58 research outputs found

    Practical Offline Payments Using One-Time Passcodes

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    Modern buyers enjoy the convenience of digital payments, but not all points of sale always have an Internet connection. Trusting the buyer’s device to honestly report that a payment was definitively made puts merchant’s revenue at risk. We present an inexpensive and usable solution for merchants to verify that a buyer correctly completed a payment even when the point of sale is offline

    Who comes after us? The correct mindset for designing a Central Bank Digital Currency

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    In December 2021 the European Central Bank (ECB) published a report on "Central Bank Digital Currency: functional scope, pricing and controls" in its Occasional Paper Series [BPT21], detailing various challenges for the Digital Euro. While the authors peripherally acknowledge the existence of token-based payment systems, the notion that a Digital Euro will somehow require citizens to have some kind of central bank account is pervasive in the paper. We argue that an account-based design cannot meet the ECB’s stated design goals and that the ECB needs to fundamentally change its mindset when thinking about its role in the context of the Digital Euro if it wants the project to succeed. Along the same lines, the French National Council for Digitalization published a report on "Notes and Tokens, The New Competition of Currencies" [DGTV21]. Here, the authors make related incorrect claims about inevitable properties of Central Bank Digital Currencies (CBDCs), going as far as stating that a CBDC is not possible without an eID system. Our paper sets the record straight

    Rectal cancer with synchronous unresectable metastases: arguments for therapeutic choice

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    Environ 4 000 patients sont pris en charge chaque année en France pour un cancer du rectum avec des métastases synchrones jugées non résécables en réunion de concertation pluridisciplinaire (RCP). Il n’existe pas de consensus sur la stratégie thérapeutique à proposer et parmi les trois options possibles, les critères de choix restent relativement imprécis. – La chirurgie première est certes le meilleur traitement pour contrôler les symptômes rectaux mais elle n’a pas démontré qu’elle augmentait la survie et la résécabilité secondaire des métastases par rapport aux autres options et comporte un risque de résection incomplète, de complications pouvant retarder ou empêcher la chimiothérapie, de progression accélérée de la maladie métastatique et de mortalité comprise entre 1 et 5 %. – La radio-chimiothérapie première suivie d’une chirurgie permet le contrôle des symptômes rectaux mais retarde la chimiothérapie pour les métastases qui dominent le pronostic ; elle expose aux mêmes risques de complications que la chirurgie première. – La chimiothérapie première nous paraît intéressante en absence de complications locales sévères (occlusion, hémorragie) ; elle est potentiellement efficace sur les métastases à distance qui conditionnent le pronostic et sur la tumeur primitive qui répond souvent de manière similaire ; elle ne fige pas la stratégie et offre la possibilité de l’adapter à chaque évaluation selon la réponse, la tolérance et les possibilités de résection (tumeur primitive et métastases). Dans tous les cas, il est fondamental de discuter ces dossiers au cas par cas en RCP pour adapter la stratégie thérapeutique aux caractéristiques du patient, de la tumeur primitive et de l’extension métastatique, ainsi qu’à la réponse obtenue aux traitements proposés successivement.Rectal cancers with synchronous unresectable metastases are diagnosed in about 4 000 patients. There is yet no consensus on the therapeutic strategy for these cases which must be discussed during multidisciplinary meeting. Three options are available and arguments of choice remain relatively weak. – First-line resection of the primary rectal tumour is indeed the best treatment to control rectal symptoms but it does not seem to improve survival and secondary resectability of metastases when compared to other options; moreover incomplete resection or complications may delay chemotherapy, accelerate the metastastic process and mortality rate ranges from 1 to 5%. – First-line radio-chemotherapy followed by surgery allows for controlling rectal symptoms but delays chemotherapy for metastases dominating the prognosis; it exposes the patients to the same morbidity and mortality as first-line surgery. – First-line chemotherapy is the third valid option in the absence of major rectal symptoms (occlusion, haemorrhage); chemotherapy is potentially efficient on distant metastases bearing a high prognosis impact and on the primary rectal tumour, which often has a similar response. First-line chemotherapy allows for adapting the therapeutic strategy after each evaluation according to the tumour response, side effects and possibility of resection (primary rectal tumour and metastases). In all cases, medical records of such patients should be discussed during a multidisciplinary meeting to adapt the therapeutic strategy to the patient’s characteristics, primary rectal tumor, metastases staging and evolution

    Corrigendum on: White paper on European patient needs and suggestions on chronic type 2 inflammation of airways and skin by EUFOREA

