27 research outputs found
Analysis and evaluation of Wi-Fi indoor positioning systems using smartphones
This paper attempts to analyze the main algorithms used in Machine Learning applied to the indoor location. New technologies are facing new challenges. Satellite positioning has become a typical application of mobile phones, but stops working satisfactorily in enclosed spaces. Currently there is a problem in positioning which is unresolved. This circumstance motivates the research of new methods. After the introduction, the first chapter presents current methods of positioning and the problem of positioning indoors. This part of the work shows globally the current state of the art. It mentions a taxonomy that helps classify the different types of indoor positioning and a selection of current commercial solutions. The second chapter is more focused on the algorithms that will be analyzed. It explains how the most widely used of Machine Learning algorithms work. The aim of this section is to present mathematical algorithms theoretically. These algorithms were not designed for indoor location but can be used for countless solutions. In the third chapter, we learn gives tools work: Weka and Python. the results obtained after thousands of executions with different algorithms and parameters showing main problems of Machine Learning shown. In the fourth chapter the results are collected and the conclusions drawn are shown
Generalized Henneberg Stable Minimal Surfaces
We generalize the classical Henneberg minimal surface by giving
an infinite family of complete, finitely branched, non-orientable, stable
minimal surfaces in R3. These surfaces can be grouped into subfamilies
depending on a positive integer (called the complexity), which essentially
measures the number of branch points. The classical Henneberg surface
H1 is characterized as the unique example in the subfamily of the simplest
complexity m = 1, while for m â„ 2 multiparameter families are given.
The isometry group of the most symmetric example Hm with a given
complexity m â N is either isomorphic to the dihedral isometry group
D2m+2 (if m is odd) or to Dm+1 Ă Z2 (if m is even). Furthermore, for m
even Hm is the unique solution to the Bjšorling problem for a hypocycloid
of m + 1 cusps (if m is even), while for m odd the conjugate minimal
surface H
â
m to Hm is the unique solution to the Bjšorling problem for a
hypocycloid of 2m + 2 cusps.Universidad de Granada/CBUA CEX2020-001105-M/AEI/10.13039/501100011033Ministry of Science and Innovation, Spain (MICINN)
Spanish GovernmentEuropean Commission PID2020-117868GB-I00
Junta de Andalucia P18-FR-4049
A-FQM-139-UGR1
ValoraciĂłn del nivel de actividad fĂsica y aptitud fĂsica en una muestra de universitarios: Comparativa tras la pandemia de covid-19
The transition from secondary education to university education has become a critical moment for the lifestyle of young people, especially for the practice of physical activity. Therefore, the main objective of the present study was to assess the levels of physical activity in university students, by correlating the results of the IPAQ-SF and the different physical fitness variables (Eurofit). The sample consisted of 194 students of the Primary Education Degree, with a mean age of 21.37 ± 2.66 years. The main results obtained reflect the direct relationship between the practice of physical activity in general, and vigorous physical activity in particular, and optimal physical fitness of university students, linked above all to the strength component. As for the comparison between pre-pandemic (18/19) and post-pandemic (21/22) university students, the increase in physical activity after the pandemic did not show substantial differences in the physical fitness components. In conclusion, these results should lead us to reflect on the influence of an active lifestyle on physical fitness, which has an impact on overall health status and quality of life.El trĂĄnsito de la educaciĂłn secundaria a la enseñanza universitaria se ha convertido en un momento crĂtico para el estilo de vida de los jĂłvenes, especialmente para la prĂĄctica de actividad fĂsica. Por ello, el principal objetivo del presente estudio fue valorar los niveles de actividad fĂsica en universitarios, mediante la correlaciĂłn entre los resultados del IPAQ-SF y las distintas variables de condiciĂłn fĂsica (Eurofit). La muestra estuvo conformada por 194 estudiantes del Grado de EducaciĂłn Primaria, con una edad media de 21,37 ± 2,66 años. Los principales resultados obtenidos reflejan la relaciĂłn directa entre la prĂĄctica de actividad fĂsica en general, y la actividad fĂsica vigorosa en particular y una Ăłptima aptitud fĂsica de los estudiantes universitarios, vinculada sobre todo con el componente fuerza. En cuanto a la comparaciĂłn entre los universitarios del curso prepandĂ©mico (18/19) y el curso pospandĂ©mico (21/22), el aumento de la actividad fĂsica tras la pandemia no reportĂł diferencias sustanciales en los componentes de la condiciĂłn fĂsica. A modo de conclusiĂłn, estos resultados deben conducirnos a una reflexiĂłn sobre la influencia de un estilo de vida activo en la aptitud fĂsica, la cual tiene repercusiĂłn en el estado de salud general y la calidad de vida
Immigrant IBD Patients in Spain Are Younger, Have More Extraintestinal Manifestations and Use More Biologics Than Native Patients
