scholarly journals 391 First CARMAT implantation in Italy: a nurse’s experience

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Vincenzo Pettillo ◽  
Gaetano Artiola

Abstract Aims CARMAT is a new fully implantable device that simulates heart function. CARMAT has three characteristics that allow a physiological simulation that is at the top of biomedical engineering: it is blood-compatible for the use of bovine pericardium; it is pulsatile because it has hydraulic pumps that mimic systole and diastole; it is capable of self-regulating with the physiological needs of the patient. CARMAT has four biological valves that allow the intake of cardioaspirin avoiding the use of Coumadin and continuous blood draw. CARMAT also has two hybrid membranes with an internal part formed by bovine pericardium and an external polyurethane membrane; CARMAT has self-regulation sensors that adapt the system to the patient’s efforts. The operation is relatively simple because the rollers placed inside move the silicondressingstely and so it pushes the walls creating systole and diastole not synchronously as it normally happens but asynchronously, one ventricle at a time. Evaluation of the patient’s haemodynamics, monitoring of vital parameters, dressings of the drive-line, and psychological state. Methods and results Training in the field by the manufacturer due to the absence of material in literature. Since it was the first CARMAT implantation in Italy, we tried to combine experience with the clinical practice of other artificial hearts. The patient was weaned from anesthesia early and extubated; the patient did not show neurological damage. Psychologically, the artificial heart was accepted without any problems by the patient, the drive line had no infections, and the patient was discharged quickly. Conclusions The CARMAT system appears to be the one that best simulates the physiology of the heart because it involves fewer complications than other artificial hearts. This device is used as a bridge to transplant, but research and continuous studies tend to transform it as a therapy to end for patients who leave the transplant list and therefore the possibility of having a heart transplant.

2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Yoan Martínez Márquez ◽  
Yalice Gámez Batista ◽  
Norberto Valcárcel Izquierdo

Las TIC median las interacciones y la comunicación de los estudiantes a diario. Se conciben como mediado-ras de la reflexión y la autorregulación de la actividad del estudiante, resultante de la interacción consciente de la percepción que tiene el estudiante sobre si con la que negocia con el resto de los estudiantes, los ase-sores y la sociedad en general. En este contexto el aprovechamiento de las TIC debe promover una influen-cia formativa en los espacios formales y no formales. Las condicionantes de complementariedad de espa-cios y de unidad en la diversidad de recursos tecnológicos y didácticos deben guiar la actividad que tenga al estudiante como centro de la misma.Ya no se trata de integrar las TIC en el proceso de formación, haciéndolo formal y estandarizado. El reto está en que sean las características personales de los estudiantes, sus estilos de aprendizaje, sus conoci-mientos y experiencias previas, y sus esquemas afectivos los que marquen el aprovechamiento de las TIC en la evaluación del aprendizaje autónomo de inglés.En el presente trabajo se estructura el aprovechamiento de las TIC mediante un EPA base para la evalua-ción del aprendizaje autónomo de inglés. El EPA base constituye un andamiaje de personas, procedimien-tos, espacios de interacción, y de recursos tecnológicos y didácticos. Los componentes que lo conforman se encuentran débilmente acoplados por la tecnología y altamente cohesionados por la significatividad de las conexiones que el estudiante establece entre ellos. Palabras Clave: Aprendizaje, Autonomía, Entorno, Evaluación, Personal. ABSTRACT There is no doubt about the key role of ICT in the interaction and communication processes among students. ICT are thought as a mean for the reflection and self-regulation of students´ activity, which is in a permanent conscientious comparison between the perception a student has about him/herself and the one he/she nego-tiates with the rest of students, advisors and society in general terms. In this context, ICT should promote a positive influence on student formation in formal and non-formal spaces. The conditionals related to spaces combined support and union in the diversity of technological and didactical resources should guide every activity having students at the center of its conception.It is no longer about integrating ICT to the formation process making it formal and standardized. The chal-lenge on autonomous language learning evaluation with ICT has to do with making the differences through personal characteristics of students, their learning styles, previous experiences and affective schemas.In this paper the use of ICT is structured by means of a PLE frame for the evaluation of English autonomous language learning. It is a scaffolding of people, procedures, interaction spaces, and technological and didac-tical resources. Its components are weakly coupled by technologies and highly cohesive by the meaningful connections students establish among them. Keywords: Learning, Autonomy, Evaluation, Environment, Personal. Recibido: septiembre de 2016Aprobado: noviembre de 2016


Author(s):  
Rodrigo Elías Zambrano ◽  
Gloria Jiménez-Marín ◽  
Araceli Galiano-Coronil ◽  
Rafael Ravina-Ripoll

