Analytical Model of Socio-Technical Sustainability of Dynamic Hypermedia Devices

Este artículo presenta un modelo analítico de sostenibilidad de redes socio-técnicas para la construcción colaborativa de conocimiento en contextos institucionales y organizacionales. El objetivo se centra en fundamentar una perspectiva teórica-metodológica a partir de la noción de “dispositivo hipermedial dinámico” (DHD). En lo metodológico, desde un posicionamiento sociotécnico, se realiza una revisión de los principales debates y perspectivas teóricas sobre la expansión de TIC en relación a la problemática a tratar. Luego se desarrollan propositivamente las componentes del modelo de sostenibilidad-DHD siguiendo sus cuatro dimensiones: social, institucional, tecnológica y textual. El diseño del modelo, no jerárquico y relacional, se estima a su vez beneficioso para orientar el proceso constructivo de este tipo de dispositivos. Además, puede colaborar de manera flexible para analizar transformaciones socio-tecnológicas en diversos contextos situados. Finalmente, la consistencia de los resultados analíticos a alcanzar podría ser efectiva, ya que es posible vincular: el carácter dinámico, relacional e interactivo de las características de una tecnología; las tensiones sociales y políticas existentes en el marco socio-institucional donde se desarrolla; las posibles formas de diseño participativo, en función de los requerimientos de una institución u organización; y la producción colaborativa en red, promoviendo responsabilidades de gestión organizacional.Este artigo apresenta um modelo analítico de sustentabilidade de redes sociotécnicas para a construção colaborativa de conhecimento em contextos institucionais/organizacionais. O objetivo é focado na fundamentação de uma perspectiva teórico-metodológica a partir da noção de “dispositivo hipermedial dinâmico” (DHD). No metodológico, a partir de um posicionamento sociotécnico, é feita uma revisão dos principais debates e perspectivas teóricas sobre a expansão de TIC em relação à problemática a ser tratada. Depois, são desenvolvidos propositivamente os componentes do modelo de sustentabilidade-DHD seguindo suas quatro dimensões: social, institucional, tecnológica e textual. O design do modelo, não hierárquico e relacional, é também considerado propício para orientar o processo construtivo deste tipo de dispositivos. Além disso, pode colaborar de forma flexível para analisar transformações sociais tecnológicas em diversos contextos. Finalmente, a consistência dos resultados analíticos a serem alcançados poderia ser efetiva, pois é possível vincular: o caráter dinâmico, relacional e interativo das características de uma tecnologia; as tensões sociais e políticas existentes no plano social institucional onde é desenvolvido; as possíveis formas de design participativo, em função dos requerimentos de uma instituição ou organização; e a produção colaborativa em rede, promovendo responsabilidades de gestão organizacional.This paper presents an analytical model of sustainable socio-technical networks for the collaborative knowledge building in organizational/institutional contexts. Its objective focuses on supporting a theoretic-methodological perspective based on the idea of a “dynamic hypermedia device” (DHD). With regard to the methodological aspect, from a socio-technical position, the main debates and theoretical perspectives about the expansion of information and communication technologies pertinent to the issue to be discussed are reviewed. Then the components of the sustainability-DHD model are developed proactively, following its four dimensions: social, institutional, technological and textual. The design of the model, nonhierarchical and relational, is considered beneficial to guide the building process of these kinds of devices. In addition, it can collaborate in a flexible way in order to analyze the sociotechnological transformations in diverse situational contexts. Finally, the consistency of the analytical results to be reached could be effective, since it is possible to connect: the dynamic, relational and interactive aspects of the technology’s characteristics; the social and political tensions within the socio-institutional framework in which it develops; the possible ways of participative design, as a function of the institution or organization’s requirements; and the networked collaborative production, promoting organizational management responsibilities.Fil: Andres, Gonzalo Dario. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Rosario. Instituto Rosario de Investigaciones en Ciencias de la Educación. Universidad Nacional de Rosario. Instituto Rosario de Investigaciones en Ciencias de la Educación; ArgentinaFil: San Martin, Patricia Silvana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Rosario. Instituto Rosario de Investigaciones en Ciencias de la Educación. Universidad Nacional de Rosario. Instituto Rosario de Investigaciones en Ciencias de la Educación; ArgentinaFil: Rodriguez, Guillermo L.. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Rosario. Instituto Rosario de Investigaciones en Ciencias de la Educación. Universidad Nacional de Rosario. Instituto Rosario de Investigaciones en Ciencias de la Educación; Argentin

Neutrophil Function in Elderly Patients Hospitalized with Community- Acquired Pneumonia

