Epidemiology and treatment of post-stroke depression

Mood depression is a common and serious complication after stroke. According to epidemiological studies, nearly 30% of stroke patients develop depression, either in the early or in the late stages after stroke. Although depression may affect functional recovery and quality of life after stroke, such condition is often ignored. In fact, only a minority of patients is diagnosed and even fewer are treated in the common clinical practice. Moreover, the real benefits of antidepressant (AD) therapy in post-stroke depression have not been fully clarified. In fact, controlled studies on the effectiveness of ADs in post stroke depression (PSD) are relatively few. Today, data available suggest that ADs may be generally effective in improving mood, but guidelines for the optimal treatment and its length are still lacking

Caloric vestibular stimulation reduces pain and somatoparaphrenia in a severe chronic central post-stroke pain patient: a case study

Central post-stroke pain is a neuropathic syndrome characterized by intolerable contralesional pain and, in rare cases, somatic delusions. To date, there is limited evidence for the effective treatments of this disease. Here we used caloric vestibular stimulation to reduce pain and somatoparaphrenia in a 57-year-old woman suffering from central post-stroke pain. Resting-state functional magnetic resonance imaging was used to assess the neurological effects of this treatment. Following vestibular stimulation we observed impressive improvements in motor skills, pain, and somatic delusions. In the functional connectivity study before the vestibular stimulation, we observed differences in the patient's left thalamus functional connectivity, with respect to the thalamus connectivity of a control group (N = 20), in the bilateral cingulate cortex and left insula. After the caloric stimulation, the left thalamus functional connectivity with these regions, which are known to be involved in the cortical response to pain, disappeared as in the control group. The beneficial use of vestibular stimulation in the reduction of pain and somatic delusion in a CPSP patient is now documented by behavioral and imaging data. This evidence can be applied to theoretical models of pain and body delusions

Analysis of Vibration Damping in Machine Tools

AbstractThe dynamic behavior of a machine tool structure directly influences key metal cutting performance like being able to quickly remove hard workpiece material during roughing or minimize unwanted oscillations during high speed movements in finishing. While structure conception is still funded on designer experience and inventiveness, Finite Element models are very effective in analyzing the conceived structure, allowing its optimization, in term of stiffness increase and/or mass reduction.While today FE models provide a satisfying description of structure distributed stiffness and inertia, machine damping is usually not represented or is approximated as a uniform viscous damping, with no precise reference to the actual dissipation phenomena occurring in the structure. The corresponding incertitude in the estimation of the overall dynamic behavior often strongly limits the possibility of delivering accurate absolute estimations of machine performance. In order to overcome this limitation, this work aims at adding key energy dissipation mechanisms into numerical structural models: the velocity loop of the axis position controller, the frictional forces acting on the axis kinematic chain and guide ways and a distributed modal damping. Experimental tests have been performed on a machine tool axis equipped with tunable roller plus plain friction guide ways. The proposed model shows how different components and phenomena contribute into increasing machine performance, in term of material removal capacity. Given that the resulting models are essentially non-linear, appropriate methodologies are also suggested to integrate the proposed analysis into the usual machine development design cycle

Effects of Visual Deprivation on Gait Dynamic Stability

Vision can improve bipedal upright stability during standing and affect spatiotemporal parameters during walking. However, little is known about the effects of visual deprivation on gait dynamic stability. We have tested 28 subjects during walking under two different visual conditions, full vision (FV) and no vision (NV), measuring their upper body accelerations. Lower accelerations were found in NV for the reduced walking speed. However, the normalized accelerations were higher in the NV than in the FV condition, both in anteroposterior (1.05 ± 0.21 versus 0.88 ± 0.16, P = 0.001) and laterolateral (0.99 ± 0.26 versus 0.78 ± 0.19, P < 0.001) directions. Vision also affected the gait anteroposterior harmony (P = 0.026) and, interacting with the environment, also the latero-lateral one (P = 0.017). Directly (as main factor of the ANOVA) or indirectly (by means of significant interactions with other factors), vision affected all the measured parameters. In conclusion, participants showed an environment-dependent reduction of upper body stability and harmony when deprived by visual feedback

Hydrostructural setting of Riardo Plain: effects on Ferrarelle mineral water type

The exploitation of groundwater resources must always keep in account the geology and hydrogeological settings of the catchment basin for the sustainability of withdrawals, in order not to overexploit the aquifer. Especially, in the case of mineral water extraction, even more attention should be paid to understand what are the water-rock-gases interaction mechanisms, which allow obtaining a specific water chemistry. The case of Ferrarelle mineral water (western sector of Riardo Plain, Caserta) is particularly complex. Through the acquisition of a great amount of former geological and hydrogeological data and by new hydrogeological surveys, it has been possible to distinguish the aquifer levels, distinguishing four circulations over the Roccamonfina Volcano and in the Riardo Plain. The presence of volcanic and volcaniclastic deposits deriving from the Roccamonfina Volcano which cover a highlytectonized carbonate bedrock, allows the formation of two aquifers in hydraulic continuity. This mixing between the two aquifers allows, with the ascent of deep CO2 through faults in the carbonate bedrock, the formation of the typical chemical composition of the mineral water Ferrarelle. In the eastern sector of the plain, it is possible to distinguish the volcanic aquifer from the carbonate one, probably due to the presence of low permeability deposits

Causality in collective filtering

In this paper, we describe a proposal for improving the practice of web-based collective filtering, in particular for what regards discussions and selection of issues about policy, based on the intuitive concept of causality. Causality, especially when presented in visual form, is especially suited to the task since it is intuitive to understand and to use, and at the same time, it's rich enough to create a semantic network between the representations of real world facts. We give some examples of the suggested system workflow and we present guidelines for its implementation

Rehabilitative devices for a top-down approach

In recent years, neurorehabilitation has moved from a "bottom-up" to a "top down" approach. This change has also involved the technological devices developed for motor and cognitive rehabilitation. It implies that during a task or during therapeutic exercises, new "top-down" approaches are being used to stimulate the brain in a more direct way to elicit plasticity-mediated motor re-learning. This is opposed to "Bottom up" approaches, which act at the physical level and attempt to bring about changes at the level of the central neural system. Areas covered: In the present unsystematic review, we present the most promising innovative technological devices that can effectively support rehabilitation based on a top-down approach, according to the most recent neuroscientific and neurocognitive findings. In particular, we explore if and how the use of new technological devices comprising serious exergames, virtual reality, robots, brain computer interfaces, rhythmic music and biofeedback devices might provide a top-down based approach. Expert commentary: Motor and cognitive systems are strongly harnessed in humans and thus cannot be separated in neurorehabilitation. Recently developed technologies in motor-cognitive rehabilitation might have a greater positive effect than conventional therapies

Two-dimensional numerical modelling of the Roccamonfina volcanic aquifer to constrain the recharge from deep reservoir

2D model, hydrogeological properties, multilayered volcanic aquifer, inverse modelling calibration, FePest (PEST code)

The burden of chronic pain and the role of neurorehabilitation: consensus matters where evidence is lacking

[no abstract available