Automated Network Service Scaling in NFV: Concepts, Mechanisms and Scaling Workflow

Next-generation systems are anticipated to be digital platforms supporting innovative services with rapidly changing traffic patterns. To cope with this dynamicity in a cost-efficient manner, operators need advanced service management capabilities such as those provided by NFV. NFV enables operators to scale network services with higher granularity and agility than today. For this end, automation is key. In search of this automation, the European Telecommunications Standards Institute (ETSI) has defined a reference NFV framework that make use of model-driven templates called Network Service Descriptors (NSDs) to operate network services through their lifecycle. For the scaling operation, an NSD defines a discrete set of instantiation levels among which a network service instance can be resized throughout its lifecycle. Thus, the design of these levels is key for ensuring an effective scaling. In this article, we provide an overview of the automation of the network service scaling operation in NFV, addressing the options and boundaries introduced by ETSI normative specifications. We start by providing a description of the NSD structure, focusing on how instantiation levels are constructed. For illustrative purposes, we propose an NSD for a representative NS. This NSD includes different instantiation levels that enable different ways to automatically scale this NS. Then, we show the different scaling procedures the NFV framework has available, and how it may automate their triggering. Finally, we propose an ETSI-compliant workflow to describe in detail a representative scaling procedure. This workflow clarifies the interactions and information exchanges between the functional blocks in the NFV framework when performing the scaling operation.Comment: This work has been accepted for publication in the IEEE Communications Magazin

RELACIÓN TERAPÉUTICA: EL PILAR DE LA PROFESIÓN ENFERMERA

This revision presents a global vision about the therapeutic relationship and its importance for nursing professionals. With this, we will show the importance of the acquisition of skills and attitudes for initiating the therapeutic relationship. One of the most important characteristic of nursing is the concept of care which is the essence of this profession. Among the most important needs, we found the need to establish a correct therapeutic relationship. If nursing students are coached in these skills, we will be able to achieve better prepared professionals, who have a holistic vision of the patient, they offering an integral attention to the patient. This is a demand to our current society, which assures the improvement of individual healthEn esta revisión se presenta una visión global de la relación terapéutica y su relevancia en la profesión enfermera. A través de ésta, se quiere demostrar la importancia de la adquisición de habilidades y actitudes fundamentales a la hora de iniciar una relación de ayuda. Una de las características de la enfermería es el concepto del cuidado a través del cual damos significado a la profesión. Entre las necesidades de los cuidados encontramos la más importante de ellas que es la necesidad de establecer una correcta relación terapéutica.   Si los estudiantes de enfermería están entrenados en estas habilidades, conseguiremos profesionales mejores preparados, que contemplarán a las personas en su globalidad, proporcionando una atención integral. Ésta es una demanda de la sociedad actual, la cual conllevaría a una mejora de la salud individual.  

International criteria for electrocardiographic interpretation in athletes: Consensus statement.

Sudden cardiac death (SCD) is the leading cause of mortality in athletes during sport. A variety of mostly hereditary, structural or electrical cardiac disorders are associated with SCD in young athletes, the majority of which can be identified or suggested by abnormalities on a resting 12-lead electrocardiogram (ECG). Whether used for diagnostic or screening purposes, physicians responsible for the cardiovascular care of athletes should be knowledgeable and competent in ECG interpretation in athletes. However, in most countries a shortage of physician expertise limits wider application of the ECG in the care of the athlete. A critical need exists for physician education in modern ECG interpretation that distinguishes normal physiological adaptations in athletes from distinctly abnormal findings suggestive of underlying pathology. Since the original 2010 European Society of Cardiology recommendations for ECG interpretation in athletes, ECG standards have evolved quickly, advanced by a growing body of scientific data and investigations that both examine proposed criteria sets and establish new evidence to guide refinements. On 26-27 February 2015, an international group of experts in sports cardiology, inherited cardiac disease, and sports medicine convened in Seattle, Washington (USA), to update contemporary standards for ECG interpretation in athletes. The objective of the meeting was to define and revise ECG interpretation standards based on new and emerging research and to develop a clear guide to the proper evaluation of ECG abnormalities in athletes. This statement represents an international consensus for ECG interpretation in athletes and provides expert opinion-based recommendations linking specific ECG abnormalities and the secondary evaluation for conditions associated with SCD

5G-CLARITY : 5G-advanced private networks integrating 5GNR, WiFi, and LiFi

The future of the manufacturing industry highly depends on digital systems that transform existing production and monitoring systems into autonomous systems fulfilling stringent requirements in terms of availability, reliability, security, low latency, and positioning with high accuracy. In order to meet such requirements, private 5G networks are considered as a key enabling technology. In this article, we introduce the 5G-CLARITY system that integrates 5GNR, WiFi, and LiFi access networks, and develops novel management enablers to operate 5G-Advanced private networks. We describe three core features of 5G-CLARITY, including a multi-connectivity framework, a high-precision positioning server, and a management system to orchestrate private network slices. These features are evaluated by means of packet-level simulations and an experimental testbed demonstrating the ability of 5G-CLARITY to police access network traffic, to achieve centimeter-level positioning accuracy, and to provision private network slices in less than one minute

International criteria for electrocardiographic interpretation in athletes: Consensus statement

Sudden cardiac death (SCD) is the leading cause of mortality in athletes during sport. A variety of mostly hereditary, structural or electrical cardiac disorders are associated with SCD in young athletes, the majority of which can be identified or suggested by abnormalities on a resting 12-lead electrocardiogram (ECG). Whether used for diagnostic or screening purposes, physicians responsible for the cardiovascular care of athletes should be knowledgeable and competent in ECG interpretation in athletes. However, in most countries a shortage of physician expertise limits wider application of the ECG in the care of the athlete. A critical need exists for physician education in modern ECG interpretation that distinguishes normal physiological adaptations in athletes from distinctly abnormal findings suggestive of underlying pathology. Since the original 2010 European Society of Cardiology recommendations for ECG interpretation in athletes, ECG standards have evolved quickly, advanced by a growing body of scientific data and investigations that both examine proposed criteria sets and establish new evidence to guide refinements. On 26-27 February 2015, an international group of experts in sports cardiology, inherited cardiac disease, and sports medicine convened in Seattle, Washington (USA), to update contemporary standards for ECG interpretation in athletes. The objective of the meeting was to define and revise ECG interpretation standards based on new and emerging research and to develop a clear guide to the proper evaluation of ECG abnormalities in athletes. This statement represents an international consensus for ECG interpretation in athletes and provides expert opinion-based recommendations linking specific ECG abnormalities and the secondary evaluation for conditions associated with SCD

Association between thermal responses, medical events, performance, heat acclimation and health status in male and female elite athletes during the 2019 Doha World Athletics Championships

Please read abstract in the article.The World Athletics Health and Science Department.http://bjsm.bmj.comhj2022Sports Medicin

Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

Correction to: Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

The original version of this article unfortunately contained a mistake