A Project to Promote English Learning in Primary School: “An English Island®” E-learning Platform

The present study was aimed to investigate English learning as second language, in school, in first, second and third graders of twelve classes randomly assigned to a control or an experimental group. Children in the latter are exposed during English school teaching to the method “An English Island®” and to its platform activities. The method “An English Island®” offers a variety of strategies for teaching English in primary school, an innovative digital tool that promotes teaching/learning English language’s communicative approach, lead students to become familiar with the language in a sort of continuous, inclusive workout, in which everyone participates and talks. English skills as well as cognitive abilities are tested in both groups at the beginning and at the end of the school year with the aim to compare control and experimental classes in both a longitudinal and a cross-sectional design

Differential influence of arterial blood glucose on cerebral metabolism following severe traumatic brain injury

INTRODUCTION: Maintaining arterial blood glucose within tight limits is beneficial in critically ill patients. Upper and lower limits of detrimental blood glucose levels must be determined. METHODS: In 69 patients with severe traumatic brain injury (TBI), cerebral metabolism was monitored by assessing changes in arterial and jugular venous blood at normocarbia (partial arterial pressure of carbon dioxide (paCO2) 4.4 to 5.6 kPa), normoxia (partial arterial pressure of oxygen (paO2) 9 to 20 kPa), stable haematocrit (27 to 36%), brain temperature 35 to 38 degrees C, and cerebral perfusion pressure (CPP) 70 to 90 mmHg. This resulted in a total of 43,896 values for glucose uptake, lactate release, oxygen extraction ratio (OER), carbon dioxide (CO2) and bicarbonate (HCO3) production, jugular venous oxygen saturation (SjvO2), oxygen-glucose index (OGI), lactate-glucose index (LGI) and lactate-oxygen index (LOI). Arterial blood glucose concentration-dependent influence was determined retrospectively by assessing changes in these parameters within pre-defined blood glucose clusters, ranging from less than 4 to more than 9 mmol/l. RESULTS: Arterial blood glucose significantly influenced signs of cerebral metabolism reflected by increased cerebral glucose uptake, decreased cerebral lactate production, reduced oxygen consumption, negative LGI and decreased cerebral CO2/HCO3 production at arterial blood glucose levels above 6 to 7 mmol/l compared with lower arterial blood glucose concentrations. At blood glucose levels more than 8 mmol/l signs of increased anaerobic glycolysis (OGI less than 6) supervened. CONCLUSIONS: Maintaining arterial blood glucose levels between 6 and 8 mmol/l appears superior compared with lower and higher blood glucose concentrations in terms of stabilised cerebral metabolism. It appears that arterial blood glucose values below 6 and above 8 mmol/l should be avoided. Prospective analysis is required to determine the optimal arterial blood glucose target in patients suffering from severe TBI

Health Effects of Risky Lifestyles and Adverse Working Conditions: Are Older Individuals More Penalized?

Using unusually rich panel data from Denmark, we investigate differences by age in the health implications of risky lifestyles and adverse working conditions. Accounting for time-invariant unobserved heterogeneity, overall, we find no health penalties for older workers (55 and over) compared to younger ones (18\u201334; 35\u201354). However, the former suffer more from the health consequences of risky lifestyles\u2014especially the lack of consumption of fruit and vegetables and physical inactivity. Working conditions negatively relate with health, but fewer differences across age groups exist. Selection bias, namely the healthy worker effect, does not alter our results

Robot assisted laparoscopic excision of a paraganglioma: new therapeutic approach

The Paraganglioma is the most common extra-adrenal pheochromocytoma arising from neural crest (1) (It will better to write: The paraganglioma is an extra-adrenal pheocromocytoma arising from the neural crest. 10% of pheocromocytomas are extra-adrenal and can arise form chromaffin tissue derived from primitive neuroectoderm). Minimally invasive techniques allow surgeons to perform the procedure without wide exposure and mobilization of intra abdominal organs. To our knowledge we present the third case of robotic excision of a retroperitoneal paraganglioma (2,3)

Two different hematocrit detection methods: Different methods, different results?