The growing number of children who are obese or overweight in certain countries or geographical areas is a fact, as evidenced by the continuous studies and reports on the subject, endorsed or carried out by the World Health Organisation and independent research. In this context, food and beverage advertising can contribute to this. The main objective of this research is to evaluate compliance with the Food and Drink Advertising Code for Children (PAOS Code) in Spain and its relationship with nutritional habits on television, specifically on channels aimed at children. The methodology is therefore mixed: on the one hand, a qualitative technique based on discourse analysis and, on the other, a quantitative technique based on the content analysis of the advertising broadcast for seven consecutive days on three specialised channels and two generalist channels on Spanish television. The results reveal a systematic noncompliance with this code, which translates into inadequate eating habits among children. The immediate conclusion is that 9 out of 10 parts of food and drink advertising do not comply with any of the rules of the PAOS Code and that self-regulation by the advertising companies is negligible and insufficient.


2018 ◽  
Vol 7 (3.14) ◽  
pp. 331
Author(s):  
Anna Viktorovna Grishina ◽  
Elena Nikolaevna Volkova

In the era of intensive informatization of society, computer becomes an integral part of the modern life of the younger teenagers. In Russia, the number of children spending time in front of monitors, playing computer games at home or in a computer club, increases every day. According to Entermedia LLC, the percentage of sales of computer games increases by 50% annually. Currently, 23% of the population of Russia plays computer games, at that the minimum age for a computer player is two years.Strengthening polarization regarding children's interest to computer games becomes one of the most important problems. What is meant here is the fact that, on the one hand, there are adolescents, whose interest in computer games is quite sustainable, while, on the other hand, there are also schoolchildren experiencing mild interest or no interest at all to computer games. The relevance of the present work is determined by the social danger of the phenomenon called high passion for computer games, which deforms, and sometimes blocks the development of the most important personal entities [3, 5, 9, 12, 15]. In this regard, the investigation of the features of personal agency in younger adolescents, which is responsible for the self-regulation of behavior and activity of a subject, is of particular importance. 


2018 ◽  
Vol 23 (4) ◽  
pp. 442-464 ◽  
Author(s):  
Amalia Casas-Mas ◽  
Guadalupe López-Íñiguez ◽  
Juan Ignacio Pozo ◽  
Ignacio Montero

The aim of this article is to explore a range of largely embodied vocalisations and sounds produced by learners of string instruments and how they relate to the potential self-regulatory use provided by such vocalisations. This type of “singing” while learning to play an instrument may have similarities to the use of private speech in other types of learning tasks. This report describes a multiple case study based on the naturalistic observation of learners playing string instruments in different situations. We observed private rehearsals by six adult guitarists from different music cultures (classical, flamenco and jazz) who had different approaches to learning (traditional and constructivist). In addition, we observed the one-to-one lessons of a constructivist cello teacher with a 7-year-old beginner and a 12-year-old student. All sessions were recorded. We applied the System for Analysing the Practice of Instrumental Lessons to the video lessons and/or practices and participant discourse for constant comparative analysis across all categories and participants. From the theoretical framework of private speech, we identified a set of qualities in private singing, such as whistling, humming, and guttural sounds, with different levels of audibility. Self-guidance and self-regulation appeared to be the functions underlying both psychomotor learning and reflective-emotional learning from an embodiment approach. Guitar learners from popular urban cultures seemed to use less explicit singing expression than classical guitar learners, the explicitness of which may be related to the instructional use of the notational system. In the one-to-one cello lessons, we observed a process of increasing internalisation from the younger to the older student. Both results are consistent with the literature on private speech, indicating that this process is a natural process of internalisation at higher literacy levels. Singing is not as frequent in music lessons as might be expected, and it is even less frequently used as a reflective tool or understood as an embodied process. The examples provided in this article shed light on the multiplicity of applications and on the potential benefits of private singing in instructional contexts as a powerful learning tool.


This edited volume is the first to present a cohesive account of adaptation to chronic pain from a motivational perspective. Across the 15 chapters, scholars from diverse domains of psychology explore the multileveled and bidirectional nature of pain and motivation, drawing from a broad array of constructs, including self-regulation, goal systems, cognitive control, attention, conflict, interpersonal processes, coping, conditioning, and stress reactivity. Also addressed is the relation between pain and psychopathology, the nature of pain-affect dynamics, and the neural mechanisms underlying the pain experience. Applied considerations are presented in chapters on Motivational Interviewing, ACT, Internet-based methods, and related clinical topics. Our volume provides an up-to-date compendium of cutting-edge research and interventions that collectively illustrate the utility of viewing chronic pain as neither a “disease” nor an imposed lifestyle, but as the emergent and potentially flexible product of a complex transactional system that is bounded by sociocultural factors, on the one hand, and by biogenetic and neural moderating forces on the other. The chapters capture the vibrancy of current theory, research, and practice while pointing toward unexplored new directions. Students and seasoned pain researchers will find within the motivation-centered framework a host of intriguing ideas to complement extant formulations. And those engaged in treating/training persons with chronic pain will discover the unique, integrative value of motivational models.


