Pursuing softer urban mobility behaviors through game-based apps.

Cities are currently engaged through their urban policies in pushing people towards less environmentally impacting mobility modalities: therefore, cycling and walking are strongly promoted, especially by means of new and wider limited traffic and no-cars zones. In this paper, the effectiveness of the new smartphones and apps-based technologies in modifying the mobility behaviors of citizens towards more sustainable choices has been investigated. Specifically, the potential of a smartphone app, directly involving citizens by means of a game rewarding the most sustainable trips, has been tested on a university commuters' group. These latter, starting from their current mobility situation, were challenged by an enhanced scenario characterized by more restrictive and sustainable targets. Promising results have been obtained suggesting that game-based tools could be effectively used as urban policy interventions intended to obtain a more sustainable mobility.

Cochlear Impairment and Autoimmune Ear Disorder in a Patient with Breast Cancer.

The purpose of this study was to consider the possible role of autoimmune diseases and paraneoplastic syndrome in the genesis of tinnitus. The incidence of autoimmune inner ear disease (AIED) is rare, accounting for <1% of all cases of hearing impairment and dizziness. In presence of auditory and vestibular deficit in oncological patients, a paraneoplastic syndrome with cochleovestibulopathy should be considered. We described a 50-year-old Caucasian woman came to our attention with complaints of severe disabling bilateral tinnitus (Tinnitus Handicap Inventory, THI: 96), ear fullness and headache. The onset of tinnitus was associated to the last breast implant and prolonged antibiotic therapy. Serological autoimmunity tests were positive and a diagnosis of mixed connective tissue disease with notes of fibromyalgia was made. Pure tone audiometry testing revealed bilateral fluctuating mild hearing loss on high frequencies. The tinnitus was successfully treated with bilateral wideband sound generators (listening 8-9 h for day) regulated at the mixing point. At 12 months follow up THI has shrunk considerably (THI: 4) and the patient has continued treatment only with the sound pillow. In conclusion significant progress is needed to better understand the role of autoantibodies in the pathogenesis and diagnosis of paraneoplastic cochleovestibulopathy. To our knowledge, our study is the first in which hearing loss and tinnitus is considered as a manifestation of a paraneoplastic syndrome.

Toward a holistic environmental impact assessment of marble quarrying and processing: proposal of a novel easy-to-use IPAT-based method.

Marble is a natural dimension stone that is widely used in building due to its resistance and esthetic qualities. Unfortunately, some concerns have arisen regarding its production process because quarrying and processing activities demand significant amounts of energy and greatly affect the environment. Further, performing an environmental analysis of a production process such as that of marble requires the consideration of many environmental aspects (e.g., noise, vibrations, dust and waste production, energy consumption). Unfortunately, the current impact accounting tools do not seem to be capable of considering all of the major aspects of the (marble) production process that may affect the environment and thus cannot provide a comprehensive and concise assessment of all environmental aspects associated with the marble production process. Therefore, innovative, easy, and reliable methods for evaluating its environmental impact are necessary, and they must be accessible for the non-technician. The present study intends to provide a contribution in this sense by proposing a reliable and easy-to-use evaluation method to assess the significance of the environmental impacts associated with the marble production process. In addition, an application of the method to an actual marble-producing company is presented to demonstrate its practicability. Because of its relative ease of use, the method presented here can also be used as a "self-assessment" tool for pursuing a virtuous environmental policy because it enables company owners to easily identify the segments of their production chain that most require environmental enhancement.

Suppression of tinnitus in a patient with unilateral sudden hearing loss: a case report.

We describe a case of a 67-year-old woman with severe disabling right-sided tinnitus, mild hyperacusis, and headache. The tinnitus was associated with sudden right hearing loss and vertigo, which occurred about 18 months before. Magnetic resonance imaging (MRI) resulted in normal anatomical structures of the cochlea and of the cranial nerves showing a partial empty sella syndrome with suprasellar cistern hernia. Angio-MR revealed a bilateral contact between the anterior-inferior cerebellar artery (AICA) and the acoustic-facial nerve with a potential neurovascular conflict. Surgery was considered unnecessary after further evaluations. The right ear was successfully treated with a combination device (hearing aid plus sound generator). Shortly after a standard fitting procedure, the patient reported a reduction of tinnitus, hyperacusis, and headache which completely disappeared at the follow-up evaluation after 3, 6, and 12 months. This paper demonstrates that the combination device resulted in a complete tinnitus and hyperacusis suppression in a patient with unilateral sensorineural sudden hearing loss. Our paper further supports the restoration of peripheral sensory input for the treatment of tinnitus associated with hearing loss in selected patients.