Dynamic adaptation of delayed time of diffusion of emergency messages in cognitive vehicular networks

[ES] En este artículo se presenta un protocolo de difusión de mensajes de seguridad para emergencia que utiliza una adaptación dinámica del tiempo de retraso en el entorno de una red vehicular cognitiva. El escenario que se estudia considera la compartición del espectro entre la banda para comunicaciones vehiculares y la banda de la televisión digital con el objetivo de mitigar los efectos de la tormenta de difusión en una red vehicular. Dos de las técnicas de mitigación de la tormenta de difusión más utilizadas en la literatura son comparadas contra el protocolo propuesto en términos de las probabilidades de accesibilidad de los mensajes de emergencia y de la ocupación del canal. Los resultados numéricos muestran que el protocolo con la adaptación dinámica del tiempo presenta un mejor desempeño en condiciones de alta densidad de vehículos, lo cual es característico de un escenario de tormenta de difusión.[EN] This article presents a protocol for the dissemination of emergency safety messages that uses a dynamic adaptation of the delay time in the environment of a cognitive vehicular network. The scenario studied considers the spectrum sharing between the band for vehicular communications and the digital television band with the objective of mitigating the effects of the diffusion storm on a vehicular network. Two of the most commonly used diffusion mitigation techniques in the literature are compared against the proposed protocol in terms of the probabilities of reachability of emergency messages and channel occupancy. The numerical results show that the protocol with the dynamic adaptation of the time presents a better performance in conditions of high density of vehicles, which is characteristic of a diffusion storm scenario.El presente trabajo de investigación ha sido parcialmente financiado por el Consejo Nacional de Ciencia y Tecnología ( CONACYT) de México a través de la Beca Nacional para Estudios de Posgrado no. 445821.Avalos Gómez, JU.; Stevens-Navarro, E.; Pineda-Rico, U.; Cárdenas-Juárez, M.; Arce, A.; González, S. (2020). Adaptación dinámica del tiempo de retraso de difusión de mensajes de emergencia en redes vehiculares cognitivas. Revista Iberoamericana de Automática e Informática industrial. 17(3). https://doi.org/10.4995/riai.2019.12067OJS284173Avalos Gómez, J. U., Pineda-Rico, U., Cardenas-Juarez, M., Garcia- Barrientos, A., Arce, A., Stevens-Navarro, E., nov 2018. Broadcast storm mitigation of esms using spectrum sharing in cognitive radio vanets. 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Correlation between work impairment, scores of rhinitis severity and asthma using the MASK-air (R) App

Background In allergic rhinitis, a relevant outcome providing information on the effectiveness of interventions is needed. In MASK-air (Mobile Airways Sentinel Network), a visual analogue scale (VAS) for work is used as a relevant outcome. This study aimed to assess the performance of the work VAS work by comparing VAS work with other VAS measurements and symptom-medication scores obtained concurrently. Methods All consecutive MASK-air users in 23 countries from 1 June 2016 to 31 October 2018 were included (14 189 users; 205 904 days). Geolocalized users self-assessed daily symptom control using the touchscreen functionality on their smart phone to click on VAS scores (ranging from 0 to 100) for overall symptoms (global), nose, eyes, asthma and work. Two symptom-medication scores were used: the modified EAACI CSMS score and the MASK control score for rhinitis. To assess data quality, the intra-individual response variability (IRV) index was calculated. Results A strong correlation was observed between VAS work and other VAS. The highest levels for correlation with VAS work and variance explained in VAS work were found with VAS global, followed by VAS nose, eye and asthma. In comparison with VAS global, the mCSMS and MASK control score showed a lower correlation with VAS work. Results are unlikely to be explained by a low quality of data arising from repeated VAS measures. Conclusions VAS work correlates with other outcomes (VAS global, nose, eye and asthma) but less well with a symptom-medication score. VAS work should be considered as a potentially useful AR outcome in intervention studies.Peer reviewe

Fruit, yield, and vegetative growth responses to photosynthetically active radiation during oil synthesis in olive trees

Maximizing productivity in super high density and intensive olive orchards requires proper management of illumination of the canopy walls and their interior. Currently, this is difficult to achieve due to the limited knowledge about the responses to incident photosynthetically active radiation (PAR) of yield determinants and components. We determined the response functions for PAR during the oil synthesis phase of yield components (fruit dry weight and oil concentration) of fruit at a height of  2 m on the canopy periphery by applying several radiation levels (3, 20, 40, and 70% of incident PAR) to the north side (S hemisphere) of well-illuminated trees. The experiment was initiated after endocarp hardening as fruit number had already been established at that time. This avoided possible confounding effects due compensation between fruit number and size. Absence of differential fruit fall in response to treatments and of changes in (endocarp + seed) dry weight after application of treatment confirmed the achievement of this objective. Fruit dry weight, oil concentration, and, consequently, yield increased linearly with mean daily PAR receipt up to a threshold of 15 mol PAR m-2 d-1 (i.e., 40% of PAR). In treatments with irradiance levels below this threshold the fruit became the priority sinks for assimilates, although their growth rate and oil concentration were reduced. Increments in length of non-fruiting branches and of trunk cross-sectional areas were substantially reduced in response to shading. We conclude that manipulation of PAR levels during the oil synthesis phase can reduce final fruit dry weight and oil concentration, confirms the existence of upper thresholds to PAR responses for these variables, and provides evidence that fruit growth has priority in the partitioning of photosynthate over vegetative growth under low to moderate levels of PAR.       Fil: Cherbiy Hoffmann, Silvana Ursula. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Regional de Investigaciones Cientificas y Transferencia Tecnológica de Anillaco; ArgentinaFil: Hall, Antonio Juan. Universidad de Buenos Aires. Facultad de Agronomia; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Instituto de Investigaciones Fisiológicas y Ecológicas Vinculadas a la Agricultura; ArgentinaFil: Rousseaux, Maria Cecilia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Regional de Investigaciones Cientificas y Transferencia Tecnológica de Anillaco; Argentin