Author(s):  
Deborah Brown ◽  
Brian Key

Few practitioners or researchers in psychology would think of the 17th-century French philosopher, René Descartes, as the founding father of their discipline. Yet, it is difficult to see how psychology could have emerged as a discipline in its own right without the contributions of Descartes. Descartes’ theoretical and experimental contributions to our understanding of rationality, consciousness, sensation, feeling, attention, psychological self-regulation and voluntary action, and indeed the very concept of mind that lies at the heart of his philosophy, have been pivotal to the evolution of psychology since its emergence as a special science in the 19th-century. These contributions tend to get overshadowed by the unpalatable aspects of his dualism of mind and body and his denial of animal consciousness, doctrines for which he was and still is much pilloried. However, both doctrines are relevant to understanding how from its inception the subject matter and scope of psychological investigation was framed, for underlying the Cartesian concept of mind is not one dualism but two: a dualism of mind and body and a dualism of life and mind. The mind, for Descartes, could not be theorized on its own terms without conceiving of it at least to some extent independently of the physiological processes of the human body, on the one hand, and the life functions of biological organisms, on the other. Descartes’ legacy for psychology as a discipline is thus twofold. It created the conceptual space for the concept of mind to emerge as a threshold concept in its own right, distinct from the concept of matter that defined mechanics, and it demarcated those uniquely human capacities that enabled psychology to differentiate itself from the newly emerging evolutionary biology of the 19th-century, even though it would remain more closely aligned with biology than physics thenceforth. Without both dualisms of mind and body and life and mind, it is difficult to envisage how psychology as a special science distinct from anatomy and the life sciences could have emerged, and for this the discipline of psychology owes Monsieur Descartes a considerable debt.


2013 ◽  
Vol 13 (2) ◽  
pp. 202-208 ◽  
Author(s):  
Dayna K. Mudge ◽  
Fan Yang ◽  
Brian M. Currie ◽  
James M. Kim ◽  
Kelly Yeda ◽  
...  

ABSTRACTSchizosaccharomyces pombedetects extracellular glucose via a G protein-mediated cyclic AMP (cAMP)-signaling pathway activating protein kinase A (PKA) and regulating transcription of genes involved in metabolism and sexual development. In this pathway, Gpa2 Gα binds to and activates adenylyl cyclase in response to glucose detection by the Git3 G protein-coupled receptor. Using a two-hybrid screen to identify extrinsic regulators of Gpa2, we isolated a clone that expresses codons 471 to 696 of the Sck1 kinase, which appears to display a higher affinity for Gpa2K270E-activated Gα relative to Gpa2+Gα. Deletion ofsck1+or mutational inactivation of the Sck1 kinase produces phenotypes reflecting increased PKA activity in strains expressing Gpa2+or Gpa2K270E, suggesting that Sck1 negatively regulates PKA activation through Gpa2. In contrast to the Gpa2K270EGDP-GTP exchange rate mutant, GTPase-defective Gpa2R176Hweakly binds Sck1 in the two-hybrid screen and a deletion ofsck1+in a Gpa2R176Hstrain confers phenotypes consistent with a slight reduction in PKA activity. Finally, deletingsck1+in agpa2Δ strain results in phenotypes consistent with a second role for Sck1 acting in parallel with PKA. In addition to this parallel role with PKA, our data suggest that Sck1 negatively regulates Gpa2, possibly targeting the nucleotide-free form of the protein that may expose the one and only AKT/PKB consensus site in Gpa2 for Sck1 to bind. This dual role for Sck1 may allowS. pombeto produce distinct biological responses to glucose and nitrogen starvation signals that both activate the Wis1-Spc1/StyI stress-activated protein kinase (SAPK) pathway.