Background: Advanced age is associated with immunosenescence as well as increased risk for poor outcomes during episodes of community-acquired pneumonia (CAP). Data on neutrophil function in hospitalized elderly patients with CAP is lacking. In this study we compared neutrophil function in elderly and non-elderly hospitalized patients with CAP. Methods: Prospective study of healthy controls (HC) and patients hospitalized with CAP nonelderly (NE-CAP) and elderly (E-CAP). Blood samples were obtained on the day of hospitalization. The following neutrophil functional assays were performed: degranulation of secretory vesicles (CD35), degranulation of specific granules (CD66b), phagocytosis, and hydrogen peroxide (H2O2) production. The Mann-Whitney U-test was used to compare differences in neutrophil function. Results: A total of 12 HC, 28 NE-CAP, and 12 E-CAP were evaluated. There were no significant differences between NE-CAP and E-CAP patients in regard to CD35 expression (p=0.465), CD66b expression (p=0.601), phagocytosis (p=0.654), or H2O2 production (p=0.541) Conclusions: We failed to demonstrate any significant difference in neutrophil function in nonelderly versus elderly patients hospitalized with CAP in relation to membrane expression of CD35 and CD66b, phagocytosis, and respiratory burst. Abnormal neutrophil function is unlikely to be an important component of the immunosenescence described in elderly patients with CAP

MicroRNA expression profiling in Imatinib-resistant Chronic Myeloid Leukemia patients without clinically significant ABL1-mutations

The development of Imatinib Mesylate (IM), the first specific inhibitor of BCR-ABL1, has had a major impact in patients with Chronic Myeloid Leukemia (CML), establishing IM as the standard therapy for CML. Despite the clinical success obtained with the use of IM, primary resistance to IM and molecular evidence of persistent disease has been observed in 20-25% of IM treated patients. The existence of second generation TK inhibitors, which are effective in patients with IM resistance, makes identification of predictors of resistance to IM an important goal in CML. In this study, we have identified a group of 19 miRNAs that may predict clinical resistance to IM in patients with newly diagnosed CML

Frequent and simultaneous epigenetic inactivation of TP53 pathway genes in acute lymphoblastic leukemia

Aberrant DNA methylation is one of the most frequent alterations in patients with Acute Lymphoblastic Leukemia (ALL). Using methylation bead arrays we analyzed the methylation status of 807 genes implicated in cancer in a group of ALL samples at diagnosis (n = 48). We found that 154 genes were methylated in more than 10% of ALL samples. Interestingly, the expression of 13 genes implicated in the TP53 pathway was downregulated by hypermethylation. Direct or indirect activation of TP53 pathway with 5-aza-29-deoxycitidine, Curcumin or Nutlin-3 induced an increase in apoptosis of ALL cells. The results obtained with the initial group of 48 patients was validated retrospectively in a second cohort of 200 newly diagnosed ALL patients. Methylation of at least 1 of the 13 genes implicated in the TP53 pathway was observed in 78% of the patients, which significantly correlated with a higher relapse (p = 0.001) and mortality (p,0.001) rate being an independent prognostic factor for disease-free survival (DFS) (p = 0.006) and overall survival (OS) (p = 0.005) in the multivariate analysis. All these findings indicate that TP53 pathway is altered by epigenetic mechanisms in the majority of ALL patients and correlates with prognosis. Treatments with compounds that may reverse the epigenetic abnormalities or activate directly the p53 pathway represent a new therapeutic alternative for patients with ALL

Phenoloxidase activity acts as a mosquito innate immune response against infection with semliki forest virus

Several components of the mosquito immune system including the RNA interference (RNAi), JAK/STAT, Toll and IMD pathways have previously been implicated in controlling arbovirus infections. In contrast, the role of the phenoloxidase (PO) cascade in mosquito antiviral immunity is unknown. Here we show that conditioned medium from the Aedes albopictus-derived U4.4 cell line contains a functional PO cascade, which is activated by the bacterium Escherichia coli and the arbovirus Semliki Forest virus (SFV) (Togaviridae; Alphavirus). Production of recombinant SFV expressing the PO cascade inhibitor Egf1.0 blocked PO activity in U4.4 cell- conditioned medium, which resulted in enhanced spread of SFV. Infection of adult female Aedes aegypti by feeding mosquitoes a bloodmeal containing Egf1.0-expressing SFV increased virus replication and mosquito mortality. Collectively, these results suggest the PO cascade of mosquitoes plays an important role in immune defence against arboviruses

Performance feedback: An exploratory study to examine the acceptability and impact for interdisciplinary primary care teams

