[Treatment of torpid and traumatic fractures in rheumatoid arthritis].
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Biomedical subjects
Publications and source records attributed to F Pisano.
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This paper describes a systems architecture developed for the study of the speech production system. The architecture utilizes two personal computers: the "Word-Image Presenter" (WIP) that presents a sequence of words to the subject under examination as visual stimulation, and the "Signal Acquisition System" that controls the WIP, acquires the acoustic signal, the oromandibular electromyographic signals, the kinematic lip and jaw signals and measures reaction times and durations. Thirty normal subjects divided into three age groups (18-44, 45-59, 60-80) underwent examination by means of the described system. During the test a random sequence of two words was presented to the subjects; the protocol consisted of an immediate reading task and two delayed reading tasks with variable foreperiods of 0.1 and 1.5 s for one task and 0.5 and 4 s for the other. The analysis of the resultant acoustic and electromyographic signals indicated that reaction times increased with age in both the immediate and delayed tasks. The analysis of variance showed that the difference between the young and elderly groups was statistically significant. The sample size of the groups, however, is too small to consider these results normative data.
We focused on the best timing and management when admitting into intensive care unit a pediatric patient with central nervous system infection. The modified scales for pediatric patients did not prove satisfactory and reliable for making such decision. In fact the final score is obtained by adding the partial scores regarding the different clinical aspects. That bears a loss of informations. For this reason we think that the cardiorespiratory and metabolic parameters, assessed in a period of time, may indicate the moment when it is necessary to start an intensive care in these patients, regardless of consciousness. We therefore discussed the monitoring precociously required in these patients after assessing the initial clinical status. We also discussed the intensive care procedure employed in severely ill patients with cardio-circulatory and metabolic problems due to septic shock caused by bacterial meningoencephalitis (infants) and meningitis (other pediatric ages). In patients affected by infectious or post-infective encephalitis with respiratory failure and/or brain edema, it is essential to apply the organ protection procedures and particularly neuroprotection.
The measurement of reaction times in response to suitable stimuli may provide insight into the separate functional blocks corresponding to diverse speech production mechanisms. The quantitative evaluation of speech motor performance provides useful information for the early detection and long-term monitoring of many neurological diseases. The vocal reaction times (VRTs) technique and its application in the assessment of a group of normal subjects is presented. Speech motor performance and the effect of age were investigated by measuring VRTs and speech duration, in a group of thirty normal subjects divided into three age groups (18-44, 45-59, 60-80). VRTs were measured by using an immediate and delayed reaction stimulation paradigm. Analysis of the acoustic and electromyographic signals indicated that reaction times increased with age in both the immediate and delayed tasks; also the acoustic signal durations increased with age. The analysis of variance showed that the difference between the young and elderly groups was statistically significant. This technique may be considered a useful tool to provide qualitative and quantitative measures of the processes involved in speech production.