Author(s):  
Paul B. de Laat

AbstractThe term ‘responsible AI’ has been coined to denote AI that is fair and non-biased, transparent and explainable, secure and safe, privacy-proof, accountable, and to the benefit of mankind. Since 2016, a great many organizations have pledged allegiance to such principles. Amongst them are 24 AI companies that did so by posting a commitment of the kind on their website and/or by joining the ‘Partnership on AI’. By means of a comprehensive web search, two questions are addressed by this study: (1) Did the signatory companies actually try to implement these principles in practice, and if so, how? (2) What are their views on the role of other societal actors in steering AI towards the stated principles (the issue of regulation)? It is concluded that some three of the largest amongst them have carried out valuable steps towards implementation, in particular by developing and open sourcing new software tools. To them, charges of mere ‘ethics washing’ do not apply. Moreover, some 10 companies from both the USA and Europe have publicly endorsed the position that apart from self-regulation, AI is in urgent need of governmental regulation. They mostly advocate focussing regulation on high-risk applications of AI, a policy which to them represents the sensible middle course between laissez-faire on the one hand and outright bans on technologies on the other. The future shaping of standards, ethical codes, and laws as a result of these regulatory efforts remains, of course, to be determined.


2019 ◽  
Vol 42 (4) ◽  
pp. 115-119
Author(s):  
S. M. MAXIMETS

This article contains the result of the theoretical and empirical study of personality and situational factors of laziness among young people and the presence of gender differences in the concept of laziness. Laziness is synonymous with a lack of motivation, unwillingness to do anything. Situational laziness is more of a temporary nature of the lack of desire to do something. Personal laziness is a set of determined human characteristics that attend it throughout life. Analysis of the results of self-assessment of laziness found that only 20% of respondents consider themselves to be a lazy person, while the other 80% consider themselves as hardworking. The most important personal determinant of laziness (in 83% of persons) were features of physical and psychological state. Namely: tiredness, desire to rest, drowsiness, no mood, the poor state of feeling, boredom, etc. Other determinants such as lack of opportunities, lack of interest, external pressure are less important and cause personal laziness in single cases. The personal and situational determinants of the laziness that have been investigated have different nature and manifestations. We believe that the features of the body condition can not be included in the group of personal determinants of laziness. Opportunity deficits (lack of perseverance, lack of skills and time, difficult task, other distracting problems) can be attributed to the personal determinants of laziness. Areas of maximum demonstration of laziness are (in descending order): professional (educational) activities, household chores, cases under pressure, and lack cases. Based on the analysis of the results of the study of self-regulation of laziness, we can speak about differences in the concept of laziness between men and women."Male laziness" is perceived as a feeling of unwillingness, apathy, inaction, and focused on the inner world and feelings. "Female laziness" is conditioned by the situation. More demonstrated as outward orientation, responsibility, feelings of guilt. Based on the results, it is planned to develop a program of correctional work based on a differentiated approach to people, taking into account factors that influence the manifestation of laziness.


Author(s):  
Vitalii Y. Kulchytskyi ◽  

The article is devoted to the issues of monitoring the effectiveness of patriotic education of student youth in the context of the activity of a general educational institution. It is determined that monitoring is an evaluation activity aimed at determining the effectiveness of educational influences, studying the characteristics of the group in order to assess the level of education, and optimization of educational and upbringing processes. It is shown that the scientific principles of the organization of patriotic education of student youth require taking into account the level of their patriotic upbringing. It is proved that the main purpose of determining the effectiveness of pedagogical processes is to study the personalities of students, which allows to control the course and pace of their mental development, identify their individual and potential capabilities, features of class groups to identify general and functional delays, mental, labor and ethical difficulties in the development and thus scientifically measure the management of educational and upbringing processes. The main components of patriotic upbringing are characterized: cognitive, emotional-motivational, and activity ones. The key criteria of patriotic upbringing of student youth are revealed – knowledge and imagination, social behavior, activity and efficiency. It is noted that in the context of the implementation of personality-oriented approach, the study of student personality provides for the consideration of those requirements that are due, on the one hand, to the basic psychological and pedagogical principles, on the other, to the specific conditions of educational processes. It is concluded that after analyzing the formation of individual personality traits of each student, a general map is made in the classroom. In particular, the levels of education of each student and individual groups of students are shown, as well as to what extent and in what sphere of life (study, peers, work, self-education) at a given time a student can demonstrate independence, initiative, self-regulation of behavior, and who of them can do it only with the teacher’s support. Thus, the success of educational activities depends on the deep study of the inner world of students, on understanding the motives of their behavior. The teacher studies students not only in class, but also in the process of educational work: in extracurricular activities, when visiting the student’s family, during hiking and excursions, etc. The research does not claim to provide an exhaustive disclosure of all aspects of the specified problem. Further study and development are needed with the methodological bases to ensure the development of the process of patriotic education in the schools of Ukraine. Questions are raised as to formation of readiness of pedagogical workers for implementing the process of patriotic education in the conditions of decentralization


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