Background - This mixed methods study was designed to explore the acceptability and impact of feedback of team performance data to primary care interdisciplinary teams. // Methods - Seven interdisciplinary teams were offered a one-hour, facilitated performance feedback session presenting data from a comprehensive, previously-conducted evaluation, selecting highlights such as performance on chronic disease management, access, patient satisfaction and team function. // Results - Several recurrent themes emerged from participants' surveys and two rounds of interviews within three months of the feedback session. Team performance measurement and feedback was welcomed across teams and disciplines. This feedback could build the team, the culture, and the capacity for quality improvement. However, existing performance indicators do not equally reflect the role of different disciplines within an interdisciplinary team. Finally, the effect of team performance feedback on intentions to improve performance was hindered by a poor understanding of how the team could use the data. // Conclusions - The findings further our understanding of how performance feedback may engage interdisciplinary team members in improving the quality of primary care and the unique challenges specific to these settings. There is a need to develop a shared sense of responsibility and agenda for quality improvement. Therefore, more efforts to develop flexible and interactive performance-reporting structures (that better reflect contributions from all team members) in which teams could specify the information and audience may assist in promoting quality improvement

Evaluation of the impact of interdisciplinarity in cancer care

<p>Abstract</p> <p>Background</p> <p>Teamwork is a key component of the health care renewal strategy emphasized in Quebec, elsewhere in Canada and in other countries to enhance the quality of oncology services. While this innovation would appear beneficial in theory, empirical evidences of its impact are limited. Current efforts in Quebec to encourage the development of local interdisciplinary teams in all hospitals offer a unique opportunity to assess the anticipated benefits. These teams working in hospital outpatient clinics are responsible for treatment, follow-up and patient support. The study objective is to assess the impact of interdisciplinarity on cancer patients and health professionals.</p> <p>Methods/Design</p> <p>This is a quasi-experimental study with three comparison groups distinguished by intensity of interdisciplinarity: strong, moderate and weak. The study will use a random sample of 12 local teams in Quebec, stratified by intensity of interdisciplinarity. The instrument to measure the intensity of the interdisciplinarity, developed in collaboration with experts, encompasses five dimensions referring to aspects of team structure and process. Self-administered questionnaires will be used to measure the impact of interdisciplinarity on patients (health care utilization, continuity of care and cancer services responsiveness) and on professionals (professional well-being, assessment of teamwork and perception of teamwork climate). Approximately 100 health professionals working on the selected teams and 2000 patients will be recruited. Statistical analyses will include descriptive statistics and comparative analysis of the impact observed according to the strata of interdisciplinarity. Fixed and random multivariate statistical models (multilevel analyses) will also be used.</p> <p>Discussion</p> <p>This study will pinpoint to what extent interdisciplinarity is linked to quality of care and meets the complex and varied needs of cancer patients. It will ascertain to what extent interdisciplinary teamwork facilitated the work of professionals. Such findings are important given the growing prevalence of cancer and the importance of attracting and retaining health professionals to work with cancer patients.</p

New and Common Haplotypes Shape Genetic Diversity in Asian Tiger Mosquito Populations from Costa Rica and Panama

The Asian tiger mosquito, Aedes albopictus (Skuse) (Diptera: Culicidae), is a vector of several human pathogens. Ae. albopictus is also an invasive species that, over recent years, has expanded its range out of its native Asia. Ae. albopictus was suspected to be present in Central America since the 1990s, and its presence was confirmed by most Central American nations by 2010. Recently, this species has been regularly found, yet in low numbers, in limited areas of Panama and Costa Rica (CR). Here, we report that short sequences (?558 bp) of the mitochondrial cytochrome oxidase subunit 1 (COI) and NADH dehydrogenase subunit 5 genes of Ae. albopictus, had no haplotype diversity. Instead, there was a common haplotype for each gene in both CR and Panama. In contrast, a long COI sequence (?1,390 bp) revealed that haplotype diversity (±SD) was relatively high in CR (0.72 ± 0.04) when compared with Panama (0.33 ± 0.13), below the global estimate for reported samples (0.89 ± 0.01). The long COI sequence allowed us to identify seven (five new) haplotypes in CR and two (one new) in Panama. A haplotype network for the long COI gene sequence showed that samples from CR and Panama belong to a single large group. The long COI gene sequences suggest that haplotypes in Panama and CR, although similar to each other, had a significant geographic differentiation (Kst = 1.33; P < 0.001). Thus, most of our results suggest a recent range expansion in CR and Panama

Highlights from the Pierre Auger Observatory

The Pierre Auger Observatory is the world's largest cosmic ray observatory. Our current exposure reaches nearly 40,000 km$^2$ str and provides us with an unprecedented quality data set. The performance and stability of the detectors and their enhancements are described. Data analyses have led to a number of major breakthroughs. Among these we discuss the energy spectrum and the searches for large-scale anisotropies. We present analyses of our X$_{max}$ data and show how it can be interpreted in terms of mass composition. We also describe some new analyses that extract mass sensitive parameters from the 100% duty cycle SD data. A coherent interpretation of all these recent results opens new directions. The consequences regarding the cosmic ray composition and the properties of UHECR sources are briefly discussed.Comment: 9 pages, 12 figures, talk given at the 33rd International Cosmic Ray Conference, Rio de Janeiro 201