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    Background: Type 2 inflammation underlies the chronicity of disease in subgroups of patients with asthma, chronic rhinosinusitis with nasal polyps (CRSwNP) and atopic dermatitis (AD), that often co-exist. Although several studies have investigated the unmet needs of asthma, AD and CRSwNP as such, little is known about the similarities and differences in experiences and perspectives of the current management of patients with comorbid Type 2 inflammatory diseases. Aims: To improve insight into the common and organ-specific needs of patients with Type 2 inflammation and comorbidities, allowing the formulation of recommendations to better address these needs in the future. Methodology: This qualitative study was conducted between July 2021 and December 2021 using semi-structured face-to-face or telephone interviews with patients suffering from year-long severe chronic Type 2 inflammation and at least one co-morbid inflammatory condition. Seven participating academic centers in Europe interviewed asthma (Copenhagen and Leuven), CRSwNP (London, Amsterdam and Crete) and/or AD (Oldenburg and Zurich) patients on patient characteristics, disease severity, shortcomings of current care pathways and suggestions for improvement of care. Transcripts were analyzed using an inductive thematic analysis approach. Results: Eighty-one patients with severe Type 2 inflammation and comorbidities were interviewed. Similar needs were recognized by patients with Type 2 inflammation, with both a lack of coordination in care and a lack of a real cure reported as being most frustrating. However, several needs are specific to asthma, CRSwNP and AD. Suggestions for improvement of care were generic across diseases, such as the implementation of a multidisciplinary approach, the improved facilitation of access to better treatments, the increase of general awareness on disease burden, and better educational programs for healthcare providers and patients. Of note, patients with CRSwNP also stated the need for alternatives to sinus surgery, whereas patients with asthma requested better medical care to prevent exacerbations and patients with AD would warmly welcome the reimbursement of emollients. Conclusion: Patients with asthma, CRSwNP and AD have shared unmet needs that need to be addressed by physicians, the academic community and health policy makers. This survey provides unique recommendations made by patients for the implementation of better care

    White Paper on European Patient Needs and Suggestions on Chronic Type 2 Inflammation of Airways and Skin by EUFOREA

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    Background: Type 2 inflammation underlies the chronicity of disease in subgroups of patients with asthma, chronic rhinosinusitis with nasal polyps (CRSwNP) and atopic dermatitis (AD), that often co-exist. Although several studies have investigated the unmet needs of asthma, AD and CRSwNP as such, little is known about the similarities and differences in experiences and perspectives of the current management of patients with comorbid Type 2 inflammatory diseases. Aims: To improve insight into the common and organ-specific needs of patients with Type 2 inflammation and comorbidities, allowing the formulation of recommendations to better address these needs in the future. Methodology: This qualitative study was conducted between July 2021 and December 2021 using semi-structured face-to-face or telephone interviews with patients suffering from year-long severe chronic Type 2 inflammation and at least one co-morbid inflammatory condition. Seven participating academic centers in Europe interviewed asthma (Copenhagen and Leuven), CRSwNP (London, Amsterdam and Crete) and/or AD (Oldenburg and Zurich) patients on patient characteristics, disease severity, shortcomings of current care pathways and suggestions for improvement of care. Transcripts were analyzed using an inductive thematic analysis approach. Results: Eighty-one patients with severe Type 2 inflammation and comorbidities were interviewed. Similar needs were recognized by patients with Type 2 inflammation, with both a lack of coordination in care and a lack of a real cure reported as being most frustrating. However, several needs are specific to asthma, CRSwNP and AD. Suggestions for improvement of care were generic across diseases, such as the implementation of a multidisciplinary approach, the improved facilitation of access to better treatments, the increase of general awareness on disease burden, and better educational programs for healthcare providers and patients. Of note, patients with CRSwNP also stated the need for alternatives to sinus surgery, whereas patients with asthma requested better medical care to prevent exacerbations and patients with AD would warmly welcome the reimbursement of emollients. Conclusion: Patients with asthma, CRSwNP and AD have shared unmet needs that need to be addressed by physicians, the academic community and health policy makers. This survey provides unique recommendations made by patients for the implementation of better care

    Open Source ImmGen: network perspective on metabolic diversity among mononuclear phagocytes