Enhanced infection prophylaxis reduces mortality in severely immunosuppressed HIV-infected adults and older children initiating antiretroviral therapy in Kenya, Malawi, Uganda and Zimbabwe: the REALITY trial

Meeting abstract FRAB0101LB from 21st International AIDS Conference 18–22 July 2016, Durban, South Africa. Introduction: Mortality from infections is high in the first 6 months of antiretroviral therapy (ART) among HIV‐infected adults and children with advanced disease in sub‐Saharan Africa. Whether an enhanced package of infection prophylaxis at ART initiation would reduce mortality is unknown. Methods: The REALITY 2×2×2 factorial open‐label trial (ISRCTN43622374) randomized ART‐naïve HIV‐infected adults and children >5 years with CD4 <100 cells/mm3. This randomization compared initiating ART with enhanced prophylaxis (continuous cotrimoxazole plus 12 weeks isoniazid/pyridoxine (anti‐tuberculosis) and fluconazole (anti‐cryptococcal/candida), 5 days azithromycin (anti‐bacterial/protozoal) and single‐dose albendazole (anti‐helminth)), versus standard‐of‐care cotrimoxazole. Isoniazid/pyridoxine/cotrimoxazole was formulated as a scored fixed‐dose combination. Two other randomizations investigated 12‐week adjunctive raltegravir or supplementary food. The primary endpoint was 24‐week mortality. Results: 1805 eligible adults (n = 1733; 96.0%) and children/adolescents (n = 72; 4.0%) (median 36 years; 53.2% male) were randomized to enhanced (n = 906) or standard prophylaxis (n = 899) and followed for 48 weeks (3.8% loss‐to‐follow‐up). Median baseline CD4 was 36 cells/mm3 (IQR: 16–62) but 47.3% were WHO Stage 1/2. 80 (8.9%) enhanced versus 108(12.2%) standard prophylaxis died before 24 weeks (adjusted hazard ratio (aHR) = 0.73 (95% CI: 0.54–0.97) p = 0.03; Figure 1) and 98(11.0%) versus 127(14.4%) respectively died before 48 weeks (aHR = 0.75 (0.58–0.98) p = 0.04), with no evidence of interaction with the two other randomizations (p > 0.8). Enhanced prophylaxis significantly reduced incidence of tuberculosis (p = 0.02), cryptococcal disease (p = 0.01), oral/oesophageal candidiasis (p = 0.02), deaths of unknown cause (p = 0.02) and (marginally) hospitalisations (p = 0.06) but not presumed severe bacterial infections (p = 0.38). Serious and grade 4 adverse events were marginally less common with enhanced prophylaxis (p = 0.06). CD4 increases and VL suppression were similar between groups (p > 0.2). Conclusions: Enhanced infection prophylaxis at ART initiation reduces early mortality by 25% among HIV‐infected adults and children with advanced disease. The pill burden did not adversely affect VL suppression. Policy makers should consider adopting and implementing this low‐cost broad infection prevention package which could save 3.3 lives for every 100 individuals treated

Adherence to treatment in allergic rhinitis using mobile technology. The MASK Study

Background: Mobile technology may help to better understand the adherence to treatment. MASK-rhinitis (Mobile Airways Sentinel NetworK for allergic rhinitis) is a patient-centred ICT system. A mobile phone app (the Allergy Diary) central to MASK is available in 22 countries. Objectives: To assess the adherence to treatment in allergic rhinitis patients using the Allergy Diary App. Methods: An observational cross-sectional study was carried out on all users who filled in the Allergy Diary from 1 January 2016 to 1 August 2017. Secondary adherence was assessed by using the modified Medication Possession Ratio (MPR) and the Proportion of days covered (PDC) approach. Results: A total of 12 143 users were registered. A total of 6 949 users reported at least one VAS data recording. Among them, 1 887 users reported ≥7 VAS data. About 1 195 subjects were included in the analysis of adherence. One hundred and thirty-six (11.28%) users were adherent (MPR ≥70% and PDC ≤1.25), 51 (4.23%) were partly adherent (MPR ≥70% and PDC = 1.50) and 176 (14.60%) were switchers. On the other hand, 832 (69.05%) users were non-adherent to medications (MPR <70%). Of those, the largest group was non-adherent to medications and the time interval was increased in 442 (36.68%) users. Conclusion and clinical relevance: Adherence to treatment is low. The relative efficacy of continuous vs on-demand treatment for allergic rhinitis symptoms is still a matter of debate. This study shows an approach for measuring retrospective adherence based on a mobile app. This also represents a novel approach for analysing medication-taking behaviour in a real-world setting