the final doublet to extract the spent beam. In this paper, we examine in detail the main mechanism behind this requirement, the multi-beam kink instability, which results from the long-range beam-beam forces at the parasitic crossings after the bunches have been extracted. Our analysis uses realistic bunch distributions, the Guinea-Pig program to treat beam-beam effects at the interaction point and the DIMAD program to track the disrupted beam distributions in the postcollision beam line
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