BackgroundPrevious studies comparing immigrant ethnic groups and native patients with IBD have yielded clinical and phenotypic differences. To date, no study has focused on the immigrant IBD population in Spain. MethodsProspective, observational, multicenter study comparing cohorts of IBD patients from ENEIDA-registry who were born outside Spain with a cohort of native patients. ResultsWe included 13,524 patients (1,864 immigrant and 11,660 native). The immigrants were younger (45 +/- 12 vs. 54 +/- 16 years, p < 0.001), had been diagnosed younger (31 +/- 12 vs. 36 +/- 15 years, p < 0.001), and had a shorter disease duration (14 +/- 7 vs. 18 +/- 8 years, p < 0.001) than native patients. Family history of IBD (9 vs. 14%, p < 0.001) and smoking (30 vs. 40%, p < 0.001) were more frequent among native patients. The most prevalent ethnic groups among immigrants were Caucasian (41.5%), followed by Latin American (30.8%), Arab (18.3%), and Asian (6.7%). Extraintestinal manifestations, mainly musculoskeletal affections, were more frequent in immigrants (19 vs. 11%, p < 0.001). Use of biologics, mainly anti-TNF, was greater in immigrants (36 vs. 29%, p < 0.001). The risk of having extraintestinal manifestations [OR: 2.23 (1.92-2.58, p < 0.001)] and using biologics [OR: 1.13 (1.0-1.26, p = 0.042)] was independently associated with immigrant status in the multivariate analyses. ConclusionsCompared with native-born patients, first-generation-immigrant IBD patients in Spain were younger at disease onset and showed an increased risk of having extraintestinal manifestations and using biologics. Our study suggests a featured phenotype of immigrant IBD patients in Spain, and constitutes a new landmark in the epidemiological characterization of immigrant IBD populations in Southern Europe
Effectiveness and Safety of the Sequential Use of a Second and Third Anti-TNF Agent in Patients With Inflammatory Bowel Disease: Results From the Eneida Registry
Background: The effectiveness of the switch to another anti-tumor necrosis factor (anti-TNF) agent is not known. The aim of this study was to analyze the effectiveness and safety of treatment with a second and third anti-TNF drug after intolerance to or failure of a previous anti-TNF agent in inflammatory bowel disease (IBD) patients. Methods: We included patients diagnosed with IBD from the ENEIDA registry who received another anti-TNF after intolerance to or failure of a prior anti-TNF agent. Results: A total of 1122 patients were included. In the short term, remission was achieved in 55% of the patients with the second anti-TNF. The incidence of loss of response was 19% per patient-year with the second anti-TNF. Combination therapy (hazard ratio [HR], 2.4; 95% confidence interval [CI], 1.8-3; P < 0.0001) and ulcerative colitis vs Crohn's disease (HR, 1.6; 95% CI, 1.1-2.1; P = 0.005) were associated with a higher probability of loss of response. Fifteen percent of the patients had adverse events, and 10% had to discontinue the second anti-TNF. Of the 71 patients who received a third anti-TNF, 55% achieved remission. The incidence of loss of response was 22% per patient-year with a third anti-TNF. Adverse events occurred in 7 patients (11%), but only 1 stopped the drug. Conclusions: Approximately half of the patients who received a second anti-TNF achieved remission; nevertheless, a significant proportion of them subsequently lost response. Combination therapy and type of IBD were associated with loss of response. Remission was achieved in almost 50% of patients who received a third anti-TNF; nevertheless, a significant proportion of them subsequently lost response
Risk Factors for COVID-19 in Inflammatory Bowel Disease: A National, ENEIDA-Based CaseâControl Study (COVID-19-EII)
(1) Scant information is available concerning the characteristics that may favour the acquisition of COVID-19 in patients with inflammatory bowel disease (IBD). Therefore, the aim of this study was to assess these differences between infected and noninfected patients with IBD. (2) This nationwide case-control study evaluated patients with inflammatory bowel disease with COVID-19 (cases) and without COVID-19 (controls) during the period March-July 2020 included in the ENEIDA of GETECCU. (3) A total of 496 cases and 964 controls from 73 Spanish centres were included. No differences were found in the basal characteristics between cases and controls. Cases had higher comorbidity Charlson scores (24% vs. 19%; p = 0.02) and occupational risk (28% vs. 10.5%; p < 0.0001) more frequently than did controls. Lockdown was the only protective measure against COVID-19 (50% vs. 70%; p < 0.0001). No differences were found in the use of systemic steroids, immunosuppressants or biologics between cases and controls. Cases were more often treated with 5-aminosalicylates (42% vs. 34%; p = 0.003). Having a moderate Charlson score (OR: 2.7; 95%CI: 1.3-5.9), occupational risk (OR: 2.9; 95%CI: 1.8-4.4) and the use of 5-aminosalicylates (OR: 1.7; 95%CI: 1.2-2.5) were factors for COVID-19. The strict lockdown was the only protective factor (OR: 0.1; 95%CI: 0.09-0.2). (4) Comorbidities and occupational exposure are the most relevant factors for COVID-19 in patients with IBD. The risk of COVID-19 seems not to be increased by immunosuppressants or biologics, with a potential effect of 5-aminosalicylates, which should be investigated further and interpreted with caution
Molecular mechanisms of cell death: recommendations of the Nomenclature Committee on Cell Death 2018.
