A Brief Overview of the NEBULA Future Internet Architecture

NEBULA is a proposal for a Future Internet Architecture. It is based on the assumptions that: (1) cloud computing will comprise an increasing fraction of the application workload offered to an Internet, and (2) that access to cloud computing resources will demand new architectural features from a network. Features that we have identified include dependability, security, flexibility and extensibility, the entirety of which constitute resilience.NEBULA provides resilient networking services using ultrareliable routers, an extensible control plane and use of multiple paths upon which arbitrary policies may be enforced. We report on a prototype system, Zodiac, that incorporates these latter two features

Aspecto socio-cultural de la transferencia de tecnología de energías renovables en la comunidad terapéutica de Tekové-Rogá

La experiencia realizada en la Comunidad Terapéutica de Tekové-Rogá se encuadra en el Proyecto de Ejecución Práctica y Educación en Energías Renovables y Agua Potable, su implementación depende del Ministerio de Desarrollo Social de la Nación, la Secretaría Nacional de Niñez, Adolescencia y Familia (SENNAF) y la Universidad Tecnológica Nacional (UTN). El objetivo del trabajo es analizar el impacto social que este tipo de experiencias genera, para lograrlo el abordaje metodológico utilizado fue cuanti-cualitativo, en tanto se recolectaron datos estadísticos de la institución que permitieron relevar información sobre su plantel profesional, y cualitativa en tanto indagamos las percepciones que los actores de la institución tienen en relación al proyecto de ejecución en energías renovables. Las conclusiones principales dan cuenta del impacto social en tres ejes diferentes: el impacto a nivel institucional de la comunidad terapéutica, el impacto a nivel socio-cultural y el impacto a nivel académico.The experience realized in Tekové-Rogá's Therapeutic Community is fitted in the Project of Practical Execution and Education in Renewable Energies and Water, his implementation depends on the Department of Social Development of the Nation, the National Secretariat of Childhood, Adolescence and Family (SENNAF) and the Technological National University (UTN). The work analyze the social impact that this type of experiences. The principal conclusions are in three different axes: the first one is related to the impact to institutional level of the therapeutic community, the second one links itself with the impact to socio-cultural level, which can be indirect ó directly. Finally the third axis in which the social impact is identified is to academic level, in which they receive relevancy the innovation in the development of new devices, the role of the university and the impact in the professional identities involved in the project.Asociación Argentina de Energías Renovables y Medio Ambiente (ASADES

The ASIASAFE road safety handbook: the best practices in traffic safety between Europe – Indonesia, Malaysia, and Vietnam

This handbook on Road Traffic Safety, titled "The ASIASAFE Road Safety Handbook: The Best Practices in Traffic Safety between Europe – Indonesia, Malaysia, and Vietnam," is a collaborative effort involving nine universities across Asia and Europe. It represents over three years of intensive research, discussions, and consultations with relevant agencies in participating countries. The six Asian universities involved are the Malaysia University of Science and Technology, Universiti Malaya (Malaysia), Universitas Gadjah Mada, Universitas Muhammadiyah (Indonesia), and Nguyen Tat Thanh University, University of Transport and Communications (Vietnam). The three European universities are Linkoping University (Sweden), University of Porto (Portugal), and University of Rome "Tor Vergata" (Italy). While every effort has been made to ensure the accuracy and relevance of the information provided in this handbook, it is essential to acknowledge that each country has its own unique conditions and circumstances concerning road traffic safety. Therefore, the content of this handbook should be adopted and adapted according to the specific situations and needs of individual countries. Readers are advised to exercise caution and discretion in implementing the recommendations and strategies outlined in this handbook, considering the local context and consulting with relevant authorities and experts as needed. The authors and contributing institutions do not accept any responsibility for the consequences of actions taken based on the information provided in this handbook

Burden of acute otitis media in primary care pediatrics in Italy: A secondary data analysis from the Pedianet database

