Theoretical Kinetics Study of the F(2P) + NH3 Hydrogen Abstraction Reaction

The hydrogen abstraction reaction of fluorine with ammonia represents a true chemical challenge because it is very fast, is followed by secondary abstraction reactions, which are also extremely fast, and presents an experimental/theoretical controversy about rate coefficients. Using a previously developed full-dimensional analytical potential energy surface, we found that the F + NH3 → HF + NH2 system is a barrierless reaction with intermediate complexes in the entry and exit channels. In order to understand the reactivity of the title reaction, thermal rate coefficidents were calculated using two approaches: ring polymer molecular dynamics and quasi-classical trajectory calculations, and these were compared with available experimental data for the common temperature range 276–327 K. The theoretical results obtained show behavior practically independent of temperature, reproducing Walther–Wagner’s experiment, but in contrast with Persky’s more recent experiment. However, quantitatively, our results are 1 order of magnitude larger than those of Walther–Wagner and reasonably agree with the Persky at the lowest temperature, questioning so Walther−Wagner’s older data. At present, the reason for this discrepancy is not clear, although we point out some possible reasons in the light of current theoretical calculationsThis work was partially supported by Gobierno de Extremadura, Spain, and FEDER (Project No. IB10001). Y.V.S. acknowledges the support of a Combustion Energy Research Fellowship through the Combustion Energy Frontier Research Center, an Energy Frontier Research Center funded by the U.S. Department of Energy, Office of Basic Energy Sciences under Award Number DE-SC0001198. A.F-.R. thanks Xunta de Galicia through Grant No. 2012/314 para a consolidación e a estruturación de unidades de investigación competitivas do Sistema Universitario de Galicia, 2012S

Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India: Insights from the GARFIELD-AF Registry.

BACKGROUND: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. METHODS AND RESULTS: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. CONCLUSION: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. CLINICAL TRIAL REGISTRATION-URL: http://www.clinicaltrials.gov. Unique identifier: NCT01090362

Seguimiento de las guías españolas para el manejo del asma por el médico de atención primaria: un estudio observacional ambispectivo

Objetivo Evaluar el grado de seguimiento de las recomendaciones de las versiones de la Guía española para el manejo del asma (GEMA 2009 y 2015) y su repercusión en el control de la enfermedad. Material y métodos Estudio observacional y ambispectivo realizado entre septiembre del 2015 y abril del 2016, en el que participaron 314 médicos de atención primaria y 2.864 pacientes. Resultados Utilizando datos retrospectivos, 81 de los 314 médicos (25, 8% [IC del 95%, 21, 3 a 30, 9]) comunicaron seguir las recomendaciones de la GEMA 2009. Al inicio del estudio, 88 de los 314 médicos (28, 0% [IC del 95%, 23, 4 a 33, 2]) seguían las recomendaciones de la GEMA 2015. El tener un asma mal controlada (OR 0, 19, IC del 95%, 0, 13 a 0, 28) y presentar un asma persistente grave al inicio del estudio (OR 0, 20, IC del 95%, 0, 12 a 0, 34) se asociaron negativamente con tener un asma bien controlada al final del seguimiento. Por el contrario, el seguimiento de las recomendaciones de la GEMA 2015 se asoció de manera positiva con una mayor posibilidad de que el paciente tuviera un asma bien controlada al final del periodo de seguimiento (OR 1, 70, IC del 95%, 1, 40 a 2, 06). Conclusiones El escaso seguimiento de las guías clínicas para el manejo del asma constituye un problema común entre los médicos de atención primaria. Un seguimiento de estas guías se asocia con un control mejor del asma. Existe la necesidad de actuaciones que puedan mejorar el seguimiento por parte de los médicos de atención primaria de las guías para el manejo del asma. Objective: To assess the degree of compliance with the recommendations of the 2009 and 2015 versions of the Spanish guidelines for managing asthma (Guía Española para el Manejo del Asma [GEMA]) and the effect of this compliance on controlling the disease. Material and methods: We conducted an observational ambispective study between September 2015 and April 2016 in which 314 primary care physicians and 2864 patients participated. Results: Using retrospective data, we found that 81 of the 314 physicians (25.8%; 95% CI 21.3–30.9) stated that they complied with the GEMA2009 recommendations. At the start of the study, 88 of the 314 physicians (28.0%; 95% CI 23.4–33.2) complied with the GEMA2015 recommendations. Poorly controlled asthma (OR, 0.19; 95% CI 0.13–0.28) and persistent severe asthma at the start of the study (OR, 0.20; 95% CI 0.12–0.34) were negatively associated with having well-controlled asthma by the end of the follow-up. In contrast, compliance with the GEMA2015 recommendations was positively associated with a greater likelihood that the patient would have well-controlled asthma by the end of the follow-up (OR, 1.70; 95% CI 1.40–2.06). Conclusions: Low compliance with the clinical guidelines for managing asthma is a common problem among primary care physicians. Compliance with these guidelines is associated with better asthma control. Actions need to be taken to improve primary care physician compliance with the asthma management guidelines

A Framework for Modeling and Analysis of Ambient Agent Systems: Application to an Emergency Case

It is recognized in Ambient Intelligence that ambient devices should be modeled as intelligent autonomous components rather than passive information sources. The agent paradigm suits well for representation of both intelligent ambient devices and humans. However, modeling complex cognitive dynamics from which intelligent behavior of agents emerges is not trivial. In this paper a formal framework is proposed for declarative modeling of cognitive processes and behavior of agents in an ambient intelligence system. Models obtained by the framework are executable and can be used directly for simulation and analysis. The framework provides rich analysis possibilities of qualitative and quantitative properties, specified at local (agent) and global (system) levels. An application of the framework in the context of a subway evacuation case is described in the paper

Using case-based reasoning to detect risk scenarios of elderly people living alone at home

In today's ageing societies, the proportion of elderly people living alone in their own homes is dramatically increasing. Smart homes provide the appropriate environment for keeping them independent and, therefore, enhancing their quality of life. One of the most important re-\ud quirements of these systems is that they have to provide a pervasive environment without disrupting elderly people's daily activities. The present paper introduces a CBR agent used within a commercial Smart Home system, designed for detecting domestic accidents that may lead to serious complications if the elderly resident is not attended quickly. The approach is based on cases composed of event sequences. Each event sequence represents the different locations visited by the resident during his/her daily activities. Using this approach, the system can decide\ud whether the current sequence represent an unsafe scenario or not. It does so by comparing the current sequence with previously stored sequences. Several experiments have been conducted with different CBR agent con-\ud figurations in order to test this approach. Results from these experiments show that the proposed approach is able to detect unsafe scenarios

Improving Intelligent Systems: Specialization

The specialization exists in biological systems and in human organizations, as a methodology to improve processes and optimize their aims. This specialization in artificial intelligent systems such as multi-agent systems, can improve their aims, depending on the type of specialization and the goals which they need to achieve. The enterprise networks are a collaboration model between companies which we can apply over these intelligent systems, so that, these systems can achieve more complex aims. Therefore, in this collaboration type, is necessary to consider their specialization type, and how they could collaborate to achieve aims, that by themselves would not be possible