BACKGROUND: Less is known about the influence of hematocrit detection methodology on transfusion triggers. Therefore, the aim of the present study was to compare two different hematocrit-assessing methods. In a total of 50 critically ill patients hematocrit was analyzed using (1) blood gas analyzer (ABLflex 800) and (2) the central laboratory method (ADVIA(R) 2120) and compared. FINDINGS: Bland-Altman analysis for repeated measurements showed a good correlation with a bias of +1.39% and 2 SD of +/- 3.12%. The 24%-hematocrit-group showed a correlation of r2 = 0.87. With a kappa of 0.56, 22.7% of the cases would have been transfused differently. In the-28%-hematocrit group with a similar correlation (r2 = 0.8) and a kappa of 0.58, 21% of the cases would have been transfused differently. CONCLUSIONS: Despite a good agreement between the two methods used to determine hematocrit in clinical routine, the calculated difference of 1.4% might substantially influence transfusion triggers depending on the employed method

Seasonal Changes in Titan's Southern Stratosphere

In August 2009 Titan passed through northern spring equinox, and the southern hemisphere passed into fall. Since then, the moon's atmosphere has been closely watched for evidence of the expected seasonal reversal of stratospheric circulation, with increased northern insolation leading to upwelling, and consequent downwelling at southern high latitudes. If the southern winter mirrors the northern winter, this circulation will be traced by increases in short-lived gas species advected downwards from the upper atmosphere to the stratosphere. The Cassini spacecraft in orbit around Saturn carries on board the Composite Infrared Spectrometer (CIRS), which has been actively monitoring the trace gas populations through measurement of the intensity of their infrared emission bands (7-1000 micron). In this presentation we will show fresh evidence from recent CIRS measurements in June 2012, that the shortest-lived and least abundant minor species (C3H4, C4H2, C6H6, HC3N) are indeed increasing dramatically southwards of 50S in the lower stratosphere. Intriguingly, the more stable gases (C2H2, HCN, CO2) have yet to show this trend, and continue to exhibit their 'summer' abundances, decreasing towards the south pole. Possible chemical and dynamical explanations of these results will be discussed , along with the potential of future CIRS measurements to monitor and elucidate these seasonal changes

Titan's temporal evolution in stratospheric trace gases near the poles

International audienceWe analyze spectra acquired by the Cassini/Composite Infrared Spectrometer (CIRS) at high resolution from October 2010 until September 2014 in nadir mode. Up until mid 2012, Titan’s Northern atmosphere exhibited the enriched chemical content found since the Voyager days (November 1980), with a peak around the Northern Spring Equinox (NSE) in 2009. Since then, we have observed the appearance at Titan’s south pole of several trace species for the first time, such as HC3N and C6H6, observed only at high northern latitudes before equinox. We investigate here latitudes poleward of 50°S and 50°N from 2010 (after the Southern Autumnal Equinox) until 2014. For some of the most abundant and longest-lived hydrocarbons (C2H2, C2H6 and C3H8) and CO2, the evolution in the past 4 years at a given latitude is not very significant within error bars especially until mid-2013. In more recent dates, these molecules show a trend for increase in the south. This trend is dramatically more pronounced for the other trace species, especially in 2013–2014, and at 70°S relative to 50°S. These two regions then demonstrate that they are subject to different dynamical processes in and out of the polar vortex region. For most species, we find higher abundances at 50°N compared to 50°S, with the exception of C3H8, CO2, C6H6 and HC3N, which arrive at similar mixing ratios after mid-2013. While the 70°N data show generally no change with a trend rather to a small decrease for most species within 2014, the 70°S results indicate a strong enhancement in trace stratospheric gases after 2012. The 663 cm−1 HC3N and the C6H6 674 cm−1 emission bands appeared in late 2011/early 2012 in the south polar regions and have since then exhibited a dramatic increase in their abundances. At 70°S HC3N, HCN and C6H6 have increased by 3 orders of magnitude over the past 3–4 years while other molecules, including C2H4, C3H4 and C4H2, have increased less sharply (by 1–2 orders of magnitude). This is a strong indication of the rapid and sudden buildup of the gaseous inventory in the southern stratosphere during 2013–2014, as expected as the pole moves deeper into winter shadow. Subsidence gases that accumulate in the absence of ultraviolet sunlight, evidently increased quickly since 2012 and some of them may be responsible also for the reported haze decrease in the north and its appearance in the south at the same time

Robot assisted laparoscopic excision of a paraganglioma: new therapeutic approach

The Paraganglioma is the most common extra-adrenal pheochromocytoma arising from neural crest (1) (It will better to write: The paraganglioma is an extra-adrenal pheocromocytoma arising from the neural crest. 10% of pheocromocytomas are extra-adrenal and can arise form chromaffin tissue derived from primitive neuroectoderm). Minimally invasive techniques allow surgeons to perform the procedure without wide exposure and mobilization of intra abdominal organs. To our knowledge we present the third case of robotic excision of a retroperitoneal paraganglioma (2,3)