Background: The incidence of acute otitis media (AOM) vary from country to country. Geographical variations together with differences in study designs, reporting and settings play a role. We assessed the incidence of AOM in Italian children seen by primary care paediatricians (PCPs), and described the methods used to diagnose the disease.Methods: This secondary data analysis from the Pedianet database considered children aged 0 - 6 years between 01/2003 and 12/2007. The AOM episodes were identified and validated by means of patient diaries. Incidence rates/100 person-years (PY) were calculated for total AOM and for single or recurrent AOM.Results: The 92,373 children (52.1% males) were followed up for a total of 227,361 PY: 23,039 (24.9%) presented 38,241 episodes of AOM (94.6% single episodes and 5.4% recurrent episodes). The total incidence rate of AOM in the 5-year period was 16.8 episodes per 100 PY (95% CI: 16.7-16.9), including single AOM (15.9 episodes per 100 PY; 95% CI: 15.7-16.1) and recurrent AOM (0.9 episodes per 100 PY; 95% CI: 0.9-0.9). There was a slight and continuously negative trend decrease over time (annual percent change -4.6%; 95%CI: -5.3, -3.9%). The AOM incidence rate varied with age, peaking in children aged 3 to 4 years (22.2 episodes per 100 PY; 95% CI 21.8-22.7). The vast majority of the AOM episodes (36,842/38,241, 96.3%) were diagnosed using a static otoscope; a pneumatic otoscope was used in only 3.7%.Conclusions: Our data fill a gap in our knowledge of the incidence of AOM in Italy, and indicate that AOM represents a considerable burden for the Italian PCP system. Educational programmes concerning the diagnosis of AOM are needed, as are further studies to monitor the incidence in relation to the introduction of wider pneumococcal conjugate vaccines

Alpha cluster structure in 16O.

The alpha cluster phenomenon in the light nuclei structure has been the subject of a longtime\ud investigation since the proposal of the Ikeda diagrams, however the mechanism of the cluster\ud formation is still not completely understood. In fact, if the clusters have a fairly rigid crystal-like or a\ud gas-like structure remains an open question. The interpretation of the Hoyle state as an α\ud condensate brought a renewed interest to this subject, in particular to resonances analogous to the\ud Hoyle state. In this context the study of the experimental evolution of the α-cluster phenomenon\ud through (6Li,d) transfer reactions has been performed in São Paulo. Particularly important are the\ud regions around the nα thresholds where the α-cluster structure states are predicted. The resonant\ud states around the 4α threshold in the nucleus 16O are the focus of the present contribution. The\ud 12C(6Li,d)16O reaction was measured at a bombarding energy of 25.5 MeV employing the São Paulo\ud Pelletron-Enge-Spectrograph facility and the nuclear emulsion detection technique. Resonant states\ud above the α threshold were measured and an energy resolution of 15-30 keV allows to define states\ud previously unresolved. The angular distributions of the absolute cross sections were determined in a\ud range of 4-40 degree in the center of mass system and up to 17 MeV excitation energy. The upper\ud limit for the resonance widths in the crucial region of the 4α threshold was obtained. These values\ud revealed to be at least a factor three smaller than the ones previously reported in the literature,\ud indicating that the α cluster structure information on this region should be revised

The value-add of tailored seasonal forecast information for industry decision-making

There is a growing need for more systematic, robust and comprehensive in-formation on the value-add of climate services from both the demand and supply sides. There is a shortage of published value-add assessments which focus on the decision-making context, involve participatory or co-evaluation approaches, avoid over-simplification and address both the quantitative (e.g. economic) and qualitative (e.g. social) value of climate services. The twelve case studies which formed the basis of the European Union-funded SECLI-FIRM project were co-designed by industrial and research partners in order to address these gaps, focusing on the use of tailored sub-seasonal and seasonal forecasts in the energy and water industries. For eight of these case studies it was pos-sible to apply quantitative economic valuation methods: econometric modelling was used for five case studies while three case studies used both cost-loss (relative economic value) analysis and avoided costs. The case studies illustrate the challenges in attempting to produce quantitative estimates of the economic value add of these forecasts. At the same time, many of them highlight how practical value for users – transcending the actual economic value – can be enhanced, for example, through the provision of climate services as an exten-sion to their current use of weather forecasts and with the visualisation tailored towards the user

Impact of PNPLA3 rs738409 Polymorphism on the Development of Liver-Related Events in Patients With Nonalcoholic Fatty Liver Disease