Over the past decade, the Nomenclature Committee on Cell Death (NCCD) has formulated guidelines for the definition and interpretation of cell death from morphological, biochemical, and functional perspectives. Since the field continues to expand and novel mechanisms that orchestrate multiple cell death pathways are unveiled, we propose an updated classification of cell death subroutines focusing on mechanistic and essential (as opposed to correlative and dispensable) aspects of the process. As we provide molecularly oriented definitions of terms including intrinsic apoptosis, extrinsic apoptosis, mitochondrial permeability transition (MPT)-driven necrosis, necroptosis, ferroptosis, pyroptosis, parthanatos, entotic cell death, NETotic cell death, lysosome-dependent cell death, autophagy-dependent cell death, immunogenic cell death, cellular senescence, and mitotic catastrophe, we discuss the utility of neologisms that refer to highly specialized instances of these processes. The mission of the NCCD is to provide a widely accepted nomenclature on cell death in support of the continued development of the field
A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)
Meeting abstrac
Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study
Summary
Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally.
Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies
have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of
the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income
countries globally, and identified factors associated with mortality.
Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to
hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis,
exomphalos, anorectal malformation, and Hirschsprungâs disease. Recruitment was of consecutive patients for a
minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical
status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary
intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause,
in-hospital mortality for all conditions combined and each condition individually, stratified by country income status.
We did a complete case analysis.
Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital
diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal
malformation, and 517 with Hirschsprungâs disease) from 264 hospitals (89 in high-income countries, 166 in middleincome
countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male.
Median gestational age at birth was 38 weeks (IQR 36â39) and median bodyweight at presentation was 2·8 kg (2·3â3·3).
Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income
countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups).
Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome
countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries;
pâ€0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients
combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88â4·11],
p<0·0001; middle-income vs high-income countries, 2·11 [1·59â2·79], p<0·0001), sepsis at presentation (1·20
[1·04â1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention
(ASA 4â5 vs ASA 1â2, 1·82 [1·40â2·35], p<0·0001; ASA 3 vs ASA 1â2, 1·58, [1·30â1·92], p<0·0001]), surgical safety
checklist not used (1·39 [1·02â1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed
(ventilation 1·96, [1·41â2·71], p=0·0001; parenteral nutrition 1·35, [1·05â1·74], p=0·018). Administration of
parenteral nutrition (0·61, [0·47â0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65
[0·50â0·86], p=0·0024) or percutaneous central line (0·69 [0·48â1·00], p=0·049) were associated with lower mortality.
Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome,
middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will
be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger
than 5 years by 2030
Analysis and evaluation of Wi-Fi indoor positioning systems using smartphones
This paper attempts to analyze the main algorithms used in Machine Learning applied to the indoor location. New technologies are facing new challenges. Satellite positioning has become a typical application of mobile phones, but stops working satisfactorily in enclosed spaces. Currently there is a problem in positioning which is unresolved. This circumstance motivates the research of new methods. After the introduction, the first chapter presents current methods of positioning and the problem of positioning indoors. This part of the work shows globally the current state of the art. It mentions a taxonomy that helps classify the different types of indoor positioning and a selection of current commercial solutions. The second chapter is more focused on the algorithms that will be analyzed. It explains how the most widely used of Machine Learning algorithms work. The aim of this section is to present mathematical algorithms theoretically. These algorithms were not designed for indoor location but can be used for countless solutions. In the third chapter, we learn gives tools work: Weka and Python. the results obtained after thousands of executions with different algorithms and parameters showing main problems of Machine Learning shown. In the fourth chapter the results are collected and the conclusions drawn are shown