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    We dissect metabolic variability of mononuclear phagocyte (MNP) subpopulations across different tissues through integrative analysis of three large scale datasets. Specifically, we introduce ImmGen MNP Open Source dataset that profiled 337 samples and extended previous ImmGen effort which included 202 samples of mononuclear phagocytes and their progenitors. Next, we analysed Tabula Muris Senis dataset to extract data for 51,364 myeloid cells from 18 tissues. Taken together, a compendium of data assembled in this work covers phagocytic populations found across 38 different tissues. To analyse common metabolic features, we developed novel network-based computational approach for unbiased identification of key metabolic subnetworks based on cellular transcriptional profiles in large-scale datasets. Using ImmGen MNP Open Source dataset as baseline, we define 9 metabolic subnetworks that encapsulate the metabolic differences within mononuclear phagocytes, and demonstrate that these features are robustly found across all three datasets, including lipid metabolism, cholesterol biosynthesis, glycolysis, and a set of fatty acid related metabolic pathways, as well as nucleotide and folate metabolism. We systematically define major features specific to macrophage and dendritic cell subpopulations. Among other things, we find that cholesterol synthesis appears particularly active within the migratory dendritic cells. We demonstrate that interference with this pathway through statins administration diminishes migratory capacity of the dendritic cells in vivo. This result demonstrates the power of our approach and highlights importance of metabolic diversity among mononuclear phagocytes

    GENERATION A DELAI POLYNOMIAL POUR LE PROBLEME SAT

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    NOUS NOUS SOMMES INTERESSES A L'ETUDE DES CLASSES DE FORMULES CNF PROPOSITIONNELLES POUR LESQUELLES IL EST POSSIBLE DE GENERER TOUS LES MODELES DE FACON EFFICACE (I.E. AVEC UN DELAI POLYNOMIAL ENTRE CHAQUE MODELE GENERE). NOUS PROPOSONS UN ALGORITHME GENERIQUE PERMETTANT DE GENERER TOUS LES MODELES D'UNE FORMULE QUELCONQUE. NOUS PROUVONS QUE POUR LES PRINCIPALES CLASSES DE FORMULES POUR LESQUELLES ON SAIT RESOUDRE LE PROBLEME SAT EFFICACEMENT, NOTRE ALGORITHME GENERE LES SOLUTIONS AVEC UN DELAI POLYNOMIAL. CETTE ETUDE NOUS POUSSE A ETUDIER ENSUITE PLUS EN DETAIL LES CLASSES DE FORMULES POUR LESQUELLES LA RESOLUTION UNITAIRE EST LE SEUL OUTIL UTILISE POUR LA GENERATION. C'EST POURQUOI NOUS NOUS INTERESSONS AUX FORMULES HORN ETENDUES INTRODUITES PAR CHANDRU ET HOOKER. MALHEUREUSEMENT, IL N'EXISTE PAS ENCORE D'ALGORITHME POLYNOMIAL PERMETTANT DE TESTER SI UNE FORMULE APPARTIENT A CETTE CLASSE. NOUS ETUDIONS DONC LA CLASSE DES FORMULES HORN ETENDUES SIMPLES QUI EST UNE RESTRICTION DE LA CLASSE PECEDENTE POUR LAQUELLE SWAMINATHAN ET WAGNER ONT PROPOSE UN ALGORITHME DE RECONNAISSANCE QUADRATIQUE. UNE ETUDE DE LA STRUCTURE DE CES FORMULES NOUS PERMET DE PROPOSER UN ALGORITHME DE RECONNAISSANCE LINEAIRE. LE RESULTAT DE PLUS ORIGINAL DE CE TRAVAIL EST LA PRESENTATION DE LA CLASSE DES FORMULES ORDONNEES. CETTE CLASSE ETEND DE FACON NATURELLE CELLE DES FORMULES DE HORN, EN PRESERVANT LES PROPRIETES RELATIVES A LA RESOLUTION UNITAIRE (SAT, GENERATION DE MODELES). DE PLUS, NOUS PROPOSONS UN ALGORITHME QUADRATIQUE PERMETTANT DE DETERMINER SI UNE FORMULE EST ORDONNEE-RENOMMABLE. EN OUTRE NOUS PRESENTONS LA CLASSE DES FORMULES PRESQUE ORDONNEES QUI ENGLOBE LES FORMULES ORDONNEES-RENOMMABLES. CES FORMULES PEUVENT ETRE RECONNUES EN TEMPS POLYNOMIAL ET ON PEUT AUSSI GENERER LEURS MODELES EN N'UTILISANT QUE LA RESOLUTION UNITAIRE, A CONDITION DE DISPOSER D'UN ORDRE CONVENABLE SUR LES VARIABLES.CAEN-BU Sciences et STAPS (141182103) / SudocSudocFranceF
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