[Background and Aims] Nonalcoholic fatty liver disease (NAFLD) is a complex disease, resulting from the interplay between environmental determinants and genetic variations. Single nucleotide polymorphism rs738409 C>G in the PNPLA3 gene is associated with hepatic fibrosis and with higher risk of developing hepatocellular carcinoma. Here, we analyzed a longitudinal cohort of biopsy-proven NAFLD subjects with the aim to identify individuals in whom genetics may have a stronger impact on disease progression.[Methods] We retrospectively analyzed 756 consecutive, prospectively enrolled biopsy-proven NAFLD subjects from Italy, United Kingdom, and Spain who were followed for a median of 84 months (interquartile range, 65–109 months). We stratified the study cohort according to sex, body mass index (BMI) </≥30 kg/m2) and age (</≥50 years). Liver-related events (hepatic decompensation, hepatic encephalopathy, esophageal variceal bleeding, and hepatocellular carcinoma) were recorded during the follow-up and the log-rank test was used to compare groups.[Results] Overall, the median age was 48 years and most individuals were men (64.7%). The PNPLA3 rs738409 genotype was CC in 235 (31.1%), CG in 328 (43.4%), and GG in 193 (25.5%) patients. At univariate analysis, the PNPLA3 GG risk genotype was associated with female sex and inversely related to BMI (odds ratio, 1.6; 95% confidence interval, 1.1–2.2; P = .006; and odds ratio, 0.97; 95% confidence interval, 0.94–0.99; P = .043, respectively). Specifically, PNPLA3 GG risk homozygosis was more prevalent in female vs male individuals (31.5% vs 22.3%; P = .006) and in nonobese compared with obese NAFLD subjects (50.0% vs 44.2%; P = .011). Following stratification for age, sex, and BMI, we observed an increased incidence of liver-related events in the subgroup of nonobese women older than 50 years of age carrying the PNPLA3 GG risk genotype (log-rank test, P = .0047).[Conclusions] Nonobese female patients with NAFLD 50 years of age and older, and carrying the PNPLA3 GG risk genotype, are at higher risk of developing liver-related events compared with those with the wild-type allele (CC/CG). This finding may have implications in clinical practice for risk stratification and personalized medicine.Peer reviewe

Sequencing of diverse mandarin, pummelo and orange genomes reveals complex history of admixture during citrus domestication

Cultivated citrus are selections from, or hybrids of, wild progenitor species whose identities and contributions to citrus domestication remain controversial. Here we sequence and compare citrus genomes-a high-quality reference haploid clementine genome and mandarin, pummelo, sweet-orange and sour-orange genomes-and show that cultivated types derive from two progenitor species. Although cultivated pummelos represent selections from one progenitor species, Citrus maxima, cultivated mandarins are introgressions of C. maxima into the ancestral mandarin species Citrus reticulata. The most widely cultivated citrus, sweet orange, is the offspring of previously admixed individuals, but sour orange is an F1 hybrid of pure C. maxima and C. reticulata parents, thus implying that wild mandarins were part of the early breeding germplasm. A Chinese wild 'mandarin' diverges substantially from C. reticulata, thus suggesting the possibility of other unrecognized wild citrus species. Understanding citrus phylogeny through genome analysis clarifies taxonomic relationships and facilitates sequence-directed genetic improvement. (Résumé d'auteur

Omecamtiv mecarbil in chronic heart failure with reduced ejection fraction, GALACTIC‐HF: baseline characteristics and comparison with contemporary clinical trials

Aims: The safety and efficacy of the novel selective cardiac myosin activator, omecamtiv mecarbil, in patients with heart failure with reduced ejection fraction (HFrEF) is tested in the Global Approach to Lowering Adverse Cardiac outcomes Through Improving Contractility in Heart Failure (GALACTIC‐HF) trial. Here we describe the baseline characteristics of participants in GALACTIC‐HF and how these compare with other contemporary trials. Methods and Results: Adults with established HFrEF, New York Heart Association functional class (NYHA) ≥ II, EF ≤35%, elevated natriuretic peptides and either current hospitalization for HF or history of hospitalization/ emergency department visit for HF within a year were randomized to either placebo or omecamtiv mecarbil (pharmacokinetic‐guided dosing: 25, 37.5 or 50 mg bid). 8256 patients [male (79%), non‐white (22%), mean age 65 years] were enrolled with a mean EF 27%, ischemic etiology in 54%, NYHA II 53% and III/IV 47%, and median NT‐proBNP 1971 pg/mL. HF therapies at baseline were among the most effectively employed in contemporary HF trials. GALACTIC‐HF randomized patients representative of recent HF registries and trials with substantial numbers of patients also having characteristics understudied in previous trials including more from North America (n = 1386), enrolled as inpatients (n = 2084), systolic blood pressure &lt; 100 mmHg (n = 1127), estimated glomerular filtration rate &lt; 30 mL/min/1.73 m2 (n = 528), and treated with sacubitril‐valsartan at baseline (n = 1594). Conclusions: GALACTIC‐HF enrolled a well‐treated, high‐risk population from both inpatient and outpatient settings, which will provide a definitive evaluation of the efficacy and safety of this novel therapy, as well as informing its potential future implementation